Amethi City

Program Implementation Plan

National Urban Health Mission

Prepared by District Health Officials with support from Urban Health Initiative

Page | 2

District Health Society Amethi

NATIONAL URBAN

HEALTH MISSION

Programme Implementation Plan

of

Amethi 2013-14

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TABLE OF CONTENT

Acronyms 3

City Profile 4-8

Health Scenario 8-9

Key Issues 9-10

Strategies, Activities & Work plan under NUHM 10-15

Programme Management Arrangements 15-17

City level targets & indicators 17-18

Acronyms

Page | 4

ANM Auxiliary Nurse Midwife

ASHA Accredited Social Health Activist

AWC Aanganwari Center

AWW Aanganwari Worker

BSGY Bal Swasthya Guarantee Yojna

BSUP Basic services for urban poor

BSA Basic Shiksha Adhikari

CDPO Child Development Project Officer

DH District Hospital

DHS District Health Society

DUDA District Urban Development Authority

ICDS Integrated Child Development Scheme

IDSMT

Integrated Development of Small &

Medium Towns

IDSP Integrated Diseases Surveillance

Program

IHL Individual House level

IMR Infant Mortality Rate

KFA Key Focus Area

LHV Lady Health Visitor

LT Lab Technician

MAS Mahila Arogya Samiti

MMR Maternal Mortality Ratio

NHM National Health Mission

NPP Nagar Palika Parishad

NPSP National Polio Surveillance Program

NRHM National Rural Health Mission

NUHM National Urban Health Mission

OD Open Drainage

RSAP Remote Sensing Application Center

UA Urban Agglomeration

UCHC Urban Community Health Center

UFWC Urban Family Welfare Center

UHI Urban Health Initiative

UHP Urban Health Post

UPHC Urban Primary Health Center

SAM Severely acute Malnourishment

National Urban Health Mission- Programme Implementation Plan

Amethi 2013-14

1. Amethi Profile

Page | 5

Amethi is a city in Faizabad division of the Indian state of Uttar Pradesh. Gauriganj town is the

headquarters of the Amethi district. Amethi was recently changed to district and officially named

after Chhatrapati Shahuji Maharaj, by B.S.P. Govt., and is 72nd district in the state of Uttar

Pradesh in northern India. Recently the name Chatrapati Shahuji Maharaj Nagar changed back

to Amethi as SP govt. came in the power this year (2012)

Amethi lies in latitude 26 degree 9 minute north and longitude 81 degree 49 minute east

on Raebareli-Amethi-Sultanpur road about 40 km south-west of Sultanpur. Also called as Raipur-

Amethi, of which Raipur belonged to the Raja of Amethi who lived at Ram Nagar. His ancestors

used to reside in Raipur-Phulwari where the old fort is still found. Here is also a temple

called Hanumangarhi and a mosque both built about hundred years ago. About three kilometres

north of Ram Nagar there is a tomb of famous poet, Saint Malik Muhammad Jayasi where he

died, and the fort was built by Bachghoti Rajas.

It is known as the seat of power of the Indian Nehru-Gandhi political dynasty. Former prime

minister Jawaharlal Nehru, his grandsons Sanjay and Rajiv Gandhi (the sons of Indira Gandhi),

as well as Rajiv's widow Sonia Gandhi have all represented this constituency. In 2004, a fifth

member of the family, Sonia and Rajiv's son Rahul Gandhi, was easily elected to the seat in

the 2004 general elections. As an educational hub of the area it has got 100yrs Old Rajarshi

Rananjay Sinh Group of Institutions, Prime Educational Institutes are Indian Institute of

Information Technology, Rajarshi Rananjay Sinh Institute of Management & Technology,

Rajarshi Rananjay Sinh College of Pharmacy and Rajarshi Rananjay Post Graduate College.

Amethi also boasts of the Avionics Division of Hindustan Aeronautics Limited, the organisation

responsible for manufacture of Aircraft for Indian Airforce. Amethi has also a unit of Indo Gulf

Fertilisers

In Lucknow on 7 October 2003, the State Cabinet revoked the earlier notification regarding

renaming of Amethi as Chhatrapati Shahu Ji Maharaj Nagar. Now the Amethi will be known as its

previous name, told Chief Secretary Mr. Akhand Pratap Singh in a media.Amethi has well known

hospital known as Sanjay Gandhi Hospital at Munshiganj.Society for Animal Health Agriculture

Science and Humanity is well known non-government organisation whose registered office is

located at Munshiganj which is dedicated for transformation of rural life in Amethi.

