Post on 13-Jan-2016
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Directorate of Family Welfare, Orissa
CDMO Conference22.01.2010
Child Health Review
Child Health Strategies
IMNCI (Integrated Management of Neonatal & Childhood illness)
FIMNCI (Facility based Integrated Management of Neonatal & Childhood illness)
SNCU (Sick Newborn Care Unit)
PD (Pustikar Diwas)
NSSK ( Navajata Sishu Surakha Karyakram)
IMNCIDistrict Training Achievement
till Dec 09
Basic Training % FUS FTT
AWW ANM
Balasore 57 59 1 0
Bolangir 49 54 1 0
Boudh 67 89 0 1
Deogarh 71 76 0 0
Gajapati 43 39 1 0
Kalahandi 42 43 0 0
Kandhamal 37 51 1 0
Keonjhar 37 38 0 1
Koraput 97 105 3 4
District Training Achievement till Dec 09
Basic Training % FUS FTT
AWW ANM
Malkangiri 46 57 0 0
Mayurbhanj 93 113 18 3
Nawarangpur 26 20 5 1
Nuapada 74 60 1 3
Rayagada 72 66 0 0
Sonepur 44 28 1 0
Sundargarh 47 39 0 0
IMNCI Implementation status in 3rd Qtr. (Oct. 09 to Dec. 09)
Issues in IMNCI Implementation
Distribution of drugs / formats down below to AWC level Formation IMNCI Coordination Committee and regular meetings Joint review with ICDS at District & Block level Training of Supervisors in IMNCI Review progress on monthly basis Timely reporting from the Block to District and up to the State Additional venue for Basic Health workers training to be started Supervisory training to be given priority Issues of Deogarh on activating Banai: Approval will be given shortly RI Coordinator to remain in charge of MCH programmes in the absence
of Child Survival Coordinator / Dy Manager Child Health Involvement of Med Colleges on conducting TOT for new districts and
field assessment
Status of SNCU at Districts.
District Status Suggestion
Angul Completed To be operationalised on 1st Feb .2010
RayagadaSonepurKandhamalPuriVSS MCHSambalpur
Civil work completed Electrical assessment pending.
Assessment of Electrification to be done by Suptd. Eng/ Asst. Eng.(GED) which should be facilitated by CDMOs.
Balasore Civil works incomplete.
Civil work to be expedited.
Other SNCU IssuesStaff nurse to be recruited in
SonepurKandhamalPuriSambalpurRayagada
FBNC trained Staff Nurses should work exclusively in SNCU.
Funds for recurring & maintenance Expenses have been provided to District with functional SNCU.
Funds should be utilised to resolve day to day operational issues.
SNCU Committee meeting to be held monthly.
Issues- Pustikar DiwasIrregular Reporting
Boudh, Koraput, Nuapada, Malkangiri, Nayagarh, Sundargarh
Very high case load on Pustikar Diwas Day: Screening at VHND to be strengthened
One client receiving admitted several times for monetary benefits only: genuineness of cases should be checked at District/ Block level.
Transparency in selection of pharmacy shops and investigation centres while referring cases for medicine and investigation
Coordination with WCD (ICDS) functionaries in field level is weak District level meeting with DSWO should be done regularly
Operational Guidelines and formats should be strictly used during Programme Implementation
Child Health Expenditure
Expenditure analysis of Districts under Child Health as on 31.12.09
(Rs in Lakhs)
Sl No District Budget Expenditure inuccred % of Expenditure
till Sep'09 till Dec'09 till Sep'09 till Dec'09 1 Angul 22.61 2.48 3.47 11% 15%
2 Balasore 45.05 8.01 12.55 18% 28%
3 Baragarh 26.31 4.22 9.63 16% 37%
4 Bhadrak 33.28 2.74 5.07 8% 15%
5 Bolangir 34.50 1.43 6.18 4% 18%
6 Boudh 7.49 0.19 1.34 2% 18%
7 Cuttack 43.74 13.10 15.89 30% 36%
8 Deogarh 5.99 0.32 0.58 5% 10%
9 Dhenkanal 22.41 6.13 9.66 27% 43%
10 Gajapati 11.21 0.46 7.57 4% 68%
11 Ganjam 64.99 9.11 13.49 14% 21%
12 Jagatsinghpur 19.80 0.56 1.99 3% 10%
13 Jajpur 37.42 6.56 8.25 18% 22%
14 Jharsuguda 10.04 0.87 1.29 9% 13%
