Download - Performance Bulletin, January, 2013
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MINUTES OF THE (14th ) MONTHLY REVIEW MEETING
OF DISTRICT HYDERABAD
Monthly Review Meeting (M.R.M) of District, Hyderabad for the Month of January, 2013 was held on 13.2.2013 at meeting Hall of DG Health Office, Hyderabad. Written invitations to participate were sent to the Administrator/ DCO, the D.H.O, all Focal persons of Vertical Programs, District Population Officer i.e EPI, TB DOTS,MNCH, National Program, Malaria Control, Hepatitis, DHIS & DEWS, representatives WHO, all I/c Medical Officers/ FMOs/LHVs etc.
List of Participants
S #
Names Designation S #
Names Designation
1. Abdul Shakoor Shaikh RPD-I 38 Waseem jokhio SO
2. Dr Qaisar Qaimkhani DOH(M&PH) 39 Dr. Mumtaz Rajper FMO
3. Mr. Mustafa Kamal Tagar DSM, PPHI 40 Dr. Neelofer Kazi FMO
4. Dr Kashif Ali Channar Asstt Professor 41 Mr. Athar Ali Memon Ex: M&E
5. Dr.Farzana Chachar Sonologist 42 Dr Atif MO
6. Dr. Sono Khan Bhurgri T.H.O Hyd Rural 43 Dr. Yasir MO
7. Dr. Naila Sheikh FMO 44 Dr. Mehwish FMO
8. Dr. Sadia Pir FMO 45 Dr. Fareeda FMO
9. Dr. Shabnum DDO 46 Dr. Shabnum Tunio FMO
10. Dr. Rafique Ahmed MO 47 Dr. Rukhsana Dal Sonologist
11. Dr. Ammnullah Ogahi SMO 48 Dr. Farzana Agha WMO
12. Dr. Azeem Shah SMO I/C 49 Dr. Kapil Dev M O HQ
13. Dr. A. Rahim Khatian SMO I/C 50 Sanjar Kumar Asst.Store
14. Dr. Raza Muhammad SMO I/C 51 Dr. Yasir Ali MO
15. Dr. Muqadus Ali MO 52 Dr. Ashok Kumar MO
16. Dr. Khadim Hussain SMO / IC 53 Mr.Atif Abbas Ex(F&A)HYD
17. Dr. Khalid Dawich MO I/C 54 Dr. Sameena Bano FMO
18. Dr. Iftekhar Ahmed MO 55 Dr. Ashok Kumar MO
19. Dr. Abullah Nizamani I/C MO 56 Mr. M Yousuf SO
20. Mr. Waseem Jokhio SO 57 Mr.Faheem Bukhari SO
21. Dr. Sohrab Hisbani S M O I/C 58 Dr.Attaullah SMO
22. Dr. Riaz Ahmed SMO I/C 59 Dr Saleem bhai SMO
23. Dr. Ramesh Kumar MO I /C
24. Dr. M Qasim Soomro I/C MO
25. Dr. Abdul Hamid Mangi SMO I/C
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26. Dr. Khem Chand SMO I/C
27. Dr. Pervez Talpur M O
28. Dr. Mehboob Qadir M O I/C
29. Dr. Muhammad Ali MO
30. Dr.Hafiz Zohaib I/C MO
31. Dr. Noor Nabi WMO
32. Dr. Erij Kamal Abbasi FMO
33. Dr. Sadaf Sheikh FMO
34. Dr. Aruna Kumari FMO
35. Dr. Abida FMO
36. Dr. Rubina Abro FMO
37. Dr. Shazia Zeeshan FMO
The following could not attend the meeting for the reasons stated against each:-
S # Names Reasons for absence
1 Dr AZeem Shah On Leave
2 Dr Parvez Talpur On Leave
A. HFs WITH PPHI RHC: 03 BHUs: 13 MCHCs: 03 Dispensaries: 22 TOTAL: 41
B. Population of the Catchments Area: 385,898
C. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt)
MOs
65 52 13
WMO/FMO 26 10 16
LHVs 29 20 9
MTs/MAs Male 3 3 0
3
Female
Dispensers 46 29 17
D. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E.
CAPACITY BUILDING
E. CAPACITY BUILDING
Capacity building session:
1. Capacity Building Session on Recent advances in the Contraception by Professor Firdous Mumtaz a. OBJECTIVES b. Risk factors c. CLINICAL CASES d. DISCUSSION e. CONCLUSION
2. Capacity Building Session on SCLERODERMA by Dr Thanwadas Medical Officer @ RHC Hoosri
a. Definition b. Classification c. Clinical Features d. Diagnosis e. Treatment
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 2 Clusters of 2 HFs 4
Single HFs 39 Single HFs 37
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 9 Clusters of 2 HFs 8
Single HFs 7 Single HFs 8
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3. Capacity Building Session on Hepatitis B,C by Professor Firdous Mumtaz.
f. Definition g. Classification h. Clinical Features i. Diagnosis a. Treatment.
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 1021
Children <12 months received 3rd pentavalent vaccine 1123
Children <12 months received 1st measles vaccine 1044
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 620
Total vaccination / immunization for the month of January- 2013 3808
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Total Target of
coverage Actual coverage
Percentage of coverage
------------------------------------- ---- --------- -----------
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (APCD) Slides --
2 Malaria Metro Survey (MMS) Slides 1119
3 +ve Slides 1
4 Follow up 0
MOTHER, CHILD & REPRODUCTIVE HEALTH
1. Female Health. S.
No NAME OF FMO NUMBER
OF OBSTETRICAL
old patient children & Total
OPD Total OPD Women&
Diagnostic Tests
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PATIENT women Childs (Childs)
Women Antenatal 1st Visit
Natal Post
Natal 1st visit
PT Total
BS Total
HB Total
1 Dr. Erij/Sameena 789 121 3 25 311 86 1186 62 12 11
2 Dr. Neelofer Kazi 876 29 0 9 90 439 1315 11 10 0
3 Dr. Sadaf Sheikh 1079 47 6 14 50 544 1623 30 16 19
4 Dr. Sadia Pir 343 20 0 0 34 82 459 2 15 0
5 Dr. Naila Sheikh 602 30 0 24 63 196 861 6 40 28
6 Dr. Shabnum 111 25 37 3 69 6 117 0 0 0
7 Dr. Sameena 596 50 15 10 0 0 596 50 100 100
8 Dr. Shazia Zesshan 687 45 1 4 40 229 916 51 35 29
9 Dr. Rubina Sheikh, Dr Sameera
1609 89 2 39 570 1745 3354 44 55 50
10 Dr. Mumtaz Soomro Dr
2372 170 119 130 0 0 2372 167 100 199
11 Dr Yasmeen 751 34 0 4 227 308 1059 14 15 32
12 Dr. Mehwish Dr Shabana
692 40 3 5 53 753 1445 7 18 16
13 Dr.Fareeda 1253 114 2 7 16 973 2226 21 9 0
14 Dr.Rubina 649 52 0 12 150 413 1062 23 9 2 15 Dr.Azra Shaikh 1334 61 5 8 143 332 1883 45 13 8
16 Dr.Jhan Ara 2466 130 1 12 90 923 3622 28 38 17
17 Dr.Mumtaz khatoon 730 83 1 12 103 261 1094 29 44 0
18 Dr.Rahila 252 28 0 0 44 87 383 3 2 0
19 Dr.Aruna Kumari 791 40 0 14 204 271 1266 43 34 40
20 Dr.Abida Ishtiaque
Total 17982 1208 195 332 2257 7648 26839 636 565 551
During Month under Review
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 128
2 Deliveries Assisted at Homes 0
3. Lab/ Diagnostic Tests
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S # Test Number
1 Pregnancy Tests 641
2 Blood Sugar Tests 701
3 Hemoglobin Tests 590
4 Ultra Sound Test 1932
5 Other
6 TOTAL 3864
3. Important Discussion on Mother and Child and Reproductive Health during MRM&Polio a. Pre-diagnosis screening of patients for vaccine should be done religiously. b. Where vaccinator are provided under National Program, the duty roster should be signed by I/c
Medical Officer and absence report should immediately be sent to Focal Person. c. Pregnant females should be encouraged for delivery at BHU. d. F.P advice should be part of diagnosis and separate record be maintained. e. Sonologists shall furnish their presentation on the findings, referral and follow up. f. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not
provided. In all cases, record should be legible, complete and traceable. g. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been
provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/C MO in writing.
h. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.
i. Focal Person (EPI) has declined to provide EPI vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).
3. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 1368
Oral Pills 4180
IUCDs 21
Injections 2120
Others
Total 7689
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 34 Number of Female SGs: 02
2. Performance of Social Organizers
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Names of Social Organizers Meetings of Support Groups
conducted by him CHSs/SHSs arranged by him
No. No. of
Participants No.
No. of Participants
Wasim Jokhio 4 160 9 360
Yousuf Seelro 5 193 9 342
Faheem Bukhari
Total
1. School Health Sessions & Community Health Sessions
S. #
NAME OF FMO Name of Health
Facility
S.H.SESSION C.H.SESSION
No of Session
Child Examined
Child Treated Session Participant
1 Dr. Neelofer Kazi DCD Noor Khan Ch
2 27 8 2 38 2 Dr. Sadaf Sheikh MCHC Jhando
Kh 1 150 20 1 90
3 Dr. Naila Sheikh BHI AMI Qazi 0 0 0 2 75 4 Dr. Shazia Zesshan RHC Tando Qaisar 1 35 3 1 15
5 Dr. Rubina Sheikh,
BHU Sehrish Nagar 2 426 40 4 109 Dr. Sameera,
6 DR. Fareeda BHU Massu Bhurgri 2 12 8 2 69 GD Taaj M h d J j
1 10 7 2 39 Dr. Fareeda
7 Dr. Rubina Abro
BHU khesana Mori 2 104 9
GD bheendo sharif
Dr. Rubina Abro
8 Dr. Azra Sheikh BHU Hatri 1 30 5 1 16 BHU Darya Beg Mughal 1 8 6 1 14
Dr. Azra Sheikh
9 Dr. Jahan Ara BHU Bahawal Zaunr 1 29 7 1 58 BHU Jhando Narejo 1 35 8 1 43
Dr. Jahan Ara
10 Dr. Aqsa GD M.Solangi 0 0 0 0 0
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GD H.K.Thora 0 0 0 0 0
Dr. Yasmeen
11 Dr. Mumtaz Khatoon
BHU M A B Talpur 1 20 0 1 48 GD Habibullah Memon 1 15 0 1 30
Dr. Mumtaz Khatoon
12 DR. Mehwish Muneer
BHU Norai Sharif 1 6 3 2 36 BHU Sono Khan Almani
DR. Mehwish Muneer
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Dr. Sameena Rasheed
RHC T.Jam 0 0 0 1 35
Dr. Sameena Rasheed
14 Dr. Aruna Kumari
BHU Moosa Khatian 1 10 0 1 40
GD Arif Khatian 1 9 2 1 45 Dr. Aruna Kumari
TOTAL 16 269 83 26 1059
4. Important Points during Support Group Meetings.
• The CSG members should help in monitoring and facilitation. • I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on
need basis after seeking administrative approval from DSM- should be regular feature. • Moral support to medical/paramedical staff working at HF. • Arranging of awareness sessions at their respective villages • Information sharing to the rest of the villages regarding facilities at HF • Reformation of CSGs and individual roles of the members • Effective local facilitation by CSG members to the hf staff • Developing greenery at HFs by the CSG members • Ownership of the HFs
5. Important Points during SHSs
• To drink clean & safe water and Washing hands after toilet. • Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine
Flue, Congo Fever etc. • Nutritional awareness to be transferred to mothers through their kids. • Hair trimming clean clothes nails clipping, washing fruit/vegetables before eating.
6. Important Points during CHSs
• Primary health care awareness. • Educate about immunization against infectious disease. • Personal Hygiene and worm infestation/De-worming of children
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• Prevention from diabetes • Precautions from Malaria and Hepatitis • Importance of family Planning • Importance of Vaccination • Importance of ultrasound • Importance of antenatal and postnatal care
7. Topics for SHSs for the Month
Sr. No. Topics
1 Measles
2 RTI
8 Topics for CHSs for the Month
S # Topics
1 Measles
2
9. Important Discussion on Community Participation during MRM
• Community Health Sessions are to be planned and held on Sonologist days.
• Participation should be ensured through formal contact with LHWs. • Sessions are to be held preferably at Health Facility or at community home duly coordinated and
facilitated by DSU/HF staff. • DSU field staff shall attend 50% of all the CSG meetings conducted during the month. • TORs of CSG must be shared with CSG members in every meeting of CSG. • Formal invitation to the CSG members in meeting • Presiding of the meeting by the CSG members • Participation of notable CSG member in MRM • Effective Mobilization of female CSGs and developing their ownership at H.Facility. • Involvement of notable in solving day to day problems of HFs. • CSG should be held at BHU. • Developing greenery at HFs.
10. Health Camps: Number Held: Number of Patients:
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
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I Sanitation
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental Improvement
Viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
35470 6684 42154
2. Maximum OPD**
01 RHC Tando Jam 13737
02 RHC Hoosri 6460
03 BHU Sehrish Nagar 5270
04 RHC Tando Qaiser 3996
05 MCHC Jhando Khoso 3144
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI
2 Warm Infestation
3 Scabies
4 Malaria
5 Diarrhea
*All HFs — BHUs and others.
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**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease S # Disease
1 Acute URTI 28882 6 Dog Bite 53
2 Malaria 4367 7
3 Scabies 2505 8
4 Diarrhea 5390 9
5 Suspected Viral Hepatitis 61 10
4. ARV / ASV used during the month Particulars No. of Patients
Dog bite cases reported
ARV Administered ( @ 5 Dozes per
00
ARV Available Doses (@ 24 dozes/vial) 00
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 00
6. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 701
2 Hemoglobin 590
3 X-Rays (if available) 136
4 Ultra Sound 1931
5 Others (Lab Tests)
7. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B 52 2 2 2 0
Hepatitis C 49 12 12 12 0
8. TUBERCLOSIS
9. Referrals
S.No Totals Cases Referred To
1 0 TB DOT Deliveries Others RHCs THQs DHQs
2 0 0 0 0 0 0
3
Patients
New Cases During the
Under Diagnosis
0 0 0
12
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 0
3
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G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
36 55 165 247
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 24 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
1 BHU AMI Kazi & DCD
Need R&R work School Building
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
--------------------------------------- ----------------------------------------- --------------------------------------
* To reflect only non-PPHI Visitors
J- DISCUSSION DURING MRM
On Staff Matters:
• All efforts must be made to achieve the targets of family planning vaccination, malnutrition deliveries,ANC Coverage. The area Incharge Medical Officers will be held responsible and Salaries will be deducted along with disciplinary action for low achiements .
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• All MCHC Centers to be fully functionalized, the I/C MO/FMO to focus their attention • Generator will be provided at tando qaisar • The Ambulance of RHC Tando Qaisar will be repaired • All MO/FMO are directed to ensure screening for EPI before examination of patient. • HB meter must be Prevent • DNC/NVD kit prevent for Hepatitis • Autoclave must be available at every center • It was reiterated that already delegated powers for one day leave/short leave to Executive M&E were
withdrawn and anybody seeking leave shall have to inform DSM directly. • All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications. • Till DHIS forms are provided by DGHS, HMIS formats are printed to reduce the Photostat costs and same
are being provided to all the I/c MOs before next due date. • Medicine Requisition/DEWS reporting formats were distributed to avoid Photostat cost. • Carbon copies be used for keeping an other copy of Referral Forms • Aprons and Staff Uniforms should be strictly worn during duty hours. • V-phones remain unattended by some facilities. Some V-phone sets remained irreparable despite
successive change of batteries. Requisition for purchase of new sets is moved. • Frequent leaves and late comings should be avoided otherwise explanation calls and deduction of salary
may result for delinquents. • The DSM, PPHI Hyderabad requested the in charges of health facilities for their timely submission of
DHIS reports, Monthly Medicines Requisition, Referral Cases regarding the TB, Polio Dog Bite, Measles, Diarrhea etc.
• Leaves availed through SMS should be subsequently submitted on prescribed format and got approved otherwise will be treated as absence.
• Late coming/Early going will be marked as “x” and two such crosses will result in one absence. • All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks. • Waste Disposal pit be properly ditched and regular burning of hospital waste as per protocol must be
observed. • Expiry or near to expiry medicines be separated and disposed as per protocol already circulated.
On Preventive Health:
• All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines. • Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in
communities On Curative Health:
• Quality of medicines has improved with clear impact on increased cost of medicines. • Normal Delivery Centers have been opened at 16 facilities of the district. • Rise in OPD and consequent rise in medicine consumption. • Patient coming from farther areas demand for more medicine dosages.
On Mother, Child & Reproductive Health:
• Baby Weighing Scales have been provided at all 30 facilities where FMO cover has been provided. • HB meters have been provided at all 30 facilities where FMO cover has been provided. • MNCH registers and Growth monitoring registers will be maintained at each facility where FMO cover
is provided. Training has already been provided to all FMOs in this regard.
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• The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.
• For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs. Other Matters:
• One Pathological laboratory and X-ray unit have been made functional at RHC Tando Qaisar. Now, 02 Pathological Laboratories and 02 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits. Planning is in hand for opening up 01 more Pathological Laboratory at RHC hoosri.
• I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.
• Lot of improvements have been brought in newly taken over RHC Tando Jam as (1) X-ray Plant has started functioning, (2) Pathological Laboratory started after purchase of regents and training of Lab. Technician (2) Additional FMO and Dispenser have been provided.
• Night shift at RHC has been started with male doctors in all three shifts and female doctors in morning shift. Full fledge show is to start as soon.
• Date /Time for Next MRM: Tentative Date for next MRM is 09-03-13
Comments on Targets vs Achievements (by DSM)
• DSM conveyed his displeasure to all those FMOs having less number of ante-natal. • DHIS reports don’t reach in time causing embarrassment and delay in reporting. • Pre-Post R&R photos are not found at H.Fs. • Tree Plantation targets.
(Mustafa Kamal Tagar),
District Support Manager,
PPHI, Hyderabad.
Copy for information to:
1) Secretary to Government of Sindh for Health Department, Karachi. 2) Program Director, PSU, PPHI, Karachi. 3) District Coordination Officer, District Government, Hyderabad. 4) Director General Health, Directorate of Health Hyderabad. 5) Regional Program Director, Region-I @ Hyderabad 6) DHO Hyderabad... 7) Incharge Medical Officer(s) all PPHI managed Health Facilities, Hyderabad.
(Mustafa Kamal Tagar),
District Support Manager,
PPHI, Hyderabad.
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MINUTES OF THE (17th) MONTHLY REVIEW MEETING
OF DISTRICT JAMSHORO
17th Monthly Review Meeting (MRM) of District Jamshoro for the Month of January, 2013 held on 11h February, 2013 at PHDC Hall - Jamshoro. Written invitations were sent to the DC, the EDO(H), the EDO(F&P) District Population Welfare Officer and District Incharges of EPI, LHW, T.B Program, Malaria ,DHIS, family planning, District Surveillance Officer WHO and all other National Programs as usual. The list of participants is as follows:
List of Participants
1. Mr. Mustafa Kamal Tagar District Support Manager DSU PPHI Jamshoro
2. Mr. Niaz Hussain Channa EO(M&E) DSU PPHI Jamshoro
3. Dr. Khalid Memon MO (HQ) PPHI Jamshoro
4. Mr. Tarique Ahmed Shaikh Executive F/A DSU
5. Dr. Irum Naz FMO GD Khurshed Colony & BHU Sari
6. Dr. Shah Bano FMO GD Bihar Colony
7. Dr. Khalida FMO LSB+BHU Khanoth
8. Dr. Shaekla Mehtab FMO BHU Lakha / GD Malhdoom Saharabad
9. Dr. Sabiha Khaskeli FMO BHU Amri / BHU Garwari
10. Dr. Zeba Zardari FMO GD Manjhhu
1. Dr. Raheela Naz FMO BHU Wahur / GD Bajara
2. Dr. Seema Shaikh FMO BHU Mole
3. Dr. Prem chand MO GD Manhdapalari
11. Dr. Farzana Arif FMO GD Qubi / GD Mehanda Palarai
12. Dr. Shahida Shoro FMO BHU Karo Khao / GD Budhapur
13. Dr. Rozina Memon FMO BHU KK BAsti
14. Dr. Naheed FMO SHC Dhamach
15. Dr. Naseem Junejo FMO BHU Talti / BHU Tajuji
16. Dr. Anjum Shaikh WMO GD Sindh University
17. Dr. Aftab Soomro MO BHU Walidad Gabol
18. Dr. M Ramzan SMO GD LSB Jamshoro Colony
19. Dr. Khuram Ansar MO GD Makhdoom Saharabad
20. Dr. Noor Hussain MO BHU Khanoth
21. Dr. Mohan Lal MO BHU Karo Khao
22. Dr. Nazir Feroz MO GD Bihar Colony
23. Dr. Niisar Ahmed MO Band Maanchar
24. Dr. Faraz Hanif Memon MO BHU Lakha
25. Dr. Sultan Ali MO GD Qubi
26. Dr. Irshad Ahmed Nonari MO BHU Thano Ahmed Khan
27. Dr. Zunair Shoro MO GD Budhapur
28. Dr. Zakir Ali MO BHU Garwari
29. Dr. Faisal Channa MO BHU Khuda ki Basti
30. Dr. Hafeez Memon MO GD Khursheed Colony
31. Dr. Muzamil Ahmed MO SHC Dhamach
32. Dr. Faisal Mehdi Qureshi MO GD Akro
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33. Dr. Allah Jurio MO GD Bajara
34. Dr. Assar Mal MO BHU Sari
35. Dr. Asan Das Mo BHU Mole
36. Dr. Aneel Kumar MO GD Ali Murad Barejo
37. Dr. Ehafuzu Din MO BHU Amri
38. Dr. Ghulam Sarwar MO GD Sindh University
39. Dr. Ferozuddin MO BHU Talti
40. Dr. Saifullah MO BHU Tajuji
41. Dr Abdul Khalique MO BHU Laki
42. Dr. Shahid Hussain MO BHU Bubak
43. Mr. Allah Dino SO-/Assistant DSU PPHI Jamshoro
44. Mr. Shahzad Ali SO-/Assistant DSU
45. Mr. Alraf Gul SO-/Assistant DSU
46. Mr. Mujeeb u Rehman SO-/Assistant DSU
47. Mr. Akhtiar Ali Assistant R&R DSU
48. Mr. Nazar Hussain Assistant Accounts DSU
49. Mr. Asif Ali Assistant Store DSU
The following could not attend the meeting for the reasons stated against each:-
1 Dr. Nighat Naseem WMO GD LSB Jamshoro HF
2 Dr. Shazia Memon FMO BHU khando / GD Christian Colony C/L
3 Dr. Imamau d din MO BHU Khando C/L
4 Dr. Ghulam Nabi Surahyo SMO BHU Wahur C/L
B. HFs WITH PPHI BHUs: 19 Dispensaries: 16 MCHCs: 00 Others: 00(RHC)
TOTAL: 35
B. Population of the Catchments Area: 640303
E. STAFF STRENGTH
Sanctioned Posts (Govt.)
Working Government Employees
PPHI Contract
Vacant
(Sanc Govt) MOs 35 35 09 26 26 WMO 02 02 00
FMOs - 16 - 16 -
LHVs/MW/F. Nurse 20 35 22 18 0
MTs/MAs Male 26 26 26 0
0 Female - - -
Dispensers 11 34 12 22 01
F. CLUSTERS OF HFs
17
WITH ONE MO
WITH ONE FMO
CAPACITY BUILDING
1. First Session: During MRM
Dr Nazir Feroz Memon I/C Medical Officer GD Bihar Colony gave lecture on Integrated Management of Childhood Illness (topic) focused on the following topics
a) Introduction is IMCI
b) Why is IMCI better than single-condition approaches
c) Art of taking history of patient.
d) How to diagnose the disease.
e) Doses for selected antibiotics
4. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs 33 Single HFs 33
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 10 Clusters of 2 HFs 10
Single HFs 06 Single HFs 06
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F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 2948
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. -
No. of Immunization & Vaccination Administered by out- reach EPI Teams 553
Total vaccination / immunization for the month March 2012 3501
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides
2 Active Case Detection (ACD) Slides
3 Visits to Check Sanitation (individual house holds + streets)
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulized 209
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
S # Names of FMOs Ante-Natal
Neo-Natal
Other
Total OPD
1 Dr Anjum Shaikh 49 0 1051 1100
2 Dr. Nighat Naseem 48 0 1172 1220
3 Dr. Rozina Memon 41 0 1268 1309
19
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 21
2 Deliveries Assisted at Homes 0
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 170
2 Blood Sugar Tests 475
3 Hemoglobin Tests
4 Ultra Sound Test 462
5 Other
5. Important Discussion on Mother and Child and Reproductive Health during MRM RPD emphasized on creating awareness regarding reducing maternal mortality and morbidity rate in the District. FMOs were advised to increase the Ante and Post natal visits of female patients and guide them for completing TT vaccination course.
6. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
Consultation / Advice 146
Oral Pills 156
IUCDs 0
4 Dr Naheed Akhtar 10 0 369 379
5 Dr Shah Bano 70 0 2031 2101
6 Dr Shazia Memon 0
7 Dr Khalida 60 0 1888 1948
8 Dr Shahida Shoro 66 0 1071 1137
9 Dr Irum Naz 77 0 2521 2598
10 Dr. Naseem Junejo 73 0 656 729
11 Dr. Anna Abro 0 0
12 Dr. Shakela 74 0 530 604
13 Dr. Rahela 34 0 672 706
14 Dr. Sabiha 34 0 510 544
15 Dr. Zeba 7 0 228 235
16 Dr. Farzana 23 0 528 551
Total 666 0 14495 15161
20
Injections 192
Others(RC) 499
Total 993
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 32 Number of Female SGs: --------------
2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
No Male Female Total No. of Participants
No. No. of Participants
Shahzad Ali Soomro 4 39 0 39 2 19
Mujeeb-u-Rehman Shaikh 6 48 0 48 3 31
Allah Dino Otho 5 61 0 61 4 45
Altaf Gul 1 9 0 9 0 0
Total 16 157 0 157 9 85
3. School Health Sessions & Community Health Sessions
Sr. No
Name of FMO/ MO CHS School Health Session
No. Part: NO. Examined Treated
1 Dr. Anjum Shaikh 1 10 1 5 0
2 Dr. Nighat Naseem 1 42 1 6 4
3 Dr. Rozina Memon 1 22 1 0 0
4 Dr. Naheed Akhtar 1 52 1 15 3
5 Dr. Shah Bano 1 24 1 0 0
6 Dr. Shazia Memon
7 Dr. Khalida Buriro 2 67 2 19 5
8 Dr. Shahida Shoro 2 72 2 0 0
9 Dr. Irum Naz 2 44 2 0 0
10 Dr. Naseem Junejo 2 44 2 3 3
11 Dr. Anna Abro 1 31 1 7 3
12 Dr. Shakela Mehtab 1 22 1 0 0
13 Dr. Rahela 2 45 2 70 15
21
14 Dr. Sabiha Khaskeli 2 35 1 4 2
15 Dr. Zeba Zardari 1 11 1 0 0
16 Dr. Farzana Arif 2 58 2 27 14
Total 22 579 21 156 49
4. Important Points during Support Group Meeting
• Awareness of Measles. • Support in polio eradication campaign. • To increase and support routine immunization. • Arrange CHS & SHS in catchment area, • Arrange medical camps.
5. Important Points during SHSs
• Discussed importance of immunization, personal health & hygiene, nutritional status and other diseases.
6. Important Points during CHSs
• Importance of breast feeding and maternal health.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Immunization
2 Personal Health and hygiene
3 Nutrition
4 Diarrhea (Prevention & Treatment)
5 Malaria
8 Topics for CHSs for the Month
S # Topics 1 Immunization 2 Personal Health and hygiene 3 Nutrition 4 Mother and child health
9. Important Discussion on Community Participation during MRM
The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings.
10. Health Camps: Number Held: 0 . Number of Patients:
11. Measures for improvement / provision of Services by other Department / Agencies
22
Sr No Description Recommendation To whom sent Present status
I Sanitation No No No
Ii Drainage / sewerage No No No
Iii ……… drinking water No No No
Iv Prevention of adulteration No No No
V Tree Plantation No No No
Vi Roads and infrastructure No No No
Vii Environmental Improvement No No No
viii Others No No No
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
53264 1887 55151
2. Maximum OPD** Minimum OPD**
S # BHF name OPD S # BHF name OPD
01 GD Bihar Colony 4221 20 BHU Lakha 1372
02 BHU Khuda ki basti 3821 21 GD Gu Muhammadl Sehtan 1168
03 GD Khurshed Colony 3741 22 GD Band Manchar 1170
04 GD Christian Colony 3246 23 BHU Walidad Gabol 1070
05 GD LSB Jamshoro Colony 2696 24 BHU Amri 1007
06 GD Sindh University 2153 25 GD Karchat 1006
07 BHU Khanot 2109 26 GD Makhdoom Saharabad 889
08 GD Bajara 1759 27 GD Budhapur 827
09 GD Akro 1765 28 BHU Taung 742
10 BHU Bubak 1678 29 GD Qubi 714
11 BHU Karo Khao 1512 30 BHU Khado Village 764
12 BHU Laki 1486 31 BHU Thano Ahmed Khan 742
14 SHC Thano Arib Khan 1515 32 GD Mehenda palari 684
15 BHU Mole 1412 33 SHC Dhamach 684
16 BHU Sari 1484 33 GD Ali Murad Barejo 533
17 BHU Wahur 1445 34 GD Manjhoo 420
18 BHU Tajuji 1441 35 BHU Garwari 380
19 BHU Talti 1428
23
3. Top Five Diseases Treated during School Health Sessions/Camps.
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 17100
2 Diarrhea 3868
3 Fever(clinical Malaria) 3769
4 Dermatitis 2199
5 Scabies 1152
7. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 22
ARV Administered 16
ARV Available Doses 103
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 5
9. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests
2 Blood Sugar Tests
3 Hemoglobin
4 X-Rays (if available)
5 Ultra Sound
6 Others (please specify)
S # Diseases No. of Patients
1 ARI 39
2 Fever(clinical Malaria) 24
3 Diarrhea 11
4 Scabies 06
TOTAL 80
24
10. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
8 TUBERCLOSIS 9
Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 0
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 55 10 10 -
3
4
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 -
3
4
G. MONITORING DURING MONTH UNDER REVIEW
4. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
8 33 73 110
2. Important Points/Issues arising from Visits
25
S # Name of HF Issue Action Remarks
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for Weeks: 22 weeks
5. Important Issues raised relating to Medicines, etc. during MRM a. Syp Brufen and Syp Amonium Chiloride required. b. One month FP Injection by FMOs
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl.
Status / Remarks
1 BHU KK Basti R&R Complete
2 GD Christian Colony R&R Complete
3 GD LSB Jamshoro Colony R&R Complete
4 GD Sindh University R&R Complete
5 BHU Talti R&R Complete
6 BHU Karo Khaho R&R Complete
7 BHU Wahur R&R Complete
8 BHU Khanot R&R Complete
9 BHU Laki R&R Complete
10 SHC Dhamach R&R Complete
11 BHU Khado R&R Complete
12 BHU Garwari R&R Complete
13 BHU Lakha R&R Complete
14 GD Qubi R&R Complete
05 GD Makhdoom Saharabad R&R Complete
16 GD Manjhu R&R Complete
17 GD Bihar Colony R&R Complete
18 GD Karchat R&R Complete
19 GD Khurshed Colony R&R Complete
20 GD Band Manchar R&R Complete
21 BHU Walidad Gabool R&R Complete
22 BHU Thano Ahmed Khan R&R Complete
23 BHU Mole R&R Complete
24 SHC Thano Arab Khan R&R Complete
25 GD Ali Murad Barejo R&R Complete
26 GD Gul Muhammad Sehtani R&R Complete
27 BHU Sari R&R Complete
26
28 BHU Bubak R&R Complete
29 BHU Toung R&R 70 % Completed
30 GD Bajara R&R 40 % Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
DSM presented the progress of PPHI and openly discussed the issues related to health facilities
• DSM emphasized on Data Accuracy on DHIS, Repair and Renovation work and advised all MOs to take keen interest in this regard.
• DSM advised to all MOs/ FMOs to increase Community / School health sessions. • FMOs were advised to increase the number of family planning clients / Ante Natal care and focus on
managing/conducting deliveries as according the target against their catchment area population. • DSM advised to MOs/FMOs to aware general public regarding measles. • He advised DSU team to ensure the provision of ARV and ASV at scheduled centers.
Date / Time for Next MRM:
7th of March 2013 at 09:30am
Comments on Targets v/s Achievements (by DSM)
DSM Appreciated the efforts of the MOs and FMOs regarding their working at HFs.
27
MINUTES OF THE (50th) MONTHLY REVIEW MEETING
OF DISTRICT MATIARI
The 50th Monthly Review Meeting (MRM) of District Matiari for the Month of January, 2013 was held on 14th February, 2013 at Makhdoom Shafiq-u-Zaman Auditorium Hall, Hala New. In this regard, the written invitations to participate in the meeting were sent to the Deputy Commissioner, the DHO, and District Incharge of EPI, LHW, T.B Program, Malaria, Family Planning and all other National Programs as usual. The list of participants is produced as under:
List of Participants
1. Mr.Abdul Shakoor Shaikh Regional Program Director RSU I @ Hyderabad
2. Mr. Inam-ur-Raheem Abro District Support Manager DSU PPHI Matiari
3. Mr. Kamran Khan EO(M&E) DSU PPHI Matiari
4. Mr. Imran Qureshi Ex(F/A) DSU PPHI Matiari
5. Hafiz Ghulam Shabir Jamali Islamic Scholar Nawabshah
6. Dr Imam Ali Soomro Medical Superintendent RHC BHithsah
7. Dr Ghulam Abbas Shaikh SMO RHC Bhitshah
8. Dr Ameer Qazi SMO/Ophthalomologist RHC Bhitshah
9. Dr Juman Surahio SMO/ Incharge TB Dots RHC Bhitshah
10. Dr Ameer Sanagrasi Medical Officer RHC Bhitshah
11. Dr Gulam Abbas Bachro Medical Officer RHC Bhitshah
12. Dr Sajjad Anasthetist RHC Bhitshah
13. Dr Sharmin FMO (Paeds) RHC BHitshah
14. Dr Naheed FMO RHC Bhitshah
15. Dr Ruqia Gynecologist RHC Bhitshah
16. Dr Shazia FMO RHC Bhitshah
17. Dr Ume Salee FMO RHC Bhitshah
18. Dr Najma Siddiqi SWMO RHC Bhitshah
19. Dr PErvez Ahmed MO(HQ) DSU Matiari
20. Dr. Afshan Rafique FMO MCHC BHU Panj Moro
21. Dr. Iram Zain Memon FMO BHU Mahar Shah & DCD Awal Chachar
22. Dr. Shazia Shaikh FMO DCD M.M.Khan & DCD Zair Pir
23. Dr Mahfooz Shah District Incahrge TB Dots EDO Office Matiari
24. Dr.Sumera Habib FMO BHU Fakir Nooh Hothiani/GD Soomar Chand
25. Dr. Ghulam Fatima FMO BHU Seerachoo Kaka & BHU S.Rahu
26. Dr.Parveen Hafeez FMO BHU Odero Lal Vilage/GD SMT
27. Dr. Rukhsana Zahid FMO BHU Tahir Hingoro & DCD Dhaloo Khaskheli
28. Dr. Salma Shah I/C Sr.WMO DCD Jumo Shahoke
29. Dr Azeema Raza WMO MCH Hala Old
30. Dr Asif EX MO PPHI Matiari
31. Dr Hussain Ex MO PPHI Matiari
32. Syed Muhabbat Ali Shah Ex: Ex(M&E) PPHI Matiari
33. Dr Asad Shah MO RHC Bhitshah
34. Dr. Jameela Memon FMO BHU Yousuf Hajano & BHU Bhanothe
28
35. Dr. Saeeda Mansoor FMO BHU Laloo Mangwano & GD Punhal Khan Jamali
36. Dr. Tasleem Shahzadi FMO BHU N.B Jamali & BHU B.K Jamali
37. Dr. Zainab Abro FMO GD Khanothe & GD Rano Bughio
38. Dr. Rumi Ejaz Memon FMO GD Shahmeer Ji Wasi & DCD Pali-Jani
39. Dr. Saba Shahnawaz FMO MCH BHU Saeed Khan Laghari
40. Dr. Fozia Zaheer FMO MCHC BHU Khando
41. Dr Tahseen Zia FMO BHU AD Sand /BK Pathan
42. Dr. Sajida Raza FMO BHU K.K.Nizamani & GD Old Saeedabad
43. Dr. Shazia Atta Sonologist Taluka New Saeedabad
44. Dr.Safina Ahmed Sonologist Taluka Hala
45. Dr. Amina Bano Sonologist Taluka Matiari
46. Dr. Imtiaz Ahmed Memon I/C SMO GD Punhal Khan Jamali
47. Dr.M.Ismail Laghari I/C SMO BHU Saeed Khan Laghari
48. Dr. Anwer Ali Soomro I/C SMO GD Rano Bughio
49. Dr. Toufeeque Ahmed Memon I/C SMO MCHC BHU Sekhat
50. Dr.Ayaz Ahmed Abrejo I/C SMO BHU Ilyas Abrejo
51. Dr.Nizamuddin Abro I/C SMO BHU Odero lal Village
52. Dr. Aijaz Ahmed Memon I/C MO DCD Pali Jani
53. Dr.Shahzeb Ali Shah I/C MO MCH/BHU Panj Moro
54. Dr.Shuja M. Shah I/C MO DCD Jumo Shahoke
55. Dr. Khuda Dino Memon I/C MO GD Old Saeedabad
56. Dr. Amir Ali Sangrasi I/C MO BHU K.K Nizamani & BHU Mahar Shah
57. Dr. Lariab Shaikh I/C MO DCD Dhaloo Khakheli & GD Shahmeer Ji Wasi
58. Dr. Safdar Ali Rajpar I/C MO GD Sher M. Thora
59. Dr. Naeem Ahmed Memon I/C MO BHU Khando
60. Dr. Faisal Shahzad I/C MO BHU Shahmeer Rahu
61. Dr Azam Memon MO GD Hala Old
62. Dr. Shakeel Ahmed Memon I/C MO GD Soomar Chand
63. Dr.Nadeem Shah I/C MO BHU Bhanothe
64. Dr. Abdul Sattar Dakhan I/C MO BHU Laloo Mangwano
65. Dr. Sache Dino I/C MO DCD Zair Pir
66. Dr. Waseem Ahmed I/C MO BHU A.D Sand
67. Dr. Munir Ahmed I/C MO BHU Seeranchon Kaka & BHU B.K Jamali
68. Dr. M. Soomar Memon I/C MO BHU Nabi Bux Jamali
69. Dr. Shahid Memon I/C MO BHU Fakir Nooh Hothiani
70. Dr. Abdul Fatah Abro I/C MO BHU Bao Khan Pathan/BHU Tahir Hingoro
71. Dr. Sahib Dino Memon I/C MO DCD Mari Muhammad Khan
72. Dr Shamsuddin IC SMO BHU Hala OLd
73. Dr. Jamaluddin Ansari I/C MO BHU Yousuf Hajano
74. Dr. Shakeel Ahmed Memon MO BHU Hala Old
75. Mr. Kirshan Mal Store Manager DSU PPHI Matiari
76. Mr. Rabdino Abid Kazi SO-I/Assistant Taluka Hala
77. Mr. Liaqat Jamali SO-II/Assistant Taluka Saeedabad
78. Mr. Billal Atta SO-III/Assistant Taluka Matiari
79. Mr. Imran Memon Assistant DSU PPHI Matiari
80. Mr. Abdul Ghaffar Assistant DSU PPHI Matiari
29
81. Mr. Ayaz Ahmed Assistant DSU PPHI Matiari
82. Mr. Waqas Anjum Assistant DSU PPHI Matiari
C. HFs WITH PPHI BHUs: 13 Dispensaries: 16 MCHCs: 06 Others: 01(RHC)
TOTAL: 36
B. Population of the Catchments Area: 546512
G. STAFF STRENGTH Sanctioned
Posts
Working Government
l
PPHI
Vacant
(
MOs 49 29 12 17 20
WMO/FMO 26 25 02 23 01
LHVs/MW/F. Nurse 65 47 23 24 18
MTs/MAs Male 22 16 16 0
06 Female - - -
Dispensers 22 22 1 21 0
H. CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 4 Clusters of 2 HFs 4
Single HFs 27 Single HFs 27
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 14 Clusters of 2 HFs 14
Single HFs 9 Single HFs 9
30
As this was 50 th MRM ,therefore , the BRHF and DSU staff have specially planned . Hafiz Gulam Shabir Jamali who is a young scholar was invited to deliver Tafseer Of Quran specially keeping in view the topic of FIKR-E -AKHITRAT . After formal MRM, the informal program was planned ie quiz competition etc
I. CAPACITY BUILDING 1. First Session: During MRM
1. Dr.Aijaz And Dr Roomi Aijaz , Incharge Medical Officer GD Palijani and FMO GD Palijani presented the history of GD Palijani with pictures from the day one , PPHI Took over the management. Following points wre discussed
A. HISTROY OF GD PALIJANI. B. HF BEFORE PPHI . C. NEW BUILDING. D. HUGE OPD E. IMMUNIZATION F. MEDICINE AVAILABILITY G. COMMUNITY PARTICIPATION 2. PHOTOS OF DIFFERENT PATIENTS HAVING INFECTIONS ON DIFFERENT PARTSO BODY AND DISCUSSED AS TO HOW THEY WERE
TREATED IN DETAIL.
3. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities.
( Children <12 Months Received 3rd Pentavallent Vaccine &Children <12 Months Received 1st Measles Vaccine & Children <12 Months Received Fully Immunization)
3851
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 403
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month January 2013 4254
31
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
3. Other Preventive/Promotional Services
S # Service Number 1 Passive Case Detection (PCD) Slides 181
2 Active Case Detection (ACD) Slides
3 Visits to Check Sanitation (individual households + streets)
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulizer 992
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health S.No Names of FMOs Ante-Natal
Neo-Natal
Other OPD Total OPD
1 Dr. Tahseen Adeel 166 0 1608 1774 2 Dr. Fozia Zaheer 120 0 1543 1663 3 Dr. Tasleem Shahzadi 75 0 1581 1656 4 Dr. Naheed & Dr.Ruqia 794 0 853 1647 5 Dr. Azeema Raza 357 0 1108 1465 6 Dr. Shabana Shah 241 0 1050 1291 7 Dr. Jameela Memon 154 0 1135 1289 8 Dr. Afshan Rafiq 90 0 1098 1188 9 Dr. Parveen Hafeez 147 0 1027 1174
10 Dr. Roomi Aijaz 130 0 1006 1136 12 Dr. Erum Zain Memon 60 0 1059 1119 13 Dr. Sajida Raza 209 0 850 1059 14 Dr. Saba Faiz 198 0 808 1006 15 Dr. Zainab Abro 97 0 705 802 16 Dr. Rukhsana Zahid 151 0 588 739 17 Dr. Sumera Habib 71 0 638 709 18 Dr. Shazia Shaikh 81 0 605 686 19 Dr. Gh.Fatima 104 0 561 665 20 Dr. Saeeda Memon 82 0 534 616 21 Dr. Salma Shah 31 0 557 588
Total 3358 0 18914 22272
32
• The remaining two FMOs are working in evening/night shift at RHC Bhitt shah. NO OPD is conducted in these shifts.
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 249
2 Deliveries Assisted at Homes 522
3. Lab/ Diagnostic Tests S # Test Number
1 Pregnancy Tests 35
2 Blood Sugar Tests 438
3 Hemoglobin Tests 350
4 Ultra Sound Test 1283
5 Other 333
4. Important Discussion on Mother and Child and Reproductive Health during MRM The DSM presented the graphical presentations of MCH centers. The DSM highlighted the last quarter progress of NVDs, Family Planning visits, ANC and FMO OPD. The Appreciated all top performers and showed his expectation the same from all FMOs.
Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 1110
2 Oral Pills 515
3 IUCDs 05
4 Injections 22
5 Others(RC) 460
Total 2112
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 34 Number of Female SGs: --------------
2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
Abid Kazi 8 - 99 14 211
Liaqat Jamali 13 - 112 22 601
33
Bilal Ata 15 105 28 610
Total 36 - 316 64 1422
3. School Health Sessions & Community Health Sessions
Sr.No Name of FMO / MO Community Health Session School Health Session
No. Participants No. Examined Treated
1 Dr. Erum Zain Memon 2 51 2 0 0
2 Dr. Jamila Memon 2 88 1 0 0
3 Dr. Ghulam Fatima 2 66 2 75 8
4 Dr. Parveen Hafeez 2 68 2 0 0
5 Dr. Zainab Abro 2 86 1 0 0
6 Dr. Azeema Raza 1 30 1 10 0
7 Dr. Roomi Aijaz 2 62 2 30 30
8 Dr. Saeeda Mansoor 2 48 2 31 12
9 Dr. Sumera Habib 2 81 2 63 6
10 Dr. Shabana Shah 1 20 1 80 30
11 Dr. Saba Shahnawaz 1 32 1 0 0
12 Dr. Rukhsana Zahid 2 55 2 75 7
13 Dr. Afshan Rafiq 1 25 1 0 0
14 Dr. Fozia Zaheer 1 80 1 0 0
15 Dr. Shazia Shaikh 2 75 2 29 29
16 Dr. Tasleem Shahzadi 2 55 1 0 0
17 Dr. Sajida Raza 2 62 2 17 17
18 Dr. Tahseen Adeel 2 128 1 17 0
19 Dr. Sachedino Memon 1 18 1 0 0
20 Dr. Muner Ahmed Jamali 2 46 2 42 0
21 Dr. Khuda Dino Memon 1 12 1 34 0
22 Dr. Amir Ali Sangrasi 2 28 2 1 1
23 Dr. Azam Memon 1 43 0 0 0
24 Dr. Jamal uddin Ansari 1 10 0 0 0
25 Dr. Faisal Shahzad 1 42 1 0 0
26 Dr. M. Soomar Memon 1 23 1 6 6
27 Dr. Anwer Ali Soomro 1 23 1 34 34
28 Dr. Waseem Ahmed 1 38 1 11 0
29 Dr. Shakeel Ahmed M 0 0 1 10 5
30 Dr. Abdul Sattar 1 25 1 9 9
31 Dr. Sahib Dino Memon 1 26 1 0 0
32 Dr. Naeem Ahmed 1 17 1 0 0
33 Dr. M. Ismail Laghari 1 33 1 13 0
34 Dr. Safdar Ali Rajpur 1 10 1 31 1
35 Dr. Shuja M. Shah 1 12 1 0 0
36 Dr. Muzaffar Ali Memon 1 20 1 3 3
37 Dr. Toufeeq Ahmed 1 30 1 0 0
34
38 Dr. Imtiaz Memon 0 0 1 0 0
39 Dr. Shamsuddin Memon 1 43 0 0 0
40 Dr. Laraib Shaikh 0 0 1 86 66
Total 54 1636 50 707 264
4. Important Points during Support Group Meetings.
Disseminating the message of health facilities available at the centers (HFs) Support Groups were made responsible for conduction of School Health Sessions and Community Health
session. The Support Group was made responsible at BHU Bagu Khan Jamali for solving the hospital road maintains.