General Characteristics of the district

This is the 72nd district of Uttar Pradesh which came into existence on 1 July 2010 by merging

three tehsils of the erstwhile Sultanpur district, namely, Amethi, Gauriganj and Musafirkhana and

two tehsils of the erstwhile Raebareli district, namely, Salon and Tiloi and was named as

Chhatrapati Shahuji Maharaj Nagar. However, its name has been changed to Amethi recently.

Location & Geographical Area

District Amethi lies at the latitude 26°9’ north and longitude 81°49’ east at an average elevation of

101 metres(331 feet) from mean sea level. Thetotal geographic area of the districts is about 3063

km2. The surface is generally level, being broken only by ravines in the neighborhood of the

rivers. The principal river is Gomti,which passes through the centre of the district. North side of

this district is bounded by Faizabad District; South side is bounded by Pratapgarh District. West

side is bounded by Bara-Banki District and Rai Baeilly District and the East side is bounded by

Amethi District.

Topography

The land of Amethi district is generally plane except some regions around the Gomti River which

drains almost the whole district. It may be called an agrarian area as agriculture is the main

Page | 6

occupation of the people. Amethi district has a wet and dry climate with average temperatures

ranging between 23°C to 28 °C. Amethi experiences three distinct seasons: summer, monsoon

and a mild autumn. Typical summer months are from March to May,with maximum temperatures

ranging from 36° to 44°C. The rainy season in the districts falls between June and September

and July being the wettest month of the year. Winter starts from November. The daytime

temperature hovers around 22 °C while night temperature is below 8°C during December and

January, often dropping to 2°to 3°C.

Mining

No major minerals are found in the districts. Only sand is available along the bank of river Gomti

which is used in construction of permanent houses. In some places stones are also found which

are used by the Public Work Department for road construction in the districts.

Forest

The forest and the rivers of district Amethi are very important from the standpoint of climate and

as a provider of life, providing water to a large part of the districts. They also harbor a rich variety

of flora, fauna. The forests cover an area of 3749 hectares in 2009-10. The forest crop in the

Amethi district is very poor and the commercial tree like Mango, Mahuwa, Jamun and Eucalyptus

are found in the forest. The wood from Eucalyptus tree is used in the plywood industries.

1.1. Amethi City

Amethi Nagar panchayat was created after 1971. Total population of Amethi NP as per census

2011 is 13,849.

Decadal Growth

Year 1981 1991 2001 2011

Population 7,132 10,661 12,836 13,849

Amethi City Total Male Female

Population 13849 7049 6800

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Literates 9488 5314 4174

Children (0-6) 1731 871 860

Average Literacy (%) 68.5 38.37 30.1

Sex ratio 964 -----------

------ -------------

Table 1:

Total Population of city (in lakhs) 13,849

Slum Population (in lakhs) 7,000

Slum Population as percentage of urban population 50.5

Number of Notified Slums

Number of slums not notified

No. of Slum Households

No. of slums covered under slum improvement programme

(BSUP,IDSMT,etc.)

Number of slums where households have individual water connections*

Number of slums connected to sewerage network*

Number of slums having a Primary school 12

No. of slums having AWC 12

No. of slums having primary health care facility

1.3. Work Participation & Occupation Structure1

The work participation rates as per census 2011 for City are:

Total Workers Population 3,817

Total Workers Male 3,155

Total Workers Female 662

Main Workers Population 2,948

Main Workers Male 2,583

Main Workers Female 365

Main Cultivaters Population 110

Main Cultivaters Male 101

Main Cultivaters Female 9

Main Agricultural Labourers Population 184

Main Agricultural Labourers Male 166

Main Agricultural Labourers Female 18

Main Household industries Population 470

1 Census 2011

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Main Household industries Male 429

Main Household industries Female 41

Main Other workers Population 2,184

Main Other workers Male 1,887

Main Other workers Female 297

1.4. Urban Poor & Slums2

The UP Slum Areas (Improvement and Clearance) Act, 1962, considers an area a slum if the

majority of buildings in the area are dilapidated, are over-crowded, have faulty arrangement of

buildings or streets, narrow streets, lack ventilation, light or sanitation facilities, and are

detrimental to safety, health or morals of the inhabitants in that area, or otherwise in any respect

unfit for human habitation. It mentions factors such as repairs, stability, extent of dampness,

availability of natural light and air, water supply; arrangement of drainage and sanitation facilities

as considerations.