15 Kalahandi 36.52 1.11 4.46 3% 12%
Child Health ExpenditureExpenditure analysis of Districts under Child Health as on 31.12.09
(Rs in Lakhs)
Sl No District Budget Expenditure inuccred % of Expenditure
till Sep'09 till Dec'09 till Sep'09 till Dec'09 16 Kandhamal 16.99 2.95 5.04 17% 30%
17 Kendrapara 28.11 2.87 7.52 10% 27%
18 Keonjhar 33.73 0.77 4.65 2% 14%
19 Khurda 30.40 1.93 3.59 6% 12%
20 Koraput 23.41 - 0.33 0% 1%
21 Malkanagiri 11.97 1.05 2.75 9% 23%
22 Mayurbhanj 64.40 13.08 20.10 20% 31%
23 Nawarangpur 21.68 1.84 4.68 9% 22%
24 Nayagarh 18.55 - 0.14 0% 1%
25 Nuapada 15.83 - 1.37 0% 9%
26 Puri 33.50 8.25 12.40 25% 37%
27 Rayagada 19.11 30.11 59.76 158% 313%
28 Sambalpur 24.36 4.63 6.42 19% 26%
29 Sonepur 14.77 0.37 1.45 2% 10%
30 Sundargarh 32.14 0.12 4.07 0% 13%
Total 810.29 125.24 235.71 15% 29%
Essential New Born care concepts at different levels
Name of the facility
Type of care available Type of care Training required
24x7 Newborn Care Corner NCC / NBC
Prompt Referral
NSSK &SBA training
FRU/CHC Newborn care corner in LR & OT,
NSU / SNCU-I /SCNU-Il
Neonatal Stabilisation
Unit
FBNC training
DHH Newborn care corner in LR& OT,
SNCU-I / SCNU-II
Special Care Newborn Unit
FBNC TRAINING
STATUS ON SNCU-II CONSTRUCTION(Based on information from districts) As of 20th Nov' 09
Sl. No
Districts Construction StatusHanding
Over StatusPayment
StatusEquipment
StatusRecruitment Status Training Status
Dispatched from State
Training of doctors
Training of
Paramedicals
1
Angul
CompletedHanded over to CDMO Not Done Yes
Interview on dt.27.01.2010.
Completed for two doctors & 2 SNs.: At Sishu Bhavan in Cuttack done
2
Sambalpur
70% civil work completed, electrical work stopped due to non receipt of work order from NRHM ( work stopped since electrical work is not done)
Not handed over : payment is due Not Done Dispatched
Recruited 3 SNs and 2 ANMs. Rest 6 SNs and 1 ANM need to be recruited. do done
3
Sonepur Civil Work-CompletedElectrical Work - Completed do Not Done Dispatched
Recruitment of SN and ANMs not done : not available do done
4
PuriCivil Work-CompletedElectrical Work & PH - Completed do Not Done Yes Recruitment completed
will be held in Batch ll
Will be done in Batch ll
5
RayagadaCivil Work-CompletedElectrical Work - CompletedPH Work completed do Not Done Dispatched
Not done : Bisam Cuttack approval has been done completed.
Will be done after recruitment
6
Keonjhar Civil Work - 20% done, previous construction money is not paid. No order for electrical and PHD.
Work not completed Paid 30%
Initially Dispatched but later diverted to Balesore during CRM Completed completed
Will be done in Batch ll
7
Balasore
Excavation is over not done Not DoneDiverted to Kandhamal
Advertise is over. Recruitment process is on completed
will be done
8
VSS Medical College, Burla
Civil work - incompleteElectrical work - Not started( Not done in place of approval)No payment and no order for electrical and PHD not done Not Done Reached there
Recruitment of 8 SN is over completed
Will be done in Batch ll
9
MKCG Medical College, Berhampur
Tenders called for twice failed. GED to execute the elecrification work as per Model Estimates. Renovation will be done by PWD. NA NA
Equipments are idle for last 1 & 1/2 yrs NA Completed NA
10
SCB Medical College, Cuttack
Phase l: Civil, electrification and PH work: completed; Phase ll: estimation is done, tenders will be called for. Done
UNICEF has given partial payment
SDMU to despatch soon
Staff Posting will be decided by DMET completed
Will be done in Batch ll
SNCUs supported by UNICEF
Koraput 2
Mayurbhanj 4
Capital Hospital 1
MKCG and SCB 2
SNCUs supported by NIPI
Angul 1
Sambalpur 1
VSS, Burla 1
SNCU Supported by NRHM
Puri 1
Kandhmal 1
Balasore 1
Sonepur 1
Rayagada 1
Thank You