5. Important Points during SHSs
• Outbreak of Measles and preventive measures. • Personal hygiene • Immunization
6. Important Points during CHSs
The Male Medical Officers Female medical Officers conducted Community Health Sessions. In these sessions the recent outbreak of Measles was discussed in detail . that how and why Measles outbreak occurred. The MOs /FMOs directed the community to get their children vaccinated without any delay .
7. Topics for SHSs for the Month
Sr. No. Topics
1 Personal Hygeine
2 Immunization
3 Malaria ( source of infection and clinical features).
4 Measles (Prevention and cure).
8 Topics for CHSs for the Month
S # Topics
1 Typhoid
2 New born care
3 Measles (Prevention and cure).
4 Abortion
9. Important Discussion on Community Participation during MRM
35
Importance of Community involvement and their meetings on regular intervals was highlighted . The Incharge were directed to hold the meetings of CSG on regular basis. As this was the 50 th MRM ,so the journey from the day one till date was dilated up on. All In charge were directed that the new members may be included in the Groups, where the old members are not showing their interest in Community Support Group Meetings.
10. Health Camps: Number Held: 00 . Number of Patients: 00
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation - - -
Ii Drainage / sewerage - - -
Iii ……… drinking water - - -
Iv Prevention of adulteration - - -
V Tree Plantation - - -
Vi Roads and infrastructure - - -
Vii Environmental Improvement - - -
Viii Others - - -
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
76,908 5,896 82,804
2. Maximum OPD** Minimum OPD**
Sr. No BHU Name Total
Sr.
BHU Name Total 1 RHC Bhit Shah 11792 18 DCD Mari Muhammad Khan 1078
2 BHU Hala Old 4164 19 BHU Mahar Shah 1284
3 BHU Sekhat 3681 20 BHU Laloo Mangwano 1321
4 BHU Khando 3366 21 GD Rano Bughio 1413
5 BHU Panj Moro 3273 22 BHU Ilyas Abrejo 1554
6 BHU Udero lal Village 2504 23 GD Shahmeer JI Wasi 1575
7 GD Sher Muhammad Thora 2312 24 GD Punhal Khan Jamali 1608
8 GD Old Saeedabad 1976 25 BHU Fakir Nooh Hothiani 1695
9 BHU Karam Khan Nizamani 2184 26 BHU Allah Dino Sand 1729
10 BHU Saeed Khan Laghari 2080 27 BHU Seerachoo Kaka 1735
11 BHU Bau Khan Pathan 2000 28 GD Khanothe 1767
36
12 DCD Jumo Shahoke 1876 29 BHU Bagho Khan Jamali 1781
13 DCD Dhaloo Khaskheli 1933 30 BHU Yousuf Hajano 1854
14 BHU Shahmeer Rahu 1967 31 GD Soomar Chand 1859
15 DCD Zair Pir 1868 32 DCD Awal Chachar 1861
16 BHU Tahir Hingoro 1962 33 BHU Nabi Bux Jamali 1906
17 DCD Pali Jani 1727 34 BHU Bhanothe 2001
3. Top Five Diseases Treated during School Health Sessions/Camps
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 15708
2 Diarrhea 3493
3 Fever(clinical Malaria) 3996
4 Scabies 1668
5 Asthma 1731
5. ARV / ASV used during the month 6.
No. of Patients Dog bite cases reported 134 ARV Administered 134 ARV Available Doses 627 vials Snake bite cases reported 00 ASV Vaccine Administered 00 ASV Vaccine Available Doses 05
11. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number 1 Pregnancy Tests 250 2 Blood Sugar Tests 618 3 Hemoglobin 760 4 X-Rays (if available) 190
S # Diseases No. of Patients
1 Malaria 110
2 Pneumonia 211
3 Diarrhea 21
4 Worm Infection 22
5 Skin diseases 15
37
5 Ultra Sound 2583 6 Others (please specify) 1023
12. B & C SCREENING TESTS Screening No. of Tests
Performed No. of cases
found positive No. of cases referred
for treatment Total referred
upto date Follow up result
Hepatitis B 390 11 11 11
Hepatitis C 390 19 19 19
13. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
151 14 6
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 36 36 0 0 0 36
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 106 65 0 41 0 106 0
G. MONITORING DURING MONTH UNDER REVIEW
6. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
29 65 142 236
7. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 BHU Khandu FMO record not up
to date. Explanation letter /
Personal Hearing
03 BHU Tahir Hingoro, DCD Pali Jani, BHU Odero Lal Village, BHU Fakir Nooh
Submission of incomplete DHIS
Warning letters issued
38
Hothiani, BHU Khando, BHU Allah Dino Sand, BHU Sekhat, BHU Laloo Mangwano, DCD Dhaloo Khaskheli, GD Shahmeer Ji Wasi
H. AVAILABILITY OF MEDICINES / MEDICAL MATERIALS
1. Medicines available for Weeks: 34 Weeks
8. Important Issues raised relating to Medicines, etc. during MRM
The doctors were directed to be careful while making referrals to other hospitals . The necessary information must be mentioned as required. The medicine must not be prescribed at the will of patient. They must avoid multidrug therapy and heavy medicines doses. If patient needs secondary or tertiary level health care, they must be referred properly as per guidelines already provided to them.
REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Laloo Mangwano R&R Work Completed
2 BHU Tahir Hingoro - Completed
3 BHU Udero Lal Village - Completed
4 BHU Khando - Completed
5 BHU Bhanothe - Completed
6 BHU Saeed Khan Laghari - Completed
7 GD Old Saeedabad - Completed
8 GD Sher Muhammad Thora - Completed
9 GD Punhal Khan Jamali - Completed
10 GD Rano Bughio -- Completed
11 GD Soomar Chand -- Completed
12 GD Shahmeer Ji Wasi -- Completed
13 DC Dispensary Jumo Shahoke - Completed
14 DC Dispensary Dhaloo Khaskheli - Completed
15 DC Dispensary Mari
- Completed
16 BHU Hala Old - Completed
17 BHU Ilyas Abrejo - Completed
18 BHU Mahar Shah - Completed
19 BHU Yousuf Hajano - Completed
39
20 DC Dispensary Zair Pir - Completed
21 BHU Seerachoo Kaka - Completed
22 BHU Nabi Bux Jamali - Completed
23 BHU Bau Khan Pathan - Completed
24 BHU Karam Khan Nizamani - Completed
25 BHU Panj Moro - Completed
26 BHU Shahmeer Rahu - Completed
27 BHU Bagho Khan Jamali - Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
Nil
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
The DSM presented the graphical presentation of performance of HFs during last month. Besides, he dilated up on the problems PPHI faced during the journey of last four years . In this presentation the DSM highlighted total OPD, Family Planning Visits, Fully Immunization, anti-natal care and NVDs. The DSM appreciated all top performer teams. The MOs and FMOs were directed by DSM to focus EPI after current Measles outbreak. All Incharges of Health Facilitates were directed by DSM to ensure availability of measles vaccine all the time as there is no shortage of Measles vaccine in our district and no child should go out from HFs due to unavailability of measles vaccine. The Incharges were also directed by DSM to ensure that when vaccinator goes in field, 2 LHWs must be available to vaccinate children at fix centre.
Date /Time for Next MRM:
12th of March 2013 at 10:00am Insha Allah
Concluding Remarks by Regional Program Director Hyderabad
The RPD highlighted the overall performance of DSU Matiari and told that they feel pleasure as the record of Matiari is good specially as far as the statistics of MCHC is concerned. The number of NVDs done at HFs is at the top in entire Sindh. The ratio is on continuous increase. So credit goes to staff and the management team . He specially mentioned the OT at RHC Bhitshah as C-Section are being done at RHC without charging any pie from patients. Besides, he also mentioned the recent achievement at RHC ie Eye unit. Now ,the surgery of eye will also be started within two /three weeks . Insha Allah.
The meeting ended with the note of thanks from and to the RPD Hyderabad.
40
MINUTES OF THE (55th) MONTHLY REVIEW MEETING
OF DISTRICT TANDO ALLAHYAR
Monthly Review Meeting (MRM) of District, Tando Allahyar for the Month of JAN , 2013 was held on 15-02-2013 . The following officials participated in the meeting:
Sr. Name Designation
1 Mr. Imran Aziz Siddiqui DSM, Tando Allahyar
2 Dr. Abdul Jaleel Bachani DHO, Tando Allahyar
3 Dr. Abdul Qadir Memon EPI, Focal person
4 Dr. Arif Soomro TB DOTs Focal Person
5 Mr. Shamsul Haq DDO, Population welfare Deptt
6 Dr. Noor Jahan FMO
7 Dr. Tooba Abro FMO
8 Dr. Indra FMO
9 Dr. Benish Imran FMO
10 Dr. Quratul Ain FMO
11 Dr. Sumaira Qaimkhani FMO
12 Dr. Samreen FMO MCHC
13 Dr. Shazia Parveen FMO
14 Dr. Nazia Jabeen FMO
15 Dr. Samina Naz FMO MCHC
16 Dr. Sunita Kumari FMO
17 Dr. Fakhra Qureshi FMO
18 Dr. Shabana Qureshi FMO
19 Dr. Farhana Tahir FMO
20 Dr. Najma FMO
21 Dr. Ambreen memon FMO MCHC
22 Dr. Afshan Bhatti FMO
23 Dr. Nazish Patoli FMO
24 Dr. Zahida Parveen FMO
25 Dr. Ambar Abbas Ultrasound Specialist
26 Dr. Aamna Shaikh Ultrasound Specialist
27 Dr. Waseem Ahmed Medical officer
28 Dr. Zahid Hussain Medical officer
29 Dr. Gulzaib Ahmed Medical officer
30 Dr. Hakim Mal Medical officer
31 Dr. Amir Nahyoon Medical officer
41
32 Dr. Danish Hussain Medical officer
33 Dr. Imam Bux Medical officer
34 Dr. Rehan Yusfani Medical officer
35 Dr. Abdul Razzak Medical officer
36 Dr. Ghulam Rasool Medical officer
37 Dr. Faisal Iqbal Medical officer
38 Dr. Abdul Manan Medical officer
39 Dr. Abdul Hussain Medical officer
40 Dr. Irfan Shah Medical officer
41 Dr. Ariful Hassan Medical officer
42 Dr. Saqib Siddique Medical officer
43 Dr. Hamid Ghousi Medical officer
44 Dr. Allah Warayo Medical officer
45 Dr. Ashok Kumar Medical officer
46 Dr. Rana Muhammad Akhtar Medical officer
47 Dr. Atif Miandad Medical officer
48 Dr. Mazhar Hussain Medical officer
49 Dr. Naveed Memon Medical officer
50 Dr. Muhammad Amir Qazi Medical officer
51 Dr. Shakeel Ahmed Medical officer
52 Dr. Ali Khan Medical officer
53 Dr. Dharamver Medical officer
54 Dr. Noor Ahmed Pahore Medical officer
55 Dr. Aftab Hyder Medical officer
56 Dr. Dildar Hussain Mughal Medical officer
57 Dr. Muhammad Ilyas Baig Medical officer
58 Dr. Adil Shamshad Medical officer
59 Dr. Waqar Ahmed Medical officer
60 Dr. Ranu Mal Medical officer
61 Dr. Chatesh Kumar Medical officer
62 Dr. Zubairuddin MO HQ
The following could not attend the meeting for the reasons stated against each:-
1 2
D. HFs WITH PPHI
42
BHUs: 13 Dispensaries: 32 MCHCs: _______ Others:______
TOTAL: 45
B. Population of the Catchments Area: 415656
STAFF STRENGTH
Sr. No Sanctioned
Working Govt.
PPHI 1 MOs 15 38 2 36
2 W/FMOs 19 0 19
3 LHVs 12 17 7 10
4 MTs/MAs Male 26 25 14 11 Female
5 Dispensers 21 31 4 27
J. CLUSTERS OF HFs WITH ONE MO
Sr. No Previous Month Number Month under
Number
1 Clusters of 6 HFs 0 Clusters of 6 HFs
2 Clusters of 5 HFs 0 Clusters of 5 HFs
3 Clusters of 4 HFs 0 Clusters of 4 HFs
4 Clusters of 3 HFs 0 Clusters of 3 HFs
5 Clusters of 2 HFs 0 Clusters of 2 HFs 8
6 Single HFs 0 Single HFs 29
WITH ONE FMO
Sr. No Previous Month Number Month under
Number
1 Clusters of 5 HFs 2 (U/S) Clusters of 5 HFs 2 (U/S)
2 Clusters of 4 HFs 0 Clusters of 4 HFs 0
3 Clusters of 3 HFs 0 Clusters of 3 HFs 0
4 Clusters of 2 HFs 14 Clusters of 2 HFs 14
5 Single HFs 5 Single HFs 5
CAPACITY BUILDING
1 First Session: During MRM : (a) Resource person: Dr. Imam Bux Topic: Viral Hepatitis
43
(b) Resource person: Dr. Afshan Bhatti Topic: Hypertention in Pregnancy
Capacity Building of LHVs / Dispensers/other staff members/LHWs During Month under Review
Sr # MO Name CBS Session Participants
1 Dr. Waseem Ahmed 1 4 2 Dr. Zahid Hussain 1 3 3 Dr. Gulzaib Ahmed 1 6 4 Dr. Hakim Mal 1 17 5 Dr. Amir Nahyoon 1 7 6 Dr. Danish Hussain 1 6 7 Dr. Imam Bux 2 11 8 Dr. Rehan Yusfani 1 10 9 Dr. Abdul Razzak 1 20
10 Dr. Ghulam Rasool 2 11 11 Dr. Faisal Iqbal 1 31 12 Dr. Abdul Manan 1 12 13 Dr. Abdul Hussain 1 5 14 Dr. Irfan Shah 2 40 15 Dr. Ariful Hassan 1 5 16 Dr. Saqib Siddique 1 6 17 Dr. Allah Warayo 2 22 18 Dr. Hamid Ghousi 1 3 19 Dr. Ashok Kumar 2 9 20 Dr. Shakeel Ahmed 1 7 21 Dr. Rana M Akhtar 1 8 22 DR Muhammad Ilyas 1 7 23 Dr. Atif Miandad 1 5 24 Dr. Naveed Memon 1 4 25 Dr. Aftab Hyder 1 5 26 Dr. Dharamver 2 7 27 Dr. M Amir Qazi 1 4 28 Dr. Mazhar Hussain 1 3 29 Dr. Dildar 2 35 30 Dr. Ali Khan 1 20 31 Dr. Noor Ahmed 2 4 32 Dr. Adil Shamshad 1 8 33 Dr. Waqar Ahmed 2 8 34 Dr. Ahmed Ali 1 14 35 Dr. Laj Pat 1 9 36 Dr.Chatesh Kumar 1 2 37 Dr.Ranu Mal 1 4
TOTAL 46 382
44
r# Capacity Building Session by FMO CBS
Session Participants
1 Dr. Noor Jahan 2 7
2 Dr. Tooba Abro 1 11
3 Dr. Indra 2 13
4 Dr. Benish Imran 1 6
5 Dr. Quratul Ain 1 5
6 Dr. Sumaira 3 22
7 Dr. Samreen 2 22
8 Dr. Shazia Soomro 1 18
9 Dr. Nazia Jabeen 2 38
10 Dr. Samina Akram 1 20
11 Dr. Sunita Kumari 2 11
12 Dr. Fakhra Qureshi 2 7
13 Dr. Shabana qureshi 2 14
14 Dr. Farhana Tahir 1 4
15 Dr. Najma 1 10
16 Dr. Ambreen 1 16
17 Dr. Afshan Bhatti 2 9
18 Dr.Nazish Patoli 2 18
19 Dr.Zahida Parveen 2 10
Total 31 261
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 5223
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 517
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total Vaccination / Immunization for the Month
5740
2. National Immunization Days (NIDs) for Measles
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
- - - -
45
3. Other Preventive/Promotional Services
S # Service Number 1 Passive Case Detection (PCD) Slides -
2 Active Case Detection (ACD) Slides/ RDT examined
3 Visits to Check Sanitation (individual households + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized 517
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
• Female Health
S# FMO NAME NAME OF H.F Obstetrical
Total OPD FMO Anti
Natal-I Anti Natal Re-visit
Natal
Post Natal-I
Post Natal
1 Dr.Noor Jahan GD Sadique Memon 33 9 0 5 0 348
GD Taj Mori 12 2 0 3 1 461
2 Dr. Tooba Abro BHU Dhigano Bozdar 46 105 0 15 18 1012
GD Lal Fakir Behrani 14 64 0 7 5 655
3 Dr. Indra BHU Ditto Kalro 38 5 0 1 0 466
GD Pak Singhar 26 12 2 5 0 347
4 Dr. Benish Imran GD Golo Halepoto 67 62 0 4 3 705
BHU Sultanabad village 5 5 0 4 0 261
GD Hakra Mori 1 17 0 3 0 226
5 Dr. Quratul Ain GD Darya K Hingoro 30 29 0 5 1 614
GD Mehro K Lashari 15 21 0 3 0 508
6 Dr. Sumaira BHU Allah Rakhio 25 111 1 8 3 777
GD Usman Shah Hurri 35 42 0 4 0 463
7 Dr. Samreen BHU Shah Nawaz 82 116 5 16 3 1717
8 Dr. Shazia Soomro BHU Shadyoon 44 12 0 0 0 381
BHU Sultanabad village 7 0 0 2 0 215
GD Missan Nandhi 20 2 0 4 0 126
9 Dr. Nazia Jabeen BHU Tando Soomro 65 44 0 10 5 661
GD Bahar khan Mirjat 14 18 0 4 4 403
10 Dr. Samina Akram BHU Jhando Mari 78 20 1 3 0 753
11 Dr. Sunita Kumari GD G Hussain Khokhar 14 6 0 0 1 406
46
GD G Khan Sanjrani 67 30 0 6 0 986
12 Dr. Fakhra Qureshi GD Masso Bozdar 26 12 0 3 0 684
GD Saeed K Leghari 8 3 0 0 1 116
13 Dr. Shabana BHU Kauro Daidano 31 3 0 1 0 366
GD Ghani Khan K K 26 19 0 1 0 231
14 Dr. Farhana Tahir BHU Sultanabad Stand 79 66 6 9 1 1682
15 Dr. Najma BHU Sanjar Chang 79 53 3 16 0 1929
16 Dr. Ambreen BHU Bukera Sharif 87 42 0 0 14 1064
17 Dr. Afshan Bhatti GD Rawat Leghari 11 6 0 0 0 360
GD Mevokurkuli 11 1 0 0 0 209
18 Dr.Nazish Patoli BHU Naseer.K.Leghari 25 38 0 7 2 865
GD Dodo Rind 18 4 0 3 0 255
19 Dr.Zahida Parveen GD Mail Mori 25 49 0 9 2 227
GD M.Hassan Dal 7 8 0 1 0 245
Total 1171 1036 18 162 64 20724
2. Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 49
2 Deliveries Assisted at Homes - 3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 421
2 Blood Sugar Tests 135
3 Hemoglobin Tests 142
4 Ultra Sound Test 1208
5 Other Nil
7. Important Discussion on Mother and Child and Reproductive Health during MRM
DSM directed the FMOs to ensure immunization of children, pregnant women and child bearing age women and also ensure that they should bring immunization and Ante-Natal card each time they visit HFs.
Provision of Family Planning Services during the Month
S # Name of the Items / Service Number 1 Consultation / Advice 863
47
2 Oral Pills 393 3 IUCDs 5 4 Injections 316
5 Others 1134 TOTAL 2711
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male Support Group 40: Number of Female 17 SGs: (57 Total ) 2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
conducted by him CHSs/SHSs arranged by him
Male Female No. of
No. No. of Dr. Muhammad Azam 11 125 15 245
Mr. Riaz Hussain 9 110 11 215
Mr. Gandhi 6 81 8 200
Total 26 316 34 660
3. School Health Sessions & Community Health Sessions
Sr # Name CHS SHS
Session Part No Parti EXA TREATED
1 Dr. Waseem Ahmed 1 12 1 68 5 0
2 Dr. Zahid Hussain 1 12 1 60 60 0
3 Dr. Gulzaib Ahmed 1 15 1 55 15 9
4 Dr. Hakim Mal 1 25 1 55 15 10
5 Dr. Amir Nahyoon 1 12 1 27 3 0
6 Dr. Danish Hussain 1 11 1 113 19 10
7 Dr. Imam Bux 2 22 2 26 4 2
8 Dr. Rehan Yusfani 1 17 1 38 10 0
9 Dr. Abdul Razzak 1 18 1 50 6 2
10 Dr. Ghulam Rasool 2 27 2 129 35 15
11 Dr. Faisal Iqbal 1 16 1 19 2 2
12 Dr. Abdul Manan 2 29 1 100 100 5
13 Dr. Abdul Hussain 1 25 1 30 10 4
14 Dr. Irfan Shah 2 25 1 47 6 3
15 Dr. Ariful Hassan 2 22 1 15 6 4
16 Dr. Saqib Siddique 1 10 1 50 0 0
17 Dr. Allah Warayo 2 34 2 251 29 15
18 Dr. Hamid Ghousi 1 11 1 24 4 2
48
19 Dr. Ashok Kumar 2 21 2 52 12 10
20 Dr. Shakeel Ahmed 2 28 2 80 2 2
21 Dr. Rana M Akhtar 1 12 2 75 18 7
22 DR Muhammad Ilyas 1 13 1 30 15 8
23 Dr. Atif Miandad 3 57 2 115 85 21
24 Dr. Naveed Memon 1 15 2 130 0 0
25 Dr. Aftab Hyder 1 9 1 25 10 5
26 Dr. Dharamver 2 18 2 150 30 12
27 Dr. M Amir Qazi 1 10 1 20 3 3
28 Dr. Mazhar Hussain 1 20 2 217 39 26
29 Dr. Dildar 1 14 1 35 35 0
30 Dr. Ali Khan 1 21 1 55 15 5
31 Dr. Noor Ahmed 2 24 1 103 56 24
32 Dr. Adil Shamshad 1 10 1 30 10 5
33 Dr. Waqar Ahmed 2 15 2 114 18 6
34 Dr. Ahmed Ali 2 47 1 132 1 1
35 Dr. Laj Pat 2 27 1 62 8 2
36 Dr.Chatesh Kumar 1 10 1 40 40 5
37 Dr.Ranu Mal 1 21 1 56 20 5
TOTAL 52 735 48 2678 746 230
Sr# Name of FMO Name CHS SHS
Session Part NO Parti Examined TREATED
1 Dr. Noor Jahan 2 36 2 115 103 40
2 Dr. Tooba Abro 2 40 2 94 94 2
3 Dr. Indra 2 40 2 52 35 21
4 Dr. Benish Imran 3 65 2 135 92 78
5 Dr. Quratul Ain 2 36 2 45 11 6
6 Dr. Sumaira 2 50 2 72 36 36
7 Dr. Samreen 2 40 1 60 10 4
8 Dr. Shazia Soomro 2 27 2 60 10 10
9 Dr. Nazia Jabeen 2 37 2 80 35 12
10 Dr. Samina Akram 1 10 1 35 35 7
11 Dr. Sunita Kumari 2 14 2 50 0 0
12 Dr. Fakhra Qureshi 2 36 2 219 43 27
13 Dr. Shabana qureshi 2 20 4 167 33 7
14 Dr. Farhana Tahir 1 10 1 50 6 4
49
15 Dr. Najma 1 20 1 30 30 0
16 Dr. Ambreen 1 20 1 40 30 10
17 Dr. Afshan Bhatti 2 13 2 42 11 0
18 Dr.Nazish Patoli 2 40 2 46 18 13
19 Dr.Zahida Parveen 2 31 1 70 10 5
Total 35 585 34 1462 642 282
4. Important Points during Support Group Meetings. a. Repairing Work of Labour Room repairing work at MCHC Jhando Mari.
b.Functioning of X-ray facility at GD Ghani Khan Kaimkhani.
c. Electrification issues in newly handed over HFs.
8. Important Points during SHSs. Awareness regarding measles & scabies. Role & importance of routine immunization. Awareness & importance about use of coils, mats ,body lotion ,malarial spray & sleeping nets Personal hygiene & importance of safe drinking water Sing & Symptoms of measles & scabis. 6. Important Points during CHSs.
Awareness for health diet & importance of micronutrient in daily diet.
Awareness regarding Mal nutrition ,measles & scabies.
Awareness & importance about use of coils, mats ,body lotion ,malarial spray & sleeping nets.
. Role & importance of routine EPI vaccination. Personal hygiene & importance of safe drinking water
Topics for SHSs for the Month JAN 2013
Sr. No. Topics
1 MEASLES
2 SCABIES.
8 Topics for CHSs for the Month JAN 2013
S # Topics
1 Mal Nutrition
2 Routine Immunization EPI
3 Pneumonicoccal (pcv-10) vaccine
50
4 Measles & Scabies
9. Important Discussion on Community Participation during MRM
DSM, DHO and officials raised their concern about polio refusals cases in the District and emphasized the need of community sensitization through CHS, SHS, & CSG meetings. It was also decided that all PPHI HFs will serve as a Fix point during upcoming polio campaign and they will submit their daily reports to nearby BHU in the same UC or DSU Tando Allahyar on the same day.
10. Health Camps:
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Follow up patients treated during the month
Total OPD during the month (New + Follow up)
76875
6068
82943
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Shah Nawaz Muhajir
Kauro Daidano 1530
3. Top Five Diseases Treated during School Health Sessions
S # Diseases No. of Patients
1 URTI 243
2 GIT 44
3 Dermatological problems 135
4 Diherraa /Dysen 47
5 Suspected Malaria 43
51
*All HFs — BHUs and others.
4. Top Five Diseases During OPD
S # Disease No. of Patients 1 Respiratory Disease 20212 2 Gastro Intestinal Disease 6326 3 Dermatological Problems 4323 4 Fever due to other cause 5631 5 Suspected Malaria 2010
9. ARV / ASV used during the month No. of Patients
Dog bite cases reported 229
ARV Administered 150
ARV Available Doses 674
Snake bite cases reported -
ASV Vaccine Administered -
ASV Vaccine Available Doses -
14. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number 1 Pregnancy Tests 502
2 Blood Sugar Test 1059
3 Hemoglobin 333
4 X-Rays (if available) 0
5 Ultra Sound 1208
6 Others (please specify) 395
15. Hepatitis B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
83 162 19 19 - -
16. TUBERCLOSIS
Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
41 3 -
52
9. Referrals
S.No Total Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 434 70
0 364
0 0 0
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 476
128 0 347
15
3
35
G. MONITORING DURING MONTH UNDER REVIEW
9. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
45 78 152 275
I. Important Points/Issues arising from Visits S # Name of HF Issue Action Remarks
1 GD Usaman Shah Hurri BUILDING INCOMPLETE MEETING WITH BUILDINGS DEPTT
DO BUILDINGS VISITED
2 GD MAIL MORI ELECTRIC CITY NOT AVAILABLE
MEETING WITH BUILDINGS DEPTT
DO BUILDINGS VISITED
3 BHU SANJAR CHANG NEED OF R&R REQUEST RE FOR ESTIMATE
RE VISITED
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for (26 ) Weeks
II. Important Issues raised relating to Medicines, etc. during MRM • Issues regarding Newly taken over GDs:-
Sr# Name HF ISSUES
1 GD Mehro Khan Lashari Electricity , Fans, meter, drainage system
2 GD Hakra Mori meter, drainage system
3 GD Pak Singhar Electricity , Fans, meter, grill, drainage system, motor
4 GD Mithoo Khaskheli Electricity , Fans, meter, grill, drainage system, motor
5 GD Ghani Khan Kaim Khani Three phase meter connection required, grill, motor
6 GD Dodo Rind Masonry & plumbing work, motor
7 GD Sobho Rind Electricity , plumbing work, motor
8 GD Ghulam Hussain Lund Electricity , meter, grill, carpenter work, drainage system, 9 GD Saleh Arisar Electricity , drainage system, plumbing work, motor
10 GD Sachedino Panhwar Electricity , motor
11 GD Muhammad Hassan Dal drainage system
53
12 GD Saeed Khan Leghari Electricity , meter, drainage system, motor
13 GD Mashaikh Hoti Carpenter work, meter, grill, drainage system
14 GD Mail Mori Electricity , meter, drainage system, plumbing work
III. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
IV.
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU-Allah Rakhio P th
100% Completed M.B recorded & Sent to P S U
2 BHU Ditto Kalroo 100% Completed M.B recorded & Sent to 3 GD M Sadiq Memon 100% Completed M.B recorded & Sent to 4 BHU-Jhando Mari 100% Completed M.B recorded & Sent to 5 BHU-Shadyoon 100% Completed M.B recorded & Sent to 6 BHU-Sultanabad stand 100% Completed M.B recorded & Sent to 7 BHU-Sultanabad
Vill 100% Completed M.B recorded & Sent to
8 GD-Dassori 100% Completed M.B recorded & Sent to 9 B.H.U Bukera Sharif 100% Completed M.B recorded & Sent to 10 B.H.U Kauro Daidaanoo 100% Completed M.B recorded & Sent to 11 B.H.U Tando Soomro 100% Completed M.B recorded & Sent to 12 B.H.U Shahnwaz
M h ji 100% Completed M.B recorded & Sent to
13 BHU-Naseer Khan L h i
100% Completed M.B recorded & Sent to 14 BHU-Sanjar chang 100% Completed M.B recorded & Sent to 15 GD-Ghulam Khan
S j i 100% Completed M.B recorded & Sent to
16 BHU-Dhingano Bozdar 100% Completed M.B recorded & Sent to 17 GD-Ghulam Hussain
Kh kh 100% Completed M.B recorded & Sent to
18 Quarter of BHU Sh h M h ji
100% completed MB needs to be recorded
19 Quarter of BHU Jhando M i
100% completed MB needs to be recorded
20 Quarter of BHU Bukera 100% completed MB needs to be recorded
21 GD Lal Faqir Behrani 100% completed MB needs to be recorded
22 GD Golo Halepoto 100% completed MB needs to be recorded
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
Date /Time for Next MRM: To be decided later
DISCUSSION DURING MRM
54
It is observed that Sugar strips consumption ratio is high it should be controlled as the sugar strips will use only for diagnostic purpose only.
It is Observed during the performance review in the Hall that there is low ratio of follow up clients, it should be increased as 30 percent of the total OPD.
All MO I/C must fill the target portion given in the DHIS monthly reporting form as 8 Indicators, including data accuracy indicator.
All MOs should countersigned the advance outreach schedule of vaccinators on monthly basis and monitor the performance of the vaccinator on the basis of the schedule.
eDews weekly reports must reach at DSU before the closing of Monday. Target population and actual coverage in NIDs, SNIDs must be submitted with
monthly DHIS report. During NID days all UC focal person / I/C MOs will monitor the field teams and fix
points and report to DSM/DHO/DC on daily basis. Every MO must conduct five minutes meeting with vaccinators at the start of the
day and ask him about performance, progress and targets for the day. MO’s & FMO’s have to be actively involved in NID’s, SNIDs and during NIDs they are
bound to ask every mother and her children for Immunization and prepare a list of children not vaccinated on daily basis and report to DSM /DHO office.
Every MO/FMO shall conduct at least 4 Health sessions/ Capacity Building sessions. Daily expense register should be maintain properly by the Dispenser of the
concerned facility and duly verified by the MO I/C. Every M.O I/C should take initiative to improve their Hf’s Decorum and Medical
instruments functionalization which was pointed out By M& E section during Monitoring visits. Decision taken in the meeting by DSM/ DHO
• In the CBS/ CHS/SHS conducted by the MOs and FMOs, the topics for this month FEB 2013 are as follows 1 Importance of Routine Immunization & ( E.P. I) Schedule.
2 Mal Nutrition. 3 Record Keeping And use of DHIS Tools.
• Follow up patient ratio is low it should be increased as 30 percent of the total OPD. • Every MO should sereousely monitor the routine EPI in there respective centre and check the record and
field plan of Vaccinator either PPHI vaccinator or Govt. • Every MO i/c of HF where EPI centre is functional will bound to their Vaccinator for sending a copy of their
Monthly EPI report to DSU with the stamp and signature of MO i/c.
55
MINUTES OF THE (51st) MONTHLY REVIEW MEETING
OF DISTRICT TANDO MUHAMMAD KHAN
Monthly Review Meeting (M.R.M) of District, Tando Muhammad Khan for the Month of January, 2012 was held on 15-02-2013 at meeting Hall of District Government Complex. Written invitations to participate were sent to the Deputy Commissioner, the DHO, the Additional Deputy Commisionar-1, Focal Persons, EPI, TB DOTS, National Program, Malaria Control, Hepatitis, HMIS & DEWS, District Population Welfare Officer, representatives WHO, all I/c Medical Officers/ FMOs etc.
List of Participants
S # Names Designation S # Names Designation 1 M. Naeem Khanzada DSM T.M.Khan 32 Dr. Azizullah Memon MO-PPHI 2 Dr. M. Ismail Soomro F/P (HMIS) 33 Dr. Waheed Abbass MO-HQ 3 Dr. Mir Hassan Turk MO-DG 34 Dr. Sadique Khowaja MO-DG 4 Dr. M. Hussain Notkani MO- DG 35 Dr. Intikhab Alam MO-PPHI 5 Dr. Makhdom Ali Nawaz MO- DG 36 Dr. Sadaf Sabir Sonologist 6 Dr. Shamshad Memon MO-DG 37 Dr. Qamarulnisa Sonologisy 7 Dr. A.Kareem Leghari MO- DG 38 Dr. Hifza Kinat Shah FMO-PPHI 8 Dr. Mumtaz Bhatti MO- DG 39 Dr. Shazia Qayoom FMO-PPHI 9 Dr. Dhalo Mal MO-DG 40 Dr. Sadaf Faraz FMO-PPHI 10 Dr. Murad MO-DG 41 Dr. Zaid Jamali FMO- PPHI 11 Dr. Narinder Kumar MO- DG 42 Dr. Shazia Sattar FMO-PPHI 12 Dr. Abdul Malik Shaikh MO-PPHI 43 Dr. Naima Memon FMO-PPHI 13 Dr. Shahbaz Mughal MO-PPHI 44 Dr. Rizwana Shah FMO-PPHI 14 Dr. Ali Muhammad Qureshi MO-PPHI 45 Dr. Sanober FMO-PPHI 15 Dr. Aamir Khushk MO-PPHI 46 Dr. Najma Memon FMO-PPHI 16 Dr .Nizam Soomro MO-PPHI 47 Dr. Farzana Jarwar FMO-PPHI 17 Dr. Raja M. Ishaque MO-PPHI 48 Sharjeel Siddique Ex (M&E) 18 Dr. Ghulam Sarwar MO-PPHI 49 Haji Noor Muhammad S.O 19 Dr. Kashif Faraz Hingoro MO-PPHI 50 Muhammad Azeem S.O 20 Dr. Ali Anwar MO-PPHI 51 Naveed Khaskheli S.O 21 Dr. Sabir Kolachi MO-PPHI 52 22 Dr. Sajan Sawai MO-PPHI 53 23 Dr. Mushtaque Bhurgri MO-PPHI 54 24 Dr. Abdul Rahim Bhurgri MO-PPHI 55 25 Dr. Chatro Mal MO-PPHI 56 26 Dr. Ali Raza Jarwar MO-PPHI 57 27 Dr. Muhammad Khalid MO-PPHI 58 28 Dr. Manoj Kumar MO-PPHI 59 29 Dr. Ayoub Memon MO-PPHI 60 30 Dr. Mumtaz Talpur MO-PPHI 61 31 Dr. Asghar Talpur MO-PPHI
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The following could not attend the meeting for the reasons stated against each:-
S # Names Reasons for absence 1 Dr. Sajida Mem on C/L
2 Dr. Laila Khowaja C/L
3 Dr. Rubeena Abbassi C/L
Dr. Shazia Dal
E. HFs WITH PPHI RHC: 01 BHUs: 13 Dispensaries: 20 Others: 01
TOTAL: 35
Population of the Catchments Area: 639000
K. STAFF STRENGTH Sr. No Sanctioned
Posts Working Govt.
Employees PPHI
Contract Vacant Posts
1 MOs 41 38 12 26 3
2 W/FMOs 1 0 0 21 0
3 LHVs 9 16 8 8 0
4 MTs/MAs Male 25 11 13 12 Female 2
5 Dispensers 5 37 3 34 0
L. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 37 Single HFs 37
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
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E. CAPACITY BUILDING
1. 1st Session: Dr. Sadaf Faraz ,F MO (PPHI) conducted session on PPT and focused on the following points:-
• Introduction • Case Definition • Causes • Diagnosis
2. 2nd _Abdul Wahab conducted session Case definition and focused on the following points:- • Introduction • Definitions • Causes • Diagnosis
3. 3rd Session : _____________________ Conducted session on _______________ on the following points :-
• •
2. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
Clusters of 3 HFs 4 Clusters of 3 HFs 4
Clusters of 2 HFs 7 Clusters of 2 HFs 7
Single HFs 6 Single HFs 6
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1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 24,062
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 3,056
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month January, 2012 27,118
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Total Target of coverage
Actual coverage Percentage of coverage
17th 18th 22th 23RD December 24,559
45,172
184%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (APCD) Slides 563
2 Malaria Metro Survey (MMS) Slides 236
3 +ve Slides 24
4 Follow up 27
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
2. Female Health Sr. No Service Number
1 Ante-Natal Cases 839
2 Neo-Natal Cases 119
3 Other OPD by FMOs 13,471
Total OPD 14,429
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 103
2 Deliveries Assisted at Homes 0
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3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 483
2 Blood Sugar Tests 199
3 Hemoglobin Tests 117
4 Ultra Sound Test 431
5 Other 1,211
2,501
4. Important Discussion on Mother and Child and Reproductive Health during MRM • No: of Deliveries has greatly increased at 24 hours MCHCs. Medicine indent has been circulated by
PSU and medicines have been purchased. P.O for tablet cytotec has been supplied at Delivery centers.
• Pre-diagnosis screening of patients for vaccine should be done religiously. • Where vaccinator are provided under National Program, the duty roster should be signed by I/c
Medical Officer and absence report should immediately be sent to Focal Person. • Pregnant females should be encouraged for delivery at BHU. • F.P advice should be part of diagnosis and separate record be maintained. • Sonologists shall furnish their presentation on the findings, referral and follow up. • MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not
provided. In all cases, record should be legible, complete and traceable. • Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been
provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.
• Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.
• Focal Person (EPI) has declined to provide District Government vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).
10. Provision of Family Planning Services during the Month
Sr.No Service/ Item Number
1 Consultation/Advice 396
2 Oral Pills 152
3 IUCDs 3
4 Injections 159
5 Others 85
Total 828
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(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 35 Number of Female SGs: 00
2. Performance of Social Organizers
No. of Social Organizers Meetings of SGs (Male)
Meetings of SGs (Female)
Total No. of participants of
M ti 3 17 0 129
3. School Health Sessions & Community Health Sessions Community Health Sessions
Number of CHS Number of Participants
58 1327
School Health Sessions
No. of SHS No. of Children Examined No. of Children Treated
67 3127 406
4. Important Points during Support Group Meetings.
• The CSG members should help in monitoring and facilitation. • RHC Rajo Nizamani shall be inaugurated by Federal Minister for Water and Power in the month of
November as R&R work is still left. However, purchase of O.T equipment is in process. • RHC Rajo Nizamani has been made functional for 24 hours with 03 shifts having medical and paramedical
staff. • I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on
need basis after seeking administrative approval from DSM- should be regular feature. • Moral support to medical/paramedical staff working at HF. • Arranging of awareness sessions at their respective villages • Information sharing to the rest of the villages regarding facilities at HF • Reformation of CSGs and individual roles of the members • Effective local facilitation by CSG members to the hf staff • Developing greenery at HFs by the CSG members • Ownership of the HFs
5. Important Points during SHSs
• To drink clean & safe water and Washing hands after toilet. • Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine
Flue, Congo Fever etc. • Nutritional awareness to be transferred to mothers through their kids. • Hair trimming clean clothes nails clipping, washing fruit/vegetables before eating.
6. Important Points during CHSs
• Primary health care awareness.
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• Educate about immunization against infectious disease. • Personal Hygiene and worm infestation. • De-worming of children • Prevention from diabetes • Precautions from Malaria and Hepatitis • Importance of family Planning • Importance of Vaccination • Importance of ultrasound • Importance of antenatal and postnatal care
7. Topics for SHSs for the Month
Sr. No. Topics
1 Polio
2 Malaria/Dengue
8 Topics for CHSs for the Month
S # Topics
1 Polio
2 Malaria/Dengue
9. Important Discussion on Community Participation during MRM
• Community Health Sessions are to be planned and held on Sinologist days.
• Participation should be ensured through formal contact with LHWs. • Sessions are to be held preferably at Health Facility or at community home duly coordinated and
facilitated by DSU/HF staff. • DSU field staff shall attend 50% of all the CSG meetings conducted during the month. • TORs of CSG must be shared with CSG members in every meeting of CSG. • Formal invitation to the CSG members in meeting • Presiding of the meeting by the CSG members • Participation of notable CSG member in MRM • Effective Mobilization of female CSGs and developing their ownership at H.Facility. • Involvement of notable in solving day to day problems of HFs. • CSG should be held at BHU. • Developing greenery at HFs.
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10. Health Camps: Number Held: 00 Fixed and 00 Mobile camps Number of Patients:
11. Measures for improvement / provision of Services by other Department / Agencies Sr No
Description Recommendation To whom sent
Present status
I Sanitation Not discussed in this meeting. Normally, a separate Quarterly Review meeting of Public Representatives and District Government officials/officers/NGOs is being held where such issues are discussed and decisions are taken.
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental Improvement
Viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New Patients treated during the month
Old patients treated during the month Total OPD during the month
55,811 2,979 58,790
4. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI 52
2 Allergic Rhnites 21
3 Scabies 31
4 Malaria 21
5 Diarrhea 16
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease S # Disease
1 ARI 1679 6 Suspected Viral Hepatitis 148
2 Diarrhea 2767 7 Cough more than 2 week 0
3 Malaria 3214 8
4 Scabies 4015 9
5 Dog Bite 207 10
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5. ARV / ASV used during the month Particulars No. of Patients
Dog bite cases reported 207
ARV Administered ( @ 5 Dozes per patient) 00
ARV Available Doses ( @ 24 dozes/vial) 00
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 17. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive Health)
3. (Lab / Diagnostic Tests) Sr.No Test No.
1 Pregnancy Test 483
2 Blood Sugar 199
3 Haemoglobin 117
4 X-Rays (if available) 105
5 Ultrasound 0
6 Others (Please specify) 1211
18. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B
Hepatitis C
19. TUBERCLOSIS Patients
Receiving Treatment New Cases During the Month Under Diagnosis
14
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 14 14 00 14
3
4
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20. Inverse Referrals S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 26 26 0 0 0 0 26
3
4
G. MONITORING DURING MONTH UNDER REVIEW
10. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
43 71 187 301
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01
02
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 30 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• All I/c M.Os/FMOs were asked to prepare the base data of that area and set the targets for A.N/P.N, immunization, Deliveries ets. Just reporting the figure does not solve the problems
• Every Medical Officer has to commence a journey to become Health Officer sensitized for all 08 components of Primary Health.
65
• All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications. • The DSM, PPHI TM Khan requested the in charges of health facilities for their timely submission of DHIS
reports, Along with self created form for data required for MPR etc. • DSM advised all MO/FMO Submit advance leave application of planed leaves. • DSM advised all Incharge MO share all access medicine with other BHU with the help of monitoring
team • All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks.
On Preventive Health:
• All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines. • Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in
communities On Curative Health:
• Quality of medicines has improved with clear impact on increased cost of medicines. • Rise in OPD and consequent rise in medicine consumption. • Patient coming from farther areas demand for more medicine dosages.
On Mother, Child & Reproductive Health:
• Baby Weighing Scales have been provided at all 35 facilities where FMO cover has been provided. • New DHIS MNCH registers and Growth monitoring registers will be maintained at each facility where
FMO cover is provided. Training has already been provided to all FMOs in this regard. The DHO office will provide new DHIS register as per requirement.
• The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.
• For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs. • All staff members of BHU Saeed Khan Lund and BHU Shaikh Bhirkyo were appreciated for conducting
55 deliveries during the month . Other Matters:
• One Pathological laboratory has been made functional at BHU Jinhan Soomro. Now, 04 Pathological Laboratories and 03 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits.
• I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.
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Date /Time for Next MRM: Tentative Date for next MRM is 8-2-2013
Comments on Targets vs Achievements (by DSM)
• MEETING WAS SUCCESSFUL
(M.NAEEM KHANZADA),
District Support Manager,
PPHI, Tando Muhammad Khan.
Copy for information to:
8) P.S to Syed Naveed Qamar Zaman Shah Sahib, Federal Minister for Defense, Govt of Pakistan. 9) Secretary to Government of Sindh for Health Department, Karachi. 10) Program Director, PSU, PPHI, Karachi. 11) Deputy Commissioner, District Tando Muhammad Khan. 12) Director General Health, Directorate of Health Hyderabad. 13) Regional Program Director, Region-I @ Hyderabad. 14) District Health Officer, District T.M Khan. 15) Dr. Wahab, S.O, WHO. 16) Incharge Medical Officer(s) all PPHI managed Health Facilities, T.M Khan.