The rapidly growing urban population poses great challenge to the efforts of the state

government towards improving the health of the urban poor.

2. Health Infrastructure and scenario

Unlike in the rural areas, where the health department has a wide network of primary health care

facilities providing reproductive and child health services, the urban slums lack basic health

infrastructure and outreach services. Thus, they are often bypassed even by national

programmes providing immunization, safe motherhood and family planning services. The sparse

health coverage provided by health facilities like urban family welfare centers, health posts, and

maternity homes in cities is used more for emergencies and curative services. Often these

facilities are far from their service area, poorly staffed, with inadequate space and supply of

medicines and equipment. Urban local bodies like municipal corporations and nagar panchayats

are also expected to provide health care, but resource scarcity restricts them to only providing

sanitation services. NGOs and private trusts are also few and far between.

Sl.

No.

Name & type of

facility (DH,

Maternity Home,

CHC, other ref.

hospital UFWC,

UHP

PHC,Dispensary

etc.)

Managing

Authority

(Municipal

Council,

State Health

Department,

facilities

functioning

on PPP

basis)

Location

of

Health

facility

Population

covered

by the

facility

Services

provided

Human

Resources

available –

list type

and

number of

HR

available

i.e. ANM,

LT, SN,

MOs,

Specialists

etc.

No. and

type of

equipment

available:

X-ray

machine,

USG,

autoclave

etc.

1. CHC Amethi State Health

Department,

AMETHI

NP

as per

NRHM

and state

guidelines

2 State of Urban Health in Uttar Pradesh, 2006

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Health/Morbidity Profile of the City:

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

trauma, cardiovascular disease etc.)

Number of cases

admitted in 2012

1. Injuries and Trauma NA

2. Self inflicted injuries/suicide NA

3. Cardiovascular Disease NA

4. Cancer (Breast cancer) NA

5. Cancer (cervical cancer) NA

6. Cancer (other types) NA

7. Mental health and depression NA

8. Chronic Obstructive Pulmonary Disease (COPD) NA

9. Malaria NA

10. Dengue NA

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

12. TB NA

13. MDR TB NA

14. Diarrhea and gastroenteritis NA

15. Jaundice/Hepatitis NA

16. Skin diseases NA

17. Severely Acute Malnourishment (SAM) NA

18. Iron deficiency disorder NA

19. Others NA

(Source: )-District male and Female Hospital and other dispensaries

3. Key Issues

The Eleventh Plan had suggested Governance reforms in public health system, such as

Performance linked incentives and Devolution of powers and functions to local health care

institutions and making them responsible for the health of the people living in a defined

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

programmes, inter-sectoral convergence and Health Systems Strengthening has been partially

achieved. Despite efforts, lack of capacity and inadequate flexibility in programmes forestall

effective local level Planning and execution based on local disease priorities.

In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would

strive for system of accountability that shall be built at all levels, reporting on service delivery and

system, district health societies reporting to state, facility managers reporting on health outcomes

of those seeking care, and territorial health managers reporting on health outcomes in their area.

Accountability shall be matched with authority and delegation; the NUHM shall frame model

accountability guidelines, which will suggest a framework for accountability to the local

community, requirement for documentation of unit cost of care, transparency in operations and

sharing of information with all stakeholders. The state will incorporate the core principles of The

National Health Mission of Universal Coverage, Achieving Quality Standards, Continuum of Care

and Decentralized Planning.

Following would be the issues for the cities to address: City Health Planning, Public Private

Partnership, Convergence, Capacity Building, Migration, Communitization, Strengthen Data,

Monitoring and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/

Life-Style Diseases.

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After considering the available data, city scenario and analysis, the City planning team has identified issues

at both service delivery & demand generation level. Following are the details of issues which would be

addressed through NUHM at the city level:

1) Need of community volunteers (ASHAs) for taking up the community mobilization activities

2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/

rights and entitlements

3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level

4) Home based care of neonates at community level

5) Promotion of institutional deliveries

6) Health education for all, especially for adolescent group

7) Complete immunization of pregnant women & children

8) Needs to strengthen the existing health care facilities by recruiting human resources

9) Need assessment of community in health scenario

10) Need a better convergence with other programs and wider determinants

11) Need of training & capacity building of human resources

12) Need of Strengthened program management structure at district level

13) Need of intensive baseline survey to start the community processes and identifying local needs

14) Involvement of local bodies in decision making and managing the program locally

15) Gap analysis of HR & recruitment

16) Promotion of family planning methods through basket of choice approach & counselling because

unmet need for family planning is high in Lucknow

17) Management of communicable & non- communicable diseases

18) Strengthening AYUSH

19) Constitution of BSGY team for urban areas.

