Uttar pradesh

Fellow: Dr. Aman Preet KaurMentor: Mr. Ajit Kumar Singh

District & Facilities selectedIntervention District Collaborating District

Name :Varanasi Name :Kannauj

Facilities selected Facilities selected

DH: Pandit Deen Dayal Upadhyaya Hospital

DH: Combined District Hospital

CHC: Arajilines CHC: Saurikh

PHC: Baragaon PHC: Sekunderpur

SC: Paterwa SC: Muraiyabuzurg

Introduction & BackgroundIntervention DistrictVaranasi

Collaborating DistrictKannauj

Demography Population-3,676,841Male-52%Female-48%Rural-56.56%Urban-43.44%Sex Ratio:913Child sex ratio:885Average literacy:75.6%

Population-1,656,616Male-53%Female-47%Rural-83.05%Urban-16.95%Sex Ratio:879Child sex ratio:898Average literacy:72.7%

No. of health facilities

Medical college: 1Divisional hospital:1District hospital:4CHC: 8PHC: 4 + 22 APHCUPHC: 24SC:306

Medical college: 1District hospital:1CHC: 7PHC: 28SC:188

MHD- Indicators for VaranasiIndicators Baseline (avg./month) Current(March)

Maternal HealthMMRANC Registration in 1st trimesterANC check up in 3rd trimesterTotal deliveriesC section

346992062973318189

997168843506201

Child HealthIMR/NNMRBed occupancy rate at SNCUBCGFull immunizationNumber of newborns weighed at birth Less than 2500 grams

78/53433824766863153449

422793165263451349

OPDIPD

1382579690

14805510118

No of IUCD Insertions 2146 1700

MHD –Indicator: KannaujIndicators Baseline

(avg./month)Current(April)

Maternal HealthMMRANC Registration in 1st trimesterANC check up in 3rd trimesterTotal deliveriesC section

26743312652308811

43482918369814

Child HealthIMR/NNMRBCGFull immunizationNumber of newborns weighed at birth Less than 2500 grams

78/55151836961712373

139231941820200

OPDIPD

60,0072483

44,2471899

No of IUCD Insertions 1626 1829

Progress- Varanasi

WARD MANAGEMENT AWARD

District hospital-PDDU SOPs made RKS Meeting and Regular system of weekly meetings started with

CMS After meeting digital X ray started Proper seating arrangement for attendants in trauma center PAC form implemented in OT from 4/5/2016 ASHA jyoti kendra fully functional from 8/3/2016 Cervix cancer training at sampoorna clinic

CHC Arajilines

SOPs made Stay of mothers after delivery

increased from 4 hours to 24 hours(counselling)

Citizen charter gone for printingBMW training givenShared action plan with new MOICRO water supply started

PHC Baragaon

Condemnation line listing started on 15/5/2016

Painting of the facilityBleaching solution provided Minilap trained person

deployed Person trained on PPIUCD

Miscellaneous work Opening of bank account- 100 % account

opened and payments done to JSY beneficiaries also 100 % due payments has been clear to ASHAs.

Facilitated in PIP Planning Block to DHAP to state level Line listing of HRP done in month of

March,2016 HMIS/MCTS training of all Block program

managers/MCTS operators ,C.M.O, Nodal ACMO and R.I. operators at division level.

Save birth response team created in April,2016 21st of each month chosen for male sterilization Regional depo for all contraceptives 23rd and 24th May,2016 MDR training of BPM

and MOIC

Progress- Kannauj

MCTS HRP tracking and managing started based on the one being done in Bihar

District Hospital SNCU inaugurated at DH on 2nd March,2016 Protocols displayed at DH BHT implemented 3 days inventory indent system started

CHC SOPs made New MCH building handed over on 12/04/2016 HMIS reviewed in CHC, based on the discrepancies found in register entries and data fed , a

pilot started in the month of April for maintaining a register with HMIS heads and getting it filled daily

Bottlenecks Sewerage line blocked and clogging of water in toilets in DH of Varanasi

and Kannauj both. Pest control not done No guards in both the DH Canteen still unkempt in DH of Kannauj, encroachments,no action taken on

unwanted bills MCH wing yet not constructed, should have been constructed by 2014-

Arajilines Water accumulation problem in CHC not sorted,power supply irregular, no

ward boy/aaya No MO posted at PHC-Sekunderpur Shortage of class 4th employees in Baragaon

Way ForwardHRP MCTS tracking implementation in VaranasiOverall DHAP not proper, planning not started at all levels-

decentralisedFund allocation needs to be done, money not available at

lower levelHMIS based review not happeningMCTS tracking with pregnancyConsolidation of SOPs

Thank You