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MINUTES OF THE (59TH) MONTHLY REVIEW MEETING
OF DISTRICT MIRPURKHAS
Monthly Review Meeting (59th MRM) of District, Mirpurkhas for the Month of January, 2013 was held on 14th February, 2013 at Tharparker Gymkhana , Hyderabad Road Mirpurkhas. Written invitations to participate were sent to the DC, and District In charge of EPI, LHW and all other National Programs as usual but they could not attend the meeting due to their engagements. The list of participants follows:
List of Participants
S. Names Designation S. Names Designation
1 Mr. Muhammad Juman Thebo DSM MPK 2 Dr. Khalid Memon DHO EPI I/C MPK
3 Dr. Naseer Ahmed Sheikh THO 4 Dr. Hanif Baloch DO (Accounts)
5 Mr Adil Rasheed Exe(A&A) 6 Mr. Irfan Hyder Shah Exe (M&E)
7 Mr. Shahbaz Ali Memon Exe (M&E) 8 Dr Amna Idrees FMO PPHI
9 Dr Shamsher Mardan MO HQ-MPK 10 Dr. Shaheen FMO PPHI
11 Dr Arif Shamim SMO Govt 12 Dr Neel Kanth MO PPHI
13 Dr. Khan Mohd SMO Govt 14 Dr. Abdul Kabir MO PPHI
15 Dr G R Soomro MO Govt 16 Dr. A Latif MO PPHI
17 Dr Narain SMO Govt 18 Dr Nadeem MO PPHI
19 Dr Narain Das MO Govt 20 Dr. Afzal MO PPHI
21 Dr Atta Hussain shah SMO Govt 22 Dr Pardeep MO PPHI
23 Dr. Tulsi Das SMO Govt 24 Dr. Munner Akhter MO PPHI
25 Dr Shahid Rizwan MO Govt 26 Dr. Mehmod-ul-Hassan MO PPHI
27 Dr Arshad Nihal SMO Govt 28 Dr A Rauf MO PPHI
29 Dr Farouque MO Govt 30 Dr Khalid MO PPHI
31 Dr. Jan Mohammad MO Govt 32 Dr Naraindar Sufi MO PPHI
33 Dr Saleh Memon MO Govt 34 Dr. Ramesh Kumar MO PPHI
35 Dr Naveen Kumar MO Govt 36 Dr. Zulifqar MO PPHI
37 Dr Ashoke Kumar MO Govt 38 Dr Rajni Davi Sonologist
39 Dr. Saleem MO PPHI 40 Dr Dileep Kumar MO PPHI
41 Dr Ramesh Kumar MO PPHI 42 Dr Vishan Das MO PPHI
43 Dr. Imtiaz MO Govt 44 Dr. M Sadique MO PPHI
45 Dr. Narender MO PPHI 46 Dr. Anis Mari MO PPHI
47 Dr. AllahDitto MO Govt 48 Dr. Imran Jarwar MO PPHI
49 Dr Wishan Das MO PPHI 50 Dr. Baldev MO PPHI
51 Dr Bushra FMO PPHI 52 Dr. Shankar lal MO PPHI
53 Dr Nighat Sultana FMO PPHI 54 Dr Munwer MO PPHI
55 Dr Sahira Baloach FMO PPHI 56 Dr. Ramesh Kumar MO PPHI
57 Dr Faria FMO PPHI 58 Dr Kashif MO PPHI
59 Dr Hamida Ali FMO PPHI 60 Dr Pir Nasir Jan MO PPHI
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61 Dr Aneela Zahoor FMO PPHI 62 Dr Chander MO PPHI
63 Dr Gulshad FMO PPHI 64 Dr. Nazish FMO PPHI
65 Dr Urooj FMO PPHI 66 Dr. Ramesh Kumar MO PPHI
67 Dr Azra Parveen FMO PPHI 68 Dr Arif MO PPHI
69 Dr Asia Kareem FMO PPHI 70 Dr. Saqib Shah MO PPHI
71 Dr Mohni FMO PPHI 72 Dr Zahid Hussain MO PPHI
73 Dr Adeela FMO PPHI 74 Dr. Mukesh MO PPHI
75 Dr Saba Ilyas FMO PPHI 76 Dr. Imran Laghari MO PPHI
77 Dr Shaheen FMO PPHI 78 Dr. Kishore MO PPHI
79 Dr Samreen Shafee FMO PPHI 80 Dr. Rasheed MO PPHI
81 Dr Shazia FMO PPHI 82 Dr. Arbab MO PPHI
83 Dr Quratulain FMO PPHI 84 Dr. Mansoor MO PPHI
85 Dr Nargis Naz FMO PPHI 86 Dr. Ramchand MO PPHI
87 Dr Irum FMO PPHI 88 Dr. Amart MO PPHI
89 Dr Attaullah MO PPHI 90 Dr Mumtaz Ali MO PPHI
91 Dr Noor Nisa FMO PPHI 92 Dr. Aneela FMO PPHI
93 Dr Asma FMO-PPHI 94 Dr Ghazanfer Abbas MO PPHI
95 Dr. Saeeda FMO PPHI 96 Dr. Haresh MO PPHI
97 Dr. Fahmeeda FMO PPHI 98 Dr. Ghulam Mustafa SMO Govt
99 Dr Shaista FMO PPHI 100 Mr Mohsin SO DSU-PPHI
101 Dr Kiran Kumari FMO PPHI 102 Mr Jethanand SO DSU-PPHI
103 Dr. Sajda Tahir FMO PPHI 104 Mr Bharji SO DSU-PPHI
105 Dr. Parkash MO PPHI 106 Mr. Faruukh Assistant Accounts
107 Dr Naeem MO PPHI 108 Mr. Diljeet Store Manager
109 Dr. Aijaz Memon MO PPHI 110 Mr Naresh Assist Admin
111 Dr Saneela FMO PPHI 112 Mr Khair Mohammad SO DSU-PPHI
113 Dr. Kamni FMO PPHI
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons 1 Dr Yousif Absent 2 Dr. Salma Leave 3 Dr M Urs Leave 4 Dr. Moazam Absent 5 Dr. Salma Leave 6 Dr. Rajesh Kumar Leave 7 Dr Sana Ayoub Leave 8 Dr Rano Absent 9 Dr. Aijaz Laghari Absent 10 Dr. Noor Hassan Absent
11 Dr. Nenu Bai Leave 12 Dr. Farhana Qureshi Leave 13 Dr Liaquat Hussain Leave 14 Mr Farhan Rasheed Leave 15 Dr. Mohidin Absent
F. HFs WITH PPHI BHUs: _______ 38 Dispensaries: _______48 MCHCs: _______10 others: ______2
TOTAL: _______98
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B. Population of the Catchments Area: 1681107
M. STAFF STRENGTH
Staff Sanctioned Posts (Govt.)
Working Government Employees
PPHI Contract
Vacant
(Sanc-Govt) MOs 79 74 22 52 57
WMO 04 3 3 0 01
FMOs 00 36 0 36 00
LHVs 08 38 08 30 0
MTs/MAs Male 79 50 50 0 01 Female 28 28 0
Dispensers 14 51 13 38 1
N. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO/WMO
Month under Review Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 13 Clusters of 2 HFs 12
Single HFs 59 Single HFs 62
Month under Review Total Month under Review Total
Clusters of 6 HFs 03 Clusters of 6 HFs 03
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 26 Clusters of 2 HFs 26
Single HFs 10 Single HFs 10
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E. CAPACITY BUILDING
1. First Session: During MRM
Dr. Khalid, in his lecture on ‘Measles’ & ‘Proper DHIS Reporting’ focused on the following points:-
• How to diagnose measles case. • How to prevent from measles. • How samples to be collected for measles cases. • How to check data accuracy of DHIS Report.
After the session, participants raised the questions.
Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities & out- reach EPI Teams 26391
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities & out- reach EPI Teams
3216
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month January, 2013 29607
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
15, 16 & 17 Oct-2012 244114 254192 104%
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized 622
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(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
S. # NAME OF FMO Antenatal Post Natal Total Others Total
1 Dr Faria Atif 121 26 147 200 1387
2 Dr Asia Narejo 84 13 97 202 1105
3 Dr Sahira Baloch 58 6 64 89 888
4 Dr Kamni Kumari 125 13 138 230 898
5 Dr Aneela Zahoor 83 10 93 94 894
6 Dr Gulshad 47 14 61 255 1067
7 Dr Mohni 51 14 65 0 1007
8 Dr Shereen Ahmed Khan 83 7 90 0 547
9 Dr Saba Ilyas 53 5 58 77 970
10 Dr Azra Parveen 50 7 57 13 592
11 Dr Adeela Sohail 110 11 121 105 894
12 Dr Samreen Shafee 29 10 39 3 578
13 Dr Hamida Ali 61 11 72 266 897
14 Dr Amna Idrees 86 17 103 58 727
15 Dr Kiran Kumari 51 9 60 140 664
16 Dr Nighat Ashraf 51 12 63 233 644
17 Dr Sana Ayoub 9 1 10 11 251
18 Dr Shazia Zulfiqar 66 17 83 82 526
19 Dr Saneela Mughal 0 0 0 0 0
20 Dr. Fahmida Kolachi 171 23 194 169 1580
21 Dr Nargis Naz 27 4 31 124 464
22 Dr Naina Kumari 30 7 37 315 901
23 Dr Irum Naz 143 5 148 155 1395
24 Dr Bushra Farhin 64 6 70 364 1524
25 Dr Shaheen 43 23 66 114 617
26 Dr Urooj 87 15 102 0 1284
27 Dr Sajida Tahir 750 7 757 0 1230
28 Dr Shaista Parveen 49 13 62 487 1004
29 Dr Asma Shaikh 395 13 408 467 1492
30 Dr Noor Nisa 81 21 102 67 1620
72
31 Dr Saeeda Mari 131 20 151 246 1559
32 Dr Qurat-ul-Ain 211 38 249 321 1785
33 Dr. Nazish zehra Rizvi 84 22 106 287 1746
Total: 3484 420 3904 5174 32737
2. Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 236
2 Deliveries Assisted at Homes 456
3. Lab/ Diagnostic Tests
S # Test Number 1 Pregnancy Tests 567 2 Blood Sugar Tests 256 3 Hemoglobin Tests 266 4 Ultra Sound Test 1749 5 Other (X Rays) 27
Total 2865 Important Discussion on Mother and Child and Reproductive Health during MRM
• Antenatal and postnatal performance shared with the participants. DSM Mirpurkhas requested to pay heed to improve MCHC Services at health facilities.
Provision of Family Planning Services during the Month
S # Name of the Items / Service Number 1 Consultation / Advice 1496 2 Oral Pills 503 3 IUCDs 09 4 Injections 602 5 Others 2634
Total 5244
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: --------------94 Number of Female SGs: --------------04
73
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
Male Female Total No. of
No. No. of Participants
Jethanand 10 0 82 18 470
Farhan 08 0 62 18 458
Mohsin 07 0 55 18 386
Bharji 07 0 68 24 480
Khair Mohammad 10 0 58 18 338
Total 42 0 325 96 2132
3. School Health Sessions & Community Health Sessions S.
No Name Of I/C Community Health Sessions School Health Sessions
CHS Pts SHS Examined Treated Pts 1 Dr Munwer 1 17 1 7 2 23 2 Dr. Kashif Ali 1 24 1 10 5 40 3 Dr Khalid 1 11 1 5 1 55 4 Dr Afzal 3 112 1 6 3 46 5 Dr Zulfikar 1 7 1 12 1 35 6 Dr Zahid Hussain 1 30 1 0 0 35 7 Dr A Kabir 1 12 1 0 0 22 8 Dr Arbab 1 10 1 0 0 8 9 Dr Khan Mohammad 1 13 1 10 6 40
10 Dr Rasheed Ahmed 1 28 1 7 0 37 11 Dr Narain 1 27 1 10 0 80 12 Dr Urs 1 60 1 5 1 30 13 Dr Arif Shamim 1 8 0 0 0 0 14 Dr Mukesh 0 0 1 9 2 80 15 Dr Ramesh Kumar 1 13 1 2 1 44 16 Dr Siddique 1 18 1 0 0 17 17 Dr. G.R Soomro 1 23 1 6 0 46 18 Dr Liaquat 1 25 1 5 0 40 19 Dr Ghazanfar Abbas 1 36 1 2 1 37 20 Dr Rano Mal 1 30 1 4 2 45 21 Dr Noor Hussain 1 35 1 12 7 86 22 Dr Muneer 1 16 1 0 0 11 23 Dr Wishan 1 22 1 15 5 102 24 Dr Neel Kanth 1 27 1 0 0 26 25 Dr Pardip 1 10 1 5 2 40 26 Dr Parkash 1 40 1 0 0 30 27 Dr A Rauf 1 40 1 9 5 95 28 Dr A Latif 1 14 1 4 2 47
29 Dr Salim 1 15 1 0 0 35
74
30 Dr Naveen 1 9 1 5 5 37
31 Dr Kishore Kumar 1 14 1 8 3 68 32 Dr. Amrat 1 17 1 0 0 32 33 Dr Baldeve 1 23 1 4 1 50 34 Dr. Dileep 1 25 1 2 2 38 35 Dr Nadim 2 30 2 4 1 50 36 Dr Pir Nasir Jan 2 26 2 0 0 24 37 Dr Arif Ali 1 23 1 0 0 24 38 Dr. Ramchand 2 27 2 15 9 111 39 Dr Arshad Nihal 1 35 1 5 1 50 40 Dr Mumtaz 2 50 2 12 4 78 41 Dr Naeem 2 34 2 25 15 110 42 Dr Mansoor 1 8 1 1 1 21 43 Dr Narain 1 13 1 4 3 47 44 Dr Ashoke-Kumar 1 13 1 25 15 71 45 Dr Ramesh 2 37 2 18 11 130 46 Dr Imran Jarwar 2 48 2 25 19 109 47 Dr Mehmood 1 18 1 5 1 23
48 Dr Rajesh 1 10 1 1 0 20 49 Mukesh HT 1 15 1 0 0 18 50 Dr Moazam 1 18 1 18 17 30 51 Dr Imran Laghari 1 22 1 4 3 26 52 Habib Ullah HT 1 35 1 15 15 60 53 Dr Vishan 1 10 1 20 9 42 54 Dr. Tulcho 1 8 1 18 18 80 55 Dr Narainder 1 30 1 2 1 20 56 Dr Shahid Rizwan 1 35 1 25 25 180 57 Dr. Imtiaz Hussain
1 33 1 1 1 14
58 Dr Narainder 1 24 1 4 4 55 59 Dr Attaullah 1 18 1 0 0 15 60 Dr Sakib Shah 1 28 1 14 9 76 61 Dr Chandar Kumar 2 24 2 5 5 36 62 Dr. Jan Mohammad
1 90 1 23 19 90
63 Dr Saleh Memon 1 35 1 2 2 23 64 Dr Mohiddin Shaikh 1 23 1 0 0 17 65 Dr. Shankar 1 8 1 15 15 68 66 Dr Faroque 1 11 1 8 8 42 67 Dr Anees 1 12 1 7 4 25 68 Dr Sajida Tahir 1 15 1 0 0 30 69 Dr Shaista Parveen 1 15 1 1 1 12 70 Dr Asma Rasool shaikh 1 23 0 0 0 0 71 Dr Noor Nisa 1 20 1 20 20 60 72 Dr Saeeda 1 30 1 17 7 47 73 Dr Fahmida kolachi 1 10 1 34 30 87
74 Dr Qurat-ul-Ain 1 50 1 15 2 29
75
75 Dr Nargis Naz 2 33 2 10 10 42 76 Dr Naina Kumari 1 10 1 0 0 12 77 Dr Irum Naz 1 10 1 2 2 57 78 Dr Bushra Farhin 2 40 1 8 5 35 79 Dr Shaheen 1 25 1 10 10 25 80 Dr Urooj 1 22 1 12 10 50 81 Dr Nazish 2 55 1 5 5 47 82 Dr Nighat Ashraf 1 60 1 6 1 30 83 Dr Sana Ayoub 1 9 1 1 1 18 84 Dr Shazia Zulfiqar Sand 2 23 1 0 0 12 85 Dr Amna Idress 1 20 1 2 1 15 86 Dr Azhra 1 35 1 0 0 13 87 Dr Aneela 1 15 1 10 10 25 88 Dr Saba Ilyas 1 14 1 2 0 21 89 Dr Samrren 1 12 1 10 0 20 90 Dr Sahira Baloach 1 22 1 19 4 56 91 Dr kiran 1 27 1 3 3 26 92 Dr Mohni 1 21 1 25 25 42 93 Dr Gulshad 1 21 1 10 5 23 94 Dr Kamni 1 38 1 17 17 46 95 Dr Farai 1 12 1 4 4 35 96 Dr Asia Naijo 2 30 1 15 15 26
Total: 110 2379 103 743 480 4183
4. Important Points during Support Group Meetings.
• Role of CSG Members in Measles Campaign. • Performance sharing of health facilities. • Female must be appointed at health facilities. • Quantity of medicine be increased.
5. Important Points during SHSs
• Measles • Importance of Vaccination
6. Important Points during CHSs • Measles • Importance of Vaccination
Topics for SHSs for this Month
Sr. No. Topics 1 Measles 2 Immunization
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8 Topics for CHSs for this Month
S # Topics 1 Measles 2 Polio Campaign
9. Important Discussion on Community Participation during MRM
• CSG may key play key role in recent measles out-break. • CSG Members may create sense of ownership among communities. • Community support group members must promote importance of measles vaccination. • CSG members may be helpful to cover refusal & N/A cases in measles CRASH PROGRAM.
10. Health Camps: Number Held: -----------------0 Number of Patients: -----------0
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of adulteration
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental
Viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
137611 4310 141921
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Hameedpura 5948 Doalat Laghari 877
2 Makhan Samoon 3197 Hingorno 1151
3 Satellite Town 3059 Faqir Basheer Laghari 1162
4 Nawab Colony 3021 Fazal Bhambhro 1162
5 Kot Mirs 2795 Abdul Qayoom Khair 1172
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3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 41662
2 Diarrhea 11794
3 Fever (Clinical Malaria) 6188
4 Scabies 4521
5 Dermatitis 3364
ARV / ASV used during the month
Cases No. of Patients
Dog bite cases reported 260
ARV Administered 200
ARV Available Doses 30
Snake bite cases reported 4
ASV Vaccine Administered 0
ASV Vaccine Available Doses 13
21. Lab / Diagnostic Tests: Includes Tests Reported at No. 22. (II) (Mother, Child &Reproductive Health)
3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 567
2 Blood Sugar Tests 256
3 Hemoglobin 266
4 X-Rays (if available) 27
5 Ultra Sound 1749
6 Others (please specify) 0
S # Diseases No. of Patients 1 ARI 102
2 Suspected Malaria Fever 66
3 Diarrhea 51
4 Scabies 31
5 Others 52
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23. B & C SCREENING TESTS
NO ANY SCREENING TEST OF HB & C AVAILABLE AT PPHI HFs.
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred up to date
Follow up result
Hepatitis B 27 0 0 0 0
Hepatitis C 27 3 3 3 0
24. TUBERCLOSIS Patients
New Cases During the Month
Under Diagnosis
10 02 01
9. Referrals
S.No Totals Cases Referred To
TB DOT Viral HB Others RHCs THQs DHQs
1 3 0 0 3 0 0 3
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs BHUs
1 97 97 0 0 03 00 57 37
G. MONITORING DURING MONTH UNDER REVIEW
11. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
35 89 413 537
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
No any No any No any No any
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for ……………………… 32 weeks 2. Important Issues raised relating to Medicines, etc. during MRM
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I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFs
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Hashim Bhurgri Electricity Work & Colour of Furniture Work Done
2 BHU Ubedullah Bhurgri Netting & Colour of Furniture Work Done
3 GD Dajero Mori Colour of Furniture Work Done 4 DCD Outaq Ahmed Khan Netting & Colou of Furniture Work Done 5 BHU Ghulam Hyder Shah Motor Repair Work Done 6 MCH Khan Sahab Din Mohd Motor Repair & Fitting Work Done 7 GD Mir Sher Mohammad Colouring, Netting, Furniture Repair, Earth
Work Done
8 BHU Nawab Colony Water Motor Repair Work Done 9 BHU Makhan Samoon Installation Laboratory Door Work Done
10 BHU Ismail Jo Goth Netting of Window & Doors Work Done 11 BHU Patohiyoun Furniture Polish Work Done 12 MCH Mirpur Old Electricity Work Work Done 13
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
11. MOs will, from now onwards, fill data accuracy sheet every month. 12. Staff timings must be followed strictly. 13. SO should fill check lists on regular basis so as to ensure the data accuracy of monthly reporting. 14. Monthly reports of all the health facility must reach 3rd of every month. 15. After compilation of reports, reports will be sent to DHO Office on 5th of every month.
On Preventive Health:
• Those doctors who did not conduct sessions in January, 2013, will be issued explanation call letters. The performance of MOs and FMOs, regarding health sessions was scrutinized.
• Keeping in view recent out-break of measles, all medical officers must conduct sessions on the theme of ‘measles’.
• DSU staff (DSM/Executives M&Es/SOs) members must participate in Community Health Sessions, School Health Sessions & Community Support Meetings.
On Curative Health:
• Velosef Capsule (500 mg) has been supplied in current medicine supply in those health facilities where FMO cover is available. As per directions of worthy Program Director, PPHI Sindh, only FMOs are authorized to prescribe Velosef Capsules, no any other staff member, including MO, is not authorized to prescribe Velosef Capsules.
80
• Those MOs, who have prescribed the Velosef capsules despite of several instructions issued from DSU, have been issued explanation calls and their salaries have also been deducted as well.
• Health Facility wise per patient cast was shared with participants. On Mother, Child & Reproductive Health:
• FMO should try to achieve Antenatal, Postnatal, delivery & family planning targets (targets have already been circulated).
• 236 deliveries were conducted at health facilities during the month of January, 2013. DSM Mirpurkhas again raised the question from FMOs regarding low number of deliveries.
Other Matters:
Date /Time for Next MRM:
08th March, 2013
Major Achievements /Recommendations / Issues:
DSM Mirpurkhas informed both MOs and FMOs that PPHI Mirpurkhas has started its first Laboratory at BHU Makhan Samoon. He further informed the MOs and FMOs that they may now refer needy patients to BHU Makhan Samoon for lab Investigations. In this regard, minimal charges will be taken from the patients.
(Muhammad Juman Thebo)
District Support Manager
Copy for information & necessary action to:
• The Programme Director, PPHI, PSU Sindh. • The Director Health, Mirpurkhas Division • The Regional Programme Director, PPHI, RSU-II, Mirpurkhas. • The Deputy Commissioner, District Mirpurkhas • The District Health Officer, Mirpurkhas • The Master file.
District Support Manager
DSU-PPHI-MPS
81
MINUTES OF THE (54th) MONTHLY REVIEW MEETING
OF DISTRICT BADIN
Monthly Review Meeting (MRM) of District, Badin for the Month of January, 2013 was held on 08-02-2012 at
Darbar Hall DCO Office Badin. The EDO (H), civil surgeon, District Population Welfare Officer, District Incharge of
EPI, District Coordinator NP, District Focal Person Malaria, District Focal Person TB and District Officer MNCH Badin
were also invited to the meeting. Following participants attend the meeting.
List of Participants
# Names/Designation S # Names/Designation
1 MR BIRJ LAL DOSSANI DSM BADIN 67 DR BADUL JABBAR KHATTI MO
2 DR SHAREEF SO WHO 68 DR ALI MUHAMMAD MO
3 MR NAVEED ABBAS BALOCH EO: M&E 69 DR KHADIM MALLAH MO
4 MR IFTAKHAR KHOSO 70 DR DOLAT RAM MO
5 DR AMEER ALI KHUWAJA MO HQ 71 DR ASGHAR SOOMRO MO
6 MR IRFAN SOOMRO SO 72 DR SHAHZAD VIRK MO
7 MR MAQSOOD SO 73 DR MUKESH KUMAR MO
8 MR RAZZAQU SOOMRO 74 DR MUHAMMED ASHARAF LAGHARI MO
9 MR MANSOOR SO 75 DR SUHAIL AHMED ABBASI MO
10 MR HANIF KHATI SO 76 DR MUHAMMAD AZAM MO
11 NOOR MOHAMMED SOOMRO SO 77 DR KAMIL MEMON MO
12 DR ANITA KHAWAJA FMO 78 DR SUNIL KUMAR (ABS) MO
13 DR KHATIJA KAMBRANI FMO 79 DR ZAHID HUSSAIN KHUWAJA MO
14 DR AISHA RAHIM FMO 80 DR SULEMAN PALIJO MO
15 DR FAHMIDA SOOMRO FMO 81 DR SOOMAR MAL MO
16 DR KAVITA ASHOK FMO 82 DR SHAFIQ AHMED LAGHARI MO
17 DR SAEEDA BANO (Sinologist) 83 DR SARFRAZ AMIR MO
18 DR NAVEEN SAMON 84 DR MUHAMMAD SHARIF CHANDIO MO
19 DR TASLEEM KHAWAJA FMO 85 DR MUHAMMAD AYOUB PAHORE MO
20 Dr NEELOFER SHAH FMOI 86 DR JUNAID SHAH MO
21 Dr NAZ ABBASI FMO 87 DR JAVED IQBAL QAMBRANI MO
22 DR NITASHA SOOMRO FMO 88 DR JAMIL MEMON MO
23 DR NAZIA FMO 89 DR IMTIAZ AHMED ARAIN MO
24 DR REHANA FAYAZ FMO 90 DR IBRAHIM PINJARO MO
27 Dr RUKHSANA MEMON FMO (MCHC) 91 DR MUHAMMAD HANIF MEMON MO
28 DR RUKHSANA QAZI FMO 92 DR HAFEEZULLAH MEMON MO
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29 DR SIAMA NAZ FMO 93 DR GULSHAN KOREJO MO
30 DR TASLEEM KHUWAJA FMO 94 DR CAPT. GHULAM RASOOL MALLAH MO
31 DR TAHSEEN PITAFI FMO 95 DR GHULAM MURTAZA MEMON MO
32 DR SHAHNAZ SOOMRO FMO 96 DR GULAM MUHAMMAD MEMON MO
33 DR KIRAN BHATTI FMO 97 DR AMEER HASSAN MO
34 DR ALMAS JUNEJO FMO 98 DR ALTAF BASHEER MO
35 DR ABDUL ALI SHAH MO 99 DR AIJAZUDDIN NIZAMANI MO
36 DR MEHMOOD MEMON MO 100 DR AFAQUE AHMED MO
36 DR ASHOK KUMAR (QFM) 101 DR ABDUL JABBAR KHASKHALI MO
37 DR CHAIT RAAM MO 102 DR RAFIQUE AHMED MEMON MO
38 DR MOHAMMAD RAMZAN SOOMRO MO 103 DR RAFIQUE AHMED BHURGARI MO
39 Dr ASHOK KUMAR MO 104 DR AHMED KHATTI MO
40 DR MOHAN LAL MO 105 DR ILYAS LAGHARI MO
41 DR NISAR KHUWAJA MO 108 DR MUZAFFAR ALI KHUWAJA MO
42 DR RAZA ALI KHUWAJA MO 109 DR MUNAWAR ALI ARAIN MO
43 DR SAFIULLAH ABBASI MO 110 DR GULAB KASHMIRI MO
44 DR SAHIB KHOSO MO 111 DR SALEEM NIZAMANI MO
45 DR SALEEM NOTKANI MO 112 DR IQBAL AHMED MEMON MO
46 DR SANTOSH KUMAR MO 113 DR ABDUL JABBAR NIZAMANI MO
47 DR SUNIL KUMAR MO 114 DR JAVED MEMON
48 DR TUFAIUL BHAN MO 115 DR NADEEM BHURGARI
49 DR ZAHID HUSSAIN KHAWAJA MO 116 HAKIM GHULAM NABI DARS (HAKEEM)
50 DR AMJAD ALI MO 117 MR NAIMATULLAH ASST: R&R
51 DR LAL JI MO 118 MR WAHID PATHAN ATTENDANT
52 DR ASAN DAS MO 119 MR SIKEELADHO ATTENDANT
53 DR SUNIL KUMAR MO (Dunmbalo) 120 MR ALLAH WARHAYO ATTENDANT
54 DR KUMAIL ABBAS 121 MR SHAHZAD CHAND DRIVER
55 DR SUHAIL ABBASI
56 DR ABBAS ALI
57 DR VISHAN DAS
58 DR JAVED MEMON MO
59 DR MUNAWAR ARAIN MO
60 DR SALEEM NOATKANI MO
61 DR HARCHAND MO
62 DR AHMED KAHTTI MO
63 DR HAJI KHAN NIZAMNI MO
64 DR HARESH KUMAR MO
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65 DR MUHAMMAD SIDIQUE PAHORE MO
66 DR GHULAM NABI SAMON MO
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 DR UZMA KOREJO CL 9
2 DR NAYAB MEMON CL 8
3 DR KANWAL SABIR CL 9
4 AISHA JAMIL CL 10
G. HFs WITH PPHI BHUs: 36 Dispensaries: 66 MCHC: 01 Others: 01 TOTAL: 104
O. STAFF STRENGTH 200
Designation Sanctioned Posts (Govt.)
Working Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 49 14 14 63 32 WMO 0 0 0
FMOs 00 0 0 27 17
LHVs 42 8 8 40 34
MTs/MAs Male 0 0 0 0 0 Female 0 0 0
Dispensers 20 17 17 54 3
P. CLUSTERS OF HFs WITH ONE MO
Previous Month No of Hfs Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 19 Clusters of 2 HFs 19
Single HFs 45 Single HFs 45
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WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Dr. Tasleem Khuwaja delivered a lecture on “Basic Hygiene”
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities out- reach EPI Teams. 7815
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities out- reach EPI Teams.
566
Total vaccination / immunization for the month June 2012 8,381 2. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 112 2 Active Case Detection (ACD) Slides 23 3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized 135
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
Previous Month No of Hfs Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 22 Clusters of 2 HFs 22
Single HFs 2 Single HFs 2
85
1. Female Health
S # Names of FMOs Ante-Natal Cases Post-Natal Cases Other OPD Total OPD
1 Dr Saima Naz 27 7 357 1623
2 Dr Tasleem Khawaja 33 41 150 1120
3 Dr Kavita Ashok 75 11 30 653
4 Dr Neelofar Shah 49 18 20 1467
6 Dr Aisha Jamil 38 12 84 769
7 Dr Anita Khawaja 47 18 60 891
8 Dr Rukhsana Memon 292 93 755 2714
9 Dr Shazia Rauf 21 0 236 21
10 Dr. Khatija Qambrani 42 18 137 1066
11 Dr Shahnaz Muneer 29 12 28 658
12 Dr Naveen Samoon 30 10 98 722
13 Dr Naz Abbasi 82 9 156 637
14 Dr Natasha Soomro 61 8 65 841
15 Dr Nayab Memon 26 1 204 802
16 Dr Nazia Noor 57 4 1483 1329
17 Dr Tahseen Pitafi 104 32 313 1309
18 Dr. Rehana fayaz 63 22 186 937
19 Dr Ayesha Rahim 38 12 84 769
20 Dr Rukhsana Qazi 34 1 498 1531
21 Dr Fahmida Soomro 46 3 32 854
22 Dr Nida Shahid 20 1 63 371
23 Dr Shahnaz Soomro 3 1 45 188
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 73
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 375
2 Blood Sugar Tests 108
3 Hemoglobin 186
4 Ultra Sound Test 300
Total 969
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1. DSM discussed with the participants of MRM in detail regarding;
- EPI, The performance of the vaccinators & weekly targets will be analyzed closely through fortnight and monthly meetings.
- Target v/s achievements, DSM sb demonstrated the actual performance of MOs & FMOs through the vindicate facts & figures of targeted OPD against the achievements. He encouraged to all functionaries to achieve the monthly targets by head & shoulder efforts.
-Low number of SHS & CHS, DSM sb directed that each MO & FMO should deliver at least two SHS & CHS in a month.
Ambulance Running, DSM Sb heartened the all MOs & FMOs to share the Ambulance service to the community through the CHSs & with the regular patients as well.
16. Important Discussion on Mother and Child and Reproductive Health during MRM
j. No: of Deliveries has substantially increased at 24 hours MCHCs. Medicine indent should be standardized.
k. Pre-diagnosis screening of patients for vaccine should be done relugularly. l. Where vaccinators are provided under National Program, the duty roster should be signed by I/c
Medical Officer and absence report should immediately be sent to Focal Person. m. Pregnant females should be encouraged for delivery at BHU. n. F.P advice should be part of diagnosis and separate record be maintained. o. Sinologists shall furnish their presentation on the findings, referral and follow up. p. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not
provided. In all cases, record should be legible, complete and traceable. q. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been
provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.
r. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.
17. Provision of Family Planning Services during the Month of November 2012
S # Service Provided Number 1 Consultation / Advice 564 2 Oral Pills 575 3 IUCDs 00 4 Injections 413 5 Others Condoms 2772
Total 1,552
(III) COMMUNITY PARTICIPATION
During Month under Review
87
1. Number of Male Support Groups: 101 Number of Female Support Groups: 11
2. Performance of Social Organizers
Names of Social Organizers
Meetings of Support Groups conducted CHSs/SHSs arranged
Male Female Total No. of
No. No. of Abdul Razzaque Soomro 15 0 98 46 556
Irfan Khan Soomro 16 0 92 55 612
Maqsood Arisar 13 0 79 53 645
Noor Mohammed 13 95 22 554
Mansoor 12 91 43 443
Total 69 0 455 219 2810
3. School & Community Health Sessions
Names of MO / FMOs/Paramedics Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Children DR ANITA KHAWAJA FMO 1 45 1 7 3
DR KHATIJA KAMBRANI FMO 1 56 1 18 9
DR AISHA RAHIM FMO 1 47 1 11 5
DR FAHMIDA SOOMRO FMO 1 12 1 23 12
DR KAVITA ASHOK FMO 1 29 1 32 7
DR SUHAIL ABBASI 1 19 1 25 4
DR AIJAZUDIN NIZAMANI 1 54 1 12 6
DR SALEMM NOATKANI 1 25 1 13 2
DR TASLEEM KHAWAJA FMO 1 27 1 21 1
Dr SAIMA NAZ FMO 1 18 1 30 7
Dr AIJJAZUDDIN NIZAMANI MO 1 31 1 20 12
Dr SAFFIULLAH ABBASI MO 1 17 1 10 8
Dr JAVED MEMON MO 1 51 1 10 2
Dr AMJAD MEMON MO 1 25 1 20 7
Dr. MOHAN LAL MO 1 17 1 12 2
DR MEHMOOD MEMON MO 1 51 1 17 4
DR ZAHID KHUWAJA 1 13 1 12 5
DR ILYAS LAGHARI 1 32 1 16 7
DR GHULAM RASOOL MO 1 21 1 19 5
Dr Gulab Kashmiri 1 34 1 18 6
Dr Abdul Jabbar Nizamani 1 28 1 15 1
DR SALEEM NIZAMANI 1 43 1 14 4
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4. Important Points during Support Group Meetings.
• Introduction of PPHI
• Ownership of HFs
• Health Awareness Sessions for prevention at Community Level
• Health Awareness Program at School Level
• Water and sanitation, Electricity, Cleanliness etc Issues of HFs
• Major and Minor Repair & Renovation of HFs
• Suggestions for the improvement of HFs
5. Important Points during SHSs
Hand washing before and after taking food, and after bath, Nail cutting, wear clean clothes etc.
18. Important Points during CHSs Breast feeding, Antenatal care, Personal Hygiene, Water and sanitation, Communicable Disease, Vaccination.
7. Topics for SHS for the Month
Sr. No. Topics
1 Basic hygiene
2 Immunization
3 Dirroeah
8 Topics for CHS for the Month
S # Topics
1 Prevention of measles
2 Hepatitis
3 Family planning
4 Immunization
5 Brest Feeding
6 TB
9. Important Discussion on Community Participation during MRM
89
• Community Health Sessions are to be planned and held on FMO days.
• Participation should be ensured through formal contact with LHWs. • Sessions are to be held preferably at Health Facility or at community home duly coordinated and
facilitated by DSU/HF staff.
10. Health Camps: Number Held: 0
11. Measures for improvement / provision of Services by other Department / Agencies
No any other Public or Private sector has involved in any regard
Sr No Description Recommendation To whom sent Present status
i Sanitation 00 00 00
ii Drainage / sewerage 00 00 00
iii ……… drinking water 00 00 00
iv Prevention of adulteration 00 00 00
v Tree Plantation 00 00 00
vi Roads and infrastructure 00 00 00
vii Environmental Improvement 00 00 00
viii Others 00 00 00
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
121,669 3879 125,548
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 MCHC BADIN 3855 DCD MIR MUBARAK @
SIM NALI 180
2 BHU BEHDAMI 3145 GD BAGHLI 249
3 BHU NABI BUX PANJABI 3059 DCD SABOO KHAN CHANG 300
90
4 BHU SAEEDPUR 2971 ED ALLAH BACHAYO 318
5 BHU GULAM SHAH MORI 2717 DCD TALIB BHUCHO 330
3. Top Five Diseases Treated during School Health Sessions/Camps
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 Acute Respirity Infection 37,881
2 Diarrhea / Dysentery 7,684
3 Suspected Malaria 8,799
4 Scabies 3,935
5 POU 3,266
5. ARV / ASV used during the month No. of Patients
Dog bite cases reported 269
ARV Administered 269
ARV Available Doses 112
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
25. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health)
3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 375
S # Diseases No. of Patients
1 Ari 55
2 Fever 45
3 Scabies 13
4 Diarrhea 5
5 Dysentery 0
91
2 Blood Sugar Tests 108
3 Hemoglobin 186
4 X-Rays (if available) 0
5 Ultra Sound 300
6 Others (please specify) Malaria 55
26. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
0
0 0 0 0
27. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 0
9. Referrals
S. No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 100 0 20 80 20 50 30
10. Inverse Referrals
S. No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 0
G. MONITORING DURING MONTH UNDER REVIEW
12. Monitoring Visits during the month
DSM ADSM Executive
Monitoring Other Staff Total
48 0 122 345 517
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H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 9.05 weeks
13. Important Issues raised relating to Medicines, etc. during MRM/ Submission date of Medicine Requisition Form from 21st to 20th of every month
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
The status of running R & R schemes was reviewed thoroughly during the MRM and doctors were advised to fill
the gaps. Moreover, the new 12 schemes of BHUs and GDs were thoroughly discussed. MOs were motivated to
get to work in full throttle and complete the work well before the commencement of Third Party Evalution.
S # Name of
HFs
Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 GD Seerani Tiles, CC Toping, Plaster, Plinth protection, Colour, Electricity
100% Completed Estimate Sent for Revise
2 BHU Haji Mohammad Boohar
Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Colour,
l i i
100% Completed Estimate Sent for Revise
3 BHU Abdullah Shah Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Color,
l i i
100 % Completed
4 BHU Dadah Tiles, Girder T.R, Plaster, CC Toping, Roof Topping, Plinth protection, C l El i i Gi d TR Pli h
100% Completed
5 BHU Ahmed Rajo Tiles, CC Toping, Plaster, Roof Topping Color, Plinth Protection
100% Completed
6 BHU Mataro Mandhro
Tiles, CC Toping, Plaster, Roof Topping, Color, Electricity , Plinth
100 % Completed
7 GD Beero Lanjwani Tiles, CC Toping, Plaster, Color, Roof Topping,
100 % Completed for Revise
8 BHU Artilary Chak Tiles, CC Toping, Plaster, Roof Topping, Electricity , Plinth
l l l
100 % Completed
9 BHU Khalifo Qasim Tiles, Girder T.iron, Plaster, CC Toping, Color, Electricity, Plinth
l
100 % Completed
10 BHU Ali Mohammad Maheri
Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection
100 % Completed
11 BHU Rahooki Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection
100 % Completed Sent for Revise
12 BHU Saeed Pur Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth
f
Completed
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Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
Staff Matters:
Basic issues of HFs & Doctors
• Follow-up of TB referral cases
• OPD ratio and per patient cast
• Discussed on FMO Performance including Vaccination, Antenatal, Natal, Post Natal Pregnancy and family
Planning
• HIMS Monthly Report
• Self analyses of HFs by MOs & FMOs
• Ownership
• Discipline in PPHI
Preventive Health:
Regarding school health session and community health session mostly topic for preventive measures
including Scabies, Malaria, Diarrhea and Hygiene etc were discussed.
Curative Health:
Issues relating to Mother, Child & Reproductive Health:
More focus on Mother- Child health care. Effort is to be made for institutional birth instead of deliveries at home. More MCHCs center will be opened soon.
Other Matters:
Date /Time for Next MRM: 08-03-2013, Time 10: 00 am
Comments on Targets vs Achievements (by DSM)
Targets vs Achievements: MOs
94
Monitoring Mechanism
HMIS Reports
Health Sessions
Punctuality
Doctors have become punctual and are attending their HFs in time, despite the fact that they facing numerous
hardships in the difficult-to-access HFs of District Badin.
R & R
Targets vs Achievements: FMOs
Ante-natal care
During the month target achieved 1849 cases of antenatal and natal and advised to increase the cases.
Family Planning Service
FMO’s have improved on the count of Family Planning clientele.
Health Sessions
All FMOs and MOs were advised to perform as per their job description and conduct as many health
education/awareness sessions as possible. A total of 166 Health Session’s were conducted majority of FMO’s have
done well.
Punctuality
FMOs have become punctual and are attending their HFs in time, despite the fact that they facing numerous
hardships in the difficult-to-access HFs of District Badin.
Capacity Building of LHVs
Things are improving consistently in Badin. Hopefully, we will be achieving the targets set by PSU in near future
Inshallah.
95
MINUTES OF THE 64th MONTHLY REVIEW MEETING
OF DISTRICT THARPARKAR @ MITHI
Monthly Review Meeting (MRM) of District, Tharparkar for the Month of January, 2013 was held on February 7th, 2013 at Karoonjhar Hall Mithi. Written invitations to participate were sent to Deputy Commissioner Tharparkar, The DHO (H), District Population welfare officer and District Incharge of EPI, Secondary Care Doctors, M/S of THQs, Surveillance officer, WHO Team and all other National Programs as usual. The list of participants given below:
List of Participants
S # Names Designation 1 Raiz Ahmed Jakhrani District Support Manager Tharparkar at Mithi
2 Dr Irshad Ahmed DO MNCH WHO Tharparkar
3 Mr Majid Sarki Asstt: Director Bait-ul-Mall Tharparkar at Mithi
4 Mr Mukesh Raja Operational Manager Sukar Foundation Mithi
5 Mohammad Arif Abbasi Executive Officer (M&E)
6 Dr. Jeewat Rai Medical Officer H.Q
7 Dr. Serwan Kumar Medical Officer H.Q 8 Dr. Aneel Kumar Paeds. Consultant DHQ Hospital Mithi
9 Dr. Misri Bajeer Medical Officer
10 Dr. Ishtiaq Shah Medical Officer 11 Dr. Adu Mal Medical Officer
12 Dr. Pirbhu Lal Medical Officer
13 Dr. Lajpat Rai Medical Officer
14 Dr Bheru Lal Suthar Medical Officer 15 Dr. Shahdev Medical Officer 16 Dr. Chetan Medical Officer 17 Dr. Harish Kumar Medical Officer 18 Dr. Kamlesh Kumar Medical Officer 19 Dr. Dileep Kumar Sonaro Medical Officer 20 Dr. Lachman Medical Officer 21 Dr. Moolchand Medical Officer
22 Dr. Nand Lal Medical Officer
23 Dr. Mahesh Kumar Medical Officer
24 Dr. Dechand Medical Officer
25 Dr. Parkash Medical Officer 26 Dr. Ashok (BHU Wakrio) Medical Officer
27 Dr. Bheru Lal Medical Officer
28 Dr. Mukesh Kumar Medical Officer 29 Dr. Suneel Medical Officer 30 Dr. Vijay Kumar Medical Officer
31 Dr. Santosh Medical Officer 32 Dr. Ashok Kumar (Wahori) Medical Officer 33 Dr. Vikram Kumar Medical Officer 34 Dr. Gotam Medical Officer
35 Dr. Saleem Rahimoon Medical Officer
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36 Dr. Shagufta Shah Female Medical Officer
37 Dr. Lata kumara Female Medical Officer 38 Dr. Asma Karam Baloch Female Medical Officer
39 Dr. Janta Kumari
Female Medical Officer
40 Dr. Jai Mala Female Medical Officer
41 Mrs Najma LHV
42 Mrs.Rehana LHV
43 Mr. Dhenoo Mal HT
44 Mr. Saindad Samejo HT 45 Mr. Chandar HT 46 Mr. Partab Rai HT 47 Mr. Arjun HT 48 Mr. Ameer Bux HT 49 Mr. Mohammad Hashim HT
50 Mr. Mohammad Mohisin HT
51 Mr. Moroo Mal HT
52 Mr. Pirbhu Lal MT
53 Mr. Somji HT
54 Mr. Rai Khangaar HT
55 Mr. Aijaz Ali HT
56 Mr. Jhando HT
57 Mr. Mohin HT
58 Mr. Bheesham HT
59 Mr. Mohammad Rahim HT
60 Mr. Shahab-u-ddin HT
61 Mr. Sardar Singh HT
62 Mr. Ab: Hadi HT
63 Mr. Abdul Qadir Social Organizer
64 Mr. Muqeem Ahmed Social Organizer
65 Mr. Javed Ahmed Social Organizer
66 Mr. Imdad Social Organizer
67 Mr. Tayab Jhanjhi Store Manager
68 Mr. Muneesh Asstt:
69 Mr. Chaman Lal Asstt:
70 Mr. Qurban Medicine Handler
71 Mr. Pandhi Driver
72 Mr. Qeemat Rai Attendant
73 Mr. Nathu Attendant
74 Mr. Barkat Attendant
75 Mr Allah Rakhio Asstt: Admin
76 Mr Zulifiqar Ali Driver
77 Mr. Subhan Ali Attendant
78 Mr Haji Attendant
79 Mr Noor Mohammed Malhi
80 Mr Chandan Singh HT
97
The following could not attend the meeting for the reasons stated against each:
S # Names Designation Place of Posting Reason 1 Dr Sarwan Kumar Sr MO I/C BHU Chelhar Absent 2 Dr Dileep Kumar MO GD Goongio Absent 3 Dr Madan Lal Sr MO I/C BHU Kantio Leave 4 Dr Bheem Raj Dental Surgeon THQ Chachro Leave 5 Dr. Meena Kumari FMO Cluster Leave 6 Mr Chandar HT Mithrio Suthar Absent
A. HFs WITH PPHI
BHUs: 31 Dispensaries: 18 MCHCs: Others: TOTAL: 49
B. Population of the Catchments Area: 376,460/=
C. Staff Strength Staff Sanct: Posts (Govt) Working Govt: Employees PPHI
Contract Vacant Sanctioned (Govt )
Remarks
Mos 52 32 07 25 20
FMOs 0 06 0 06 0
WMOs 0 0 0 0 0
MTs/MAs Male
0 0 0 0 -
Female 0 0 0 0 0
LHVs 47 3
1 2 44
Dispensers:
55
14 7 7 0
HTs: 39
18 21 02
D. Clusters:
CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 04 Clusters of 3 HFs 04
Clusters of 2 HFs 02 Clusters of 2 HFs 02
Single HFs 28 Single HFs 28
Previous Month Total Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
98
E. CAPACITY BUILDING:
1. Dr Mukesh Kumar (I/C MO BHU Chhachhi Moora) conducted Session on Gastroenteritis. 2. Dr Lata Kumari (FMO Cluster) conducted Session on Urinary Poly Cystic Ovarian Syndrome. 3. Dr Jeewat Rai (MO HQ) conducted session on DHIS, oriented on different DHIS Tools and reporting
formats.