20) Identification & management of SAM children

4. Strategies, Activities and Work plan

The key overarching strategies under NUHM for 2013-14 include data based planning,

strengthening of management and monitoring systems at the state and district level, improving

the primary health care delivery system and community outreach through ASHAs, MAS and

Urban Health and Nutrition Days(UHNDs).

The key activities at the district level will include convergence with key urban stakeholders,

sensitization of ULBs on their role in urban health, strengthening UPHCs for provision of primary

health care to urban poor, community outreach through selection, training and support to ASHAs

and MAS, conducting UHNDs and outreach camps to get services closer to the community and

reach complete coverage of slum and vulnerable populations.

With the aim to improve the health parameters of urban population in the city, structures and

strategies as recommended for the NUHM in its framework will be adopted and operationalised

rapidly over the years.

4.1. Listing and Mapping of Households in slums and Key Focus Areas

Listing and mapping of households will provide accurate numbers for population their family size

and composition residing in slums. Currently, estimates of population residing in slums are

available from District Urban Development Agency (DUDA) and National Polio Surveillance

Project as the immunization micro plans (under NPSP) provide updated estimates of slum and

vulnerable populations and are expected to be fairly complete. The current plan for covering

slums is based on the currently available data of urban population of each city.

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Once the ASHA are deployed they will list all households and fill the Slum Health Index Registers

(SHIR) including the number and details of family members in each household. This data will be

compiled for city and will provide the population composition of slums and key focus areas. This

will also help the urban ASHA know her community better and build a rapport with the families

that will go a long way in helping her advocate for better health behaviors and link communities to

health facilities under the NUHM. It is expected that once the household mapping is completed in

cities, the number of ASHAs will be reviewed and adjusted upwards or downwards and the

geographical boundaries of the coverage area for each ASHA would be realigned. This is due to

the reason that the actual population may be higher or lower than the original estimate used for

planning.

4.2. Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables

Facility survey will be carried out in the public facilities to assess the gaps in infrastructure,

human resource, equipment, drugs and consumables availability as against expected patient

load. Further planning, particularly for UCHCs, will be based on these gaps. This work will be

outsourced to a research agency. Development Partners like Health of the Urban Poor project

will technically support this effort.

4.3. Baseline Survey

The state envisions monitoring progress in health indicators in urban areas and among urban

poor over the period of implementation of NUHM. This proposed Baseline survey will generate

data on the health and related indicators which will be reviewed during the course of

implementation of the program to assess the impact of implementation and necessary course

corrections can accordingly be made and use of resources can be optimized.

4.4. Training and Capacity Building

ULB, Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be

followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM

will engage with development organizations to develop the training modules and facilitate the

trainings.

4.5. Monitoring & Evaluation

The M&E systems would also capture qualitative data to understand the complexities in health

interventions, undertake periodic process documentation and self evaluation cross learning

among the Planning Units to be made more systematic.

The Monitoring and Evaluation framework would be based on triangulation of information. The

three components would be Community Based Monitoring, HMIS for reporting and feedback and

external evaluations.

4.6. Targeted intervention for urban poor –

The process of listing of households in the KFAs, mapping of KFAs and health facilities and

baseline survey of the KFA households will help determine the scope and extent of services

required for targeting of the urban poor. A deliberate effort will be made to identify the vulnerable

poor on the basis of their residence status, occupational status and social status, besides other

micro-level indicators, which will further help focusing the health care services to the most

deserving.

4.7. Mahila Arogya Samiti (MAS)-

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MAS will act as community based peer education group in slums, involved in community

mobilization, monitoring and referral with focus on preventive and promotive care, facilitating

access to identified facilities and management of grants received. Existing community based

institutions could be utilized for this purpose. City planning team is proposing formation of only

one MAS under each ASHA in the first year and the identification of the remaining planned MAS

will be undertaken in the subsequent years.

4.8. ASHA-

For reaching out to the households ASHAs (frontline community worker) would serve as an

effective and demand–generating link between the health facility and the urban slum population.

Each link worker/ASHA would have a well-defined service area of about 1000-2,500

beneficiaries/ between 200-500 households based on spatial consideration.