Capacity Building of LHVs / Dispensers during month under Review:
Names of the Resource Persons with dates
Date
Venue Topic
No. of Participants
F. REVIEW OF THE PERFORMANCE: Executive Officer (M&E) Mr. Arif Abbasi Presented DSU Progress for the Month of January 2013.
(I) PREVENTIVE HEALTHCARE
During Month under Review
1.Vaccination / Immunization
2. National Immunization Days (NIDs) for Polio:
Dates of NIDs Target of coverage Actual coverage Percentage of
Note: According to 3rd Party Evaluation percentage of coverage 98%. 3. Other Preventive/Promotional Services:
S # Service Number 1 Passive Case Detection (PCD) Slides (NEGATIVE) 2116 2 Active Case Detection (ACD) Slides (FALCIPARIUM) 22 3 Active Case Detection (ACD) Slides (VIVAX) 57
Clusters of 3 HFs 05 Clusters of 3 HFs 05
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 0 Single HFs 0
Children < 12 months received 3rd Pentavalent vaccine 1774
Children < 12 months received 1st Measles Vaccine 2794
Children < 12 fully immunized 1375
Pregnant women received TT-2 Vaccine 763
99
4 Active Case Detection (ACD) Slides (MIXED) 0 5 Visits to Check Sanitation (individual households + streets) 0 6 Notices issued against Poor Sanitation 0 7 Challans sent to Court against Poor Sanitation 0 8 Patients Nebulized 0
MOTHER, CHILD & REPRODUCTIVE HEALTH:
(During the month under Review)
I. Female Health:
2. Deliveries Assisted
3. Lab/ Diagnostic Tests (by MO & FMOs)
S.# Name of FMO ANC cases Natal Post
Other OPD Total OPD
1 Dr. Meena 69 01 22 1330 1422
2 Dr. Asma 45 09 26 800 880
3 Dr. Lata 45 03 17 777 842
4 Dr. Janta 51 01 09 676 737
5 Dr. Shagufta 06 03 12 570 591
6 Dr. Jaimala 84 02 07 313 406
300 19 93 4466 4878
S # Service Number
1 Deliveries Assisted at HFs 26
2 Deliveries Assisted at homes 27
Total Deliveries 53
S # Test Number
1 Pregnancy Tests 219
2 Blood Sugar Tests 429
3 Hemoglobin Tests 34
4 Ultra Sound Test 310
5 Others 27
100
5. Important Discussion on Mother and Child and Reproductive Health during MRM The FMO were directed to keep record of Mother and Child Health in the facilities, improve the family planning Program by giving medicine and aware about family planning methods.
6. Provision of Family Planning Services during the Month:
S # Name of the Items / Service Number
1 Consultation / Advice 439
2 Oral Pills 140
3 IUCDs 0
4 Injections 77
5 Others 75
Total 731
III) COMMUNITY PARTICIPATION:
During Month under Review
1. Number of Male CSGs: - 49- Number of female CSGs: 4
2. Performance of M&E Section:
Names
Meetings of Support Groups conducted
CHSs /SHSs arranged
No. No. of Participants No. No. of Participants
Mohammad Arif
Ex: Officer (M&E) 8
135 2 58
Muqeem Ahmed 5 84 4 132
Abdul Qadir 4 64 5 148
Total 17 283 11 338
Important Points during Support Group Meetings:
1. Immunization Coverage. 2. Repair of HFs . 3. Availability of Female doctors.
101
4. School Health Sessions & Community Health Sessions SHSs/CHSs conducted By MOs/FMOs/HTs for the month of January 2013
S# Name
Community Support Group Meetings
Community Health Sessions
School Health Session
Session Participant Session Participant Session Pax Children Examined
Children Treated
1 Dr. Meena NA 2 51 2 86 32 20
2 Dr.Janta NA 2 56 2 42 3 1
3 Dr.Shagufta Shah NA 1 18 0 0 0 0
4 Dr.Asma Karam NA 2 42 2 53 16 5
5 Dr.Lata Kumari NA 2 40 2 89 0 0
6 Dr Jaimala NA 2 44 2 92 15 8
7 Dr.Saleem 1 15 2 78 2 54 28 13
8 Dr.Dechand 1 9 2 47 2 86 23 13
9 Dr. Ashok Kumar WAHORI 1 10 2 35 2 20 10 0
10 Dr.Dileep Sonaro 0 0 2 33 2 338 30 11
11 Dr.Dileep Kumar 1 7 2 31 2 31 29 3
12 Dr . Parkash 1 4 4 93 0 0 0 0
13 Dr.Gotam 1 15 2 50 2 89 22 6
14 Dr.Amanullah 1 16 2 31 2 91 37 0
15 Dr.Adu Mal 1 14 2 42 2 90 46 9
16 Dr.Mahesh Kumar 1 12 2 36 2 29 0 0
17 Dr.Bheroo Lal 2 18 4 66 4 159 0 0
18 Dr. Madan Lal 1 6 2 52 2 43 12 5
19 Dr.Lachman 0 0 2 30 2 68 30 20
20 Dr. Lajpat Rai 1 16 2 45 2 274 18 7
21 Dr.Vijay Kumar 1 20 2 24 2 84 10 0
22 Dr.Nand lal 1 10 2 56 2 143 0 0
23 Dr.Santosh Kumar 1 12 2 35 2 70 0 0
24 Dr.Bheru Suthar 1 10 2 79 2 106 0 0
25 Dr.Sarwan Kumar Chelhar 1 13 3 52 1 36 0 0
26 Dr. Kamlesh/Dr. Farhan 0 0 0 0 1 48 0 0
27 Dr.Molchand 1 8 2 23 2 209 0 0
28 Dr.Ishtiaque Shah 0 0 0 0 0 0 0 0
29 Dr.Pirbhu Lal 1 17 2 64 2 61 49 19
30 Dr.Misri 1 38 2 56 2 158 9 9
31 Dr.Mukesh Kumar 1 7 2 20 2 30 12 3
32 Dr.Suneel Kumar 1 10 2 45 2 39 3 0
33 Dr Ashok(Wakrio) 1 8 2 46 2 172 0 0
34 Dr Vikram 1 4 2 22 2 38 0 0
35 Dr Sundeep Kumar 1 6 2 57 2 59 0 0
102
36 Dr Shahdev 1 12 2 47 2 40 5 4
37 LHV Rehana 0 0 0 0 2 54 48 6
38 LHV Neelam 0 0 1 16 1 20 6 0
39 HT Chander 0 0 2 46 1 33 14 5
40 HT Abdul Aziz 1 20 2 72 2 63 12 6
41 HT Hashim 1 32 2 43 2 79 18 14
42 HT Mohsin 0 0 2 59 2 89 10 10
43 HT Muhammad Raheem 0 0 0 0 0 0 0 0
44 HT Bheesham Kumar 0 0 2 35 2 221 0 0
45 HT Pirbhu Lal 1 8 2 39 2 32 21 5
46 HT Amir Bux 1 11 3 64 1 20 5 2
47 HT Dhino 1 9 2 18 2 189 12 0
48 HT Mooro Mal 1 10 2 58 2 127 0 0
49 HT Abdul Hadi 0 0 0 0 0 0 0 0
50 HT Shahbdin 1 10 2 60 2 52 0 0
51 HT Aijaz 1 12 2 27 2 72 23 15
52 HT Saindad Samejo 1 10 2 15 2 152 0 0
53 HT Rai Khanghar 1 14 2 28 1 31 0 0
54 HT Bhoopal Singh/HT Chandan Singh 1 16 2 66 2 62 15 4
55 HT SardarSingh 1 16 2 113 2 89 10 7
56 HT Arjun 2 27 0 0 2 45 0 0
57 HT Partab Rai 1 7 2 68 2 70 64 49
Grand Total 42 519 106 2373 100 4527 697 279
4. Important Points during Health Sessions: 1. Importance of Immunization
5. Topics for CHS for the Month S # Topics
1 IMMUNIZATION
2 Measles
3 Diarrhea
6. Important Discussion on Community Participation during MRM:
Honorable DSM directed to all I/C MOs that regularly conduct the CSG meetings and get support of CSG in different RHF level activities & be alert for the Measles outbreak etc.
10. Free Tubal Ligation Camp was organized at BHU Dano Dhandhal on 26th December 2012 with collaboration of MARIE STOPE (Bihater Zindgi Center ) Mithi.
Number of Clients for Tubal Ligation: - 49
103
11. Measures for Improvement / provision of Services by other Department / Agencies
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW:
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old
47746 1667 49413
2. Top Five Diseases Treated during School Health Sessions/Camps:
*All HFs — BHUs and others.**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD: S # Disease No. of Patients
1 UARI 21366
2 SUSPECTED MALARIA 3436
3 PEPTIC ULCER DISEASE 1762
4 DIARRHEA < 5 Years 1625
5 PNEUMONIA < 5 Years 1361
S. No Description Recommendation To whom sent Present status
I Sanitation - - -
II Drainage / sewerage - - -
III Drinking water - - -
IV Prevention of
V Tree Plantation - - -
VI Roads and infrastructure - - -
VII Environmental
- - -
VIII Others - - -
S # Diseases No. of Patients 1 ARI 121
2 Fever 51
3 Ear/Eye Problems 36 4 Cough 6
5 Scabies 3
Total 217
104
5. ARV / ASV used during the month:
Detail No. of Patients
Dog bite cases reported 40
ARV Administered 125
ARV Available Doses (DSU) 205
Snake bite cases reported 2
ASV Vaccine Administered 1
ASV Vaccine Avalable Doses(DSU) 98
Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother Child & Reproductive Health. 3. (Lab / Diagnostic Tests)
S # Tests Number 1 Blood Sugar Tests 219
2 Hemoglobin 429 3 X-Rays (if available)
0 4 Ultra Sound 310 5 Others 27
Total 785
B & C SCREENING TESTS:
Screening No. of Tests
No. of cases found
No. of cases
Total referred
Follow
Hepatitis B
0 0 0 0
Hepatitis C
0 0 0 0
8. TUBERCLOSIS
Patients Receiving Treatment New Cases During the
Under Diagnosis
06 00 01
9. Referrals
S.No
Totals
Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQ
1 24 3 0 21 1 18 5
10. Inverse Referrals
S.No
Totals
Cases Referred from
ARV ASV Others RHCs THQs DHQs
105
1 14 14 0 0 0 0 14
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive officer (M&E)
Other Staff Total
29 25 113 167
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 BHU M.Gechu Electricity, approach road, main gate, and boundary wall destroy due to heavy rain
Contact to Line Deptt: by Admin & resolve electricity problem, Assign to Regional Engineer for
2 BHU Mithrio Bhatti Roof Repair Regional Engineer verified and preparing Technical Sanction, after approval work will be start.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 45 Weeks 2. Important Issues raised relating to Medicines etc. during MRM: Honorable DSM directed to all I/C and FMOs that Tab. Velosef, and Tab Fefolvit will only be prescribed by FMOs. Also directed to all I/Cs that medicine requisition should be verified (physically stock and consumption of HFs) then signed and send to DSU.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Virawah Work Completed
MB is completed
2 BHU Dano Dhandhal Work Completed
MB is completed
3
Work Completed
MB is completed 4
Work Completed
MB is completed
5 BHU Kantio Work Completed MB is completed
6 BHU Wahori Work Completed
MB is completed
7 BHU Mubarak Rind Work Completed
MB is completed
8 BHU Verijhap Work Completed
MB is completed
9 BHU Pabhuar Work Completed
MB is completed
10 BHU KG Shah Work Completed
MB is completed
11 BHU Warkio Work Completed
MB is completed
12 BHU Chanida Work Completed
MB Sent to PSU
13 BHU Kolhi Ji Veri Work Completed
MB is completed
14 BHU Kaloi Work Completed
MB is completed
106
15 BHU Hirar Deda Work Completed
MB Sent to PSU
16 BHU Jadam Jhanjhi
MB is completed
17 GD Kehri Work Completed
MB is completed
18 GD Jado Joyo Work Completed MB is completed
19 GD Jogi Mari Work Completed MB is complete
20 GD Bhagisal Work Completed MB is completed
21 GD Peelu Work Completed MB is completed
22 GD Dalan Jo Tar Work Completed MB is completed
23 BHU Amrio Work Completed MB is completed
24 BHU Bhakuo Work Completed MB is completed
25 BHU Doonjh Work Completed MB is completed
26 BHU M.Bhatti Work Completed MB Sent to PSU
27 BHU Arokhi Work Completed MB is completed
28 BHU Kankio Work Completed MB Sent to PSU
29 BHU Khetlari Work Completed MB Sent to PSU
30 BHU Choopni Work Completed MB Sent to PSU
31 BHU Kot Arbab Work Completed 100% work done
32 BHU Khario Fazal Work Completed 100% work done
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
• To reflect only non-PPHI Visitor:
J- DISCUSSION DURING MRM:
On Staff Matters:
1. The Government Employees were directed to inform the DSM before performing any assignment by EDO Health Office. 2. All In charges of Health Facilities must be inform to the DSU PPHI before giving joining to any newly appointed staff & directed to all no employee will relieve without permission of District Support Manager.
3. All In charges should be submitted their Monthly Progress Reports and Medicine requisition before third of the month.
4. All staff under the administration of PPHI district Mithi should be professional, be punctual and bring improvement in Primary Healthcare Services and improve their ownership.
5. DSM has strictly directed to all staff that should be avoid to protocol any visitor, if any one will visit then you must be busy their activity.
107
On Preventive Health:
1. The Honorable DSM Riaz Ahmed Jakhrani directed to all Incharges that don’t share progress or data to any N.G.O or other organization, regarding their respective health facilities and performance without permission of DSM.
2. Chaired directed all Incharge that must be focus on Immunization, National Program, if any vaccinator or LHW doesn’t submit progress , should be inform DSU in writing.
3. DSM Sb appreciated the progress and directed all MOs, FMOs and I/C HTs to improve their progress especially in Antenatal, Natal, Postnatal, Family Planning services.
4. Honorable DSM Mithi directed to all regarding political involvement.
5. Honorable DSM Mithi directed all Medic & Paramedic to sensitize community regarding their (performance/ Health facility progress) achievements.
6. Honorable DSM directed to all Incharge MOs and HTs improve their reportings i.e. DHIS, edews, monthtly reports etc.
7. Honorable DSM directed to all Medic and Paramedic that improve T.B Dot referral mechanism.
8. All Doctors have been directed that to conduct regular Health awareness Sessions in the community and Schools as we can prevent the souls of Thar from different diseases.
9. Directed to all must be capture the emergency cases, Health Sessions, Deliveries etc.
10. During any visit by any PPHI official including DSM or any other organization, they must remain there work, no need of protocol.
11. Directed to all must be sent eDEWS Report every Saturday before 5.00 PM Sharp.
On Curative Health:
The Medical and Paramedical Staff has advised to give three days medicine to the patients. In any center there is shortage of medicine the information should be reached to DSU PPHI at least three days in advance.
On Mother, Child & Reproductive Health:
Directed to the FMOs for regular Health Sessions, motivation and counseling to Community for the importance of deliveries at BHUs and also appreciated their progress which is satisfactory from previous.
Other Matters: Directed to all participants be punctual, bring discipline and all reports must be reach before 3rd of the every month.
Appreciation Award:
Dr Nandlal (MO I/C BHU Verijhap), Dr Bhemraj (Dental Surgeon), Mr Mohsan (HT I/C GD Chachi Gaju) were nominated for best performer for the month of January 2013 and The Honorable DSM Mithi has given Appreciation Certificate. Also Dr Jeewat Rai (MO HQ) was awarded with AJRAK by Honorable DSM Mithi on securing first position in MCQs Test conducted in last MRM.
108
Date /Time for Next MRM: 07-03-2013 10: 00 AM
Comments on Targets vs. Achievements (DSM):
Honorable DSM directed to all Medic & Paramedic staff that we all are working for the betterment of people, so we should perform our duty honestly with regularly and punctuality and directed to all improve your progress, every Incharge should be call staff meeting and collect, verify the data then fill DHIS carefully before the reporting of DSU office & also directed to all FMO that improve Female Planning Services & Maternal Health Services.
109
MINUTES OF THE 51th MONTHLY REVIEW MEETING
OF DISTRICT SANGHAR
Monthly Review Meeting (MRM) of District, Sanghar for the Month of January -2013 held on February 04 , 2013 at DSU office; Sanghar. Written invitations to participates were sent to the District Coordination Officer, the DHO, EDO (F&P), in charge WHO, District Sanghar and District In charge of EPI, LHW and all other National Programs as usual. The list of participants is enclosed.
Attendance sheet
Sr.
Name & Designation Sr.
Name & Designation
1 Mr.Ashique Chandio DSM DSU,Sgr 26 Dr. Iltaf Hussain I/C PPHI, M.O
2 Mr. Abdul Rasool Golo DSM Jacobabad 27 Dr. Gobind Ram I/C PPHI, M.O
3 Mr. Gul Muhamad Bhurgari Ex: F&A Sanghar
4 Mr.Mushtaque Ali Executive (M&E), DSU-Sgr 28 Dr. Dilshad Ali Khan I/C PPHI, M.O
5 Mr. Ghulam Muhammad Shaikh Executive (M&E), DSU-Sgr 29 Dr. Ghulam Rasool I/C M.O
6 Dr. Javeed WHO 30 Dr. Shafique Raheman I/C PPHI, M.O
7 Dr.Deedar Hassan M.O (HQ) 31 Dr. Syed Turab Ali Shah I/C PPHI, M.O
8 Dr. Abdul Hameed I/C PPHI, M.O 32 Dr. Muhamad Haroon I/C PPHI, M.O
9 Dr. Irfan I/C PPHI, M.O 33 Dr. Qamar Hussain I/C PPHI, M.O
10 Dr. Ghulam Sarwar I/C PPHI, M.O 34 Dr. Bhagwan Das I/C PPHI, M.O
11 Dr. Abdul Jabar I/C PPHI, M.O 35 Dr. Mola Bux I/C PPHI, M.O
12 Dr. Bashir Ahmed I/C PPHI, M.O 36 Dr. Muhamad Farooque I/C PPHI, M.O
13 Dr. Pitamber Das I/C PPHI, M.O 37 Dr. Jeewan Ram I/C PPHI, M.O
14 Dr. Shaman Das I/C PPHI, M.O 38 Dr. Kishwar Das I/C PPHI, M.O
15 Dr. Manzoor Ahmed I/C PPHI, M.O 39 Dr. Faiz Muhamad I/C , M.O
16 Dr. Ghulam Abas I/C PPHI, M.O 40 Dr. Muhamad Aslam I/C PPHI, M.O
17 Dr. Haque Nawaz I/C PPHI, M.O 41 Dr. Anwar Adil I/C , M.O
18 Dr. Mahesh Kumar I/C M.O 42 Dr. Aijaz Baig I/C PPHI, M.O
19 Dr. Talib Hussain I/C PPHI, M.O 43 Dr. Nand Lal I/C PPHI, M.O
20 Dr. Mahesh Kumar I/C PPHIM.O 44 Dr. Aftab Ali I/C PPHI, M.O
21 Dr. Ghulam Mustfa I/C PPHI, M.O 45 Dr. Kirpal Das I/C PPHI, M.O
22 Dr. Mohan I/C PPHI, M.O 46 Dr. Muzfar Hussain I/C PPHI, M.O
23 Dr. Arjan Kumar I/C , M.O 47 Dr. Taj Muhamad I/C PPHI, M.O
24 Dr. Muhamad Aslam I/C PPHI, M.O 48 Dr. Rafique Ahmed I/C , M.O
25 Dr. Shahid Hussain I/C PPHI, M.O 49 Dr. Israr Ahmed I/C , M.O
50 Dr. Muhamad Yousif I/C .M.O 79 Dr. Syed Tarique Ali I/C , M.O
51 Dr. Persram I/C PPHI, M.O 80 Hameeda Zardari F.M.O
52 Dr. Jai Ram I/C PPHI, M.O 81 Jai Shiree F.M.O
110
53 Dr. Rasool Bux I/C M.O 82 Qamar-un-Nisa Shumaila F.M.O
54 Dr. Muhamad Zakir I/C PPHI, M.O 83 Zohra F.M.O
55 Dr. Muhamad Saeed I/C PPHI, M.O 84 Sadaf Choudry F.M.O
56 Dr. Babar Hussain I/C PPHI, M.O 85 Amna Hayat F.M.O
57 Dr. S. Atta ul Mustfa I/C PPHI, M.O 86 Shamim Begam F.M.O
58 Dr. Syed Tarique Ali I/C , M.O 87 Zulikha Pari F.M.O
59 Dr. Hathi Sing I/C PPHI, M.O 88 Amna Fatima F.M.O
60 Dr. Bashir Ahmed I/C , M.O 89 Rukhsana Babar F.M.O
61 Dr. Naeed Ashraf I/C PPHI, M.O 90 Fozia Soomro F.M.O
62 Dr. Jai Ram I/C PPHI, M.O 91 Rizwana Khokhar F.M.O
63 Dr. Santosh Kumar I/C PPHI, M.O 92 Satti Jeevat F.M.O
64 Dr. Abdul Hameed I/C PPHI, M.O 93 Rizwana Shaheen F.M.O
65 Ruqia Chandio F.M.O 94 Qurat-ul- Ein Suhail F.M.O
66 Farzana Ishtiaque F.M.O 95 Mr. Imtiaz Ali Store Manager
67 Samina Bhatti F.M.O 96 Mr. Sultan Ali Social Organizer
68 Asma F.M.O 97 Mr. Abdul Ghaffar Social Organizer
69 Hira Naz F.M.O 98 Mr. Muhammad Faisal Social Organizer
70 Nusrat Dilshad F.M.O 99 Mr. Shahid Social Organizer
71 Shumaila Naz F.M.O 100 Mr. Shabeer Ahmed Asst. Admin
72 Mehreen F.M.O 101 Mr. Asif Ali Arain ASM
73 Wajiha Anwar F.M.O 102 Mr. Muhammad Essa Med. Handler
74 Tasleem Aziz F.M.O 103 Mr. Muhammad Asif Attendant
75 Rizwana Chanar F.M.O 104 Mr. Qaim Ali Attendant
76 Nusrat Rani F.M.O 105 Mr. Abdul Rasheed Med. Handler
77 Asma Jabeen F.M.O
78 Rahima Memeon F.M.O
The following could not attend the meeting for the reasons stated against each:-
Name & Designation
Absent
Dr. Amil Khan I/C M.O
Dr. Irfan Ali I/C M.O
Dr. Israr Ahmed I/C M.O
Dr. Shah Saud I/C M.O
Dr. Aftab Ahmed I/C MO
Dr. Ali Bahar Rind I/C MO
111
A. HFs WITH PPHI
BHUs: 58 Dispensaries: 31 MCHCs: (4 functioning in BHU) others: 01
TOTAL: 90
B. Population of the Catchments Area: 1446257
C. STAFF STRENGTH
Sanctioned Posts
Working Government Employees
PPHI Contract
Vacant
(S
MOs 136 82 23 59 54
W/FMOs 49 33 2 31 -
LHVs 144 64 12 52 67
MTs/MAs
Male 104 32 32 0 72
Female 0 07 07 0 -07
Dispensers 126 89 24 41 61
D. E. CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
Previous Month Month under Review Total at Present
Clusters of 6 HFs - Clusters of 6 HFs -
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 04 Clusters of 2 HFs 07
Single HFs 77 Single HFs 74
Month under Review
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 22 Clusters of 2 HFs 29
Single HFs 08
Single HFs 02
112
E. CAPACITY BUILDING
1. First Session: During MRM
Following persons addressed in MRM.
Capacity Building of LHVs / Dispensers during Month under Review
Names of the Resource Persons with dates
Date Venue Topic
No. of Participants
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered in Children at Health Facilities. 8691
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.
1072
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month JULY 2012.
9763
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual households + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized 1365
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
113
1. Female Health
S # Names of FMOs Ante-Natal
Neo-Natal
Other OPD Total OPD
1 Ruqia Chandio 58 5 138 1371
2 Farzana Ishtiaque 56 3 42 718
3 Samina Bhatti 46 0 73 539
4 Shazia Shareef 130 0 222 681
5 Asma 56 0 248 802
6 Hira Naz 73 0 168 835
7 Nusrat Dilshad 26 0 458 1949
8 Shumaila Naz 71 0 180 533
9 Mehreen 36 0 157 802
10 Wajiha Anwar 121 0 134 890
11 Tasleem Aziz 154 4 280 1581
12 Rizwana Chanar 148 0 160 1156
13 Nusrat Rani 23 0 131 982
14 Asma Jabeen 12 0 250 660
15 Hameeda Zardari 27 1 73 1343
16 Jai Shiree 60 0 118 596
17 Qamar-un-Nisa Shumaila 100 2 150 1217
18 Zohra 198 0 59 617
19 Sadaf Choudry 47 0 67 1030
20 Amna Hayat 68 0 109 890
21 Shamim Begam 102 0 170 805
22 Zulikha Pari 48 0 62 639
23 Amna Fatima 41 0 0 681
24 Rukhsana Babar 48 0 81 958
25 Fozia Soomro 138 0 0 906
26 Rizwana Khokhar 115 22 494 2088
27 Satti Jeevat 25 0 19 1279
28 Rizwana Shaheen 36 0 170 711
29 Qurat-ul- Ein Suhail 31 0 145 497
30 Rahima Memeon 74 6 165 1320
Total 2120 43 4461 28437
Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 208 2 Deliveries Assisted at homes 366
114
3. Lab/ Diagnostic Tests
Test Number
1 Pregnancy Tests 511
2 Blood Sugar Tests 461
3 Hemoglobin Tests 87
4 Ultra Sound Test 1417
5 Other (Malaria/HBs/HCv) 603
7. Important Discussion on Measles during MRM
Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 435
2 Oral Pills 318
3 IUCDs 35
4 Injections 68
5 Condom 76
Total 932
1. Number of Male SGs: --------------87 Number of Female SGs: -------------01
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs / SHSs arranged by him
No. No. of Participants
No. No. of Participants
Mr. Sultan Ali 02 123 8 258
Mr. Abdul Ghaffar 02 72 5 165
Mr. Faisal 02 66 4 122
Mr. Nadeem So H/Q
Mr. Shahid 05 186 9 281
Total 11 447 26 826
115
116
3. School Health Sessions & Community Health Sessions
S # Name of Medical Officer Community Health Sessions Male Female
1 Dr. Rukhsana Babar 2 0 8
2 Dr. Shamim 1 9 25
3 Dr. Aslam 2 25 31
4 Dr. Tasleem Aziz 1 10 30
5 Dr. Asma Malik 1 5 11
6 Dr. Amna Hayat 2 8 41
7 Dr. Samina Bhatti 1 5 4
8 Dr. Shazia Shareef 2 2 37
9 Dr. Asma Jabeen 1 4 12
10 Dr. Zohara 2 05 42
11 Dr. Shumaila Naz 1 0 8
12 Dr. Zulekha Pari 2 7 16
13 Dr. Mehreen 1 2 13
14 Dr. Satti Jeevat 2 10 21
15 Dr. Sadaf 1 0 18
16 Dr. Hira 1 0 14
17 Dr. Fozia Soomro 1 12 8
18 Dr. Rizwana Khokhar 2 20 4
19 Dr. Wajiha Anwar 2 56 8
20 Dr. Amna Fatima 1 13 5
21 Dr. Nusrat Jameel 2 56 0
22 Dr. Jay Shiri 1 20 3
23 Dr. Rizwana Channar 1 26 12
24 Dr. Hameeda 2 58 0
25 Dr. Qurat ul ain Suhail 1 24 2
26 Dr. Rizwana Shaheen 1 30 4
27 Dr. Nusrat Rani 1 11 0
28 Dr. Qamrunissa Shumaila 1 12 0
29 Dr. Farzana Parveen 2 72 6
30 Dr. Rukia Chandio 1 31 8
31 Dr. Mohammad Yousif 2 46 15
32 Dr. Taj Muhammad 1 25 0
33 Dr. Ramzan Wassan 1 10 30
34 Dr. Waheed 1 5 11
35 Dr. Bahsir Ahmed 1 25 0
117
36 Dr. Ramzan Wassan 1 10 30
37 Dr. Rukhsana Babar 1 5 11
38 Dr. Abdul Qadir 1 5 28
39 Dr. Aslam 4 12 67
40 Dr. Manzoor Ahmed 2 18 16
41 Dr. Fiaz Muhammad 1 10 13
42 Dr. Moula Bux 2 22 58
43 Dr. mehdi hassan 2 10 39
44 Dr. Muhammad Sharif 2 21 63
45 Dr. Ali Bahar 2 8 41
46 Dr. Muzafar 1 1 0
47 Dr. Muhammad Aslam 1 5 28
48 Dr. Aftab Ali Ghrwan 4 12 67
49 Dr. Zohara 2 18 16
50 Dr. Ghulam Sarwar 1 10 13
51 Dr. Dilshad 2 22 58
52 Dr. Anwar Adil 2 10 39
53 Dr. Turab Ali Shah 2 21 63
54 Dr. Rafique Ahmed 2 10 13
55 Dr. Abdul Waheed 1 20 2
56 Dr. Iltaf Hussain 2 39 6
57 Dr. Huq Nawaz Jatoi 2 10 13
58 Dr. Gobindram 1 20 8
59 Dr. Muhammad Zakir 1 25 0
60 Dr. Mahesh Kumar 1 10 30
61 Dr. Ghulam Hyder 1 5 11
62 Dr. Mahesh Kumar 1 18 6
63 Dr. Mustafa 1 31 8
64 Dr. Arjun 1 39 12
65 Dr. Pitambar 1 10 7
66 Dr. Shamandas 2 22 16
67 Dr. Nanad Lal 1 16 9
68 Dr. Santosh Kumar 1 25 0
69 Dr. Shahid Hussian 1 10 30
70 Dr. Muhammad Haroon 1 5 11
71 Dr. Sayed Tariq 2 42 0
72 Dr. Aijaz Beg 1 10 12
118
73 Dr. JayRam 1 10 7
74 Dr. Abdul Jabar 1 22 16
75 Dr. Babar 1 16 9
76 Dr. Hameeda 2 20 2
77 Dr. Aftab 2 39 6
78 Dr. Ghulam Mustafa 1 10 13
79 Dr. Muhammad Yaqoob 1 20 8
80 Dr. Rasool Bux 1 10 7
81 Dr. Naeem Ashraf 2 10 7
83 Dr. Bhagwandas 1 22 16
84 Dr. Shafiqurehman 2 16 9
85 Dr. Farzana Parveen 1 18 0
86 Dr. Muhammad Farooq 2 10 12
87 Dr. Ghulam Rasool 1 10 7
88 Dr. Kishwar 2 22 16
89 Dr. Rafique Ahmed 1 16 9
90 Dr. Kirpal 1 20 2
91 Dr. Jayram Dass 2 22 16
Total 138 1472 1201
8. Important Points during Support Group Meetings.
Various important points have been discussed in different community support groups meetings
conducted by DSM, M&E and SOs.
5. Important Points during SHSs
Schools closed due to summer vacations
6. Important Points during CHSs
Measles
1. Malaria and Dengi due to rainy seasons 2. Counseling on Family Planning among families. 3. Advantages of neat and cleanliness. 4. Preventive aspects of Hepatitis B&C, Malaria 5. Health and Hygiene
119
7. Topics for SHSs for the Month
Sr. No. Summer vacation Topics
8 Topics for CHSs for the Month
9. Important Discussion on Community Participation during MRM
The DSM emphasized that all the MOs and FMOs should motivate community of the local area of the health facility and do counseling with them so that they should be active participants in the health facility activities for the betterment and welfare of the health facility and local people of the health facility as well.
In addition to above DSM stressed that U/C M.O in charge to Officers in conducting Health camps in response of Measles outbreak, put their sensiour efforts for 100% coverage of that area
10. Health Camps:
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation - - -
ii Drainage / sewerage - - -
iii ……… drinking water - - -
iv Prevention of adulteration - - -
v Tree Plantation - - -
vi Roads and infrastructure - - -
vii Environmental Improvement - - -
viii Others - - -
S # Topics
1 Measles
2 Importance of Breast Feeding
3 Identification of T.B Patents
4 Facility of Anti Natal care at heath centers
5 Management of / prevention of Malaria
6 Importance of immunization
120
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
143540 4235 147775
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Rukan Burara 4159 Mohib Jonejo 1087
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 43560
2 Scabies 12672
3 Dira/Dysn<5yrs 5892
4 Fever other Causes 4423
5 Suspected Malaria 3356
5. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 448
ARV Administered (561 doses Intra Dermal)
ARV Available Doses (05Vials)
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 10
28. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 461
121
2 Hemoglobin 87
3 X-Rays (if available) 193
4 Ultra Sound 1417
5 Others (Malaria/HBs/HCv/PT) 603
29. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred up to date
Follow up result
Hepatitis B 35 2 -
Hepatitis C 21 5 -
8. TUBERCLOSIS
Patients Receiving Treatment New Cases During the
Under Diagnosis 0
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
76 76 10 27 39
At serial number (9), the data required is not mentioned DHIS format.
10. Inverse Referrals
S. No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 125 125 0 0 0 47 78
3
4
G. MONITORING DURING MONTH UNDER REVIEW
122
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
35 139 245 419
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for: 14 Weeks
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl. Electrification Status / Remarks
1 GD Rawtiani Repair and maintenance of main building including water supply, drainage, electricity, coloring etc.
Completed
2 BHU Tando Mitha Khan ---do--- Completed
3 BHU Rukan Burera ---do--- Completed
4 BHU Chotyarion ---do--- Completed
5 BHU Pritam abad ---do--- Completed
6 BHU Malook Junejo ---do--- Completed
7 BHU Landhi ---do--- Completed
8 BHU Golo Pir ---do--- Completed
9 BHU Moheb Ali Junejo ---do--- Completed
10 DCD Loon Khan ---do--- Completed
11 DCD Bobi Town ---do--- Completed
12 BHU Jia Abad ---do--- Completed
13 BHU Perumal ---do--- Completed
14 BHU Khairo Kaloi ---do--- Completed
15 DCD Ali Muhammad Thaheem ---do--- Completed
16 BHU Bago Wadadani ---do--- Completed
17 BHU Karim Dino Wassan ---do--- Completed
18 BHU M.K Rind ---do--- Completed
19 BHU Yameen Hingoro ---do--- Completed
20 BHU Bilawal Hingoro ---do--- Completed
123
21 BHU Khai ---do--- Completed
22 BHU Gider Aahpan ---do--- Completed
23 BHU Soomar Wassan ---do--- Completed
24 G D Ghundan ---do--- Completed
25 BHU Bassi ---do--- Completed
26 BHU Malook Maher ---do--- Completed
27 BHU Rahimabad ---do--- Completed
28 G.D USAMN NIZAMANI ---do--- Completed
29 G.D Juma Village ---do--- Completed
30 G.D Soomar Faqeer Maher ---do--- Completed
31 G.D Bakir Nizamani ---do--- completed
32 G.D NASSER KHAN JALALANI ---do--- completed
33 BHU MAROOF DAHRI ---do--- Completed
34 BHU MEER HASSAN MARI ---do--- Completed
35 G.D DIN MOHD KAKEPOTO ---do--- Completed
36 G.D DALOOR MORI ---do--- Completed
37 BHU QAZI JUMAN DAHRI ---do--- Completed
38 G.D SACHY DINO WARYAH ---do--- Completed
39 BHU ALI MARDAN JAMALI ---do--- Completed
40 BHU PERO FAQEER SHORO ---do--- Completed
41 BHU MULLAN HURMAT ---do--- Completed
42 BHU JEANDO RIND ---do--- Completed
43 BHU MAHER ALI TALPUR ---do--- Completed
44 BHU LUNDO ---do--- Completed
45 DCD MULLAN MAKHAN ---do--- Completed
46 BHU AWADH ---do--- Completed
47 BHU HAMZO HAMZO DARS ---do--- Completed
48 BHU BHIT BHAITI ---do--- completed
49 BHU DHANI PARTO RAJPAR ---do--- Completed
50 BHU ABDULLAH SANGHRASI ---do--- Completed
51 BHU CHAMANDAS ---do--- Completed
52 BHU Chack 8 ---do--- Completed
53 BHU 30 Jamrao ---do--- Completed
124
J- DISCUSSION DURING MRM
On Staff Matters:
1. It was informed to keep a record of referral / inverse referral record.
2. The District Support Manager assured all the participants that; PPHI will provide full support and cooperation in all matters of In-charge of Health facilities.
3. The DSM, PPHI Sanghar once again in this MRM reminded all the in charges of health facilities for their timely submission of DHIS reports, Monthly Medicines Requisition and Weekly eDEWS Report
On Preventive Health:
1. The District Support Manager ensured all the participants that PPHI will extend its full support and cooperation in all vertical Programs related from health.
2. On Curative Health:
1. On Mother, Child & Reproductive Health:
Efforts relating to establishment of more MCH centers will be taken.
Other Matters:
Comments on Targets vs. Achievements (by DSM)
TARGETS
ACHIEVEMENTS
NEGATIVE:
DISTRICT SUPPORT MANAGER
CC to:
• Programme Director, PSU-PPHI-Sindh, Karachi. • Regional Programme Director, RSU-II, PPHI, Mirpurkhas. • All Participants. • Master File.
DISTRICT SUPPORT MANAGER
125
MINUTES OF THE (49th) MONTHLY REVIEW MEETING
OF DISTRICT UMERKOT
Monthly Review Meeting (MRM) of District, Umerkot for the Month of January, 2013 was held on 7th February, 2013 at Darbar Hall, DC Office, Umerkot. Written invitations to participate were sent to the DC, the DHO, the DO (F&P), D.O Population Welfare Department, District In charge, National Program, EPI, HANDS, TRDP, AWARE, Sami Foundation, Medical officers & Female Medical Officers as usual. The list of participants is as follows:
List of Participants
Sr. Names Designation Sr. Names Designation 1 Zulfiqar Ali Langah DSM PPHI U.K 28 Dr Naresh Kumar MO PPHI 2 Ashique Hussain Chandio DSM PPHI SGR 29 Dr Devi das MO PPHI 3 Dr Javed Bhutto IMNCI, WHO 30 Dr Sibghatullah MO PPHI 4 Dr Madhuri ADHO 31 Dr Parshotam MO PPHI 5 Dr Nisar Sheikh IMNCI 32 Dr Malook Oad MO PPHI 6 Dr Fareed Ahmed Focal Person EPI 33 Dr Ashok Kumar MO PPHI 7 Dr Mahboob Ali Samejo E.O (M &E) 34 Dr Mansoor Ali Shah MO PPHI 8 Rehan Hameed E.O (F & A) 35 Dr Mohan Lal MO PPHI 9 Dr Nand Lal MO Govt 36 Dr Nadir Ali MO PPHI
10 Dr Talib Mangrio MO Govt 37 Dr. Mohan Bhoopani MO PPHI 11 Dr Chetan Malhi MO Govt 38 Dr Jai Parkash MO PPHI 12 Dr Eassar Das MO Govt 39 Dr Ghandi Lal MO PPHI 13 Dr Qazi Samejo MO Govt 40 Dr Bhawani Shanker MO PPHI 14 Dr Jeevraj MO Govt 41 Dr Chetan Kolhi MO PPHI 15 Dr Khushal Das MO Govt 42 Dr M Naeem MO PPHI 16 Dr Ghansham Das MO Govt 43 Dr Teekam Das MO PPHI 17 Dr Shanker Malhi MO PPHI 44 Sher Mohammad MO PPHI 18 Dr Feroz Ali MO PPHI 45 Dr Gunesh Kumar MO PPHI 19 Dr Lalchand MO PPHI 46 Dr Pawan Kumar MO PPHI 20 Dr. Mukesh Kumar MO PPHI 47 Dr Shafaque Akhtar FMO PPHI 21 Dr Gomoon Mal MO PPHI 48 Dr Naheed Akhtar FMO PPHI 20 Dr Chetan Kolhi MO PPHI 49 Dr Devi Jagdesh FMO PPHI 21 Dr Vasdev MO PPHI 50 Dr Tahreem FMO PPHI 20 Dr. Gobind Ram MO PPHI 51 Dr Rana Shah FMO PPHI 21 Dr Nasrullah MO PPHI 52 Dr Hussna Bhatti FMO PPHI 22 Dr Kanji Mal MO PPHI 53 Chetan Dev Store Manager 23 Dr Bahadur Singh MO PPHI 54 Hosh Mohammad Assistant 24 Dr Vijay Kumar MO PPHI 55 Dileep Kumar S.O 25 Dr Santosh Kumar MO PPHI 56 Mohmmad Iqbal S.O 26 Dr Mohammad Yousif MO PPHI 57 Zulfiqar Ali Asst: 27 Dr Dalpat Rai MO PPHI 58 Abdul Rehaman S.O
126
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1
H. HFs WITH PPHI BHUs: 30 Dispensaries: 11 MCHCs: 01 Others: 0
TOTAL: 42
B. Population of the Catchments Area: 622,536
Q. STAFF STRENGTH Sanctioned
Working Government
PPHI
Vacant
MOs 43 40 08 32 35 WMO 0 0 0
FMOs 01 06 0 06 1
LHVs 31 33 23 13 0
MTs/MAs Male 64 33 33 0 31 Female 0 0 0
Dispensers 2 28 0 28 2
R. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 05 Clusters of 2 HFs 01
Single HFs 31
Single HFs 39
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
127
E. CAPACITY BUILDING
4. Sessions: During MRM 1st Session: ___, _____, ____ conducted session on ____ and focused on the following points:
19. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource
Date Venue Topic No. of
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities.
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month December 2012
2. National Immunization Days (`s) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 00
2 Active Case Detection (ACD) Slides 00
3 Visits to Check Sanitation (individual households + streets) --
4 Notices issued against Poor Sanitation --
5 Challans sent to Court against Poor Sanitation --
6 Patients Nebulized --
Clusters of 2 HFs 04 Clusters of 2 HFs 05
Single HFs 01 Single HFs 01
128
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 92
2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 136 2 Blood Sugar Tests 306 3 Hemoglobin Tests 200 4 Ultra Sound Test 0 5 Other (Sputum) 4
20. Important Discussion on Mother and Child and Reproductive Health during MRM It was unanimously agree up that PHC services revolve around the mother & child healthcare. It was reiterated that all possible efforts would be taken to improve delivery in this area.
Provision of Family Planning Services during the Month
S # Name of the Items / Service Number 1 Consultation / Advice 828 2 Oral Pills 3 IUCDs 4 Injections 5 Others
Total 828
S # Names of FMOs Ante-Natal
Neo-Natal
Other OPD Total OPD
1 Dr. Husna Bhatti 103 4 1641 1748
2 Dr Naheed Akhtar 68 0 834 902
3 Dr Devi Jagdesh 227 10 1711 1948
4 Dr Tahreem 84 8 683 775
5 Dr Rana Shah 67 22 1557 1646
Total 549 44 6426 7019
129
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 41 Number of Female SGs: 06
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
Dileep Kumar 5 41 7 95
Abdul Rehman 5 52 6 82
Mohammad Iqbal 4 45 7 78
Total 14 138 20 255
5. School Health Sessions & Community Health Sessions
Names of MO / FMO Community Health Session School Health Session
Session Participants Session Children
Treated
Dr Bahadur Singh 1 16 1 7 3
Dr Mukesh Kumar 1 12 1 0 0
Dr Easar Das 2 60 1 0 0
Dr Lalchand 1 14 1 18 18
Dr Sher Mohammad 0 0 0 0 0
Dr Gomoon 1 22 1 22 22
Dr Shanker 1 9 1 0 0
Dr Khushahal Das 1 27 1 25 19
Dr Talib Mangrio 1 30 1 0 0
Dr Chetan Kumar 1 17 0 0 0
Dr Parshotam Das 1 26 1 12 12
Dr Vijay Kumar 1 16 1 10 5
Dr Nandlal 1 30 1 0 0
Dr Qazi Samejo 1 23 1 0 0
Dr Gobind Ram, 0 0 0 0 0
Dr Chetan 1 27 1 0 0
Dr Vasdev 1 30 1 0 0
Dr Ghansham 0 0 0 0 0
Dr Bhawani Shanker 1 14 1 0 0
Dr Dalpat Rai 1 26 1 0 0
130
Dr Nasrullah 1 10 1 14 3
Dr Jeev raj 1 30 0
Dr Feroz 1 15 1 3 0
Dr Naresh Kumar 2 16 1 0 0
Dr Gunesh Kumar 1 22 1 0 0
Dr Teekam Das 1 9 1 4 1
Dr Gandhi 1 19 1 18 5
Dr Jai Parkash 1 21 1 0 0
Dr Naeem 1 7 1 0 0
Dr Kanji 1 20 0 0 0
Dr Sabightullah 1 12 0 0 0
Dr Mohan Bhoopani 1 8 1 8 8
Dr Santosh Kumar 1 8 1 0 0
Dr Ashok Kumar 1 21 1 23 10
Dr Mansoor Shah 1 21 1 0 0
Dr Devidas 1 10 1 10 10
Dr Nadir Ali 0 0 0 0 0
Dr Malook Oad 1 21 1 0 0
Dr M Yousif 1 9 1 0 0
Dr Mohan Rathore 1 10 1 0 0
Dr Mansoor Shah 1 22 1 0 0
Hussna 0 0 0 0 0
Dr Shafaque 0 0 0 0 0
Dr Naheed Akhtar 0 0 1 23 2
Dr Tahreem 2 63 0 0 0
Dr Rana Shah 1 20 0 0 0
Dr Devi Jagdesh 1 17 0 0 0
43 810 34 197 118
4. Important Points during Support Group Meetings.
• FMO, LHV & Dai needed • Vaccinator & Pathology Laboratory required • Ultra Sound facility be provided • Progress of Health Facility
5. Important Points during CHSs
• Skin Disease
131
• Malaria Prevention • Diarrhea Prevention • Water Diseases • Breast feeding is important for newly born baby. • Importance of EPI 21. Topics for SHSs for the Month
Sr. No. Topics
1
8 Topics for CHSs for the Month
S # Topics
1 Scabies
2 ARI
3 Measles
4 Polio
9. Important Discussion on Community Participation during MR
10.Health Camps: Number Held: 0 Number of Patients: 0
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation ----- ----- -----
Ii Drainage / sewerage ----- ----- -----
Iii ……… drinking water ----- ----- -----
Iv Prevention of
----- ----- -----
V Tree Plantation ----- ----- -----
Vi Roads and infrastructure ----- ----- -----
Vii Environmental
----- ----- -----
Viii Others ----- ----- -----
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month - - 77696
132
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Shadi Palli 6194 BHU Darelo 662
2 BHU G N Shah 4836 BHU M Hassan 745
3 BHU M Jo Par 3813 BHU Dilawar Hussain 780
4 BHU Rana Jagir 2937 GD Hurabad 821
5 GD Shewani Mohalla 2912 BHU Siddique Abro 852
3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI
2 Fever
3 Diarrhea
4 Pneumonia
5 Scabies
22. ARV / ASV used during the month No. of Patients
Dog bite cases reported 164
ARV Administered 164
ARV Available Doses 446 (Patients)
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 00
30. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 136 2 Blood Sugar Tests 306 3 Hemoglobin 200 4 X-Rays (if available) 0
S # Diseases No. of Patients
1
133
5 Ultra Sound 0
6 Sputum 4
7 Others (Lab test) 1972
31. B & C SCREENING TESTS Screening No. of Tests
No. of cases
No. of cases
Total referred
Follow up result
Hepatitis B N/A N/A N/A N/A N/A
Hepatitis C N/A N/A N/A N/A N/A
32. TUBERCLOSIS Patients
New Cases During the
Under Diagnosis
24 10 10
9. Referrals
Sr. Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 0 0 00 0 0 0 0
10. Inverse Referrals
Sr. Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 43 43 0 0 2 2 39 G. MONITORING DURING MONTH UNDER REVIEW
14. Monitoring Visits during the month DSM ADSM/ Executive Monitoring Other Staff Total
38 54 147 255
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 42 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
• Monthly medicine supplied at all the health Facilities • Health facility wise, monthly medicine consumption and per patients cost were shared with doctors.
134
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl.
Status / 1 BHU Rana Jagir Tiles Work, Colour, Repair, Carpenter,
Complete
2 BHU Aahori Farm Tiles Work, Co lour, Repair, Carpenter,
Complete
3 BHU Kharoro Syed Tiles Work, Co lour, Repair, Carpenter &
Complete
4 BHU Moula Bux Rajar Tiles Work, Co lour, Repair, Carpenter,
Complete
5 MCH Umerkot Tiles Work, Co lour, Repair, Carpenter,
Complete
6 BHU Digu Co lour, Repair, Carpenter & Pulmbering Complete
7 BHU Samaro Road Co lour, Repair, Carpenter & Pulmbering Complete
8 BHU Kunri Memon Tile work, Co lour, Repair, Carpenter,
Complete
9 BHU Sanwan Rajar Tile work, Co lour, Repair, Carpenter &
Complete
10 BHU Pir Sarhandi Tile work, Co lour, Repair, Carpenter,
Complete
11 BHU Faqir Ali Bux
Tile work, Co lour, Repair, Carpenter &
Complete
12 GD Muzafer Hussain
Tile work, Co lour, Repair, Carpenter &
Complete
13 GD Amin Rajar Tile work, Co lour, Repair, Carpenter &
Complete
14 BHU Nabisar Thar Tile work, Co lour, Repair, Carpenter &
Complete
15 BHU Fateh M.Rajar Tile work, Co lour, Repair, Carpenter &
Complete
16 BHU Toban Veri Tile work, Co lour, Repair, Carpenter &n
Complete
17 BHU Haji Pir Shah Tile work, Co lour, Repair, Carpenter &
Complete
18 BHU Siddique Abro New Roof, Co lour, Repair, Carpenter &
Complete
19 BHU Saleh Bhanbhro Co lour, Repair, Carpenter & Pulmbering Complete
20 BHU Mehinry Jo Par Work started Tile work, Co lour, Repair,
Complete
21 BHU Abdul Hakim
Repair, Tile work, Plumbering & Colour Complete
22 BHU Nawaz Ali Shah Repair, Tile work, Plumbering & Colour Complete
23 BHU Mohd. Hussain
Repair, Plumbering & Colour Complete
24 GD Sajan Khan Chandio Repair, Tile work, Plumbering & Color Complete
25 G.D Moosa Jan
Repair, Tile work, Plumbering & Colour Complete
26 BHU Araro Bhurgri Repair, Tile work, Plumbering & Colour Complete
27 BHU Dilawar Hussain
Co lour, Repair, Carpenter, Pulmbering &
Complete
28 GD Noor Mohammad
Colour, Repair, Tile, Carpenter & Pulmbering. Complete
29 GD Ismail Nohri Colour, Repair, Tile, Carpenter & Pulmbering &
Complete
30 BHU Darelo Colour, Repair, Tile, Carpenter & Pulmbering &
Complete
31 BHU Padheri Farm Colour, Repair, Tile, Carpenter & Pulmbering &
Complete
32 GD Maghan Khan
Tiles Work, Colour, Repair, Carpenter &
complete
33 BHU Talhi Tiles Work, Colour, Repair, Carpenter &
complete
34 BHU Okraro Chanio New Roof, Co lour, Repair, Carpenter &
complete
35 BHU Mir Din Mohd New Roof, Co lour, Repair, Carpenter &
complete
36 BHU Ghulam Nabi Shah Tiles Work, Colour, Repair, Carpenter &
complete
37 BHU Shadi Pali New Roof, Co lour, Repair, Carpenter &
complete
38 GD Ahmedabad New Roof, Color, Repair, Carpenter &
complete
135
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
------- -------
-------
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• Health Facilities Timings should be followed strictly.
On Preventive Health:
• School Health Sessions, Community Health Sessions & CSG meetings will continuously be monitored by Monitoring staff.
Date /Time for Next MRM: March 08, 2013 at 10:00 am
Comments on Targets vs. Achievements (by DSM)
136
MINUTES OF THE 47th MONTHLY REVIEW MEETING
OF DISTRICT THATTA
Monthly Review Meeting (MRM) of District, Thatta for the Month of January, 2013 was held on 12th January, 2013 at DHDC Hall, DHO Complex Makli. Written invitations were sent to the DC, the DHO Thatta and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows:
S
Names/Designation S
Names/Designation
1 Mr Riaz Ahmed Abbasi,RPD-II 2 Mr Maqsood Ahmed Baloch/DSM-Thatta
3 Dr Ghulam Qadir Sheikh FP Polio,Thatta 4 Dr Akash Abbasi Dist. coordinator NRSP.
5 Mr Hassan Ali Memon/Ex M&E Thatta. 6 Dr Jai Kumar/MO BHU Rahoot.
7 Mr Shafiq u Rehman / Ex F&A Thatta 8 Dr Imtiaz Jogro MO BHU G.M Baran
9 Dr Naseem Bano, FMO. 10 Dr Samiullah,MO BHU Garho
11 Dr Devi Sadho/FMO 12 Dr Abdul Jabbar Memon MO BHU Kot Alamo.
13 Dr Zareen Kehar,FMO 14 Dr Imam Bux MO BHU Raj Sheikh Bachal
15 Dr Rubina Khokhar/FMO 16 Dr Jamal Memon/MO BHU Ghulamullah
17 Dr Umaira Jabeen/FMO 18 Dr Anwar Memon, MO BHU Bello
19 Dr Rukhsana Leghari,FMO 20 Dr Asif Behrani MO BHU Jhimpir.
21 Dr Zehra Abbasi, Sonologist. 22 Dr Naimatullah/MO BHU Mureed Jarejo
23 Dr Zuhra Kiran/FMO 24 Dr Ashfaque Ahmed MO Boohar
25 Dr Razia Raheem,FMO 26 Dr Nisar Memon,MO BHU Nodo Baran
27 Dr Badar ul Nisa/FMO 28 Dr Aijaz Khawaja MO BHU Buhara
29 Dr Farah Rafique, Sonologist. 30 Dr Anwar Khawaja/MO BHU Sajanwari
31 Dr Saba Fatima/FMO 32 Dr A.Ghani Soomro /MO BHU Ghorabari.
33 Dr Marvi Shah/FMO 34 Dr Akhtar Ali shah /MO BHU Chatochand
35 Dr Mehnaz Ghouri FMO 36 Dr Akhtar Hussain katiyar ,MO BHU Kothi
37 Dr Ruqia Turk ,FMO 38 Dr Abdul Wahab MO BHU Ali Bahar.
39 Dr Asha Kumar,FMO 40 Dr Shafi Memon/C MO BHU N.M.Thaheem
41 Dr Hakima Palijo.,FMO 42 Dr M Aslam I/C MO BHU Jungo Jalbani
43 Dr Sanam Bakhtyar,FMO 44 Dr M.Ibrahim Soomro MO, BHU Gujjo.
45 Dr Rehana Yasmin,FMO 46 Dr Ghulam Mustafa Leghari MO BHU SQD Shah
47 Dr Sanya Brohi,FMO 48 Dr Hussain Gul MO BHU Dhabeji
49 Dr Sanam Khatri,FMO 50 Dr Chander Bhan MO BHU Laiqpur
51 Dr Heema Dilip FMO 52 Dr Parkash Kumar,MO BHU Marho Bula Khan
53 Dr Girdhari Lal,MO BHU Goongani 54 Dr Ali Akbar Brohi,MO GD Aresor
55 Dr Sher Muhammad MO BHU Mureed Khoso 56 Dr Ghulam Murtaza MO BHU Ali M.Guggo
57 Dr Attaullah Baloch /MO BHU Buhara 58 Dr M.Umer Memon MO BHU Banno
137
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr Shaheen Brohi,FMO On trg at
2 Dr M.Ibrahim Memon,MO
I. HFs WITH PPHI BHUs: 50 Dispensaries: 01 MCHCs: 0 Others: 0
TOTAL: 51
B. Population of the Catchments Area: 1.00 million
S. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant (Sanc-Govt)
MOs 51 50 08 42 WMO 0 0 0
FMOs 31 25 01 24
LHVs 51 37 24 13
MTs/MAs Male 51 61 45 16 0 Female 0 0 0
T. CLUSTERS OF HFs WITH ONE MO
59 Dr Muhammad Sharif Baloch BHU Dandhari 60 Dr M.Ibrahim Memon MO BHU Kandra
61 Dr Sajid Kehar MO BHU Ghulamullah 62 Dr Rahim Bhatti DS Jhimpir
63 Dr A. Rasheed Memon, MO BHU T.H Shah 64 Dr Iqbal Khatri MO BHU Sajanwari
65 Dr Abdul Hussain Shah/MO BHU Gail Mori 66 Dr Jamshed Memon / Dental Surgeon
67 Dr Soofi Azeem MO BHU Jhoke Sharif. 68 Dr Ghulam Serwer Qazi,MO BHU GM Shah
69 Dr Karim Khawaja MO BHU HM Sodho. 70 Dr Murad Baloch MO BHU Jokhio village
71 Dr Muzaffar Shah/MO-BHU Jaar 72 Dr Adeel Memon MO BHU MK Rind
73 Dr M.Jaffar Almani MO BHU Ladiyoon 74 Mr Munawar Leghari SM-2
75 Dr Altaf Hussain,MO BHU Shahnawaz Leghari 76 Mr. Chetan Lal SM-4
77 Dr Ameer Ali Palijo MO(DHIS) 78 Mr. Lutuf Ali Shah SM-1
79 Dr Parkash Kumar MO BHU Marho Bula Khan 80
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
138
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Dr. Ghulam Qadir Sheikh Focal Person Polio in his lecture on “POLIO” focused on the following points:-
23. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource
Date Venue Topic No. of
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities 15037
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 2097
No. of Doses of Immunization Administered to Children at out- reach EPI Teams 16916
Total vaccination / immunization for the month November 2012 34050
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of ………….. …………. …….. …..
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 02 Clusters of 2 HFs 01
Single HFs 47 Single HFs 49
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs 0 Clusters of 3 HFs
Clusters of 2 HFs 18 Clusters of 2 HFs 19
Single HFs 06 Single HFs 06
139
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides NA
2 Active Case Detection (ACD) Slides NA
3 Visits to Check Sanitation (individual households + streets) NA
4 Notices issued against Poor Sanitation NA
5 Challans sent to Court against Poor Sanitation NA
6 Patients Nebulized 315
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health S # NO. of FMOs Ante-Natal
Neo Natal
Other OPD Total OPD
19 1411 26 11732 13780
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 26
2 Deliveries Assisted at Homes 206
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 516
2 Blood Sugar Tests 615
3 Hemoglobin Tests 0
4 Ultra Sound Test 794
5 Other (RDT)Malaria 1465
24. Important Discussion on Mother and Child and Reproductive Health during MRM All FMOs were directed to conduct normal deliveries at BHUs and refer complicated cases to secondary/tertiary level HF.
25. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
1 Consultation / Advice 724
2 Oral Pills 236
3 IUCDs 0
4 Injections 402
5 Others 32
Total 1394
140
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 51 Number of Female SGs: 06
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
Male Female Total No. of
No. No. of Mr. Lutuf Ali Shah 06 0 71 16 352
Mr Munawar Leghari 10 0 98 13 311
Mr Chetan Lal 04 0 47 12 285
Total 20 0 216 41 948
I. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Children MOs & FMOs 86 1892 75 413 155
4. Important Points during Support Group Meetings.
Role of the community support group in vaccination and polio campaigns.
• Role of the community support group for the arrangements of school health sessions. • Role of the community support group for the arrangements of Community health sessions for
male and female participants. • Support of the community during the R&R work. • Support of the community groups for plantation. • Increasing the number of members in each community meeting while inviting the social people of
the catchments area of the facility
II. Important Points during SHSs • Immunization • Personal Health and hygiene • Nutrition • Polio • Skin disease
26. Important Points during CHSs • Family Planning • Vaccination/Polio • Personal Hygiene. • Scabies. • Antenatal care. • TB
141
I. Topics for SHSs for the Month Sr. No. Topics
1 Measles
2 Importance of vaccination
8 Topics for CHSs for the Month
S # Topics
1 Measles
2 Importance of vaccination
10. Important Discussion on Community Participation during MRM
• To Conduct regular CSG meetings
• Active Participation of CSG members
• Change / Replace inactive members of CSG
• Develop Ownership of BHUs among community
• Cooperation for arranging SHS & CHS.
• Active Participation of CSG members in polio campaign
10. Health Camps: Number Held: 0
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation
ii Drainage / sewerage
iii ……… drinking water
iv Prevention of
v Tree Plantation
vi Roads and infrastructure
vii Environmental
viii Others
142
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
I. OPD* New patients treated during
Old patients treated during
Total OPD during the month
65390 2039 67429
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Dhabeji 3063 Ali M Guggo 465
2 Garho 2961 Darya Khan Soho 543
3 Gujjo 9797 Muzaffar khan leghari 562
4 Chatochand 2738 Jungo Jalbani 572
5 Ghulamullah 2167 Jeand Zangejo 645
3. Top Five Diseases Treated during School Health Sessions/Camps
4. Top Five Diseases during OPD
S # Disease
1 ARI
2 Malaria
3 Scabies
4 Diarrhea
5 UTI
S # Diseases
1 RTI
2 Scabies
3 GIT
4 ENT
5 Malaria
143
27. ARV / ASV used during the month No. of Patients
Dog bite cases reported 128
ARV Administered
ARV Available Doses
Snake bite cases reported 02
ASV Vaccine Administered
ASV Vaccine Available Doses
33. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health)
S # Tests Number
1 Pregnancy Tests 516
2 Blood Sugar Tests 615
3 Hemoglobin 0
4 X-Rays (if available) 0
5 Ultra Sound 794
6 Others (Malaria) 1465
34. B & C SCREENING TESTS: N/A Screening No. of Tests
No. of cases
No. of cases
Total referred
Follow up result
Hepatitis B
Hepatitis C
35. TUBERCLOSIS Patients
New Cases During the
Under Diagnosis
0 0 31
9. Referrals
S.No Totals Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 37 31 02 04
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1
144
II. MONITORING DURING MONTH UNDER REVIEW 15. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
30 48 161 239
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 BHU Ghorabari,DK
Health technician transferred by
Letter sent to
Pending.
02 BHU Jangri,GM
Electricity connection required Demand amount
Pending.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 15 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
01 BHU Aachar Jakhro Completed MB recorded
02 BHU Gujjo
MB recorded
03 BHU NM Thaheem
Completed MB recorded
04 BHU Jokhio Village Completed
MB recorded
05 BHU Ali Bahar Completed
MB Recorded
06 BHU Chato Chand Completed
MB recorded
07 BHU Haji M. Sodho Completed
MB recorded
08 BHU Dhabeji
MB Recorded
09 BHU Ghari Wah Completed
MB recorded
10 BHU Garho Completed
MB recorded
11 BHU Ghorabari Completed
MB recorded
12 BHU Khair Bux Leghari Completed
MB recorded
13 BHU Kandra Completed
MB recorded
14 BHU S.Qadir dino Shah Completed MB recorded
15
BHU Muzaffar Leghari Completed MB recorded
16
BHU Shahnawaz
Completed MB recorded
17
BHU Laiqpur Completed MB recorded
18
BHU Banno Completed MB recorded
145
19
BHU T.H Shah Completed In progress
20 BHU Sajanwari Completed MB recorded
21 BHU Rahoot Completed MB recorded
22 BHU Jhoke Sharif Completed In progress
23 BHU Mureed Khoso Completed In progress
24 BHU MK Rind Completed In progress
25 BHU Gail Mori Completed In progress
26 BHU Mureed Jarejo Completed In progress
27 BHU G.M aran Completed In progress
28 BHU Goongani 10%
In progress
29 BHU Ghulamullah
100% In progress
30 BHU Jaar
90% In progress
31 BHU Raj Sheikh Bachal
100% In progress
32 BHU Kothi
90% In progress
33 BHU Jungo Jalbani
100% In progress
34 BHU Jangri
90% In progress
35 BHU Buhara
20% In progress
36 BHU Marho Bula Khan
30% In progress
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• Regularity & punctuality of staff. • Maintenance of all records. • Submission of reports on time.
On Preventive Health:
• Conduct health sessions on regular basis and include topics of seasonal disease. • Arranging of quality/genuine health sessions.
146
On Curative Health:
• MOs & FMOs with low OPD were directed to increase liaison with community and make regular CSG meetings.
On Mother, Child & Reproductive Health:
• During MRM it was emphasized that all female medical officers should concentrate more on mother and child health, besides their general OPD they should focus on ANC/PNC, normal delivery cases and also make counseling of patients. Make public family planning services to the clients.
Other Matters:
Date /Time for Next MRM:
• The tentative date for next MRM was fixed on 08th February 2013.
Comments on Targets vs. Achievements (by DSM):
DSM gave detailed presentation about the progress achieved in the month of January2013. The performance of each HF was discussed one by one and MOs In charge were directed to cover the deficiencies where ever found. The performance of each FMO was also discussed and they were directed lay special focus on mother and child health. All doctors were directed to perform their duty as focal persons with commitment and dedication
DSM also directed all HFs incharges to fill DHIS report properly and ensure more than 95% data accuracy.
147
MINUTES OF THE (53) MONTHLY REVIEW MEETING
OF DISTRICT LARKANA
Monthly Review Meeting (MRM) of PPHI, District Larkana for the month of January, 2013 was held on 14th February, 2013 at hotel Asia In, Larkana. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), Distt. Population Welfare Officer, WHO representative, Dy.Dir. Malaria and District In charges of EPI, LHW and all other National Programs. The list of participants is as follows:
List of Participants
S # Names/Designation S # Names/Designation
1 Mr. Ghulam Abbas Detho, RPD, RSU III
2 Mr. Abdul Hafeez Mahesar, DSM-Lrk
3 Mr. Abdul Latif Malik (Exe. M&E) 4 Dr. Idress Farooqi (MO HQ)
5 Dr. Aijaz Ahmed Shaikh (MO DHIS) 6 Mr. Amir Ali, Asstt: Store
7 Mr. Farhan Ahmed, Asstt: Admin 8 Mr. Gada Hussain Chachar, SO I.
9 Dr. Mukhtiar Channo, MO 10 Mr. Mohammad Ali, SO III
11 Dr. Attahullah Jagirani, MO 12 Dr. Abdul Matab Jatoi, MO
13 Dr. Ashok Kumar 14 Dr. Farman Ali Abro , MO
15 16 Dr. Mumtaz Ali Bhutto, MO
17 Dr. S Baleegh Din Rashidi, MO 18 Dr. Ahsanullah Bugti, MO
19 Dr. M.Hanif Mashori , MO 20 Dr. Bashir Ahmed Wagan, MO
21 Dr.Mahesh Kumar , MO 22 Dr. Abdul Razaque Rahujo, MO
23 Dr. Raj Kumar , MO 24 Dr. Ganesh Lal , MO
25 Dr. Khuda Bux Soomro, MO 26 Dr. Zafar Ali Tunio, MO
27 Dr. Abdullah Arijo, MO 28 Hakeem Razakat Ali, MO
29 Dr. Abdul Aziz Siyal, MO 30 Dr. Tarique Altaf Jatoi, MO
31 Dr. Abdul Rehman Shaikh, MO 32 Dr. Shamsdin Sohu, MO
33 Dr. Muzafar Ali Bhutto , MO 34 Dr. Amanullah Abro , MO
35 Dr. Maqsood Wadho, MO 36 Dr. Mushtaque Ahmed , MO
37 Dr. Zafar Ali Morio, MO 38 Dr. M. Aslam Soomro , MO
39 Dr. M. Yousif Shaikh, MO 40 Dr. Rahim Bux Soomro, MO
41 Dr. Jai Kumar, MO 42 Dr. Farzana Baloch, FMO
43 Dr. Altaf Hussain Abro, MO 44 Dr. Afroz Memon , FMO
45 Dr. Mohammad Ali Shaikh, MO 46 Dr. Bilqees Khokhar , FMO
47 Dr. Shazia Ambreen , FMO 48 Dr. Zaib Nisa Bhutto, FMO
49 Dr. Sanam Asia , FMO 50 Dr. Rozina Shah , FMO
51 Dr. Shazia Rehman , FMO 52 Dr. Jawahar Sheeraz, FMO
148
53 Dr. Seeema kousar , FMO 54 Dr. Naseem Khatoon, FMO
55 Dr. Nusrat Wagan,FMO 56 Dr. Noor Jahan , Sonologist
57 Dr. Asma Abbasi, FMO 58 Dr. Sabeen Naz, FMO
59 Dr. Aneeta Raj, FMO 60 Mst. Zahida Magsi, LHV
61 Dr. Farzana Shaikh, FMO 62 Mst. Bashiran Chandio, LHV
63 Dr. Dur-e- Najaf , FMO 64 Mst. Feroza , LHV
65 Dr. Qurtlain Soomro , FMO 46 Mst. Samina Bhutto, LHV
67 Mst. Afroz Sandelo, LHV 68 Mst. Noor Shaheen , LHV
69 Mst. Razia, LHV 70 Mst. Rehana Siyal, LHV
71 Mst. Humera parveen, LHV 72 Mst. Asma Shaikh, LHV
73 Mst. Sumera Kanwal, LHV 74 Mst. Naveeda Abbasi, LHV
75 Mst. Shazia Khuhro, LHV 76 Mst. Saima Syed, LHV
77 Mst. Tasleem, LHV 78 Mst. Mehtab Mangi, LHV
79 Mst. Sania Mughal, LHV 80 Mst. Fozia, LHV
81 Mst.Sajida Bhutto, LHV 82
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Asadullah Gopang Leave
2 Dr. Imdad Lashari Leave
3 Dr. Iltaf Abro Absent
4
5
6
7
J.HFs WITH PPHI BHUs: 24 Dispensaries: 19 MCHCs: 03 Others: 01
TOTAL: 47
B. Population of the Catchments Area:
S # Name of Health Facility Population
1 BHU SAJAN SANGI 32,034
2 BHU AKIL 21,300
3 BHU SHAH ABAD 33,280
4 BHU BEERO CHANDIO 26,500
5 BHU MASOODERO 15,200
149
6 BHU KHAN WAH 20,000
7 BHU IZAT JI WANDH 7,836
8 BHU LASHARI 24,000
9 BHU WARIS DINO MACHI 9,484
10 BHU JUMO AGHAM 15,000
11 BHU PATHAN 29,000
12 BHU NEW GUD 45,000
13 BHU BAKHAR KARIRA 12,710
14 BHU SONO JATOI 55,000
15 BHU KOTHI 30,000
16 BHU PIR BUX BHUTTO 24,800
17 BHU SAIDUDERO 12,250
18 BHU WASAYO BHUTTO 9,135
19 BHU VEEHAR 30,000
20 BHU KARANI 31,000
21 BHU MAD BAHOO 26,355
22 BHU DHAMRAH 38,341
23 BHU HAJI DHADHRO 5,000
24 BHU FATEHPUR 15,000
25 BHU MOEN JO DARO 34,713
26 BHU SEEHAR 23,316
27 BHU USMAN KALHORO 23,119
28 GD RASHID WAGAN 23,418
29 GD BAQAPUR 14,000
30 GD KANGA 17,409
31 GD AGHANI 12,240
32 GD DODO SANHERI 5,000
33 GD AREEJA 10,000
34 GD PANJODERO 25,200
35 GD ABAD BHUTTO 4,666
36 GD KOT BHUTTO 10,500
37 GD KETI MUMTAZ 2,000
38 GD SHAHANI 3,080
39 GD KHAIRODERO 10,000
40 GD MEHAR BURIRO 4,300
41 GD GUJHAR 4,078
42 GD LAL BUX SHAIKH 34,731
150
43 GD TATRI 41,500
44 GD MANGRIA 18,000
45 GD HESSAB CHANDIO 30,000
46 GD BAHMAN 1,550
47 GD MAHOTA 18,155
Total: 9,39,200
STAFF STRENGTH
Sanctioned
Working Government
PPHI
Vacant
MOs 52 47 15 32 17
WMO 00 00 0 00 00
FMOs 28 24 0 24 4
LHVs 42 36 11 25 17
MTs/MAs Male 0 0 0 0 0 Female 0 0 0
Dispensers 25 50 25 25 0
U. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 45 Single HFs 45
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 19 Clusters of 2 HFs 19
Single HFs 05 Single HFs 05
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E. CAPACITY BUILDING
1. Second Session: During MRM
After the session he invited the participants for open discussion, which was very productive.
E. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 2056
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 233
No. of Immunization & Vaccination Administered by the out- reach EPI Teams 0
Total vaccination / immunization for the month of November 2289
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage
Percentage of coverage
Nil Nil Nil Nil
3. Other Preventive/Promotional Services
S # Service Number 1 Passive Case Detection (PCD) Slides -- 2 Active Case Detection (ACD) Slides -- 3 Visits to Check Sanitation (individual house holds + streets) -- 4 Notices issued against Poor Sanitation -- 5 Challans sent to Court against Poor Sanitation -- 6 Patients Nebulized --
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
S# Name of FMOs Antenatal Post Natal Other Total OPD
1 Dr. Rozina Shah 69 13 165 1550
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2 Dr. Farzana Balouch 164 13 109 555
3 Dr. Sabeen Naz 63 9 200 919
4 Dr. Qurtlain Soomro 58 26 511 1919
5 Dr. Asma Abbasi 57 34 173 1539
6 Dr. Shazia Abbasi 87 29 172 1941
7 Dr. Shazia Rehman 18 10 92 980
8 Dr. Zaib Nisa Bhutto 14 3 90 810
9 Dr. Aziz Akhtar 101 39 6 1046
10 Dr. Dur-e - Najaf 76 12 46 2041
11 Dr. Bilqees Khokhar 11 11 335 1761
12 Dr. Farzana Shaikh 63 11 264 1687
13 Dr. Sanam Asia 86 8 357 2125
14 Dr. Aneeta Raj 130 65 0 2010
15 Dr. AfrozMemon 47 11 47 1707
16 Dr. Seema Kousar 53 7 339 1356
17 Dr. Musrat Nazir 0 0 0 0
18 Dr. Jawahar Sheeraz 89 11 503 1579
19 Dr. Nusrat Wagan 69 18 48 1462
20 Dr. Farzana Tunio 50 9 7 2941
21 Dr. Kashifa Ayaz 80 7 125 1607
22 Dr. Ruksana Bughio 119 14 0 1972
23 Dr. Naseem Khatoon 48 1 117 567
24 Dr. Waheeda Abbasi 30 7 95 825
TOTAL 1582 368 3801 34899
2. Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 200 2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 660
2 Blood Sugar Tests 1447
3 Hemoglobin Tests 647
4 Ultra Sound Test 1398
5 Other 0
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28. Important Discussion on Mother and Child and Reproductive Health during MRM Discussions were carried out by the participants with the guest speakers.
29. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
1 Consultation / Advice 0
2 Oral Pills 286
3 IUCDs 20
4 Injections 245
5 Others (Condoms) 4230
Total 4781
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 15 Number of Female SGs: 00
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
Male Female Total No. of
No. No. of Mr. Gada Hussain Chachar 4 0 48
Mohammad Ali 4 0 48
Total 8 0 96
2. School Health Sessions & Community Health Sessions Sr. No. MO SHS CHS Total
1 59 61 120
2 FMO 41 50 91
4. Important Points during Support Group Meetings.
• Check the Attendance of the staff of health facility. • Polio Campaign discussed • Diagnostic Laboratory • Medicine quality and quantity. • EPI Coverage were discussed • Ultra sound facility days • FMO days at HFs also discussed • Security and ownership of community. • Demanded of Ambulance.
154
30. Important Points during SHSs • Scabies • Cough • Diarrhea • Influenza Virus • Nutrition • Respiratory trait Infection and Asthma • Personal Hygiene • Pneumonia • Malaria
31. Important Points during CHSs • Dysfunctional Uterine Bleeding DUB • Scabies • Rabies virus Tuberculosis • Antenatal Care • Pelvic Inflammatory Diseases • Importance of Vaccinations • Conjunctivitis (Red Eye) • Low Birth weight Newborn • Family Planning • Diet in Pregnancy • U/S Examination During Pregnancy • Lactating Mother • Postpartum Hemorrhage. • Urine Tract Infection • Vomiting • Anemia • Intestinal Tuberculosis • Constipation • Vomiting • Cough • Acute Diarrhea • Influenza Virus • Nutrition • Respiratory trait Infection and Asthma • Measles • Pneumonia • Malaria.
7. Topics for SHSs for the Month December 12
Sr. No. Topics
1 Scabies
2 Malaria
3 Importance of Vaccinations
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4 Acute Diarrhea
5 Nutrition
6 Measles
7 Cough
8 Topics for CHSs for the Month of December 12
S.No Topics
1 Dysfunctional Uterine Bleeding DUB
2 Scabies
3 Rabies virus Tuberculosis
4 Antenatal Care
5 Pelvic Inflammatory Diseases
6 Importance of Vaccinations
7 Conjunctivitis (Red Eye)
8 Low Birth weight Newborn
9 Family Planning
10 Diet in Pregnancy
11 U/S Examination During Pregnancy
12 Lactating Mother
13 Postpartum Hemorrhage
14 Urine Tract Infection
15 Vomiting
16 Anemia
17 Intestinal Tuberculosis
18 Constipation
19 Vomiting
20 Cough
21 Acute Diarrhea
22 Influenza Virus
23 Nutrition
24 Respiratory trait Infection and Asthma
25 Personal Hygiene
26 Measles
27 Malaria
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9. Important Discussion on Community Participation during MRM
• Most of the Participants acknowledged PPHI role to provide basic health facilities in rural areas for poor community at free of cost.
• Community participation through community support groups also the role model of PPHI. • Repair and Renovation of Health facilities and other facilities provided at Health facilities by PPHI also
appreciated by participants. 10. Health Camps: 00. Number of Patients: 00
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation N/A N/A N/A
Ii Drainage / sewerage N/A N/A N/A
Iii ……… drinking water N/A N/A N/A
Iv Prevention of
N/A N/A N/A
V Tree Plantation N/A N/A N/A
Vi Roads and infrastructure N/A N/A N/A
Vii Environmental
N/A N/A N/A
Viii Others N/A N/A N/A
IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 91277 3392 94669
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 Fever (Clinical Malaria) 25324
2 Acute Respiratory Infections 13512
3 Scabies 11315
4 Diarrhea 17535
5 Dysentery 1556
157
3. ARV / ASV used during the month No. of Patients
Dog bite cases reported 184
ARV Administered 184
ARV Available Doses 253
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 00
36. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number 1 Pregnancy Tests 660
2 Blood Sugar Tests 1447
3 Hemoglobin 647
4 X-Rays (if available) 1398
5 Ultra Sound 0
6 Others 0
37. B & C SCREENING TESTS Screening No. of Tests
No. of cases
No. of cases
Total referred
Follow up result
Hepatitis B 00 00 00 00 00
Hepatitis C 00 00 00 00 00
8. TUBERCLOSIS
Patients
New Cases During the
Under Diagnosis
00 0 00
9. REFERRALS
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 No No No No No No No
3 No No No No No No No
4 No No No No No No No
10. Inverse Referrals
S No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
158
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
29 62 115 206
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 37 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
1 00 00 00
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
N/A N/A
N/A N/A
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• All the staff members of BRHF’ were once again reminded to observe timings in their health facilities.
• Always wear aprons/ uniforms which have been already provided.
• Observe/ ensure cleanliness in their health facilities.
• Maintenance of proper record keeping • Ensure availability of all essential medicines. • Ensure availability of instruments in working condition.
159
• Submitted DHIS reports timely. • Submitted Medicine position/Stock position timely.
On Preventive Health:
• All the Medical Officers/ Female Medical Officers were informed that Family Planning material / medicine
are available in abundant quantity and they should promote its usage.
• It was also requested that ensure availability of T. B DOTS medicine and wherever there is shortage,
inform DSU immediately.
On Curative Health:
All the Medical Officers were informed that there is sufficient stock of medicines available in DSU store and they should report immediately for any kind of shortage
On Mother, Child & Reproductive Health:
N/A
Other Matters:
Matters regarding supply of medicines, repair of buildings, provision of uniforms, and other items were also discussed during the monthly meeting.
Date /Time for Next MRM:
Next MRM will be held on first week of March, 2013
Comments on Targets v/s Achievements (by DSM)
All the targets/goals and assignments from time to time are being achieved for successful continuation of this
program and for the satisfaction of the community.
160
MINUTES OF THE (50th) MONTHLY REVIEW MEETING
OF DISTRICT KAMBER-SHAHDADKOT
Monthly Review Meeting (MRM) of District, Kamber-Shahdadkot for the Month of January, 2013 was held on 14th February, 2013 at Asia hotel Larkana. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, Surveillance Officer WHO, T.B Dot Programme, EDO (Education), and all other National Programs as usual. The list of participants follows:
S.No. Name of Officer’s
1 Mr Ghulam Abbas Detho Sb ( Regional Programme Director RSU III Larkana)
2 Mr Habib -Ur- Rehman (DSM Kamber Shahdadkot)
3 Asst Prof Dr Shanti lal: ( SMMBBU Larkana )
4 Dr Liaqat Ali (S.O- WHO)
5 Mr Asad ullah Chang (Executive M&E)
6 Dr Abdul Ghaffar Chandio ( BHU Bambho Khan Chandio )
7 Dr Abdul Manan Sheikh ( BHU Wadho Kalhoro)
8 Dr Nadeem Akhtar Sheikh ( GD Chhajjra)
9 Dr Safia Jamali (FMO BHU Thoof Chosool/ BHU Gogharo)
10 Dr Khalid Hussain Sheikh ( BHU Thori Bijar)
11 Dr Fozia Soomro (FMO BHU Arzi Bhutto)
12 Dr Suraya Lashari (FMO BHU Ghazi Khan Khuhawar/ BHU Zia U Din Isran)
13 Dr Reehana Chandio (FMO MCH Nasirabad)
14 Dr Shahid Nabi Shah (BHU Thoof Chusool)
15 Dr Tahira Memon (BHU Kot Ghulam Shah & GD Chajjra)
16 Dr Sajida Sheikh ( Sonologist)
17 Dr Noor Mohammad Memon ( MO H.Q)
18 Dr Ambreen Bhutto ( BHU Bambho Khan Chandio / BHU Ghulam Ali Magsi)
19 Mr Riaz Ahmed Tunio (S.O)
20 Dr Sanaullah Wagan ( BHU Datu Teewna)
21 Dr Ravi Kumar ( GD Abdul Wahab Khoso)
22 Dr Nisar Ahmed Mugheri ( BHU Mohammad Ali Gurhmani)
23 Dr Zahida Kaheri
24 Dr Parkash Lal Advani ( BHU Chakiyani)
25 Dr Noor Khatoon (BHU Deera/BHU Wadho Kalhoro)
26 Dr Allah Bux Soomro(BHU ARZI BHU Arzi Bhutto)
27 Dr Khalid Hussain Burirro( BHU Gazi Khan Khuhawar)
28 Dr Subhan Ali Lakho ( BHU Hamal)
29 Dr Reehana Tunio
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30 Dr Shamshad Wagan
31 Imran Ahmed Leghari ( S.O )
32 Mr. Abdul Raheem Junejo Ex: O, (A&A)
33 Dr Abdul Kareem Memon ( BHU Ziaudin Isran )
34 Dr Fozia Chandio ( BHU Datu Teewna/ BHU Gaji Khuhawar)
35
Dr Nasreen Naz Chandio ( MCHc Shahdadkot )
36 Dr Farzana Soomro ( BHu Aitbar Khan Chandio/BHU Chakiyani)
37 Dr Nazeer Balooch ( Training Cordinator Des WHO )
38 Dr Altaf Hussain Burirro ( District Survilant Cordinator )
39 Dr Bashir Brohi ( BHU Behram )
40 Imran Ahmed Laghri ( S.O )
40 Dr Munwar Chandio ( BHU Ghogharo)
41 Dr Hiranad Bajaj ( BHU Ghulam Ali Magsi )
42 Dr. Suneel Kumar (BHU Aitbar Khan Chandio)
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons Concerned Health Facility
01 Dr Hakimzadi On Leave MCH Shahdadkot
04 Dr Shabir Wagan Absent BHU Lalu Rounk
K. HFs WITH PPHI TOTAL: 27 BHUs: 22 Dispensaries: 02 MCHCs: 02 Others: 01
B. Population of the Catchments Area: 1375398
V. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt) MO 24 23 5 18
W/FMOs 01 16 2 14 2
LHVs 26 14 9 05 12
MTs/MAs Male - - - - - Female - - -
Dispensers 03 25 05 20 -
W. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs - Clusters of 6 HFs -
162
WITH ONE FMO
E.
CAPACITY BUILDING
1. First Session: During MRM
1.1: Dr Shanti Lal delivered a Lecture on (Measles)
1.2: Dr Liaquat Noonari (SO Dews WHO) Dr Nazeer Baloch (Training Coordinator Dews WHO) Dr Altaf Hussain Burirro (District Surveillance Coordinator) Conducted Training On (E Dews )
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 7163
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 1249
No. of Immunization & Vaccination Administered by out- reach EPI Teams 1427
Total vaccination / immunization for the month ---------------- 9839
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 01 Clusters of 2 HFs 01
Single HFs 21 Single HFs 21
Previous Month Total Month under Review Total
Clusters of 5 HFs 1 Clusters of 6 HFs 1
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 10 Clusters of 2 HFs 10
Single HFs 03 Single HFs 03
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2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
28/1/2013 TO 30/1/2013 233852 287139 99 %
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides Nil
2 Active Case Detection (ACD) Slides Nil
3 Visits to Check Sanitation (individual house holds + streets) -
4 Notices issued against Poor Sanitation -
5 Challans sent to Court against Poor Sanitation -
6 Patients Nebulized 269
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2.
Deliveries Assisted
S # Names of FMOs Ante-Natal Cases
Neo-Natal Cases
Other OPD Total OPD
01 Dr Tahira Memon 121 5 1662 1788
02 Dr Safia Jamali 133 0 1845 1978
03 Dr Rehana Chandio 313 86 5142 5541
04 Dr Surya Lashari 73 4 2057 2134
05 Dr Samina Shah 105 9 2026 2140
06 Dr Zahida Kaheri 34 0 2133 2167
07 Dr Ambreen Bhutto 112 7 2576 2695
08 Dr Noor Khatoon 60 3 1195 1258
09 Dr Farzana Soomro 63 00 533 596
10 Dr Fozia Soomro 43 0 972 1015
11 Dr Shamshad Begum 38 2 985 1025
12 Dr Rehana Tunio 48 7 2391 2446
13 Dr Heema 122 29 1111 1262
14 Dr Fareeda Sheikh 176 25 876 1077
15 LHV Kalsoom Burirro 21 0 891 912
Total 1462 177 26395 28034
164
S # Service Number
1 Deliveries Assisted at HFs 148
2 Deliveries Assisted at Homes -
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 652
2 Blood Sugar Tests 313
3 Hemoglobin Tests 199
4 Ultra Sound Test 576
5 Other 84
32. Important Discussion on Mother and Child and Reproductive Health during MRM
DSM stressed on all MOs, especially FMOs to provide better services to the people for mother and reproductive health.
33. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 491
Oral Pills 93
IUCDs 0
Injections 90
Others 162
Total 836
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 27 Number of Female SGs: 01
165
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him CHSs/SHSs arranged by him
Male Female Total No. of Participants No. No. of Participants
Mr Imran Ahmed Leghari 7 1 164 21 348
Mr Riaz Ahmed Tunio 10 0 184 24 381
Total 17 1 348 45 729
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children
Children Dr. Tahir Memon 2 29 1 19 11
Dr. Safia Jamali 2 38 2 21 14
Dr. Rehana Chandio 3 73 0 0 0
Dr. Suraya Lashari 2 35 2 17 9
Dr. Sameena Shah 2 36 2 0 0
Dr. Zahida Kehri 2 33 1 21 14
Dr. Umbreen Bhutto 2 29 2 26 15
Dr. Noor Khatoon 2 25 2 27 14
Dr. Farzana Soomro 2 33 2 19 11
Dr. Fozia Soomro 2 44 1 18 10
Dr. Shamshad 2 39 2 0 0
Dr. Rehana Tunio 2 28 2 14 9
Dr Heema 1 21 1 21 13
Dr Khalid Sheikh 1 17 1 16 9
Dr Abdul Karim 1 26 1 21 13
Dr Nadim Akhtar 1 26 1 14 8
Dr Subhan Lakho 1 18 1 16 9
Dr Heeranand 1 14 1 17 11
Dr Barkat Makool 1 21 1 23 14
Dr Ghulam Fareed 1 19 1 24 9
Dr Bashir Ahmed Brohi 1 17 1 0 0
Dr Munwar Chandio 1 19 1 21 13
Dr Khalid Buriro 2 31 1 21 11
Dr Ravi Kumar 1 18 1 19 8
Dr Sanaullah Wagan 1 21 1 14 6
Dr Ameer Rahojo 1 17 1 17 8
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Dr Suneel Kumar 1 14 1 16 9
Dr Shahid Nabi Shah 1 19 1 16 11
Dr Nisar Ahmed Mugheri 1 32 1 24 14
Dr Allah Bux Soomro 1 18 1 18 11
Dr Parkash 2 16 1 20 7
Dr Roshan Mugheri 2 15 1 16 10
Dr Abdul Manan Sheikh 1 20 1 16 8
Totals 52 863 40 559 321
4. Important Points during Support Group Meetings.
1. Electricity problem 2. R&R work of Roofs of the Health Facilities. 3. Supply of ARV 4. Supply of medicines
5. Important Points during SHSs
1. Awareness in School Children about prevalent diseases. 2. Awareness in School Children about Personal Hygiene.
6. Important Points during CHSs
1. Awareness in community about prevalent diseases. 2. Counseling to pregnant women. 3. Awareness in community how to protect from heat & sun stroke.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Measles
2 Cough
3 Hygiene
4 Fever
8 Topics for CHSs for the Month
S # Topics
1 Dengu Fever
2 Measles
3 Viginal discharge
4 Tuber Closes
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9. Important Discussion on Community Participation during MRM
Community to help at centers for tree plantation etc.