4.9. Outreach services –

Outreach services will be provided to the slum areas and KFAs through ANMs who would be

responsible for providing preventive and promotive healthcare services at the household level

through regular visits and outreach sessions. Each ANM will organize a minimum of one routine

outreach session in her area every month.

Special outreach sessions (for slum and vulnerable population) will be organized once in a week

in partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses –

government or private). It will include screening and follow-up, basic lab investigations (using

portable /disposable kits), drug dispensing, and counseling. The outreach sessions (both routine

and special outreach) could be organized at designated locations mentioned in the aforesaid

paras in coordination with ASHA and MAS members

4.10. Innovations –

4.10.1. PPP & CSR –

For Amethi city a few innovative interventions would be planned. Interventions performed under

Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will

be undertaken with the intent to evolve successful models for health care delivery to the urban

poor

4.10.2. School Health Services

School health program under NUHM has been an important component to provide not only the

preventive and curative services to children but also to ensure their contribution in overall health

development of the urban communities. It is envisaged that the active involvement of children in

the program will enable them to be a change agent for themselves as well as communities by

taking home good knowledge and practices in terms of preventive health care activities. It is

planned that children will be engaged through innovative and creative actions to make the

learning entertaining and educational.

4.11. Convergence –

Intra-sectoral convergence is envisaged to be established through integrated planning for

implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National

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

level. Inter-sectoral convergence with Departments of Urban Development, Housing and Urban

Poverty Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will

be established through DHS headed by the District Magistrate.

5. Activity Plan under NUHM

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Act

.

No.

Activity

Months : October'13 - March'14 Remarks

City

level

Oct.

No

v.

Dec

Jan

Feb

Mar

1

Establishment of Platform for

Convergence at state level

Circular to be

isued from state

level to all their

district level

nodal officers

2

Preparation & Finalization of

Guidelines for City Coord.

Committee/ City Program

Management Committee

These will be

one time

activities and

will apply across

the state

3 Preparation & Finalization of

Guidelines for Urban ASHAs

4

Preparation & Finalization of

Guidelines for Mahila Arogya

Samiti

5 Preparation & Finalization of

Guidelines for UHND

6

Preparation & Finalization of

Guidelines for Outreach

sessions/ School Health

Programs

7

Preparation & Finalization of

Job Descriptions for all

district level NUHM positions

8 Preparation & Finalization of

Guidelines for PPP

9 Induction of state level staff

for Urban Health Cell

10 Induction of city level staff for

Urban Health program

11

Meeting of DHS for

establishment of City Program

Management Committee (UH)

12 Sensitization of new probable

members on NUHM

13 Identification of NGOs for their

role under NUHM

14

Establishment & orientation of

City Program Management

Committee (UH)

15

Identification of groups,

collectives formed under

various govt. programs (like

NHG under SJSRY, self help

groups etc.) for MAS

Page | 14

16

Organize meetings with

women in slums where no

groups could be identified

17

Formation and restructuring

of groups as per MAS

guidelines

18 Orientation of MAS members

18 Selection of ASHAs

18a - Selection of local NGOs for

ASHA selection facilitation

18b

- Listing of local community

members as facilitators by

NGOs

18c - Listing of probable ASHA

candidates and finalize selection

19 Convergence meeting with

govt. Stakeholders

20 Mapping & listing exercise (for

health facilities and slums)

20a

- Mapping of all urban health

facilities (public & pvt.) for

services

To continue in

2014-15

20b - Mapping of slums (listed and

unlisted)

To continue in

2014-15

20c - Houselisting of slums/ poor

settlements

To continue in

2014-15

21 Planning for strengthening of

health facilites/ services

- Health Facility Assessment (of

public facilities including listing of

public facility wise infra & HR

requirement)

To continue in

2014-15

22 Baseline survey of urban

poor/ slums (KFAs)

(to determine vulnerability,

morbidity pattern & health

status)

23

Meetings of RKS for all the

public health facilites under

NUHM

24

Identification of alternate/

suitable locations for UPHCs

under various urban devp.

Programs

To continue in

2014-15

25 Strengthening of public health

facilities

- Selection, training and

deployment of HR in pub. health

facilities

To continue in

2014-15

26 IEC activities

27 Outreach camps & UHNDs

Page | 15

(from existing UHPs)

28

Empanelment of Private

Health Facilities for health

care provisioning

To continue in

2014-15

29 Involvement of CSR activities

6. Programme Management Arrangements

Districts Heath Society will be the implementing authority for NUHM under the leadership of the

District Magistrate. District Program Management Units have been further strengthened to

provide appropriate managerial and operational support for the implementation of the NUHM

program at the district level.