10. Health Camps:
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation Nil Nil
ii Drainage / sewerage Nil Nil
iii Drinking water Nil Nil
iv Prevention of adulteration Nil Nil
v Tree Plantation Nil Nil
vi Roads and infrastructure Nil Nil
vii Environmental Improvement Nil Nil
viii Others Nil Nil
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 65154 1732 66886
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Lalu Rounk 6054 GD Abdul Wahab
1003
2 MCHC Nasirabad 5541 BHU Hamal 1115
3 MCHC Shahdad Kot 4731 BHU Chakiyani 1455
4 BHU Bambho Khan Chandio 4437 BHU Arzi Bhutto 1659
5 GD Chhajjrra 3426 BHU K.B Wahoocho 1665
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3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 A.R.I 10123
2 Fever clinical Malaria 8769
3 Scabies 6914
4 Diarrhea 5413
34. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 450
ARV Administered 307
ARV Available Doses 545
Snake bite cases reported Nil
ASV Vaccine Administered Nil
ASV Vaccine Available Doses 00
38. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 652
2 Blood Sugar Tests 313
3 Hemoglobin 199
4 X-Rays (if available) 0
5 Ultra Sound 576
6 Others (please specify) 84
S # Diseases No. of Patients
1 Fever (Clinical Malaria 1361
2 A.R.I 1247
3 Scabies 963
4 Diaherrea 714
169
39. B & C SCREENING TESTS Screening No. of Tests
No. of cases
No. of cases
Total referred
Follow up result
Hepatitis B
- Nil Nil -
Hepatitis C
- Nil Nil -
40. TUBERCLOSIS Patients
New Cases During the
Under Diagnosis
35 _ -
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 10 - - - - 10
3
4
10. Inverse Referrals
S.No
Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 Nil Nil Nil Nil Nil Nil Nil
2
3
G. MONITORING DURING MONTH UNDER REVIEW
16. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
58 40 112 210
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 N/A N/A N/A N/A
02 N/A N/A N/A N/A
03 N/A N/A N/A N/A
04 N/A N/A N/A N/A
170
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 43 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
As such no issue was discussed.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
01 BHU Khairpur Jooso Work completed MB recorded
02 BHU Datu Teewna -do- -do-
03 BHU Ghazi Khan Khuhawar -do- -do-
04 BHU Aitbar Khan Chandio -do- -do-
05 BHU Gathar -do- -do-
06 BHU Bhambo Khan Chandio -do- -do-
07 BHU Mohammad Ali Gurmani -do- -do-
08 BHU Thori Bijar -do- -do-
09 BHU Chakyani -do- -do-
10 BHU Kot Ghulam Shah -do- -do-
11 BHU Behram d-o- -do-
12 BHU Lalu Raunk -do- -do-
13 BHU Ghogharo -do- -do-
14 BHU Ghulam Ali Magsi -do- -do-
15 BHU Arzi Bhutto -do- -do-
16 BHU Thoof Chosool -do- -do-
17 BHU Deera -do- -do-
18 BHU Wadho Kalhoro -do- -do-
19 BHU Khuda Bux Wahocho -do- -do-
20 BHU Gaji Khuhawar -do- -do-
21 BHU Khandu -do- -do-
22 Unani Shifakhana Gul Buriro work completed -do-
171
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
- -
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• Discussed & reviewed monthly performance of Male and Female doctor’s for the month of January.
• Discussed & shared the targets of eight indicators with male and female doctors.
• Punctuality of all officer’s.
On Preventive Health:
It was decided to conduct more and more CHSs and utilize the services of vaccinators and outreach staff in order to prevent diseases, and to establish rapport in all the national programs.
On Curative Health:
1. To run OPDs properly at all HFs. 2. To properly provide the services to the people. 3. To ensure availability of essential medicines at HFs
On Mother, Child & Reproductive Health:
FMOs as well MOs were asked by the DSM to properly attend all the ante-natal & neo-natal cases.
Other Matters:
Date /Time for Next MRM:
15_3-2013 @ 09.30 am
Comments on Targets vs Achievements (by DSM)
1. R&R Target of all the HFs / schemes completed.
172
MINUTES OF THE 56 th MONTHLY REVIEW MEETING
OF DISTRICT KHAIRPUR Mirs
Monthly Review Meeting of District Khairpur for the Month of January-2013 was held on 16th Febuary
2013 at Darbar Hall Khairpur Mir’s. Written invitations to participants were sent to the Deputy Commisioner, the
DHO, the DO (F&P), DO(CDD), District Population Welfare Officer, Civil Surgeon DHQ-Khairpur, Taluka Health
Officer(s) (all), District Coordinator National Program Khairpur, District Focal Person EPI, District Focal Person TB,
District Coordinator, Malaria Control Program and NMO (WHO) as usual.
The list of participants is enclosed.
S No Name of In-charge Designation S No Name of In-charge Designation
1 Ghulam Abbas Detho RPD_III 72 Dr.Ghayoor Abbas M.O
2 Dr. Abdul Kareem Shaikh M.O 73 Dr. Abdul Shakoor M.O
3 Dr. Ghulam Mustafa Sheikh M.O 74 Dr. Tahir Hussain Kanhar MO
3 Dr. Abdul Qadir Shaikh M.O 75 Dr.Muhammad Afzal .M.O
4 Dr.Abdul Qayoom Solangi M.O 76 Dr Asadullah Ghumro M.O
5 Dr. Abdul Qayoom Memon M.O 77 Dr. Basheer ahmed Lashari M.O
6 Dr. Nek Mohammad Memon M.O 78 Dr.Muhammad Nawaz M.O
7 Dr. Ahsan Solangi M.O 79 Dr Aijaz Ali M.O
8 Dr. Akhtar Hussain Khuhro M.O 80 Dr. Zaheer Ahmed M.O
9 Dr. Ali Mohammad Bhambhro M.O 81 Dr Abdul Majeed memon M.O
10 Dr. Asif ali Khaskheil MO HQ 82 Dr Mukesh Kumar M.O
11 Dr. Atta Hussain Narejo M.O 83 Dr. Gobind Ram M.O
12 Dr. Atta Muhammad Memon M.O 84 Dr. Pardeep Kumar M.O
13 Dr Abdul Hameed Sheikh M.O 85 Dr. Qadir Memon M.O
14 Dr. Ayaz Ali Mirani M.O 86 Dr. Imtiaz Hussain Maitlo M.O
15 Dr. Ayaz Hussain Shaikh M.O 87 Dr. Tariq Mumtaz M.O
16 Dr. Azhar-u-ddin Aarejo M.O 88 Dr. Mohammad Ayoub M.O
17 M.O 89 Dr. Narain Mal M.O
18 Dr. Falak Sher Sahito M.O 90 Dr.Abdullah Al Asad M.O
19 Dr. Fayaz Ahmed Memon M.O 91 Dr.Shahid Hussain M.O
20 Dr. Ghulam Akbar M.O 92 Dr.Roshu Mal M.O
21 Dr. Ghulam Hussain M.O 93 Dr. Mian Khalid Bashir M.O
173
22 Dr. Ghulam Hyder Phul M.O 94 Dr. Abdul Majeed Kanhar M.O
23 Dr. Ghulam Mujtaba Memon M.O 95 Dr.Ajmal Ghumro M.O
25 Dr. Ghulam Mujtaba Rajpar M.O 96 Dr. Abdul Malik Soomro M.O
26 Dr. Ghulam Murtaza Bughti M.O 97 Dr.Nadeem Abbass M.O
27 Abdul Rasheed M.O 98 Dr. Mir Iqbal Talpur M.O
28 Dr. Asghar Ali Arain M.O 99 Dr. Mast Ali M.O
29 Dr.Khalid Javed Awan M.O 100 Dr Nisar Soomro M.O
30 Dr.Raja Ikram M.O 101 Dr. Arif Hussain M.O
31 Dr.Dharam Pal M.O 102 Dr. Ghulam Sarwar M.O
32 Dr Abdul Rasheed Joyo M.O 103 Dr Muhammad Rafique M.O
33 Dr.Ghulam Murtaza Lakho
M.O 104 Dr.Muhammad Hassan Sheikh S.M.O
34 Dr. Ghulam Safdar Lakho M.O 105 Dr.Bashir Ahmed Narejo M.O
35 Dr. Javed Ahmed Memon M.O 106 Dr Israr Ahmed M.O
36 Dr. Javed Ahmed Soomro M.O 107 Dr. Jaleel Memon M.O
37 Dr. Kamran Rasool Mangi M.O 108 Dr Kailash Patti S.M.O
38 Dr. Karam Abbas M.O 109 Dr Noor muhammad S.M.O
39 Dr. Khalid Hussain Memon M.O 110 Dr muhammad shareef S.M.O
40 Dr. Khalique Dino wassan M.O 111 Dr:Ramish Kumar S.M.O
41 Dr. Khair Muhammad M.O 112 Dr:Kundan Dass S.M.O
42 Dr. Mir Sarfraz Talpur M.O 113 Dr:Mir Iqbal Talpur S.M.O
43 Dr. Muhammad Azam Ganbheer M.O 114 Dr:Abdul Rashid S.M.O
48 Dr. Muhammad Juman Sahito M.O 115 Dr:Niaz Ali S.M.O
49 Dr. Muhammad Panah M.O 116 Dr Ghulam Hyder S.M.O
50 Dr. Mumtaz Shaikh M.O 117 Dr Mohammad Waris kuber S.M.O
51 Dr. Mumtaz Wasan M.O 118 Dr Abdul hameed S.M.O
52 Dr. Nek Muhammad Memon M.O 119 Dr Mukhtiar Sahito S.M.O
53 Dr. Niaz Wassan .M.O 120 Dr. Majid Ali Mangi S.M.O
54 Dr. Noor Ahmed Banbhan M.O 121 Dr.Masroor S.M.O
55 Dr. Parvez Iqbal .M.O 122 Dr.Asif Soomro Ophtholmologis 56 Dr. Rabdino Rajper .M.O 123 Dr. Kamran Rasool Mangi MO
57 Dr. Saeed Ahmed Ansari .M.O 124 Dr. Noor Muhammad DO
58 Dr. Saifullah Bugti .M.O 126 Dr. Abdul Munam Shar
M.O
MO
59 Dr. Sanaullah Bharejo MO 127 Dr. Abdul Rauf Shaikh MO
61 Dr. Shafique Ahmed Memon SMO 128 Dr. Anwar Illahi Sahito MO
62 Dr. Sheeraz Phulpoto SMO 129 Dr. Ghulam Murtaza Rajer MO
63 Dr. Waheed Ali Kalhoro M.O 130 Dr. Muhammad Ali Sikandar MO
64 Dr. Khalq Dino Wasan S.M.O 131 Dr. Muhammad Aslam Baloch MO
174
65 Dr. Suhail Ahmed Memon M.O 132 Dr Qadam Ali Jamro SMO
66 Dr Waqar Ahmed .M.O 133 Dr. Manzoor Hussain S.M.O
67 Dr.Mehtab Phull M.O 134 Dr Majid Ali Mangi S.M.O
68 Dr.Maqsood Ahmed M.O 135 Dr.Sanullah Bharejo MO
70 Dr. Jaleel Memon MO 136 Dr. Ashique Hussain MO
71 Dr. Khalid Kalhoro S.M.O 137 Dr. Ghulam Sarwar MO
Following Medical Officers remained absent from Monthly Review Meeting Dr. Ahmed Ali Kanhar S.M.O MO
1 Dr.Mohammad Siddique S.M.O 20 Dr. Manzoor Hussain Wasan .M.O
2 Dr. Ayaz Ali Chandio M.O 22 Dr. Arif Hussain M.O
3 Dr. Basheer Ahmed Khuhro M.O 22 Dr. Ashique Hussain MO
4 M.O 23 Dr. Majid ali Mangi MO
5 Dr. Mukhtiar Ahmed Wasan M.O 24 Dr. Abdul Jabbar Lashari S.M.O
6 Dr. Mir Arif Hussain M.O 25 Dr.Hakim Solangi S.M.O
7 Dr. Washoo Mal MO 26 Dr:Noor undin S.M.O 8 Dr. Safiullah Mahaser MO 27 Dr . Ab Sattar Bhatti S.M.O
9 Dr. Muhakum Din Bozdar MO 28 Dr. Mohammad Hasan Skh S.M.O
10 Dr. Basheer Ahmed Naerejo SMO 29 Dr Abdul Hakeem Kuber S.M.O
11 Dr. Ghulam Rasool SMO 30 Dr. Khair Shah SMO
12 Dr Rahim Bux Rind S.M.O 31 Dr. Abdul Rasheed M.O
13 DR IFTHIKHAR AHMED S.M.O 32 Dr Bag Ali Bozdar S.M.O
14 DR NOOR AHMED S.M.O 33 Dr Abdul Shakoor Buber S.M.O
15 Dr. Israr ahmed MO 34 Dr Khair Muhammad S.M.O
16 Dr. Jamil Memon MO 35 Dr. Niaz ali S.M.O
17 Dr. Noor Mohammad MO 36 Dr. Gada Hussain SMO
18 Dr. Iftikhar Ahmed MO 37 Dr. Ghulam Hayder MO
19 Dr. Zameer Ali Phull MO 38 Dr. Qaiser Raza Bozdar SMO
20
Dr Asadullah Ghumro S No Name of Female Medical
Designation S No Name of Female Medical
Designation
1 Dr. Abida Memon FMO 31 Dr. Sunita Dharampal FMO
2 Dr. Asma Shaikh FMO 32 Dr. Khadija Soomro FMO
3 Dr.Sanobar Soomro FMO 33 Dr. Syeda Aliya Nazir FMO
4 Dr. Nadia sharaf FMO 34 Dr. Reehana Zulfiqar FMO
5 Dr. Rozina Soomro FMO 35 Dr. Sanam Shaikh FMO
Dr. Hameeda Rajper (SN) FMO 36 Dr.Fareeda Sangri WMO
7 Dr. Naheed Akhter FMO 37 Dr. Rozina Lakho Sonologist
8 Dr. Naseem Dharejo FMO 38 Dr. Lal Khatoon FMO
9 Dr. Shafiat Rahman FMO 39 Dr. Sunitaa Bozdar FMO
175
10 Dr. Irshad Rajper FMO 40 Dr. Zeenat Memon FMO
11 Dr Sangeeta washoo FMO 41 Dr. Roshan Waqar FMO
12 Dr. Sobia Memon FMO 42 Dr. Zahida Soomro Sonol
13 Dr. Zainab Bozdar FMO 43 Dr. Sana sheikh FMO
14 Dr. Marium FMO 44 Dr Shazia Sheikh FMO
15 Dr.Mehrunissa FMO 45 Dr. Aisha Balouch FMO
16 Dr.Farzana Kanhar FMO 46 Dr. Hina Mazahr FMO
17 Dr. Shabiran Mari FMO 47 Dr. Rukhsana Maitlo FMO
18 Dr. Sadaf Raheel FMO 48 Dr. Reeta FMO
19 D. Shahida Mangrio FMO 49 Dr. Samina Channa FMO
20 Dr Tahira Sonol. 50 Dr. Rabia Sangi FMO
21 Dr Reshman FMO 51 Dr. Sangeeta Mukesh FMO
22 Dr Sajida Parveen FMO 52 Dr.Ghazala Ghumro FMO
23 Dr Afshan Bhambhro FMO 53 Dr.Sajida WMO
24 Dr. Jameela Jabbar Shaikh FMO 54 Dr. Afsheen FMO
25 Dr. Rozina Lakho Sonol 55 Dr. Fakhunisa Bhambhro FMO
26 Dr Sadaf Rajab FMO 56 Dr. Rukhsana Sohu FMO
27 Dr. Abida Kanhar FMO 57
28 Dr. Hameedda Rajper Jr Sonol 58
29 Dr Pukhraj Panhwar Sonol 59
30 Dr Anjuman Ara FMO 60
31 Dr. Abida Kanhar FMO
Following Female Medical Officers remained absent from Monthly Review meeting
Mohsin Ali S. No Name of Female Medical
Designation S. No Name of Female Medical
Designation
Dr. Nusrat W
FMO 11 Dr. Sh hid
FMO
Dr. M dih
FMO 12 Dr. A i
FMO
Dr. Firdos A
FMO 13 Dr. Af h
FMO
Dr. Reena FMO 14 Dr. S bi
FMO
Dr. Naila S
FMO 15 Dr. R bi
Sonologist
Dr. S i
FMO 16 Dr. Sh b
FMO
Dr. Nazia N
FMO 17 Dr. Af h
FMO
Dr. Gh l
FMO 21
Dr. Sh h d
WMO 22
Dr. Ri
Sonologist 23
List of DSU Staff attended the monthly review meeting
01 Ghulam Abbas Detho RPD-III 09 Mr. Akhtar Hussain Khaskhlei S.O
02 Mr.Ammanat Ali Shar DSM 10 Mr. Mohsin Mehboob Bhatti S.O
176
03 Mr.Riaz Ahmed Rahoojo ADSM 11 Mr. M Ibrahim Chandio S.O
04 Mr.Aijaz Phull EO(M&E) 12 Mr. Junaid Jonejo Assistant
05 Mr.Asif Nazeer Kalwar EO(M&E) 13 Mr. Amanullah SO
06 Mr. Bhai Khan Khemtio S.O 14 Mr. Saleem Mangi Assistant
07 Mr. Kaleem Ullah, Khilji S.O 15 Waseem Sajjad SO
08 Mr. Fahim Ahmed EX F/A 16 Asad ali SO
L. HFs WITH PPHI
BHUs: 82 Dispensaries: 45 MCHCs: 09 Others: 14
TOTAL: 150
B. Population of the Catchments Area:
X. STAFF STRENGTH
Sanctioned Posts
Working Government Employees
PPHI Contract
Vacant
Mos 154 51 103 1
WMOs(Govt) 05 05 0 ---
FMO 59 0 61 05
Sonologist 06 - 06 1
LHVs 73 11 75 6
MTs/MAs
Male
--- --- --- ---
Female --- --- --- ---
Dispensers 152 112 48 2
Y. CLUSTERS OF HFs WITH ONE MO
Previous Month Total at Present
Month under Review Total at Present
Clusters of 6 HFs 00 Clusters of 6 HFs 00
Clusters of 5 HFs 00 Clusters of 5 HFs 00
Clusters of 4 HFs 00 Clusters of 4 HFs 00
Clusters of 3 HFs 00 Clusters of 3 HFs 00
Clusters of 2 HFs 07 Clusters of 2 HFs 07
Single HFs 145 Single HFs 145
177
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Names of the Resource Persons with dates
Topic No. of Participants
Nll
Capacity Building of LHVs / Dispensers during Month under Review
Names of the Resource
Topic No. of
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered in Children at Health Facilities. 3843
NO. of TT Vaccines provided to pregnant/child bearing age women @HFs. 2417
No. of Immunization & Vaccination Administered by out- reach EPI
0
Total vaccination / immunization for the
6260
Previous Month Total at
Month under Review Total at Clusters of 5 HFs 00 Clusters of 5 HFs 00
Clusters of 4 HFs 00 Clusters of 4 HFs 00
Clusters of 3 HFs 00 Clusters of 3 HFs 00
Clusters of 2 HFs 42 Clusters of 2 HFs 42
Single HFs 17 Single HFs 17
178
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
100% NA
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides NA
2 Active Case Detection (ACD) Slides NA
3 Visits to Check Sanitation (individual house holds + streets) NA
4 Notices issued against Poor Sanitation NA
5 Challans sent to Court against Poor Sanitation NA
6 Patients Nebulized NA
# Names of FMOs Ante-Natal
Cases Neo-Natal
Cases Other OPD Total OPD
01 Dr Nusrat Wassan 280 22 1239 1541
02 Dr. Asma Shaikh 25 0 778 803
03 Dr. Madiha Rehman 55 0 380 435
04 Dr Reena 638 18 619 1275
05 Dr Sanoober 35 0 982 1017
06 Dr. Naila Soomro 256 0 1186 1442
07 Dr. Rozina Soomro 54 0 1640 1694
08 Dr. Samina Shaikh 95 0 920 1015
09 Dr. Naheed Akhtar 49 0 909 958
10 Dr. Naseem Dharejo 38 3 1063 1104
11 Dr. Nazia Noor 60 8 444 512
12 Dr. Ghazala Lashari 64 0 1143 1207
13 Dr. Firdous Ara 0 0 0 0
14 Dr. Irshad Rajper 0 0 0 0
15 Dr.Sangeta Wasu 128 0 1032 1160
16 Dr. Sobia 36 0 778 814
17 Dr. Zainab Bozdar 213 5 1683 1901
18 Dr. Maryam Sheikh 158 2 1800 1960
19 Dr. Mehrunnisa 103 0 910 1013
179
20 Dr. Fakhrunnisa 229 46 1913 2188 21 Dr. Farzana Kanhr 60 0 988 1048 22 Dr. Shaberan Mari 59 0 949 1008 23 Dr. Sadaf Raheel 63 0 1037 1100 24 Dr. Suneeta Dharmpal 130 0 1238 1368 25 Dr. Rukhsana Soho 380 9 1612 2001 26 Dr. Khadija Soomro 90 4 803 897 27 Dr. Syda Alia Nazer 71 0 780 851 28 Dr. Rehana Zuluf 60 0 722 782 29 Dr. Sanam Shaikh 14 0 141 155 30 Dr. Nadia Sharaf 37 0 743 780 31 Dr. Shamshad 86 0 1199 1285 32 Dr. Zeenat Memon 62 2 1218 1282 33 Dr. Roshan Waqar 34 0 987 1021 34 Dr. Aasia Bhatti 0 0 0 0 35 Dr. Shazia Shaikh 120 1 1411 1532 36 Dr. Aisha Baloch 52 0 810 862 37 Dr. Rukhsana Mtl 0 0 1710 1710 38 Dr. Samina Chana 170 0 1351 1521 39 Dr. Rabia Sangi 23 0 445 468 40 Dr. Sangeta Muk 80 0 1173 1253 41 Dr. Reshma 40 0 442 482 42 Dr. Sajida Parve 26 0 545 571 43 Dr. Suneeta Boz 50 0 737 787 44 Dr. Shafiat Rehm 45 0 466 511 45 Dr. Afshan Bhambhro 120 6 202 328 46 Dr. Jameela Jabbar
42 0 633 675
47 Dr. Sadaf Rajb 33 0 789 822 48 Dr Abida Kanhar 110 4 1733 1847 49 Dr. Anjum Ara 50 1 465 516 50 Dr. Sajida (WMO) 72 0 389 461 51 Dr.Afsheen ICU
52 Dr.Tahira Shaikh Sonologist
53 Dr.Reeta Sonologist
54 Dr.Rizwana Sonologist
55 Dr.Pukhraj Sonologist
56 Dr.Zahida Soomro Sonologist
57 Dr.Rozina Lakho Sonologist
58 Dr.Hamida Rajper Sonologist
59 Dr.Lal Khatoon
60 Dr. Sajida Ujan
61 Dr. Shabnam Phul NICU
180
MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2. Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 150
2 Deliveries Assisted at homes 0
3. Lab/ Diagnostic Tests
9. Important Discussion on Mother and Child and Reproductive Health during MRM
It was informed by DSM that since Family Planing material is being supplied to HFs. The FMOs were also directed to pay more attention over vaccination of children and women and provide family planning advice.
Provision of Family Planning Services during the Month
S # Name of the Items / Service November
1 Consultation / Advice 5215
2 Oral Pills 987
3 IUCDs 175
4 Injections 917
05 Others 836
Total 8130
(III) COMMUNITY PARTICIPATION
During Month under Review
S # Name of Test Number
1 Pregnancy Tests. 1036
2 Blood Sugar Tests. 1125
3 Haemoglobin Tests. 2135
4 Ultra Sound Test. 4328
5 Other. 3605
181
1. Number of Male CSGs: 120 Number of female SGs: 0
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
No. No. of
No. No. of Bhai Khan 5 75 2/2 28/30
Muhammad Ibrahim 4 70 6/6 60/60
Akhtar Hussain 6 77 4/4 70/60
Kaleemullah Khilji 5 52 3/4 20/31
Mohsin Ali 3 64 2/2 25/20
Ammanulah Keerio 8 76 5/4 41/31
Total 31 414 23/23 244/232
3. School Health Sessions & Community Health Sessions
S No.
Names of MO /
Community Health Sessions School Health Sessions
Sessions
Sessions Children E i d
Children T t d 1 Dr. Nusrat Wassan 3 70 0 0 0
2 Dr. Asma Shaikh 3 28 1 1 13
3 Dr. Madiha Rahman 0 0 0 0 0
4 Dr. Reena 0 0 0 0 0
5 Dr.Sanobar Soomro 1 15 0 0 0
6 Dr. Naila Soomro 2 19 0 0 0
7 Dr. Rozina Soomro 3 29 2 2 10
8 Dr. Samina Shaikh 4 40 1 1 4
9 Dr. Naheed Akhter 3 30 1 1 8
10 Dr. Naseem Dharejo 3 57 1 1 9
11 Nazia Noor 2 50 1 1 13
12 Dr. Ghazala Lashari 2 52 2 2 3
13 Firdos Ara 0 0 0 0 0
14 Dr Sangeeta washoo 4 83 3 48 6 15 Dr. Sobia 2 30 1 14 2 16 Dr. Zainab Bozdar 3 37 1 10 8 17 Dr. Maryam Sheikh 4 30 1 10 5 18 Dr.Mehrunissa 3 38 1 9 5 19 Dr. Fakhunisa
Bh bh 3 25 1 10 5
20 Dr. Afsheen
21 Dr.Farzana Kanhar 2 25 0 0 0 22 Dr. Shabiran Mari 4 47 1 20 12
182
23 Dr. Sadaf Raheel 3 27 1 8 6 24 D. Shahida Mangrio 1 10 1 12 4 25 Dr. Abida Memon 1 12 0 0 0 26 Dr. Sunita Dharampal 4 40 2 30 20 27 Dr. Rukhsana Sohu 1 7 0 0 0 28 Dr. Khadija Soomro 3 41 1 11 8 29 Dr. Syeda Aliya Nazir 4 40 1 8 3 30 Dr. Rehana Zulfiqar 2 20 2 42 5 31
32 Dr Tahira Sonologist
33 Dr: Nadia Sharaf
34 Dr: Hameeda Rajper
Sonologist
35 Dr. Nadia Sharaf 3 57 1 15 0 36 Dr. Hameeda Rajper
(SN) 4 45 2 30 15
37 Dr. Shamshad Shaikh 0 0 0 0 0 38 Dr. Zeenat Memon 3 45 1 12 7 39 Dr. Roshan Waqar 1 15 1 15 0 40 Dr. Aasia Bhatti 0 0 0 0 0 41 Dr: Lal Khatoon Red Crescent Unit
42 Dr Shazia Sheikh 2 39 0 0 0 43 Dr. Aisha Balouch 2 25 1 6 6 44 Dr. Rukhsana Maitlo 2 38 2 39 32 45 Dr. Samina Channa 2 44 0 0 0 46 Dr: Zahida Soomro Sonologist
47 Dr. Rabia Sangi 2 39 2 31 5 48 Dr. Sangeeta Mukesh 2 36 2 58 31 49 Dr: Shabnam Phull Neonatal Ward
50 Dr: Reeta SMBB Polyclinic
51 Dr Reshman 3 38 2 30 16 52 Dr Sajida Parveen 2 18 1 10 5 53 Dr. Sunitaa Bozdar 4 60 1 10 8 54 Dr. Shafiat Rahman 1 13 1 10 6 55 Dr: Rozina Lakho Sonologist
56 Dr: Rizwana Andleep Sonologist
57 Dr Afshan Bhambhro 2 15 0 0 0 58 Dr. Jameela Jabbar
Sh ikh 3 32 1 3 3
59 Dr Sadaf Rajab 3 36 2 21 12
183
60 Dr. Abida Kanhar 4 65 0 0 0 61 Dr Anjuman Ara 4 40 1 20 15 62 Dr.Sajida WMO 2 19 1 5 5 63 Dr. Pukhraj Sonologist
4. Important Points during SHSs
- FMOs/MOs told about the sign and symptoms of Malaria,RTI,Measles; preventive measures i.e;mosquito repellent creams/oils,mos.nets,fumigation,examine an treat childrens.
5. Important Points during CHSs
- Medical Officers told the participants about the sign/symptoms,preventive measures of Scabies,Measles,Malnutrition.The participants also examined and were given treatment.
6. Topics for SHSs for the Month
S No. Topic
1 Measles
2 Malaria
3 RTI
7 Topics for CHSs for the Month
S # Topics
1 Measles
2 Scabies
3 Malnutrition
8. Important Discussion on Community Participation during MRM
- Holding of regular Community Support Groups Meetings. - Involvement of Active community members in BRHFs issues and in R&R and problems faced by BRHFs. - Support from community member in holding Community Health Sessions and SHS & their participation.. - All Male & Female Medical Officers were instructed to keep HF neat & clean & plantation. - Intimation to community for of health services provided at HFs
9. Health Camps: Number Held: Number of Patients:
184
10. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation NIL
Ii Drainage / sewerage NIL
Iii Drinking water NIL
Iv Prevention of
NIL
V Tree Plantation NIL
Vi Roads and infrastructure NIL
Vii Environmental
NIL
Viii Others NIL
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 245910 8988 254898
2. Maximum OPD** Minimum OPD**
S # BRHF OPD BRHF OPD
1 NMC Chondiko 9275 GD Model Village 127
2 SMBBP Poly Clinic 8262 BHU Pir Bux Gah0 328
3 BHU /MCHC Khuhra 6063 DCD Fakirabad 506
4 BHU Drib Mehar Shah 4471 DCD Atta Mohammad Rajpar 513
5 BHU Bozdar Wada 4206 GD Murad Gopang 520
3. Top Five Diseases Treated during School Health Sessio ns/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
S # Diseases No. of Patients
1 Malaria 0
2 RTIs 0
3 Scabies/Skin Infections 0
185
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 4188
2 Malaria 23425
3 Diarrhea 8896
4 Skin Infections 5252
5 Fever due to other Causes 4468
41. ARV / ASV used during the month
No. of Patients
Dog Bite cases Reported 490
ARV Administered 490
ARV Available Doses 910
Snake Bite cases Reported 1
ASV Vaccine Administered 1
ASV Vaccine Available Doses 34
42. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) (Lab / Diagnostic Tests)
S # Tests Number
1 Blood Sugar Tests 1125
2 Hemoglobin 2135
3 X-Rays (if available) 127
4 Ultra Sound 4328
5 Others (Malaria+Lab Test) 3605
B & C SCREENING TESTS
Screening No. of Tests
No. of cases
No. of cases
Total referred
Follow up result
Hepatitis B NA
Hepatitis C NA
8. TUBERCLOSIS
186
Patients
Receiving Treatment
New Cases During the Month Under Diagnosis
0 0 0
9. Referrals
S. No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
0 0 0 0 0 0 0
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
0 0 0 0 0 0 0
G. MONITORING DURING MONTH UNDER REVIEW
1. Monitoring Visits during the month
DSM ADSM Executive Monitoring
Other Staff Total
55 45 111 268
479
S # Name of HF Issue Action Remarks
0 0 0 0
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
2. Important Issues raised relating to Medicines, etc. during MRM
• Late Submission of medicine requisitions DHIS, FMO Reports, Dews Reports by Medical Officer and Female Medical Officers
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
187
S # Name of
HFs
Description of Repair / Maintenance incl. Electrification
Status / Remarks
01 BHU Dhoro 100% Completed
02 BHU Dubi 100% Completed
03 BHU Hindyari 100% Completed
04 BHU Kabir Khan Siyal 100% Completed
05 BHU Kharrah 100% Completed
06 BHU Tarko 100% Completed
07 GD Deparja 100% Completed
08 GD Mangho Fakir Shar 100% Completed
09 GD Sutyaro 100% Completed
10 BHU Bachal Bhambhro 100% Completed
11 BHU Khalifo Huryah 98% Completed
12 BHU New Goth Sahito 100% Completed
13 BHU Sami 100% Completed
14 BHU Rukrani 100% Completed
15 BHU Bhelar wada 100% Completed
16 BHU Razal Memon 100% Completed
17 BHU Gadeji 100% Completed
18 BHU Kathore 100% Completed
19 BHU Bachal Bhambhro
100% Completed
20 BHU Sikanadr Abad 100% Completed
21 MCHC Choondiko 100% Completed
22 BHU Layari 100% Completed
23 BHU Mithri 100% Completed
24 GD Fateh pur 100% Completed
25 BHU Amir Ali Shah 100% Completed
26 BHU Arab Solangi 100% Completed
27 BHU Jiskani 100% Completed
28 GD Murad Gopang 100% Completed
29 BHU Nawab Khan Wassan 100% Completed
30 BHU Imam Bux Palh 100% Completed
31 BHU Jan M Wandiar 100% Completed
32 BHU Hashim Shah Jagir 100% Completed
33 BHU Karam Ali Khan Lashari 100% Completed
34 BHU Babar wada 100% Completed
35 BHU Bago daro 100% Completed
36 GD Talpur wada 100% Completed
37 BHU Hadal Shah 100% Completed
188
38 BHU Kot Mir Muhammad 100% Completed
39 BHU Sadarji Bhatyoon 100% Completed
40 BHU Rahooja 100% Completed
41 BHU Mahesar wada 100% Completed
42 BHU Manghanwari 100% Completed
43 BHU Bahar Larik 100% Completed
44 BHU Kolab Jial 100% Completed
45 GD Ali Hyder Jalbani 100% Completed
46 BHU Thehri 100% Completed
47 BHU Babarloi 100% Completed
48 GD Mitho Mari 100% Completed
49 BHU Machyoon wada 100% Completed
50 BHU Pir Mangio 100% Completed
51 BHU Bago Maitlo 100% Completed
52 BHU Tando Masti 100% Completed
53 BHU Gagri 100% Completed
54 BHU Lal Bux Mangi 100% Completed
55 BHU Lal Bux Mangi 2 100% Completed
56 BHU Long Fakir 100% Completed
57 GD Allah Bux Katohar 100% Completed
58 GD Manjhi Khan Katohar 100% Completed
59 GD Siming 100% Completed
60 BHU Tando Nazar Ali 100% Completed
61 GD Razi Goth 100% Completed
62 GD Gabar Maitlo 100% Completed
63 GD Nihal Khan 100% Completed
64 BHU Ripri 100% Completed
65 GD Arab Phull 100% Completed
66 BHU M Ramzan Mullo 100% Completed
67 BHU Araro 100% Completed
68 BHU Bhango Behan 100% Completed
69 BHU Zafarabad 100% Completed
70 BHU Ubhri 100% Completed
71 BHU Tando Mir Ali 100% Completed
72 BHU Phori Chadio 100% Completed
73 BHU Jado Wahan 100% Completed
74 BHU Razidero 100% Completed
75 GD Shah Ali Jamro 100% Completed
76 GD Imdad Ali Sahito 100% Completed
189
77 BHU Tando Mir Karam 100% Completed
78 BHU Sagyoon 100% Completed
79 BHU Tajjal Sharif 100% Completed
80 BHU Hussain Abad 100% Completed
81 GD Kandhar 100% Completed
82 BHU Ahmed Pur 100% Completed
83 BHU Piryaloi 100% Completed
84 BHU Phat 100% Completed
85 GD Akan Behan 100% Completed
86 BHU Sadi Lower 100% Completed
87 GD Fakir M Lakho 100% Completed
88 BHU Bozdar Wada 100% Completed
89 BHU Setharja 100% Completed
90 GD Abu Zaibi 100% Completed
91 BHU Kumb 100% Completed
92 BHU Rahooja II 100% Completed
93 BHU Pir Bux Loothi 100% Completed
94 BHU Imdad Ali Shar 100% Completed
95 BHU Pir Hayat Shah 100% Completed
96 BHU Akri 100%
97 BHU Ghulam Nabi Rajper 100%
98 BHU Pir Bux Gaho 95%
99 BHU Niazabad 65%
100 GD Model Village 75%
101 BHU Baseero 10%
102 GD Karoondi 60%
103 BHU Kamaldero 50%
104 GD Faizabad 70%
105 BHU Belharo 30%
106 BHU/MCHC Khuhra 30%
107 GD Fakirabad 70%
108 BHU Lakha Wada 10%
109 MH Ahmedpur in process
110 GD Bakhar Kanasra In process
111 GD Arab Phull II In process
112 GD Mangho Fakir Shar In process
190
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
Date /Time for Next MRM: 10th of March 2013/ 9:00am
Comments by DSM:
There is Shortage of Basic Equipments i.e;B.P Apparatus,Stethoscope,Thermometer and Aprons for MO & FMO as well as for paramedic & Auxillary Staff. I/C MOs were directed to fill DHIS Report properly and maintain HF record according to DHIS protocol and instructions of Public Health Specialist.
191
MINUTES OF THE (48th) MONTHLY REVIEW MEETING
OF DISTRICT_DADU
Monthly Review Meeting (MRM) of District, DADU for the Month of January, 2013 was held on 13/02/2013 at DC
Darbar Hall Dadu. Written invitations to participate were sent to the DC, the DO(H), the DO(F&P) and District
Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows:
List of Participants
S # Names/Designation S # Names/Designation
1 Mr. Moula Bux Solangi
2 Dr. Zahid Hussain Dawach
3 Dr. Abdul Rasheed Qureshi
4 Dr. Ghulam Siddique Panhwar
5 Dr. Abdul Hameed Soomr
6 Dr. Niaz Hussain Jamali
7 Dr. Zahid Hussain Khehro
8 Dr. Sohail Ahmad Channar
9 Mr. Abdul Sattar Soomro
10 Mr. Peer Ashfaque Ahmad
11 Dr. Altaf Hussain Shah
12 Dr. Nizam u Din Abro
13 Dr. Bashir Ahmad Channa
14 Dr. Abdul Kareem Jamali
15 Dr. Bhajan Lal Matlani
16 Dr. Sanaullah Soomro
17 Dr. Sayed Lal Shah
18 Dr. Altaf Hussain Qureshi
19 Dr. Fayaz Ahmad Panhwar
20 Dr. Deedar Hussain Abbasi
21 Dr. Akbar Ali Panhwar
22 Dr. Shams Din Jokhio
23 Dr. Ghullmullah Samoo
24 Dr. Hidayatullah Chandio
25 Dr. Mujahid Saand
26 Dr. Abdul Raheem Saryo
27 Dr. Allah Dino Khoso
28 Dr. Allah Dino Khoso
29 Dr. Mumataz Ali Khand
30 Dr. Imdad Hussain Kalhoro
31 Dr. Ammanullah Chandio
32 Dr. Rasheed Ahmad Chandio
33 Mr. Nisar Ahmad Chandio
34 Dr. Assadullah Lakhair
35 Dr. Mohammad Azam Chandio
36 Dr. Irshad Ahmad Shah
37 Dr. Ihsan Iqbal Thebani
38 Dr. Akram Ali Soomro
39 Dr. Manzoor Ahmad Sario
40 Dr. Shamas Din Kalhoro
41 Dr, Awais Ahmad Bughio
42 Dr. Khalid Hussain Laghari
43 Dr. Qamarudin Abbasi
44 Dr. Altaf Ahmed Lund
45 Dr. Mohammad Nawaz Arain
46 Dr. Zubair Ahmad Panhwar
47 Dr. Abdullah Sameejo
48 Dr. Dost Mohammad Bughio
49 Dr. Mohammad Waseem Arain
50 Mr. Mohammad Khan Rustamani
51 Dr. Afshan Memon
52 Dr. Naheed Akbar Janwari
192
53 Dr. Shabnam Niaz Gorar
54 Dr. Farzana Jokhio
55 Dr. Mehnaz Saeed Soomro
56 Dr. Fareeda Noonari
57 Dr. Zakia Larik
58 Mr. Allahwarayo Khoso
59 Dr. Naheed Shaikh
60 Dr. Farhana Shah
61 Dr. Uzma Soomro
62 Dr. Fahmeeda Shaikh
63 Dr. Shahida Solangi
64 Ali Raza Jamali
65 Dr. Rehana Joyo
66 Dr. Rubeena Arejo
67 Dr. Ameena Bughio
68 Dr. Shoaib Qazi
69 Mr. Abdul Hafeez Bhatti
70 Mansoor Ali Panhwar
71 Mr. Abdul Sami Soomro
72 Sayed Rizwan Ali Shah Kazmi
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Kalsoom Janwary
CL 2 Dr. Adeela Soodhar
CL
3 Dr. Mohammad Naeem
CL 4 Dr. Akhtar Hussain
CL
5 Dr. Jameela Khoso
CL 6 Dr. Nizakat Ali Sahar
CL
M. HFs WITH PPHI
BHUs: 35 Dispensaries: 12 MCHCs: 02 Others:______
TOTAL: 49
B. Population of the Catchments Area: 786774
Z. STAFF STRENGTH
Sanctioned
Working Government
PPHI
Vacant
MOs 49 43 17 26 32
WMO
FMOs - 18 0 18 07
LHVs 30 32 7 25 20
MTs/Mas Male
- - - -
- Female - - -
Dispensers/HT 78 57 28 29 0
193
AA. CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
NOTE: One Sonologist is working
E. CAPACITY BUILDING
1. First Session: During MRM
Dr. Zahid Hussain Khahro, in his lecture focused on POLIO on the following points:-
• Wild Virus cases by type and district in Pakistan
• Clinical Spectrum of Polio virus Infection
• Eradication Strategy
o Routine Immunization
o NIDs
o AFP Surveillance
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs Clusters of 2 HFs
Single HFs 43 Single HFs 43
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 14 Clusters of 2 HFs 14
Single HFs 4 Single HFs 4
194
o Mopping Up
• AFP Surveillance
• What is NEAP for Polio
• UPEC
• Why are UPEC needed
• Functions of UPEC
• Pre / During / Post Campaign
2. Second Session: During MRM
Dr. Ghulam Siddiqu Panhwar, in his lecture focused on Malaria on the following points:-
• Malaria
• Back ground Information
• Current Situation
• Diagnosis
• Treatment
• What is new in Malaria
• Historical Back ground of Malaria
• The burden of disease
• Malaria Control in Pakistan
• Roll Back Malaria
• Life Cycle of Malaria parasite
• Diagnosis of Malaria
35. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource
Date Venue Topic No. of
-- -- -- --
-- -- -- -- --
195
F. REVIEW OF THE PERFORMANCE
(I) PREVETIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization No. of Doses of Immunization Administered to Children at Health Facilities. 4957
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 1243
No. of Immunization & Vaccination Administered by out- reach EPI Teams
Total vaccination / immunization for the month January 2013 6200
2. National Immunization Days (NIDs) Dates of NIDs Target of coverage Actual coverage Percentage of
- - - -
3. Other Preventive/Promotional Services .
S # Service Number
1 Passive Case Detection (PCD) Slides 1876 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual households + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized -
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health S # Names of FMOs Ante-Natal
Cases Neo-Natal
Cases Other OPD
Total
1 Dr.Afshan Memon 80 8 492 580
2 Dr.Ameena Bughio 112 15 553 680
3 Dr Fahmeda Shaikh 151 11 849 1011
4
Dr.Fareeda Noonari 51 6 522 579
196
5 Dr.Farhana Shah 174 19 668 861
6 Dr Farzana Jokhio 272 17 588 877
7 Dr. Rubeena Tahir 51 5 408 464
8 DR. Kalsoom Janwari 79 13 437 529
9 Dr.Mehnaz Soomro 91 8 460 559
10 Dr. Meena Kumari 68 6 1096 1170
11 Dr.Naheed Akbar 120 16 450 586
12 Dr. Naheed Shaikh 77 5 701 783
13 Dr. Rehana Joyo 55 11 1108 1174
14 Dr. Shahida Solangi 144 20 819 983
15 Dr.Shabnam Niaz 77 10 619 706
16 Dr. Uzma Soomro 47 4 281 332
17 Dr.Zakia Larik 20 3 218 241
TOTAL 1669 177 10269 12115
Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 69 2 Deliveries Assisted at Homes 00
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 24 2 Blood Sugar Tests 18 3 Hemoglobin Tests 79 4 Ultra Sound Test
1109 5 Other 492
197
36. Important Discussion on Mother and Child and Reproductive Health during MRM
The MOs and FMOs demanded that supply of the Tables Ponstan, Paracetamol, Brufen and Amoxil Drops.
Increase quantity of peads: medicine especially in suspension form and Tablet forms.
37. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 1465
2 Oral Pills 652
3 IUCDs 5
4 Injections Depo 392
5 Injection Noregest 38
6 Others (Condoms) 511
Total 3063
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------47------------ Number of Female SGs: -------02-------
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
Male Female Total No. of
No. No. of Mr.Abdul Hafeez Bhatti 128 8x16=128 12 12x18=216
Mr.Mansoor Ali Panhwar 108 6x18=108 10 10x20=200
Total 236 236 22 416
198
2. School Health Sessions & Community Health Sessions
Sessio
Sessi
Children
Children Dr. Altaf Lund 1 22 1 3 3
Dr. Akbar Panhwar 1 20 1 4 2
Dr. Allahdino Khoso 1 15 1 5 2
Dr. Ammanullah Chandio 1 17 1 5 2
Dr. Ashok Kumar 1 21 1 4 3
Dr. Awais Ahmad Bughio 1 20 1 6 2
Dr. Bhajan Lal 1 17 1 2 2
Dr. Bashir Ahmad Channa 1 19 1 7 4
Dr. Deedar Abbasi 1 24 1 6 2
Dr. Dost Mohammad Bughio 1 18 1 12 10
Dr. Fayaz Ahmad Panhwar 1 10 1 6 4
Dr. Hidyatullah Chandio 1 16 1 3 2
Dr. Irshad Ahmad Shah 1 31 1 3 3
Dr. Khalid Hussain Laghari 1 17 1 5 5
Dr. Manzoor Ahmad Saryo 1 22 1 7 2
Dr. Mohammad Akram Soomro 1 16 1 4 3
Dr. Mohammad Azam Chandio 1 20 1 6 6
Dr. Mohammad Waseem Arain 1 16 1 2 1
Dr. Mohammad Naeem Mahessar 1 11 1 10 6
Dr. Mujahid Hussain Saand 1 17 1 7 4
Dr. Nizakat Ali Sahar 1 18 1 5 3
Dr. Nizam u Din Abro 1 16 1 6 5
Dr. Qamar Din Kalhoro 1 18 1 5 3
Dr. Shams Din Kalhoro 1 13 1 3 3
Dr. Sayed Lal Shah 1 21 1 13 7
Dr.Afshan Memon 2 72 2 13 11
Dr.Ameena Bughio 2 58 2 7 7
Dr Fahmeda Shaikh 2 60 2 11 5
Dr.Fareeda Noonari 2 35 2 5 4
Dr.Farhana Shah 2 65 2 6 5
Dr Farzana Jokhio 2 66 2 18 9
DR. Kalsoom Janwari 2 59 2 2 9
Dr.Mehnaz Soomro 2 50 2 15 10
199
Dr. Meena Kumari 2 48 2 4 4
Dr.Naheed Akbar 2 42 2 9 5
Dr. Naheed Shaikh 2 36 2 5 3
Dr. Rehana Joyo 2 36 2 8 4
Dr. Rubeena Tahir 2 31 2 18 8
Dr, Shahida Solangi 2 55 2 12 6
Dr. Shabnam Gorar 2 44 2 16 5
Dr Uzma Soomro 2 43 2 6 4
Dr.Zakia Larik 2 26 2 15 10
59 1281 57 309 198
4. Important Points during Support Group Meetings.
a) CSG demanded that the Ultrasound facility may be provided at uncovered areas.
b) CSG members demanded that health facilities may be repaired.
5. Important Points during SHSs
A) Prevention of Scabbies
b) Prevention of Diarrhea
c) Increase awareness regarding the prevention of Malaria.
d) Precaution of Acute respiratory Infection.