After extensive deliberations the state plans to designate the District Health Society under the

chairmanship of the District Magistrate as the implementing authority for NUHM

Fund flow mechanisms have been set up and separate accounts will be opened at in the district for

receiving the NUHM funds.

Urban Health will be included as a key agenda item for review by the District Health Society with

participation of city level urban stakeholders.

An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level.

The District Program Management Unit will co-opt implementation of NUHM program in the district and

the District Program Manager will be overall responsible for the implementation of NUHM. To support

this the following additional staff and funds are proposed for strengthening the District Program

Management Units for implementing NUHM:

a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following

norms:

Amethi Urban

population

Additional Staff Proposed

50 Thousand to 1lakh 1 Urban Health Coordinator,1 Accountant and 1 Data Entry

Operator

b. District Programme Manager will be nodal for all NUHM activities so extra incentive and

budget for 1 laptop to each DPM has been proposed for DPM for undertaking NUHM activities.

c. A onetime expense for computers, printer and furniture for the above staff has been budgeted

along with the recurring operations expenses.

d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy

CMO and District Programme management Unit.

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

City

Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition

(MNCHN) and water, sanitation and hygiene (WASH) services to the urban poor and will work

towards the following objectives:

1. Establish a forum for convergence of city level stakeholders for the delivery of

MNCHN and WASH services to the urban poor.

2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH

service delivery to the urban poor.

3. Provide a forum for exploring, reviewing and approving PPP initiatives and

innovations to address the gaps in MNCHN and WASH service delivery to the urban

poor.

The structure proposed for the City Coordination Committee :

Page | 16

Chairperson - DM

Convener - CMO

Members – Health - ACMO-Urban

Member – ICDS - CDPO

Member – Nagar Nigam - Sum Improvement Officer

Member – Water & Sanitation- Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam

Member DUDA & UD - Project Officer

Members – School Education - BSA & DIOS

Members – Dev. Partners - Partners working in urban NGO's

Review Meetings at UPHC and City Level

Nature of Meeting Periodicity Meeting

Venue

Participants

Mahila Aarogya

Samiti Meeting

Once a month

for each MAS

Slum ANM, HV, Community Organizer,

Social Mobilization officer

Review meeting with

Link workers and

MAS representatives

Once a month UPHC All ANMs, PHN, LMO, Community

Organizer, Social Mobilization officer

Meeting of UPHC

Coordination

Committee

Once a month UPHC LMO, PHN/Community Organizer,

Social Mobilization officer,

representative from 2nd tier facility, and

reps. From other departments

Meeting with CMO &

UH Program

Coordinator

Once a month CMO Office CMO, Program Coord., Asst. Program

Coordinator, LMO/ PHN/ Community

Organizer, Social Mobilization officer

City Task Force

Meeting

Once in two

months

DM’s office CMO, Program Coord. UH, Various

departments’ reps. , private partners,

NGOs

7. City Level Indicators & Targets

Processes & Inputs

Indicators Baseline (as

applicable)

Number

Proposed (2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) to be formed * 0 8

2. Number of MAS members to be trained * 0 80

3. Number of Accredited Social Health Activists (ASHAs) to 0 4

Page | 17

Processes & Inputs

Indicators Baseline (as

applicable)

Number

Proposed (2013-14)

Number

Achieved

(2013-14)

be selected and trained *

Health Systems

4. Number of ANMs to be recruited * 0 1

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

0 1

6. No. of UHNDs to be organized in the slums and vulnerable

areas *

0 7

7. Number of UPHCs to be made operational * 0 0

8. Number of UCHCs to be made operational * 0 0

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

10. OPD attendance in the UPHCs 0 0

11. No. of deliveries conducted in public health facilities 0 0

RCH Services 0

12. ANC early registration in first trimester NA 0

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

trimester of pregnancy

NA 0

14. TT (2nd dose) coverage among pregnant women NA 0

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

NA 0

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

NA 0

Communicable Diseases

17. No. of malaria cases detected through blood examination NA 0

18. No. of TB cases identified through chest symptomatic NA 0

19. No. of suspected TB cases referred for sputum

examination

NA 0

20. No. of MDR-TB cases put under DOTS-plus NA 0

Non Communicable Diseases NA 0

21. No. of Diabetes cases screened in the city NA 0

22. No. of Cancer cases screened in the city NA 0

23. No. of Hypertension cases screened in the city NA 0