6. Important Points during CHSs
c Prevention of Diarrhea
b) Prevention of Polymylitis
c) Prevention of Family Planning
d) Prevention of Maleria
200
7. Topics for SHSs for the Month
Sr. No. Topics
1 Measles
2 Health & Hygiene
3 Malaria
4 Hygiene
5 Hand Wash
8 Topics for CHSs for the Month
S # Topics
1 Measles
2 Measles Vaccine
3 Asthma
4 Breast Feeding
9. Important Discussion on Community Participation during MRM
The DSM urged the MOs and FMOs to conduct regular monthly meetings with CSG/ CHS/ SHS and send a copy of
minutes of the meeting to DSU for record purpose. He further directed keep record of the same and focus on the
staff regularity and punctuality.
10. Health Camps: Number Held: 0. Number of Patients: 00
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation - - -
Ii Drainage / sewerage - - -
Iii ……… drinking water - - -
Iv Prevention of
- - -
V Tree Plantation - - -
Vi Roads and infrastructure - - -
Vii Environmental
- - -
Viii Others - - -
201
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
92207 1851 94058
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Wahi Pandhi 5936 GD G.M. Jatoi 349
2 BHU Phulji Station 4003 GD Mureed
b
742
3 BHU Allahyarani 3576 GD Murad
J li
863
3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 21446 2 DIARRHOEA / DYSENTERY 7933 3 SKIN DISEASE 7819 4 SUSPECTED MALARIA 7152 5 EYE/ENT 2033
S # Diseases No. of Patients
1 Respiratory Disease 86
2 DIARRHOEA 42
3 MALARIA 12
4 SCABBIES 6
5 EYE INFECTION 26
202
38. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 265
ARV Administered 195
ARV Available Doses 383
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
43. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 484 2 Blood Sugar Tests 298 3 Haemoglobin 79 4 X-Rays (if available) 0 5 Ultra Sound 1109 6 Others (please specify) 492
44. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B 200 25 - - -
Hepatitis C 200 4 - - -
45. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
53 7 37
203
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 - - - - - -
3 - - - - - -
4 - - - - - -
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 - - - - - -
3 - - - - - -
4 - - - - - -
G. MONITORING DURING MONTH UNDER REVIEW
17. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
40 42 64 146
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 MCH Khudabad FMO demanded repair of
Work has been done
2 BHU Allahyarni MO demanded supply of
Pipe has been supplied
3 BHU Wahi Pandhi MO demanded winding
f l
Work has been done
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for ……………… Weeks
2. Impotant Issues raised relating to Medicines, etc. during MRM
Few Doctors pointed out that the quality of medicine may be improved and also increase the quantity of medicine. The DSM apprised the medical officers that 10 items of medicine were procured from multinational companies and rest of the items are also of good quality and efficacious.
204
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Aminani Completed MB recorded Completed
2 BHU Ibrahim Panhwar Completed MB recorded Completed
3 BHU Khanpur Completed MB recorded Completed
4 BHU Makhdoom Bilawal Completed MB recorded Completed
5 BHU Pyaro Goth Completed MB recorded Completed
6 BHU Kolachi Completed MB recorded Completed
7 BHU Allahyarani Completed MB recorded Completed
8 BHU Bahawalpur Completed MB recorded Completed
9 BHU Gozo Completed MB recorded Completed
10 BHU Betto Completed MB recorded Completed
11 BHU Kamal Khan Lund Completed MB recorded Completed
12 BHU Phakka Completed MB recorded Completed
13 BHU Samtani Completed MB recorded Completed
14 BHU Qazi Arif Completed MB recorded Completed
15 BHU Boriri Completed MB recorded Completed
16 BHU Thallo Completed MB recorded Completed
17 BHU Haji Khan Completed MB recorded Completed
18 BHU Thareri Mohabat Completed MB recorded Completed
19 BHU Moundar Completed MB recorded Completed
20 BHU Dhani Bux Bughio Completed MB recorded Completed
21 BHU Phulji Station Completed MB recorded Completed
22 GD G.Mohammad Chandio Completed MB recorded Completed
23 BHU Sita Village Completed MB recorded Completed
24 BHU Essa Khan Thebo Completed MB recorded Completed
25 BHU Burera Completed MB recorded Completed
26 BHU Wahi Pandhi Completed MB recorded Completed
27 BHU Baid Completed MB recorded Completed
28 BHU Patt Completed MB recorded Completed
29 BHU Dogar (Tender) Completed MB recorded Completed
30 GD Nawab jo Patt (Tender) Completed MB recorded Completed
31 BHU Aghamani (Tender) Completed MB recorded Completed
32 GD Jatt Shahdad Completed MB recorded Completed
33 GD K. B. Chakkar Khan Work Completed Completed
34 BHU Fareed Abad Work Completed Completed
205
35 Bhu Purano Dero Work Completed Completed
36 BHU Chorr (Tender) Work Completed Completed
37 GD Gul Mohammad Jatoi Work Completed Completed
38 GD Paryo Jamali Work Completed Completed
39 GD Murad Jamali Work in Progress 40%
40 MCH Khudabad Work in Progress 30%
41 MCH Fareed Abad Work in Progress 30%
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
---- ---- ----
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• Involve of PPHI staff in NIDs .
• Regularity and punctuality.
• HF Record updated.
On Preventive Health:
• The DSM emphasizes the regular CSG Meetings and CHS Meeting.
• Keeping the view the Polio Drops, the awareness of this disease was on top priority.
• Establish the Wastage Pitch.
• Role on awareness rising about vaccination and it was shared with the forum that DSU-PPHI Dadu has
appointed the 10 vaccinator for said purpose.
On Curative Health:
• Properly usage of laboratory machine, Pregnancy strips, Nabulizer Machine and Glucometer strips.
• The DSM emphasize on the properly Keeping Record and HF cleanliness.
206
On Mother, Child & Reproductive Health:
• Female Deliveries.
• The DSM appreciate the increase in Vaccination.
• Ensure the fully participation in NIDs
Other Matters:
The DSM stressed upon furnishing the record of inverse cases of HB / HC.
Date /Time for Next MRM:
Date /Time for Next MRM: On 09 March at 10:00 am.
Comments on Targets vs Achievements (by DSM)
• Repair of the HFs.
• Provided ARVs / ASVs
• Provided Water Connection at HFs
• Maintaince of HFs Record
• Regularity and Punctuality of Staff
• Established link with Community Support Group and meeting there and tell them about PPHI and there Services at HFs.
MOULA BUX SOLANGI
DISTRICT SUPPORT MANAGER
207
MINUTES OF THE (57th) MONTHLY REVIEW MEETING
OF DISTRICT NAUSHEHRO FEROZE
57th Monthly Review Meeting (MRM) of District, Naushehro Feroze for the Month of January-2013 was held on 12th-Feb-2013 at DC-Committee room NF. Written invitations to participants were sent to the DC, the DO (H), the DO (F&P) and District Incharge of EPI, notable of CSG members and Incharge of all other National Programs as usual. The list of participants is as follows:
List of Participants: (Enclosed as annex.)
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr Sajjad Hyder Absent 2 Dr Hassan Amur Polio 3 Dr Rafiq Jalbani C/L 4 Dr Nasir Khoso S/L
5 Dr Gulam Abbas Leave 6 Dr Khalid Masood Polio 6 Dr Ali Raza Polio duty 7 Dr Rafiq Mangrio Polio 8 Dr Manzoor Dahri LWP 9 Dr Gul Bibi Absent
N. HFs WITH PPHI
BHUs: 44 Dispensaries: 5 MCHCs: Others: ______
TOTAL: 49
B. Population of the Catchments Area: 571,289
BB. STAFF STRENGTH
Sanctioned Posts (Govt.)
Working Government Employees
PPHI Contract
Vacant
(Sanc-Govt) MOs 51 45 22 23 29 WMO 3 03 00
FMOs 00 25 00 25 00
LHVs 3 00 00 22 3
MTs/MAs Male 71 4 4 00 65 Female 2 2 00
Dispensers/Vacci: 4 67 36 31 00
208
CC. CLUSTERS OF HFs WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM i. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource
Date Venue Topic No. of N/A
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
o. of Doses of Immunization Administered to Children at Health Facilities. 5522
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 894
No. of Immunization & Vaccination Administered by out- reach EPI Teams -
Total vaccination / immunization for the month 6416
2. National Immunization Days (NIDs) for Polio
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 07 Clusters of 2 HFs 07
Single HFs 34 Single HFs 34
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 17 Clusters of 2 HFs 17
Single HFs 10 Single HFs 10
209
Dates of NIDs Target of coverage Actual coverage Percentage of January -28-30-2013 264349 269864 102%
3. Other Preventive/Promotional Services
S # Service Number 1 Passive Case Detection (PCD) Slides - 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual house holds + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized 119
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health N ame of FMO Neo-Natal Postnatal Other OPD Total OPD
Dr. Asma Memon 6 9 0 738
Dr. Amber Khehro 0 7 25 654
Dr. AQeela Qureshi 8 15 192 642
Dr. Arfeen Korai 1 4 273 820
Dr. Fozia Abbassi 3 2 214 839
Dr. Ghulam Qubra Buriro' 0 4 132 746
Dr. Ghulam Zaineb 82 21 126 969
Dr. Khoula Naz 7 13 200 831
Dr. Marya Khaskheli 3 17 135 1941
Dr. Shaista Qurban 1 8 128 1048
Miss: Sanam Perween 1 3 93 616
Dr. Nusrat Parween 1 7 191 841
Dr. Nuzhat Anwar 2 9 71 851
Dr. Ruqaya Samo 0 14 30 746
Dr. Sadia Shah 0 2 367 1025
Dr. Kainat 0 1 156 704
Dr. Safia Memon 10 10 57 905
Dr. Salma Amjad 0 5 109 1010
Dr. Shamsunisa 0 2 65 785
Dr. Rehana Sardar 0 3 10 1021
Dr. Sughra Badar 1 18 59 1459
210
Dr. Tabbasum Buriro' 4 3 58 275
Dr. Usha 0 0 87 931
Dr. Shahzadi Sarwat 3 15 310 1311
Dr. Azra 7 2 408 1753
Dr. Zareena 7 43 196 1181
Dr. Fahmida Abro 0 6 134 760
2. Deliveries Assisted
S # Service Number 1 Deliveries Assisted at HFs 45 8 D&Cs 2 Deliveries Assisted at Homes
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 886
2 Blood Sugar Tests 461
3 Hemoglobin Tests 720
4 Ultra Sound Test 1620
5 Other -
39. Important Discussion on Mother and Child and Reproductive Health during MRM
40. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
Consultation / Advice 879
Oral Pills 75
IUCDs 20
Injections 342
Others-Condoms 100
Total 1416
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 48 Number of Female SGs: 48
2. Performance of Social Organizers
211
Names of Social Organizers
Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No: No: of Participants
Zubair Ahmed Memon 12 0 205 5 139
Waheed Bhatti- 8 0 137 7 127
Munawar Kaleri- 10 0 170 6 298
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children Examined
Children Treated
All MOs and FMOs 78 1800 60 2743 251
Totals 78 1800 60 2743 251
4. Important Points during Support Group Meetings.
• Importance of vaccination especially of Measles and family planning • Involvement of CSG members in polio campaign • Increasing mobility of Ambulance at MCHCs • Owner ship of the HF and the assets like ambulance by CSG members • Presiding of the meeting by CSG members emphasized. • Coverage of PPHI- EPI centers and working of the new appointed EPI vaccinators • Facility utilization at MCHCs • Encouraging support group members to help during NIDs. • Floating the message of PPHI service to the people of respective catchment area. • Arranging of awareness sessions at their respective villages • Developing greenery at HFs
5. Important Points during SHSs
• Importance and awareness of Measles
• Vaccination and immunization
6. Important Points during CHSs • Importance of measles
• TT vaccination
212
• Family planning
• EPI vaccination and its importance
• Polio vaccination
7. Topics for SHSs for the Month
Sr. No. Topics
1 Measles
2 Vaccination
3 Immunization
4 Polio campaign
5
8 Topics for CHSs for the Month
S # Topics
1 Importance of Measles
2 TT Vaccination
3 Family planning
4 EPI and Polio vaccination
9. Important Discussion on Community Participation during MRM
• Awareness regarding measles
• Mobilization of members for arranging awareness sessions at their villages on vaccination and measles
• Sensitization to CSG members about Polio vaccination and NIDs emphasized
• Role of CSG members in Polio Campaign
• Monthly meeting with CSG members and proper updating of the minutes
• Identification and information of missed children from vaccination of Polio
• Formal invitation to the CSG members for monthly meeting
• Effective Mobilization of female CSGs and developing their ownership @ hf.
• Community mobilization area should be strengthened.
10. Health Camps: Nil.
213
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation
ii Drainage / sewerage
iii ……… drinking water
iv Prevention of
v Tree Plantation
vi Roads and infrastructure
vii Environmental
viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Follow-up patients treated during the
month
Total OPD during the month
(New+Old)
83961 1998 85959 2.
Maximum OPD** Minimum OPD**
S# Name of BHU OPD Name of BHU OPD
1 Bhiria Road 4761 Molidino Larik 1068 2 Lakha Road 4331 Molidino Rajper 1068 3 Ghair Gaju 3187 Palhano 1060 4 Phull 3027 Mehmood Chandio 748 5 Kundha Khahi 2850 Ali Mohammad Phariro 686
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1 ARI 80
2 Suspected Malaria 62
3 Diarrhea 45
4 Scabies 37
5 Dermatitis 27
Total 251
214
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD
S # Disease No. of Patients
1 ARI 19166
2 Suspected Malaria 11333
3 Diarrhea 5483
4 Scabies 3148
5 Dermatitis 3415
7. ARV / ASV used during the month
Names No. of Patients
Dog bite cases reported 226
ARV vial used/ Administered 226
ARV Available Ampules 325
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 3
46. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number 1 Pregnancy Tests 886
2 Blood Sugar Tests 461
3 Hemoglobin Tests 720
4 X-Rays (if available) 2 Units 04 5 Ultra Sound 1620
6 Others (please specify) -
47. B & C SCREENING TESTS
215
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B 7 1 1 0 Nil-
Hepatitis C 9 5 2 0 Nil-
48. TUBERCLOSIS
Patients
New Cases During the
Under Diagnosis
00 15 -
9. Referrals
S.No
Totals Cases Referred To
TB DOT Deliveries Others RHCs THQs DHQs
1 15 15 0 0 10 3 2
2
3
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 0
3
4
G. MONITORING DURING MONTH UNDER REVIEW
18. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
46 59 137 242
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
01 N/A N/A N/A N/A
216
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for --55--- Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
1
Repair and Renovation work of all assigned HFs have been completed satisfactorily.
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
N/A N/A N/A
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• Updating of the personal files of staff
• Getting proper history of patients
• Wearing of aprons by all staff members
• Proper timing and facilitation of patients
• Regularity and punctuality of the staff
• Proper updating and reconciliation of the record especially stock and daily expense register
• Daily visit of the MO and FMO of the medicine store
• Medicine management
On Preventive Health:
217
• Proper planning of measles sessions before holding it in schools and colleges of catchment area
• Awareness of measles through pamphlets and banners
• Getting proper history of the patients
• Arranging of quality CHS and SHS on Measles
• Agenda of the sessions must be with planning and in simple language.
• Cleanliness of the HFs on regular basis.
On Curative Health:
• Provisional diagnose should be according to the case definition
• Classification of diseases
• Efficient use of Medicine at HF
• Lab: tests at HFs
• Medicine must be properly managed
• Proper and legible record also maintained and reconciled
• Discouraging pricking
• House keeping of the HFs is must.
• X-Ray and Ultrasound facility
On Mother, Child & Reproductive Health:
Other Matters:
Date /Time for Next MRM:
Next 58th MRM shall be held on 7th March-2013 at 10:00 am.
Comments on Targets vs Achievements (by DSM)
218
MINUTES OF THE (53rd) MONTHLY REVIEW MEETING
OF DISTRICT SUKKUR
Monthly Review Meeting (MRM) of District, Sukkur for the Month of January, 2013 was held on 13th February, 2013 at Circuit House Sukkur. Written invitations to participate were sent to the DC, the DHO, the RPD RSU IV, the District Incharges of all vertical programs (EPI, TB Dots, LHWs, and all other National Programs as usual, DPWO, DHCSO-UNICEF & DSO WHO. The list of participants is as follows:
List of Participants
S # Names/Designation S # Names/Designation
1 Mr. Nasimuddin Mirani DSM Sukkur 33 Dr. Muhammad Naqi
2 Mr. Syed Haider Ali Shah EO (M&E) 34 Dr. Saifullah Qureshi
3 Dr Abdul Kareem Baloch THO (DHO Office) 35 Dr. Ali Gul Shah
4 Dr. Mehmood Qureshi DDO (DHO Office) 36 Dr. Mushtaque Mahar
5 Dr Goutam 37 Dr. Zahid Hussain Mahar
6 Dr Nazeer baloch 38 Dr. Abdul Ghaffar Khoso
7 Dr Ashok Kumar 39 Dr Ghulam Murtaza Jatoi
8 Dr Mahjabeen 40 Dr. Noorunisa
9 Dr. Tanveer Hussain Abbasi 41 Dr. Sanam Qazi
10 Dr. Muhammad Javed Baloch 42 Dr. Najma Shah
11 Dr. Girdhari Lal 43 Dr. Zaibunisa Qazi
12 Dr. Abdul Sami Shaikh 44 Dr Abdul Wahab Buriro
13 Dr. Noor Ahmed Soomro 45 Dr Shahid Shahani
14 Dr. Rizwana 46 Dr. Abida Gilani
15 Dr. Tahir Hussain Abbassi 47 Dr Musarat Qureshi
16 Dr. Munawar Kalwar 48 Dr. Farzana Talpur
17 Dr. Salahuddin Shah 49 Dr. Muhammad Hussan Indhar
18 Dr. Nusrat Dharejo 50 Dr. Imtiaz Qureshi Pediatrician THQ rohri
19 Dr. Nadeem Ahmed 51 Dr Zubair Mangi.
20 Dr. Ghulam Muhammad 52 Mr. Faisal Sheikh Assistant Admin
21 Dr. Mir Perveez 53 Mr. Zubair Ahmed Sahito SO I
22 Dr. Ahsanullah Dayo 54 Mr.Ghulam Akbar SOII
23 Dr. Khuram Hayat 55 Dr Feroz Dharejo Project Coordinator 24 Dr. Shazia Memon 56 Dr. Hayee Khoso
25 Dr. Amanullah 57 Dr. Sajjad Gillani
26 Dr.Shazia Mangi 58 Dr. Mujeeb Rehman
27 Dr. Shaista Mahar 59 Dr. Imtiaz Sarki
28 Dr. Ghulam Zuhra 60 Mr.Mehtab Ahmed
29 Dr. Aneela Haseeja 61 Sohail Ahmed
30 Dr. Suneel Kumar 62 Dr Mumtaz Bullo
219
31 Dr. Kaneez Fatima 63 Dr Ghulam Qadir
32 Dr. Rasool Bux Shah
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr Abdul Waheed C/Leave 3
2 Dr Basher Ahmed Absent 4
5 Dr farzana chachar CL 6
7 Dr Zakia Mahar CL 8
9 Dr Abida simiar CL 10
O. HFs WITH PPHI
BHUs: ___26____ Dispensaries: ___7____ MCHCs: ___1____ Others:__1____
TOTAL: ___35____
B. Population of the Catchments Area:
DD. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt)
MOs 31 32 08 24 23 WMO 0 0 0
FMOs 22 18 0 18 4
LHVs 27 24 14 10 3
MTs/MAs Male 2 2 2 0 0 Female 0 0 0
Dispensers/HT 52 54 37 17 0
EE. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs - Clusters of 6 HFs -
Clusters of 5 HFs - Clusters of 5 HFs -
Clusters of 4 HFs - Clusters of 4 HFs -
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs - Clusters of 2 HFs -
Single HFs 32 Single HFs 32
220
WITH ONE FMO
E. CAPACITY BUILDING
41. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource
Persons with dates Date Venue Topic No. of
Participants
Nil - - - -
Nil - - - -
Presentation on EDEWS mobile system Presented By: Dr Nazer Baloch SO WHO
Presentation on Case Definitions of Communicable diseases
Presented By: Dr. Imtiaz Husain Qureshi Pediatrician Taluka Hospital Rohri.
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization Descriptions Number
Doses of Immunization Administered to Children at HFs. 5330
TT vaccines administered to pregnant women at HFs. 978
Immunization & Vaccination Administered by out- reach EPI Teams 4196
Total Vaccination / Immunization for the Month January 2012 10504
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of Nil - - -
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 08 Clusters of 2 HFs 08
Single HFs 7 Single HFs 7
221
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual households + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulizer 993
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
S # Names of FMOs Ante-Natal Cases
Neo-N atal Cases
Other OPD
Total OPD
1 Dr. Ghulam Zuhra 318 33 834 1185
2 Dr. Abida Simair 302 8 1660 1970
3 Dr. Nusrat Dharejo 279 10 715 1004
4 Dr. Kaneez Fatima 309 7 1234 1550
5 Dr. Shazia Mangi 156 7 1344 1507
6 Dr. Shazia Aamir 211 5 2839 3055
7 Dr. Zaibunisa 98 5 1633 1736
8 Dr. Rizwana 182 4 1251 1437
9 Dr. Najma Shah 208 3 1341 1552
10 Dr. Sanam Qazi 150 2 881 1033
11 Dr. Shaista Mahar 181 2 846 1029
12 Dr. Farzana Naz 115 2 917 1034
13 Dr. Anila Hasija 151 1 1444 1596
14 Dr. Noor un nisa 162 5 703 870
15 Dr. Zakia Mahar 116 2 961 1079
16 Dr. Farzana Chachar 53 0 826 879
17 Dr. Afshan Soomro Maternity leave
18 Dr. Niaz Bhatti Report not submitted
Total 2991 96 19429 22516
222
2: Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 113
2 Deliveries Assisted at Homes 111
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 672
2 Blood Sugar Tests 651
3 Hemoglobin Tests 381
4 Ultra Sound Test 2051
5 Other 0
42. Important Discussion on Mother and Child and Reproductive Health during MRM No new thing was discussed on this issue.
43. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
Consultation / Advice 760 Oral Pills 652 IUCDs 8 Injections 391 Others 177
Total 1988
8
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: -----34------------- Number of Female SGs: ----02----------
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
DSM 0 0 0 02/1 30/50
Syed Haider Ali Shah EO M&E 02 0 36 1/0 20/0
223
Zubair Ahmed Sahito SO I 0 0 0 0/2 0/38
Total 02 0 36 3/3 50/88
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
Sessions Participants Sessions Children Examined
Children Treated
Dr. Ghulam Zuhra 2 20 2 30 17
Dr. Abida Simair 2 64 2 10 9
Dr. Najma Shah 2 92 1 10 5 Dr. Nusrat Dharejo 2 85 2 15
Dr. Anila Hasija 2 38 2 10 5 Dr. Kaneez Fatima 2 60 2 15 7
Dr. Shazia Aamir 2 30 0 0 0
Dr. Shazia Mangi 2 22 1 10 5
Dr. Sanam Qazi 2 4 2 27 15
Dr. Zaibunisa 2 22 1 43 20
Dr. Noor un nisa 2 26 2 16 7
Dr. Rizwana 4 200 2 40 14
Dr. Zakia Mahar 2 30 0 0 0
Dr. Shaista Mahar 2 25 0 0 0
Dr. Farzana Chachar 1 20 1 15 7
Dr. Farzana Naz 2 61 2 25 0
Dr. Niaz Bhatti 0 0 0 0 0
Dr. Shahid Hafeez 0 0 0 0 0
Dr Abdul Sami 1 13 1 6 0
Dr. Zahid Mahar 1 25 1 15 12
Dr. Basheer Ahmed 1 30 1 30 17
Dr. Salahuddin Shah 0 0 0 0 0
Dr Tanveer Hussain 1 32 0 0 0
DR Girdhari Mal 2 40 1 20 0
Dr Mujeeb Rehamn 2 24 2 15 4
Dr. Naqi 0 0 0 0 0
Dr. Meer Parveez 0 0 0 0 0
Dr. wahab 2 44 0 0 0
Dr. Ghaffar Khoso 0 0 0 0 0
Dr. Munwar 1 60 0 0 0
Dr. rasool Bux 0 0 0 0 0
Dr. Saifullah 0 0 0 0 0
Dr. Waheed 1 16 1 15 0
Dr Khuram 2 47 1 10 10
Dr. Tahir Abbasi 2 35 2 33 20
224
Dr. Noor Ahmed 1 8 1 12 0
Dr.. Ghulam Muhammad 2 60 2 13 13
Dr. Faisal Qazi 0 0 0 0 0
Ghulam Mrtaza 2 26 2 13 0
Dr. Ahasan Dayo 1 26 0 0 0
Dr. Javeed Baloch 1 13 1 21 4
Dr Mushtaque Mahar 3 75 2 10 7
Dr. M Hasan 0 0 0 0 0
Dr. Nadeem Mangi 1 12 1 5 0
Dr. amanullah 0 0 0 0 0
Dr Ghula Qadir 1 25 1 15 8
Dr Ali Gul Shah 2 25 1 10 2
Dr. Sunil Kumar 1 12 1 4 0 Total 64 1447 44 513 177
4. Important Points during Support Group Meetings.
In Community Support group Meetings, it was suggested by community members that both MOs & FMOs should conduct joint health sessions. It was planned that during next month all MOs and FMOs will conduct sessions in the catchments areas of their respective facilities. (The plan has been circulated by DSU)
5. Important Points during SHSs
In school health sessions the focus of all doctors was on Diarrhea & suspected malaria. They advised children to take care of both fatal diseases during upcoming month of September.
6. Important Points during CHSs
The Doctors imparted prevention measures against Diarrheal and Malarial disease to participants. The way to avoid outbreak of both diseases
7. Topics for SHSs for the Month
Sr. No. Topics
1 • ARI Infections & its prevention.
2 • Diarrhea types & its prevention
3 • Health Awareness and its importance
4 • Quakes & its effects on society
5 • Obstetric problems and its complications.
225
6 • Skin infection & its prevention (Scabies).
8 Topics for CHSs for the Month
S # Topics
1 • ARI Infections & its prevention.
2 • Diarrhea types & its prevention
3 • Health Awareness and its importance
4 • Quakes & its effects on society
5 • Obstetric problems and its complications.
6 • Skin infection & its prevention (Scabies).
7 • Poliomyelitis its complication & preventions.
8 • Vaccination & its importance.
9 • Malaria its complications& its prevention.
9. Important Discussion on Community Participation during MRM
We should take all possible measures to sensitize community to own our program
10. Health Camps: Number Held: ---01---. Number of Patients: --415--
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation N/A N/A N/A
Ii Drainage / sewerage N/A N/A N/A
Iii ……… drinking water N/A N/A N/A
Iv Prevention of
N/A N/A N/A
V Tree Plantation N/A N/A N/A
Vi Roads and infrastructure N/A N/A N/A
Vii Environmental
N/A N/A N/A
Viii Others N/A N/A N/A
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIE
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 76469 8555 85024
226
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Newpind 5859 GD Village Sehta 1111 2 BHU Qasimpur 5023 BHU Samo Chacher 1254 3 BHU Dadloi 4894 GD Jaffarabad 1260 4 BHU Salehpat 4189 BHU Fakirabad 1412 5 BHU Abad 4034 BHU Dubar 1518
3. Top Five Diseases Treated during School Health Sessions/Camp
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Four Diseases during OPD
S # Disease No. of Patients
1 ARI
22325
2 Diarrhea
4893
3 Susp: Malaria
2664
4 Skin Diseases
4730
44. ARV / ASV used during the month No. of Patients
Dog bite cases reported 250
ARV Administered 250
ARV Available Doses at DSU 218
Snake bite cases reported 00
ASV Vaccine Administered 00
ASV Vaccine Available Doses 01
S # Diseases No. of Patients
1 URTI 135
2 Suspected Malaria 01
3 Diarrhea 25
4 Scabies 06
Total 167
227
49. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 672
2 Blood Sugar Tests 651
3 Hemoglobin 381
4 X-Rays (if available) 32
5 Ultra Sound 2051
6 Others (please specify) -
50. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B 0 0 0 0 0
Hepatitis C 0 0 0 0 0
51. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
63 10 51
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs/HF THQs DHQs
2 164 36 5 123 9 35 120
3
4
S.No Totals Cases Referred from
1 ARV ASV Others RHCs/HF THQs DHQs
2 49 48 0 1 3 2 44
3
G. MONITORING DURING MONTH UNDER REVIEW
19. Monitoring Visits during the month
228
DSM EX: M&E Other Staff Total
30 46 30 106
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
BHU Dodanko Notables / complain for
SCN issued to Doctors Sensitized
BHU Gagro Water pump NF/
E(M/E) to get it fixed Water motor collected to get fi it
GD Village Sehta Water Motor NF E(M/E) to get it fixed
BHU Haji Khan Chachar Found closed during
Explanations
-
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for …………53……………. Weeks
2. Important Issues raised relating to Polio Campaign & UPEC Meeting, etc. during MRM
All UC MO provided refresher on role & responsible regarding UC MO & also importance of UPEC Meeting
REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
1 BHU Patni 100% Completed
2 BHU New pind 100% Completed
3 BHU Salehpat 100% Completed
4 BHU Qasimpur 100% Completed
5 BHU Arore 100% Completed
6 BHU Nouraja 100% Completed
7 BHU Dadloi 100% Completed
8 BHU Dubar 100% Completed
9 BHU Hingoro 100% Completed
10 BHU Tando Thatti 100% Completed
11 BHU Gagro 100% Completed
12 BHU Darawhan 100% Completed
13 BHU Kandowahan 100% Completed
14 BHU Sultan pur 100% Completed
15 GD Mubarkpur 100% Completed
16 BHU Cheechro 100% Completed
229
17 BHU Haji Khan Chachar 100% Completed
18 BHU Thikratho 100% Completed
19 GD Naseerabad 100% Completed
20 BHU Nirch 100% Completed
21 BHU Abad 100% Completed
22 BHU Faqeerabad 100% Completed
23 BHU Thariri 100% Completed
24 BHU Lutaf Ali Jagrani 100% Completed
25 BHU Hussain Kalwar 100% Completed
26 BHU Samo Chachar 100% Completed
27 BHU Dodanko 100% Completed
28 BHU Kandri 100% Completed
29 GD Ali Wahan 100% Completed
30 GD Riazabad 100% Completed
31 GD Village Sehta 100% Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
Dr. Riaz Ahmed Memon PD
BHU Salehpat/ Darawahan Found satisfied with our Dr A Sattar Chandio PHS BHU Saleh pat/Darawahan Ensure proper record
Dr Sagheer Ahmed Minister
BHU Salehpat Push us to do more
Mr Haleem Adil Shaikh
BHU Salehpat Likes us to offer territory Dr. Nasrullah Baloch (MPA)
BHU Salehpat Appreciated our services
Mr Aftab Khatri (Secretary:
BHU Salehpat Work in coordination with
Dr. Feroz Ahmed Memon (DG
BHU Salehpat Likes us to ensure services
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
On Staff Matters:
• The work of Vaccinators strictly be monitored & reported • Most focus on UPEC Meeting & ensure that all members fulfill their role & responsibilities • CHS & SHS ratio are not up to the mark. • CSG Meetings must be conducted at all Health Facilities. • Pay special Attention on Polio SNID & polio monitoring checklist must be filled and submit at DHO office
and collect acknowledgement for the same.
230
On Preventive Health:
• Punctuality and performance of all vaccinators should be monitored strictly and ensure perfect work by them in all UCs supported by record.
• Report of Immunization (EPI) should be submitted on weekly bases by Incharge MOs at DSU Sukkur to forward the same to PSU.
On Curative Health:
• The RTI was the top diagnostic diseases during the month of January and it may further increased in
next month so more ARI medicine will be provided to the HFs.
On Mother, Child & Reproductive Health:
Total 113 NVDs were conducted by PPHI staff during the month of January 2013. The contraceptive materials are Available, so family planning cases & deliveries must be increased.
Other Matters:
Date /Time for Next MRM:
12/03/2013
Comments on Targets vs Achievements (by DSM)
Target for the Month of February
Installation of 2 Gas connections at MCHC Salehpat & Qasimpur Sangi (Pano-Akil), push doctors for more family planning services to visit clients & increase the ratio of Deliveries. E(M/E) to coordinate for issuance of demand note for gas connections at both HFs.
Establishing MCHC centre’s in Taluka Sukkur
R&R work of Three Health Facilities
Start pathological Labs in Sukkur & Pano Aqil Talukas.
Achievement for the Month of January
To Combat the Measles outbreak during last month we established fix sites at all HFs to vaccinate 6 months to 10 years old children.
Started day night services at all HFs of Taluka Slaehpat
Started Ambulance service to refer suspected cases to Sukkur city hospitals for indoor.
We organized Mobile camps at various villages of taluka Saleh pat & Rohri.
231
MINUTES OF THE 33rd MONTHLY REVIEW MEETING
OF DISTRICT Ghotki@Mirpur Mathelo.
Monthly Review Meeting of District, Ghotki@MirpurMathelo for the Month of January, 2013 was held on
15th Feb- 2013 at DC Committee Hall Mirpur Mathelo. Written invitations to participate were sent to the DC, the DHO, and District Incharge of EPI, LHW and all other National Programs as usual.
The list of participants follows:
List of Participants:
S # Names/Designation Designation S # Names/Designation Designation
1 Mr. Danish Afzal DSM 35 Dr. Hidayatullah Cardiologist
2 Mr. Sanaullah Mangi Ex.M&E 36 Dr. Basheer Bhutto Medical Officer
3 Mr. Ahsan Masood EX.F&A 37 Dr. Zulfiqar Shah Medical Officer
4 Dr Qadir Bux General surgeon 38 Dr. Mouz ud Din Medical Officer
5 Dr. Mumtaz Ahmed Pediatrician+ 39 Dr. Amanullah Mahar Medical Officer
6 Dr.Rafiq Ahmed Medical Officer 40 Dr. Abdul Latif Naich Medical Officer
7 Dr. Asma Samreen Dental Surgeon 41 Dr. Ghulam Rasool Medical Officer
8 Dr. Raj Kumar Anesthetist 42 Dr. Amar Lal Medical Officer
9 Dr. Raj Kumar Cardiologist 43 Dr. Muhammad Yaqoob Medical Officer
10 Dr. Manoj Kumar Medical Officer 44 Dr. Shah Pasand Medical Officer
11 Dr. Zakir Hussain Cardiologist 45 Dr. Imran Hussain Medical Officer
12 Dr. Pershotam Dental Surgeon 46 Dr. Rabia Raheem Sonologist
13 Dr. Imtiaz Ahmed General surgeon 47 Dr. Samina Asif Sonologist
14 Dr.Altaf Hussain Dental Surgeon 48 Dr. Samina Shaikh Sonologist
15 Dr. Qurat-ul-Ain Gaynecologist 49 Dr. Roopa Bai FMO
16 Dr. Amna Khokhar FMO 50 Dr. Afsana Zulfiqar FMO
17 Dr Suresh Kumar Ultrasound
51 Dr. Salma Parveen FMO
18 Dr Mukesh ENT Specialist 52 Dr. Nizam Shah Medical Officer
19 Dr Ali Mohammad Anesthetist 53 Dr. Nusrat Noor FMO
20 Dr Bharat kumar Medical Officer 54 Dr. Hina Mumtaz FMO
21 Dr Deena Nath Medical Officer 55 Dr. Sadia Mahar FOM
22 Dr Suneel Kumar Medical Officer 56 Dr. Ishrat FMO
23 Dr.Ratan Medical Officer 57 Dr. Nazeer Ahmed Medical Officer
24 Dr. Umesh Lal Medical Officer 58 Dr. Mufakir Mian Medical Officer
25 Dr. Asif Hakeem Medical Officer 59 Dr. Fas-u-din Medical Officer
232
26 Dr. Parshotam Lal Medical Officer 60 Dr. Muneer Ahmed Medical Officer
27 Dr. Nisar Ahmed Soomro Medical Officer 61 Dr. Irfan Baloch Orthopedic
28 Dr. Imtiaz Ahmed Mirani Medical Officer
29 Dr. Shankar Lal Medical Officer
30 Dr. Majid Rahim Medical Officer
31 Dr. Sanaullah Medical Officer
32 Dr. Majid Rahim Medical Officer
33 Dr. Sanaullah Medical Officer
34 Dr. Sajjad Hussain Medical Officer
All the MOs / WMOs / FMOs attended the meeting, except the following, for reasons mentioned against each:
S # Names/Designation Reasons for absence
1
A. HFs WITH PPHI
BHUs: 31 Dispensaries: 10 RHC: 03 DCDs: 7
TOTAL: 51
B. Population of the Catchment Area: 666535
STAFF STRENGTH
Sanctioned
Posts As per PPHI
Working Government Employees
PPHI Contract Vacant
MOs
31 44 27 3 24 4
W/FMOs
12 25 10 0 10 2
LHVs
13 16 13 5 12 0
43 22 44 31 13 -1
Dispensers
5 0 5 5 0 0
GG. CLUSTERS OF HFs WITH ONE MO
Previous Month Month under Review Total at Present
Clusters of 6 HFs Clusters of 6 HFs
233
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
Nil
2. Second Session: During MRM
Nil
45. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource
Date Venue Topic No. of
Nil Nil Nil Nil Nil
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 10879
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 1238
No. of Immunization & Vaccination Administered by out- reach EPI Teams 18004
Total vaccination / immunization for the month Jan -2013 30121
Clusters of 5 HFs Clusters of 5 HFs -
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 3 Clusters of 2 HFs 3
Single HFs 24 Single HFs 24
Previous Month Month under Review Total at Present
Clusters of 5 HFs ( Ultrasound) Clusters of 6 HFs
Clusters of 4 HFs - Clusters of 4 HFs
Clusters of 3 HFs - Clusters of 3 HFs -
Clusters of 2 HFs 8 Clusters of 2 HFs
Single HFs 2 Single HFs 2
234
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of
- - -
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 163
2 Active Case Detection (ACD) Slides 67
3 Visits to Check Sanitation (individual house holds + streets) 2
4 Notices issued against Poor Sanitation
5 Challans sent to Court against Poor Sanitation
6 Patients Nebulized 150
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2. Deliveries Assisted S # Service Number 1 Deliveries Assisted at HFs 21
2 Deliveries Assisted at Homes 0
S # Names of FMOs Ante-Natal
Neo-Natal
Other OPD Total OPD
1 Dr. Roopa 15 0 1046 1061
2 Dr. Rashida Shaikh 0 0
3 Dr. Afsana Zulfikar 135 2 937 1074
4 Dr. Sadia Nisar
0 0
5 Dr. Salma Qureshi 88 5 871 964
6 Dr. Amna Khokhar 51 0 431 482
7 Dr Nusarat Noor 23 1 488 512
8 Dr. Hina Mumtaz 107 5 1186 1298
9 Dr. Sadia Mahar 43 2 691 736
10 Dr.Ishrat 37 0 618 655
Total 349 15 6268 6782
235
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 155
2 Blood Sugar Tests 366
3 Hemoglobin Tests 297
4 Ultra Sound Test 1299
5 Other
46. Important Discussion on Mother and Child and Reproductive Health during MRM
Nil
47. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 1046
2 Oral Pills 609
3 IUCDs 10
4 Injections 671
5 Others 103
Total 2493
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: 11 Number of Female SGs: 0
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
11 117 60 2164
Total 0
236
3. School Health Sessions & Community Health Sessions S # Name of Medical Officer CHS SHS
CSG
No.
of
Mee
tings
Part
icip
ants
No.
of s
essi
on
Part
icip
ants
Exam
ined
Trea
ted
1 Dr. Umesh Kumar 1 50 1 50 20 20 1
2 Dr. Nisar Ahmed Soomro 1 45 1 40 30 20
3 Dr. Sanaullah 2 62 1 175 35 33 1
4 Dr. Bashir Ahmed Bhutto 5 186 2
5 Dr. Zulfikar Ali Shah 2 50 2 55 50 45
6 Dr. Asif Hakeem 1 85 1 30 0 0 1
7 Dr. Imtiaz Ahmed 1 22
8 Dr. Gh: Rasool 1 13 1 37 21 12 1
9 Dr. Imran Hussain 1 25 1 22 14 12 1
10 Dr. Abdul Latif Naich 1 26 1 37 30 22 1
11 Dr. Majid Rahim 1 47 47 15
12 Dr. Shah Pasand Khan 1 18 1 5 50 22
13 Dr. Moizuddin Jatoi 1 18 1 29 11 6
14 Dr. Shankar lal
15 Dr. Pershotam lal 1 20 1
16 Dr.Mohd yaqoob mahar 1 13 1 83 26 17
17 Dr. Amanullah Khan Mahar 1 35 1
18 Dr Sajjad Hussain Mahar 2 72 1 39 3 1 1
19 Dr. Amar Lal 1 27 1 70 65 65
20 Dr Manoj Kumar 1 30 2 88 78 78
21 Dr.Rafiq Ahmed 1 17
11
S # Name of FMO
CHS SHS
No.
of
Mee
tings
Part
icip
ants
No.
of s
essi
on
Part
icip
ants
Exam
ined
Trea
ted
1 Dr. Roopa 3 39
237
2 Dr. Rashida Shiakh
3 Dr. Afsana Zulfikar 1 20 1 30 25 20
4 Dr. Sadia Nisar
1 28
5 Dr.Amna Khokhar 2 66 2 28 16 8
6 Dr. Salma Qureshi 2 70 2 86 20 10
7 Dr. Nusrat Noor 1 21
8 Dr. Hina Mumtaz 1 30 1 25 5 5
4. Important Points during Support Group Meetings.
Nil
5. Important Points during SHSs
Nil
6. Important Points during CHSs
Nil
7. Topics for SHSs for the Month
Sr. No. Topics
1 Measles
2 Cleanleeness
3 Maleri
8 Topics for CHSs for the Month
S # Topics
1 Antenatal and post natal care
2 Measels
3 Scabies
9. Important Discussion on Community Participation during MRM
Nil
238
10. Health Camps: Number Held: Nil . Number of Patients: Nil.
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation Nil Nil Nil
ii Drainage / sewerage Nil Nil Nil
iii ……… drinking water Nil Nil Nil
iv Prevention of
Nil Nil Nil
v Tree Plantation Nil Nil Nil
vi Roads and infrastructure Nil Nil Nil
vii Environmental
Nil Nil Nil
viii Others Nil Nil Nil
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 59169 3615 62784
2.
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Umer Daho 3762 DCD Chatto Kot 594
2 BHU Khambhra 2800 BHU Bago Daho 511
3 BHU Raunti 2589 BHU M. Y.M 488
4 RHC Adil Pur 2577 GD Pir Jo Goth 480
5 BHU Qadirpur 2478 DCD Pirzada
442
3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
S # Diseases No. of Patients
1 Nil Nil
239
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 8,015
2 Fever due to other causes 4,132
3 Scabies 3,527
4 Peptic ulcer 2407
5 Dia/Dys >5 2,319
48. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 127
ARV Administered
ARV Available Doses
Snake bite cases reported 1
ASV Vaccine Administered
ASV Vaccine Available Doses
52. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Test Number
1 Pregnancy Tests 155
2 Blood Sugar Tests 366
3 Hemoglobin Tests 297
4 Ultra Sound Test 1299
5 Other
53. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B
Nil Nil Nil Nil
Hepatitis C Nil Nil Nil Nil Nil
240
54. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
19 7 5
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
329 20 309 12 111 206
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 5 3 2 5
G. MONITORING DURING MONTH UNDER REVIEW
20. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
15 21 145 181
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 Nil Nil Nil Nil
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 15 Weeks
21. Important Issues raised relating to Medicines, etc. during MRM DSM discussed with all MOs regarding medicine consumption and control on misuse of medicine.
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance
incl. Electrification Status / Remarks
1 BHU Qadirpur R&R 100% 2 BHU Umer Deho R&R 100% 3 BHU Bago Bhutto R&R 100%
241
4 BHU Dad Laghari R&R 100% 5 BHU Soi Sharief R&R 100% 6 BHU Kamo Shaheed R&R 100% 7 BHU Ali Mahar R&R 100% 8 BHU Ayoub Lakhan R&R 100% 9 BHU Hussain Beli R&R 100%
10 BHU Syed Pur R&R 100% 11 BHU Jahanpur Sharief R&R 100% 12 BHU Saleh Mahar R&R 100% 13 BHU Noor Abad R&R 100% 14 BHU Ahmed Ali Pitafi R&R 100% 15 BHU Darwaish Naich R&R 100% 16 BHU Taj M.Ruk R&R 100% 17 GD M.Pur R&R 100% 18 GD Changlani R&R 100% 19 GD Khadwari R&R 100% 20 BHU Ghulam Hyder Leghari R&R 100% 21 GD Hayat Pitafi R&R 100% 22 BHU Lohi R&R 100% 23 GD Qazi Badal R&R 100% 24 GD SIjawal Dhaundhu R&R 100% 25 BHU Abdul Sattar R&R 100% 26 BHU Haso Daho R&R 100% 27 BHU Raunti R&R 100% 28 BHU Sanghri R&R 100% 29 GD Chak Shahbaz Pur R&R 100% 30 GD Pir Jo Goth R&R 95% 31 BHU Bago Daho R&R 85% 32 BHU Gh: Hussain Leghari R&R 100%
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
- - -
J- DISCUSSION DURING MRM
Expected Date of next MRM 12th march-2013
242
MINUTES OF THE (52nd) MONTHLY REVIEW MEETING
OF DISTRICT JACOBABAD
Monthly Review Meeting (MRM) of District, Jacobabad for the Month of January 2013 was held on 6th February 2013, at Zila Nazim council Hall Jacobabad. Written invitations were sent to the DC, DHO, DPWO, DSO (WHO), SO (DEWS)-WHO, SO UNICEF), and District In charge of EPI, LHW, Distt Coordinator, TB DOTS, DHIS and all other National Programs as usual. The list of participants follows:
List of Participants
1. Mr. Zulfiqrar Ali Langah District Support Manager, Jacobabad/ Umar Kot
2. Mr. Abdul Rasool Golo District Support Manager, Sanghar/Jacobabad
3. Mr. Muhammad Tahir Lashari E.O (M&E)
4. Mr. Muhammad Iqrar Veesar S.M DSU Jcd.
5. Mr. Haq Nawaz Lashari S.M DSU Jcd.
6. Mr. Noor Muhammad Bhangar S.M DSU Jcd.
7. Dr. Sajjad Ahmed Burriro I/C M.O G.M Jakhrani
8. Dr. Shoukat Ali Soomro I/C M.O Jumo Dasti
9. Dr. Kishore Kumar I/C M.O, Imam Bux Kehar
10. Dr. Ghulam Mohammad Dasti I/C M.O GD Welfare Dispensary AMS
11. Dr. Ghulam Muhammad Talani I/C M.O BHU Madadpur
12. Dr. Inayatullah Dayo I/C M.O Sheran Pur
13. Dr. Nusrat Soomro FMO Welfare Dispensary Ahmed Mian Soomro
14. Dr. Naila Soomro FMO GD Abad / BHU Mubarakpur
15. Dr. Farida Qureshi FMO GD Police Head Quarter
16. Dr. Ruqqaya Abro FMO BHU NM Pathan / BHU SK Rind
17. Dr. Saima Patujo FMO BHU Madadpur / BHU Bahadurpur
18. Dr. Saeeda Solangi FMO MCHC Jaffarabad
19. Dr. Farzana FMO MCHC Jaffarabad
20. Dr. Aziz Ahmed Soomro I/C M.O BHU Udi
21. Dr. Naeem Ahmed Sarki I/C M.O GD Naseer Khan Bhangar
22. Dr. Zulfiqar Ali Golo M.O BHU Bachro
23. Dr. Abdul Fattah Khoso ` I/C M.O BHU Bachro
24. Dr. Abdul Ghafar Babar I/C M.O Dodapur
25. Dr. Baqa Muhammad Panhwar I/C M.O Banlow Syedan
26. Dr. Kashif Ali Pahore I/C M.O BHU Joungal
27. Dr. Azizullah Talani I/C M.O GD Police H/Q
28. Dr.Abdul Ghafar Rind I/C M.O BHU Sohno Khan Rind
29. Dr. Safiullah Bhutto I/C M.O BHU Mubarakpur
30. Dr. Zafar Ali Pathan I/C M.O GD Abad
31. Dr. Ashok Kumar Sangitiani I/C M.O BHU Karim Bux Khoso
32. Dr. Amar Lal M.O BHU Karim Bux
33. Dr. Irfan Ahmed Khoso I/C M.O BHU Bangul
243
34. Dr. Saeed Ahmed Odhano I/C M.O DCD Abdul Rasool Khoso
35. Dr. Fazalullah Brohi I/C MO Muhammad Pur Odho
36. Dr. Muzaffar Ali IC/MO Hashmat Abad
37. Dr. Azeem Shah IC/MO Jumo Dhakan
38. Dr. Sajjad Ahmed Soomro IC/MO GD Adam Khan
39. Dr. Sheerin Soomro FMO GD Adam Khan & BHU Banglow Syedan
40. Dr. Abdul Basit Pahore MO BHU Buxan Pahore
41. Dr. Fouzia Khoso FMO/Sonologist MCHC Jaffarabad
42. Mr. Nadeem Ahmed Dispenser BHU Bahoo Khoso
43. Mr. Abdullah Ansari Dispenser DCD Gulsher Kandrani
44. Mr. Ghulam Hussain Assistant Accounts
45. Mr. Mehmood Ali Roongho Sub-Engineer PPHI
46. Mr. Shehryar Abro Assistant General
47. Mr. Shuhab Ali Sehto Store Manager
48. Mr. Asif Ali Assistant Store Manager
49. Mr. Abdul Wahid Bhayo Assistant Admin
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons S # Names/Designation Reasons
1 Dr. Wahid Bux Laghari - 2 Dr. Resham Naseer Leave
3 Dr. Shazia Rasheed Leave 4
P. HFs WITH PPHI
BHUs: __24____ Govt Dispensaries: ___09____ MCHCs: ___01____ Others:__ 03
TOTAL: __37__
B. Population of the Catchments Area: 562,525
HH. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt)
Mos 42 36 7 29 6 WMO 0 0 0 0
FMOs 20 14 1 13 6
LHVs 20 02 1 1 18
MTs/MAs Male 09 07 07 0 02 Female 0 0 0 0
Dispensers 65 58 28 29 8
244
II. CLUSTERS OF HFs
WITH ONE MO
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM In the first session of MRM new DSM and two new female Officers were introduced with participants.
2. Second Session: During MRM
eDEWS refresher / training was conducted during the second session of MRM.
Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of Participants
0
0
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 0 Clusters of 2 HFs 0
Single HFs 37 Single HFs 37
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs 01 Clusters of 3 HFs 01
Clusters of 2 HFs 05 Clusters of 2 HFs 05
Single HFs 08 Single HFs 08
245
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. (Only 3rd Penta valent &
l ) 1035
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 793
No. of Immunization & Vaccination Administered by out- reach EPI Teams – (Govt
-
Total vaccination / immunization for the month 1828
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of coverage
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides 0
2 Active Case Detection (ACD) Slides 0
3 Visits to Check Sanitation (individual house holds + streets) 0
4 Notices issued against Poor Sanitation 0
5 Challans sent to Court against Poor Sanitation 0
6 Patients Nebulized 0
(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
Name of FMO Ante Natal Cases
Natal Cases Other OPD Total OPD
DR. FARIDA QURESHI 269 16 2023 2308
DR. FARZANA KHOSO 107 12 1573 1692
DR. SHEERIN SOOMRO 72 4 1549 1625
DR. SHAZIA JAMALI 177 9 1294 1480
DR. ASYA SOLANGI 180 13 1252 1445
246
DR. SAEEDA SOLANGI 171 17 1245 1433
DR. RUKKAYA ABRO 49 0 1303 1352
DR. NAILA MAJID SOOMRO 144 3 1042 1189
DR. SAIMA PATUJO 59 0 972 1031
DR. RESHAM NASEER 32 0 874 906
DR. HASEENA JAAN 49 0 798 847
DR. NUSRAT SOOMRO 21 10 130 161
Total 1330 84 14055 15469
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 164
2 Deliveries Assisted at Homes 16
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 434
2 Blood Sugar Tests 57
3 Hemoglobin Tests 48
4 Ultra Sound Test 1401
5 Other -
49. Important Discussion on Mother and Child and Reproductive Health during MRM
Following points were discussed:
• Issuance of Antenatal cards • Family Planning Cards • Deliveries & D&Cs (during the month) conducted by FMOs / LHVs / CMWs-name wise
evaluation. • Contraceptive clients-FMO wise. • School Health Sessions / Community Health Sessions. • Ultrasounds examinations by FMOs.
247
50. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
Consultation / Advice 482
Oral Pills (clients) 142
IUCDs 11
Injections 241
Others 17
Total 893
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------37--------- Number of Female SGs: --------------
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
Muhammad Iqrar Veesar 0 0 0 06 114
Haq Nawaz Lashari 01 0 14 16 172
Noor Muhammad Bhangar 01 0 13 15 153
Total 0 0 27 37 439
3. School Health Sessions & Community Health Sessions
S.No Name of M.O / F.M.O CHS SHS
Sessions Participants Sessions Children Examined
Children Treated
1 Dr. Fazalullah Brohi 2 23 2 31 28
2 Dr. Ashok Kumar Sangitiani 2 28 2 42 14
3 Dr. Veer Bhan 2 18 2 13 8
4 Dr. Tara Chand 2 14 2 23 11
5 Dr. G.M Dasti 2 19 2 22 9
6 Dr. Zulfiqar Ali Golo 3 29 0 0 0
7 Dr. Azizullah Talani 2 18 1 41 6
8 Dr. Inayatullah Dayo 2 85 0 0 0
9 Dr. Saeed Ahmed Odhano 2 45 0 0 0
248
10 Dr. Irfan Ali Khoso 2 18 0 0 0
11 Dr. Naeem Ahmed Sarki 2 12 0 0 0
12 Dr. Jai Chand 2 35 0 0 0
13 Dr. Baqa Muhammad Panhwar 2 45 0 0 0
14 Dr. Ghulam Muhammad Talani 2 34 0 0 0
15 Dr. M. Ishaque Malik 2 24 0 0 0
16 Dr. Saeeda Solangi 2 40 0 0 0
17 Dr. Farzana Khoso 2 28 0 0 0
18 Dr. Asya Solangi 2 30 0 0 0
19 Dr. Nusrat Soomro 2 35 0 0 0
20 Dr. Kashif Pahore 2 20 0 0 0
21 Dr. Rano Mal 2 23 0 0 0
22 Dr. Abdul Basit Pahore 2 29 0 0 0
23 Dr. Abdul Ghaffar Babar 2 45 0 0 0
24 Dr. Naila Soomro 2 31 0 0 0
25 Dr. Shazia Rasheed 2 45 0 0 0
26 Dr. Amar Lal 2 40 0 0 0
27 Dr. Rukkaya 2 24 0 0 0
28 Dr. Saima Patujo 2 43 0 0 0
29 Dr. Safiullah Bhutto 2 18 0 0 0
30 Dr. Sheerin Soomro 2 35 0 0 0
31 Dr. Habib-ur-Rehman Jakhrani 2 41 0 0 0
32 Dr. Resham Naseer Soomro 2 28 0 0 0
33 Dr. Haseena Jaan 2 18 0 0 0
34 Dr. Abdul Ghaffar Rind 2 31 0 0 0
35 Dr. Zafar Ali Pathan 2 35 0 0 0
36 Dr. Muzaffar Khaskheli 2 43 0 0 0
37 Dr. Veer Singh 1 25 0 0 0
38 Dr. Kishore Kumar 1 8 0 0 0
39 Dr. Sajjad Buriro 1 13 0 0 0
40 Dr. M. Azim Shah 1 16 0 0 0
41 Dr. Shoakat Soomro 1 21 0 0 0
42 Dr. Abdul Fattah Khoso 1 19 0 0 0
43 Dr. Aziz Ahmed 1 11 0 0 0
44 Dr. Habib-ur-Rehman Khoso 1 24 0 0 0
45 Dr. Farida Qureshi 1 33 0 0 0
46 Dr. Sajjad Ali Soomro 1 15 0 0 0
249
47 Dr. Aqeela Shoaib 0 0 0 0 0
48 Dr. Vijay Kumar 0 0 0 0 0
49 Dr. Muhammad Aslam Abbasi 0 0 0 0 0
50 Dr. Wahid Bux Laghari 0 0 0 0 0
Total 83 1314 11 172 76
4. Important Points during Support Group Meetings.
• Importance of immunization of children. (Special Measles Vaccination) • Progress Review of DHIS indicators. • Importance of community Health Sessions in catchment areas of the H.F. • Participation of CSG members during special Polio campaign.
5. Important Points during SHSs
• Importance of Immunization • Diarrhea • Malaria
6. Important Points during CHSs
• Importance of Immunization • Diarrhea • Malaria
7. Topics for SHSs for the Month
Sr. No. Topics
1 ARI
2 Malaria
3 Importance of Immunization
8 Topics for CHSs for the Month
S # Topics
1 ARI
2 Malaria
3 Importance of Immunization
9. Important Discussion on Community Participation during MRM
250
10. Health Camps: Number Held: --------0--------. Number of Patients: ------0-----.
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation
Ii Drainage / sewerage
Iii ……… drinking water
Iv Prevention of
V Tree Plantation
Vi Roads and infrastructure
Vii Environmental
Viii Others
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 83873 3928 87801
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 MCH Jaffarabad 9247 BHU GM Jakhrani 528
2 Welf Dispensary AMS 7756 GD NK Bhangar 612
3 BHU Mubarakpur 7295 BHU Uddi 763
4 GD Police Dispensary 4693 BHU Bahoo Khoso 813
3. Top Five Diseases Treated during School Health Sessions/Camps
S # Diseases No. of Patients
1. ARI 216
2. Scabbies 134
3. Malaria 2
4. Unexplained fever 7
5. Fever (Clinical Malaria) 6
251
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
3. Top Five Diseases During OPD
S # Disease No. of Patients
1 Acute Respiratory Infection 17449
2 Scabies 7218
3 Diarrhea 5834
4 Fever(Clinical Malaria) 10046
5 Cough More than 2 weeks 155
51. ARV / ASV used during the month
No. of Patients
Dog bite cases reported 456
ARV Administered (vials) 328
ARV Available Doses(Vials) 708
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
55. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 443
2 Blood Sugar Tests 158
3 Hemoglobin 37
4 X-Rays (if available) 0
5 Ultra Sound 1401
6 Others (please specify) M l i ICT / Mi i
167
56. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B 170 13 13 136 0
Hepatitis C 173 68 68 589 0
252
57. TUBERCLOSIS Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
9. Referrals
S.No Totals Cases Referred To
TB DOT Deliveries Others BHU/RHCs THQs DHQs
1 155 155 0 0 34 15 106
2
3
10. Inverse Referrals
S.No Totals Cases Referred from
ARV ASV Others RHCs THQs DHQs
1 190 190 0 0 8 13 169
2
3
G. MONITORING DURING MONTH UNDER REVIEW
22. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
49 83 150 282
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1
2
3
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
253
1. Medicines available for …14.3…. Weeks
23. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFs
S # Name of HFs Description of Repair / Maintenance
Status / Remarks
1
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
• OPD BHU wise. Comparison of OPDs of Last month corresponding years ie 2006, 2007, 2008, 2009, 2010, 2011, 2012 & 2013.
• ARV cases during the month. • Various tests during the month under review i.e Blood sugar, malaria, pregnancy test,
hemoglobin test HBs HCV etc. • Ultrasounds cases / X-Ray cases. • EPI-performance BHU wise. Issues relating to cold chain maintenance. Shortage of BCG
at EPI centers throughout the month. • TB referrals during the month. • Monthly progress of FMOs, deliveries, D&Cs, FP cases, ANC registrations etc. • School Health Sessions / Community Health Sessions. • Community Support Group meetings. • Repair & renovation of BHUs.
• Contraceptive material.
• Increase in NVDs
On Mother, Child & Reproductive Health:
Date /Time for Next MRM: 8th March, 2013 will be the tentative dates.
Comments on Targets vs Achievements (by DSM)
254
INUTES OF THE (48th ) MONTHLY REVIEW MEETING
OF DISTRICT KASHMORE
Monthly Review Meeting (MRM) of District, Kashmore @ Kandhkot for the Month of January-2013 was held on 13th February, 2013 at District Complexl Kandhkot. Written invitations to participate in the MRM were sent to the Deputy Commissioner Kashmore, Additional Deputy Commissioner-1 Kashmore, the DHO (Health) and District In charge of EPI, LHW and all other National Programs including MOs, FMOs, and othrs relevant I/Cs of BRHFs of PPHI.
List of Participants
S # Names/Designation Designation S # Names/Designation Designation
1 Ghulam Ali Soomro RPD-RSU IV 21 Dr.Sajid Shah MO
2 Abdul Ghaffar Surahio DSM 22 Dr. Rukhsana FMO
3 Muhammad Tahir EO M&E 23 Muhammad Paryal MT
4 Abdul Waheed Soomro EO F/A 24 Jahangir Khan Store Manager
5 Dr. Nazir Ahmed Shah MO 25 Ahad Jan Assistant Admin
6 Dr. Javed Khan MO 26 Mohsin Ali Medicine 7 Dr. Mansoor Malik MO 27 Mumtaz Ali Dispenser
8 Dr. Yougesh Kumar MO 28 Ayaz Ali Attendant
9 Dr. Shishpal Das MO 29 Sabir Illahi N/Q
10 Dr,Bithlal MO 30 Ghulamullah Assistant 11 Dr. Gulab Din MO 31 Hazoor Bux S/W
12 Dr,Satyapal MO 32 Jaro Khan Plumber
13 Dr. Aftab Ahmed Soomro MO 33 Abdul Latif Driver
14 Dr. Hafeezullah MO 34 Hazoor Bux Driver
15 Shamas Din Khoso MT 35 Zahid Hussain Dresser
16 Abdur Razzaque MT
17 Abdul Samad Hyder MT
18 Qutub Din Hyder MT
19 M.Rafique SO
20 Abdul Ghani SO
The following could not attend the meeting for the reasons stated against each:-
S # Names/Designation Reasons
1 Dr.Mumtaz Malik Due to fever
2 Dr,Sumera Soomro Domestic Problem
3 Dr.Saleem Khoso Absent
255
4 Dr.Anwar Ali Burriro Polio Tam Training
5 MT Abdur Rasool Absent
6 MT Muhammad Rafique Absent
7
Q. HFs WITH PPHI
BHUs: 21 Dispensaries: 16 MCHCs: 1 Others: 1
TOTAL: 39
B. Population of the Catchments Area: Approximately One Million
JJ. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt)
MOs 25 15 0 15 10
FMOs 17 3 0 3 14
LHVs 8 5 0 5 3
M.Ts Male 25 25 25 0 0
Female 0 0 0 0 0
Dispenser Male 25 22 0 22 3
Female 0 0 0 0 0
KK. CLUSTERS OF HFs WITH ONE MO
Previous Month Total Month under Review Total
Clusters of 6 HFs 0 Clusters of 6 HFs 0
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 8 Clusters of 2 HFs 8
Single HFs 7 Single HFs 7
256
WITH ONE FMO
E. CAPACITY BUILDING
1. First Session: During MRM
DSM Kashmore has welcomed to all participants and discussed issues, decisions taken in last MRM.
2. Second Session: During MRM
RPD RSU-IV have shared last month performance with all incharge MOs, in the presence of respectable DSM Kasshmore.
Executive (M&E) Kashmore have addressed to all participants and also thanks to all participants in MRM.
52. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource
Date Venue Topic No. of
- - - - -
- - - - -
- - - - -
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization
No. of Doses of Immunization Administered to Children at Health Facilities. 9346 No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 100 No. of Immunization & Vaccination Administered by out- reach EPI Teams 0 Total vaccination / immunization for the month Nov- 2012 9446
Previous Month Total Month under Review Total
Clusters of 5 HFs 0 Clusters of 5 HFs 0
Clusters of 4 HFs 0 Clusters of 4 HFs 0
Clusters of 3 HFs 0 Clusters of 3 HFs 0
Clusters of 2 HFs 1 Clusters of 2 HFs 1
Single HFs 2 Single HFs 2
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(II) MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
2 . Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 10
2 Deliveries Assisted at Homes 0
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 91
2 Blood Sugar Tests 0
3 Hemoglobin Tests 0
4 Ultra Sound Test 275
5 Other 0
53. Provision of Family Planning Services during the Month S # Name of the Items / Service Number
1 Consultation / Advice 35
2 Oral Pills 15
3 IUCDs 0
4 Injections 10
5 Others 0
Total 60
(II) COMMUNITY PARTICIPATION
S # Names of FMOs Ante-Natal Cases
Neo-Natal Cases
Other OPD Total OPD
1 Dr. Sumera Soomro 241 7 2132 2373 2 Dr. Rukhsana 21 1 242 243 3 Dr. Mumtaz Malik 62 2 60 406 4
258
During Month under Review
1. Number of Male SGs: --------39-------- Number of Female SGs: --------00----
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups conducted by him
CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of
Participants
Abdul Ghani 8 0 115 0/0 0/0
Muhammad Rafique 4 0 92 0/0 0/0
Abdul Ghafoor 6 0 125 0/0 0/0
Abdullah Baloch 6 0 98 0/0 0/0
Total 24 0 469 0/0 0/0
CGS meetings conducted by SOs lacked effectiveness and coherence; they were warned to conduct session more interactively and with specific time line
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions School Health Sessions
S.no Sessions Participants Sessions Children
Children 1 Dr. Javed Ahmed 2 57 1 10 0
2 DR GULAB U DIN 2 25 1 10 10
3 DR ABDUL GHAFOOR 2 32 1 8 0
4 DR SALEEM KHOSO 2 21 1 8 1
5 DR AFTAB SOOMRO 3 56 1 5 2
Names of Social Organizers Meetings of Support Groups
conducted by him CHSs/SHSs arranged by him
Male Female Total No. of Participants
No. No. of Participants
Abdul Ghani 8 0 115 0/0 0/0
Muhammad Rafique 4 0 92 0/0 0/0
Abdul Ghafoor 6 0 125 0/0 0/0
Abdullah Baloch 6 0 98 0/0 0/0
Total 24 0 469 0/0 0/0
259
6 Dr. Anwar Ali 0 0 0 0 0
7 Dr. Mansoor Malik 2 30 1 7 7
8 DR ZULFIQAR 2 25 2 10 0
9 Dr. Nazeer Ahmed Shah 2 24 2 12 0
10 DR IRSHAD LANGHA 2 20 1 2 0
11 Dr. Shishpal Das 2 22 2 21 11
12 DR ANEEL 2 19 1 9 1
13 Dr HAFEEZULLAH 0 0 0 0 0
14 Dr. Yougesh Kumar 2 18 1 2 0
15 Dr. Mumtaz Malik 2 40 0 0 0
16 DR. Rukhsana 1 20 1 10 2
17 Dr. Sumera 0 0 0 0 0
18 Abdul Razaque (M.T) 1 15 0 0 0
19 MT SHAMAS KHOSO 1 15 1 8 0
Total 30 439 17 122 34
Important Decisions during MRM.
• Every I/C MO/M.T should send leave application of last month of all employees with monthly reports to DSU Office.
• Three days leave can be granted by I/C MO/M.T of BRHF employee. • Every I/C MO/ M.T should maintained DHIS Tools properly. • FMOs should increased ANC and PNC. • Every I/C MO/ M.T should inform near expiry medicine before one month to DSU Office. • I/C should visit EPI center before sitting of his chair and every child should be stamped from EPI. • I/C MO/M.T should send daily OPD to concerned SO. • I/C MO should possess key of main medical store with him. • I/C should maintain DHIS record and submit on 2nd of every calendar month. • I/C MO/ FMO/ M.T should increase routine immunization at their catchment of Health Facility. • I/C MO/ M.T should maintain leave record, Personal Files of staff (PPHI, Govt) and other relevant record at
Health Facility. • I/C MO should write OPD register at his own. • I/C MO should conduct Two (02) Community Health Session and Two (02) School Health Session every
month; Advance schedule should be submitted to DSU on 1st of every calendar month. • I/C MO should send EPI (Monthly) reports on prescribed format at the end of every month. • FMO should emphasize upon the increase of delivery at Basic Health Facility.
4. Important Points during Support Group Meetings.
The following issues were discussed during the support Group Meetings:
260
• EPI centre facility • Repair and Renovation work. • Staff shortage at health facilities • Female Staff appointed at health facilities
5. Important Points during SHS’s
• Gastro enteritis • Dengue Fever • Diahhorea • Malaria • Measles
6. Important Points during CHS’s
• Antenatal Checkup • RTI • Boil Water • Prevention of Scabies • Personal Hygiene
7. Topics for SHSs for the Month
Sr. No. Topics
1 • Gastro Intitus
2 • Dengue Fever
3 • Diahhorea
4 • Malaria
5 • Hygiene (Personal Domestic Food, environmental)
8 Topics for CHSs for the Month
S # Topics
1 • Gastro Intitus
2 • Dengue Fever
3 • Diahhorea
4 • Malaria
5 • Hygiene (Personal Domestic Food, environmental)
261
9. Important Discussion on Community Participation during MRM
• Realizing community of the responsibility to feel ownership of their health facility. • Effective communication with the PPHI staff, cooperating with the monitoring staff and with the staff of
health facility and responding to the various initiatives introduced by the PPHI for the betterment of the health facility and its functioning.
• To impart feelings of ownership to the community, it was decided to make useful interaction and communication through social organizers and MOs.
• It was also discussed to invite some CSG members to MRM to make them abreast of PPHI role in primary health care and also to have an interaction on larger scale to address general issues.
• Various methods were discussed to make community more interested in the maintenance of their HF through frequent visits and close interaction with the Doctors.
• It was also decided to apprise community through CSG meetings about the recent trends in primary health care and various tools/methods to promote healthy habits which ultimately would lead to healthy society.
• Apprising community of the various interventions being made by the PPHI and the difference made in the functioning of the HFs after the PPHI takeover.
10. Health Camps: Number Held: ----------0-------. Number of Patients: ----00------.
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
I Sanitation - - -
Ii Drainage / sewerage - - -
Iii ……… drinking water - - -
Iv Prevention of adulteration - - -
V Tree Plantation - - -
Vi Roads and infrastructure - - -
Vii Environmental Improvement - - -
Viii Others - - -
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during the month
Old patients treated during the month
Total OPD during the month (New + Old)
19,925 990 20915
262
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 Mchc kashmore 2373 BHU Diyani 170 2 BHU Khewali 1575 GD Mehrab Mazari 227 3 BHU Darri 1459 GD Gous Bux Bangwar 253 4 GD Kashmore colony 1293 GD Rahmatullah Bijarani 289 5 BHU Mohammad
h 998 BHU Zorgarh 305
3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases During OPD
S # Disease No. of Patients
1 ARI 4543 2 Malaria 2422 3 Scabies/Skin 1804 4 Diahhorea 1046 5 Pneumonia 578
54. ARV / ASV used during the month No. of Patients
Dog bite cases reported 228
ARV Administered 146
ARV Available Doses 400
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 0
S # Diseases No. of Patients
1 ARI 0
2 Fever (clinical Malaria) 0
3 Diarrhea 0
4 Scabies 0
5 Dysentery 0
263
58. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 93
2 Blood Sugar Tests 0
3 Hemoglobin 0
4 X-Rays (if available) 0
5 Ultra Sound 275
6 Others (please specify) MP Test 34
59. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for treatment
Total referred upto date
Follow up result
Hepatitis B -
- - - -
Hepatitis C
- - - -
60. TUBERCLOSIS
Patients
Receiving Treatment
New Cases During the Month
Under Diagnosis
0 0 3
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs/HF THQs DHQs
2 0 0 0 0 0 0
3 - - - - - - -
4 - - - - - - -
264
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs/HF THQs DHQs
2 248 248 0 0 248 0 0
3 - - - - - - -
4 - - - - - - -
G. MONITORING DURING MONTH UNDER REVIEW
24. Monitoring Visits during the month
DSM Executive Monitoring Other Staff Total
41 41 111 193
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 GD Kashmore Colony Sanitation
2 GD 27 mile Need Repair Building of HF Done
3 GD Azim Golo Need Repair Building of HF Done
3 BHU Sardarabad Hand pump Done
4 GD Mehrab Mazari Boundary Wall In process
5 BHU Malguzar Suhryani Boundary Wall In process
6 GD Hafeezullah Repair and Renovation In progress
7 GD Elahi Bux Khoso Repair and Renovation In process
8 BHU Dari Boundry Wall Done
9 BHU Zorgarh Boundry wall In process
Action:- Sanitation work would be completed before the next MRM at 9 HFs. Approval has been sought from the program director to do sanitation work. Similarly R & R work would be given priority as soon as PC-1 stage
of that HFs reached.
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for …………102……………. Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
265
• Non clearance of DTL of some items • Extra Supply of Capsule Amoxicillin and Syrup Calpol • Shortage of essential items • Shortage of Equipments (B.P Apparatus, Thermometer, Stethoscope, baby weight scale, Nebulizer,
etc. • Proper maintenance of store at Health facility • Shortage of FMO and LHVs.
REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS
S # Name of HFs Description of Repair / Maintenance incl.
Status / Remarks
1 MCHC Kashmore Tiles Work, Co lour, Repair, Carpenter,
Completed
2 BHU Sher Muhammad
Tiles Work, Co lour, Repair, Carpenter,
Completed
3 BHU Pir Jan Bajkani Tiles Work, Co lour, Repair, Carpenter,
Completed
4 GD Ghous Bux
Tiles Work, Co lour, Repair, Carpenter,
Completed
5 GD Kashmore Colony-
Tiles Work, Co lour, Repair, Carpenter,
Completed
6 GD Nasrullah Bijarani Tiles Work, Co lour, Repair, Carpenter,
Completed
7 BHU Gullanpur Tiles Work, Co lour, Repair, Carpenter,
Completed
8 GD Mehrab Mazari Tiles Work, Co lour, Repair, Carpenter,
Completed
9 BHU Khewali Tiles Work, Co lour, Repair, Carpenter,
Completed
10 BHU Dari Tiles Work, Co lour, Repair, Carpenter,
Completed
11 GD Sardaroo Khoso Tiles Work, Co lour, Repair, Carpenter,
Completed
12 BHU Sardarbabad Tiles Work, Co lour, Repair, Carpenter,
Completed
13 BHU M.K Mazari Tiles Work, Co lour, Repair, Carpenter,
Completed
14 BHU Diyani Tiles Work, Co lour, Repair, Carpenter,
Completed
15 BHU Badani Tiles Work, Co lour, Repair, Carpenter,
Completed
16 BHU Din Muhammad
Tiles Work, Co lour, Repair, Carpenter,
Completed
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
- -
- -
J- DISCUSSION DURING MRM
On Staff Matters:
YES
266
On Preventive Health:
YES
On Curative Health:
YES
On Mother, Child & Reproductive Health:
YES
Other Matters:
YES
Date /Time for Next MRM:
10th March- 2013, 10:00 am
Comments on Targets v/s Achievements (by DSM)
• OPD challan fee and its timely deposit.
• Doctor’s responsibility to prepare medicine indent by themselves.
• Stock register and proper store maintenance of store data.
• Hard area allowance
• Proper store keeping
• Attendance/absenteeism
• Importance of MRM in the overall working of PPHI
• Realizing staff of the importance of their attachment with an institution like PPHI, a motivated and functional
organization in the health sector unlike the dormant public sector.
• Emphasis on community session and school sessions
267
Though the shortage of FMOs is chronically an old issue but its importance cannot be
overemphasized. After making all out efforts to recruit and attract new lady doctors for the HFs of DSU Kashmore
and experiencing little success in this endeavor, now we are shifting our emphasis to the recruitment of Staff
nurses, LHVs/Midwives, so we could provide primary services to the poor women of the area as MCH issue is of
very important nature and cannot be ignored anymore owing to the want of FMOs.
We are having acute shortage of funds as we are intervening warmly in the provision of primary health care to all the
people of community, but our share of total health budget is mere 16 %, while we are managing 85 % of total district health facilities.
Paucity of funds always is a great hurdle in the execution of ours progressive approach to upgrade community health. I hope sanity will
prevail and people who are at the helm of affairs, especially at the ministry of finance, will realize the services being provided by the PPHI in
the remote and backward areas of the district where public health sector never imagined and intended to reach out.
(Abdul Ghaffar Surahio)
District Support Manager
Cc:
1. Secretary to Sindh, Health Department Karachi for his kind information, 2. Program Director, PPHI, Sindh, Karachi. 3. Regional Program Director, RSU III Larkana. 4. Director General (Health), Hyderabad. 5. Deputy Commissioner Kashmore @ Kandhkot. 6. District Health Officer Kashmore @ Kandhkot. 7. District Population Welfare Officer, Kashmore @ Kandhkot. 8. DHCSO UNICEF, Kashmore @ Kandhkot. 9. District Coordinator National Program, Kashmore @ Kandhkot. 10. District Project Manager, Marrie Stopes Society, Kashmore @ Kandhkot. 11. All I/C MOs/ FMOs/ M.Ts of BRHF under the management of PPHI Kashmore @ Kandhkot.
268
MINUTES OF MONTHLY REVIEW MEETING (40th)
OF DISTRICT SHIKARPUR
Monthly Review Meeting (MRM) of District, Shikarpur for the Month of January, 2013 was held on 16th February, 2013 at DHDC (Meeting Hall) Shikarpur. Written invitations for participation were sent to the DC, DHO, DO (R), DO (F&P) and District In charge of EPI, District Coordinator National Program, District Officer Population Welfare and representative of WHO. The participants list is given below.
S # Names/Designation S # Names/Designation
1 Mr. Javed Ahmed Abro DSM 2 Dr. Altaf Ahmed Abbasi DHO
3 Mr. Zia Ahmed Jalbani Ex (F&A) 4 Mr. Mohammad Ramzan Ali Ex: M&E
5 Mr. Tariq Hussain Mahar SO 6 Mr. Waqar Ahmed Mangi S Manager
7 Dr. Athar Hussain Shah MO (HQ) 8 Dr. Nisar Ahmed Brohi MO
9 Dr. Rahim Bux Bhutto MO 10 Dr. Abdul Hafeez Jakhro MO
11 Dr. Sahib Khan Brohi MO 12 Dr. Manzoor Channa MO
13 Dr. Naeem Ahmed Pathan MO 14 Dr. Tanveer Memon Sonologist
15 Dr. Imdad Ali Mahar MO 16 Dr. Zulfiqar Mahar MO
17 Dr. Saiqa Soomro FMO 18 Dr. Shahjahan Malik MO
19 Dr. Rifat Khalil FMO 20 Dr. Maida Siddiqi FMO
21 Dr. Hafeezullah Shah MO 22 Dr. Saima Hajano FMO
23 Dr. Majid Soomro Soomro MO 24 Mr. Khalil Ahmed Sohu SO
25 Dr. Jawed Shaikh MO 26 Dr. Allah Bux Sanjrani MO
27 Dr. Faiza Kanwal FMO 28 Mr. Salahuddin Soomro A/A
29 Dr. Nadar Panhwar MO 30 Dr. Antonia Maria FMO
31 Dr. Jawed Soomro MO 32 Dr. Saifullah Mahar SMO
33 Dr. Marvi Qazi FMO 34 Dr. Ghulam Murtaza MO
35 Dr. Akhtar Memon MO 36 Dr. Imran Shaikh MO
37 Dr. Sanobar Abbasi FMO 38 Dr. Fida Soomro MO
39 Dr. Tahira Solangi FMO 40 Dr. Reshman Sheikh Sonologist
41 Dr. Israr Ahmed Daudpoto MO
A. HFs WITH PPHI
BHUs: 18 Dispensaries: 07 MCHCs: ___01___ others: ___Nil___
TOTAL: ___26____
269
B. Population of the Catchments Area:
B. STAFF STRENGTH
Sanctioned
Posts (Govt.) Working
Government Employees
PPHI Contract
Vacant
(Sanc-Govt) MOs 29
0
26 9 17 3
0 SMO 0 0 0
FMOs 18 14 0 14 4
LHVs 19 16 2 14 3
MTs/MAs Male 15
0
15 7 8 0
0 Female 0 0 0
Dispensers 10 10 4 6 0
C. CLUSTERS OF HFs WITH ONE MO
D. WITH ONE FMO
E. CAPACITY BUILDING
Previous Month Total Month under Review Total
Clusters of 6 HFs Clusters of 6 HFs
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 2 Clusters of 2 HFs 1
Single HFs 24 Single HFs 24
Previous Month Total Month under Review Total
Clusters of 5 HFs Clusters of 5 HFs
Clusters of 4 HFs Clusters of 4 HFs
Clusters of 3 HFs Clusters of 3 HFs
Clusters of 2 HFs 6 Clusters of 2 HFs 9
Single HFs 5 Single HFs 5
270
1. First Session: IMPROVEMENT OF HEALTH CARE SERVICES AT HF
Mr. Javed Ahmed Abro DSM Shikarpur on the occasion through a presentation briefed the participants by reviewing the performance of PPHI DSU Shikarpur and called it a good team work. Meanwhile Targets & Achievements were also briefly discussed. MOs & FMOs were directed to conduct more SHS, CHS & CSG Meetings in their respective areas and made planning with M&E team made for complete organized sessions. He said that with the bless of Allah Pak and support of staff we achieved more ambulances on the basis of work performance in the areas. However we established laboratories, labor rooms with full equipments.
2. Second Session: ACTING DHO Shikarpur.
Dr Altaf Ahmed Abbasi, Acting DHO Shikarpur, said that in Shikarpur district PPHI done his job quiet satisfactory and achieved a great development in Hf services. He said that PPHI DSU Shikarpur team also done a good support at any level during outbreak of measles in the district.
55. Capacity Building of LHVs / Dispensers During Month under Review
Names of the Resource Persons with dates
Date Venue Topic No. of
Participants
Mr. Irfan Ali Hakro NA BHU Hamayoon Lab Services 3
Mr. Irfan Ali Hakro NA BHU Wazirabad Lab Services 4
Mr. Irfan Ali Hakro NA BHU Ruk Lab Services 3
F. REVIEW OF THE PERFORMANCE
(I) PREVENTIVE HEALTHCARE
During Month under Review
1. Vaccination / Immunization No. of Doses of Immunization Administered to Children at Health Facilities. 4669
No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 1203
No. of Immunization & Vaccination Administered by out- reach EPI Teams 0
Total vaccination / immunization for the month 5872
271
2. National Immunization Days (NIDs) for Polio
Dates of NIDs Target of coverage Actual coverage Percentage of 28-31 January 2013 N/A N/A N/A
3. Other Preventive/Promotional Services
S # Service Number
1 Passive Case Detection (PCD) Slides N/A 2 Active Case Detection (ACD) Slides N/A
3 Visits to Check Sanitation (individual house holds + streets) N/A
4 Notices issued against Poor Sanitation N/A
5 Chillan’s sent to Court against Poor Sanitation N/A
6 Patients Nebulizer 634
MOTHER, CHILD & REPRODUCTIVE HEALTH
During Month under Review
1. Female Health
S # Names of FMOs Ante-Natal
Cases Neo-Natal
Cases Other OPD Total OPD
1 Dr. Saima Hajano 95 1 3606 3702
2 Dr. Faiza Kanwal 221 35 2299 2555
3 Dr. Rifat Khalil 89 3 1210 1302
4 Dr. Tahmina Memon 116 14 1623 1753
5 Dr. Maida Siddiqi 73 4 1762 1839
6 Dr. Saiqa Soomro 84 4 1465 1553
7 Dr. Antonia Maria 135 10 1410 1555
8 Dr. Deepa Dileep 120 2 2336 2458
9 Dr. Fozia Bano 150 8 2279 2437
10 Dr. Marvi Qazi 81 2 1054 1137
272
2. Deliveries Assisted
S # Service Number
1 Deliveries Assisted at HFs 91 2 Deliveries Assisted at Homes 190
3. Lab/ Diagnostic Tests
S # Test Number
1 Pregnancy Tests 438
2 Blood Sugar Tests 860
3 Hemoglobin Tests 321
4 Ultra Sound Test 1355
5 Other (MP) 632
Total 3606
56. Important Discussion on Mother and Child and Reproductive Health during MRM FMOs were also directed to give health education in their respective cluster areas particularly in villages by giving health care services to poor and needy women. FMOs were also directed to update their performance record regularly and guide women for family planning properly.
57. Provision of Family Planning Services during the Month
S # Name of the Items / Service Number
1 Consultation / Advice 456
2 Oral Pills 183
3 IUCDs 11
4 Injections 187
5 Others 63
Total 900
11 Dr. Reshman Shaikh 137 0 271 408
12 Dr. Sanober Noor 38 5 317 360
Total 1477 91 24110 25678
273
(III) COMMUNITY PARTICIPATION
During Month under Review
1. Number of Male SGs: ------26------------ Number of Female SGs: -----Nil---------
2. Performance of Social Organizers
Names of Social Organizers Meetings of Support Groups
CHSs/SHSs arranged by him
Male Female Total No. of
No. No. of Mr. Tariq Hussain Mahar 4 N/A 69 42 1183
Mr. Khalil Ahmed Sohu 2 N/A 70 37 1319
Total 8 139 79 2502
3. School Health Sessions & Community Health Sessions
Names of MO / FMOs/Paramedics
Community Health Sessions
School Health Sessions
Sessions Participants Sessions Children Examined
Children Treated
Dr. Saiqa Soomro 2 44 2 52 25 Dr. Saima Hajano
2 32 0 0 0 Dr. Faiza Kanwal
2 13 1 31 0 Dr. Tahmina
2 95 2 75 12 Dr. Marvi Qazi
2 58 1 15 13 Dr. Fozia Bano
4 100 0 0 0 Dr. Deepa Dileep
4 62 0 0 0 Dr. Antonia Maria
4 100 0 0 0 Dr. Rafat Khalil
1 18 0 0 0 Dr. Maida Siddiqi
2 44 2 52 25 Dr. Athar Hussain Shah
1 16 2 28 7
274
Dr. Fida Soomro
1 22 1 25 3 Dr. Shahjan Malik
0 0 0 0 0 Dr. Akhatar Mohammad
4 78 1 136 0 Dr. Allah Bux Sanjrani
2 36 1 21 0 Dr. Saifullah Mahar
1 58 1 20 0 Dr. Waseem Lohar
4 175 3 123 12 Dr. Fayyaz Lohar
2 32 0 0 0 Dr. Zulifqar Mahar
1 35 2 45 0 Dr. Rahim Bux Bhutto
2 60 1 21 0 Dr. NadIr Ali Pahnwar
2 48 1 39 27 Dr. Majid Soomro
1 34 0 0 0 Dr. G.Murtaza Seelro
2 66 2 220 5 Dr. Fida Hussain
3 98 2 60 0 Dr. Sahib Khan Brohi
1 11 0 0 0 Dr. Hafeezullah Shah
2 30 0 0 0 Dr. Nisar Brohi
1 17 1 23 0 Dr. Imran Shaikh
1 18 0 0 0 Dr. Latif Dino
1 16 0 0 0 Dr. Manzoor Channa
2 47 1 36 0 Dr. Imdad Mahar
2 26 1 9 0 Dr. Israr Daudpoto
3 45 3 52 0
275
Dr. Javaid Soomro
1 18 0 0 0 Dr. Naeem Pathan
5 50 1 25 7 Dr. A.Hafeez Jakhro
1 21 1 26 3
4. Important Points during Support Group Meetings.
24 hours service of Health Facility. They also want screening, vaccination of Hepatitis and laboratory services at the Health Facility.
5. Important Points during SHSs
Preventive from Measles and routine vaccination especially in perspective of Measles outbreak.
6. Important Points during CHSs
Routine vaccination, new vaccine awareness and measles vaccinations.
7. Topics for SHSs for the Month
Sr. No. Topics
1 Preventive care from Measles. 2 Measles Vaccinations
3 Routine Vaccinations
4 Cleanliness for better health.
8 Topics for CHSs for the Month
S # Topics
1 Anti Natal Visits & its importance
2 Measles Preventive Care
3 TT Vaccination for CBAs/PWs.
4 EPI & Routine Immunization specially Measles Vaccinations
8. Important Discussion on Community Participation during MRM
276
9. Health Camps: Number Held: ------1-------. Number of Patients: ------45------. 10.
11. Measures for improvement / provision of Services by other Department / Agencies
Sr No Description Recommendation To whom sent Present status
i Sanitation 0 0 0
ii Drainage / sewerage 0 0 0
iii Drinking water 0 0 0
iv Prevention of
0 0 0
v Tree Plantation 0 0 0
vi Roads and infrastructure 0 0 0
vii Environmental
0 0 0
viii Others 0 0 0
(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW
1. OPD*
New patients treated during
Old patients treated during
Total OPD during the month 54600 4588 59188
2. Maximum OPD** Minimum OPD**
S # BHU OPD BHU OPD
1 BHU Wazirabad 5473 BHU M.Hayat Juneto 2697
2 BHU Jahan Khan 5043 BHU Abdoo 2531
3 BHU Hamayoon 2663 BHU M Panhwar 2357
3. Top Five Diseases Treated during School Health Sessions/Camps
*All HFs — BHUs and others.
S # Diseases No. of Patients
1 Chest infection 25
2 Skin Infection 18
3 Malaria 17
4 Measles 14
5. Fever 7
277
**Reflects OPD at BHUs only — not at other HFs.
4. Top Five Diseases during OPD S # Disease No. of Patients
1 ARI 17514
2 Diarrhea/Dysentery 3905
3 Skin Infection 4422
4 Susp: Malaria 3385
5 Peptic Ulcer 1253
5. ARV / ASV used during the month No. of Patients
Dog bite cases reported 72
ARV Administered 64
ARV Available Doses 460
Snake bite cases reported 0
ASV Vaccine Administered 0
ASV Vaccine Available Doses 1
61. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health)
3. (Lab / Diagnostic Tests)
S # Tests Number
1 Pregnancy Tests 370
2 Blood Sugar Tests 261
3 Hemoglobin 278
4 X-Rays (if available) 0
5 Ultra Sound 1355
6 Others (Malaria) 166
62. B & C SCREENING TESTS
Screening No. of Tests Performed
No. of cases found positive
No. of cases referred for
Total referred upto date
Follow up result
Hepatitis B 73 3 3 29 0
Hepatitis C 73 12 12 40 0
278
63. TUBERCLOSIS Patients
New Cases During the Month
Under Diagnosis
102 12 12
9. Referrals
S.No Totals Cases Referred To
1 TB DOT Deliveries Others RHCs THQs DHQs
2 89 42 19 28 30 21 48
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
10. Inverse Referrals
S.No Totals Cases Referred from
1 ARV ASV Others RHCs THQs DHQs
2 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
G. MONITORING DURING MONTH UNDER REVIEW
25. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total
37 62 81 180
2. Important Points/Issues arising from Visits
S # Name of HF Issue Action Remarks
1 - - - -
2 - - - -
279
H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS
1. Medicines available for 16 Weeks
2. Important Issues raised relating to Medicines, etc. during MRM
I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFs
S # Name of HFs Description of Repair / Maintenance incl. Electrification
Status / Remarks
1 BHU Mehmood Panhwar 100% Work Completed
2 BHU Nim 90% Work in progress
3 BHU Jehagir Thahim 90% Work in progress
4 BHU Dhani Bux Malik 70% Work in progress
Inspections / Visits of PPHI HFs
Visitors* Health Facilities Visited Overall Comments
Dr. Khursheed Qazi DHO MCHC Jahan Khan Satisfactory
Dr. Khursheed Qazi DHO BHU Wazir Abad Satisfactory
* To reflect only non-PPHI Visitors.
J- DISCUSSION DURING MRM
Punctuality: DSM asked MOs & FMOs to ensure punctuality of the time during the HF working hours in the interest of the patients.
On Preventive Health: Family Planning, malnutrition cases and routine Immunization discussed and reviewed the month January 2013.
On Curative Health: Skin Infection, Measles, Malaria preventive and antenatal visits.
On Mother, Child & Reproductive Health: FMOs and LHVs ensure screening of HBV & HCV before assisting he delivery
Other Matters: DSM directed the I/C MOs to update BHU dead stock registers properly.
Date /Time for Next MRM: 16th March 2013
Comments on Targets vs Achievements (by DSM) R&R work completion within given deadline
DSM directed the Executive Construction, to ensure early completion of R&R work at BHU Nim, BHU Jehangir Thahim & BHU Dhani Bux Malik .