A Report on Assessment of 3 PHCs in Jharkhand

7/30/2019 A Report on Assessment of 3 PHCs in Jharkhand

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A report on Assessment of Singhari, Teenpahar and Atka Primary Health Centres in Jharkhand state Page 1

A report on Assessment of Singhari, Teenpahar and

Atka Primary Health Centres in Jharkhand state

Submitted by: Dr. Suranjeen Prasad, M.D. Dr. M. Jawed Quereishi, MPH (Gold Medallist), PGDDHM. Mr. Arshad Hussain (ITAP representative).

15th July 2011


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Background: The Jharkhand Rural Health Mission Society (JHS) has expressed its intent towards the

operationalization of 10 Primary Health Centres (PHCs) through Public Private Partnership. The PHC / PHCs will

be handed over to the NGOs/ Corporate / Private Agencies based on the strengths of the proposals received

against the clauses mentioned in Expression of Interest floated by JHS. The government, as of now, plans to hand

over 7 out of the 10 PHCs to NGOs. Before the final handing over, JHS wants a third party assessment of the

PHCs to be done. The physical infrastructure of the PHCs will be handed over as per the inventory jointly agreed

upon by JHS and concerned NGO.

Scope of Work: The Consultant will provide technical support in carrying out the Facility survey of the

identified PHC/PHCs which will include the following activities:

1. To examine the status of infrastructure

2. To examine the status of human resource

3. To examine the status and functionality of equipment

4. To examine the status of type of services being provided as per the IPHS to the community.

The questionnaire/ check-list to be used for the mentioned survey have been developed by ITAP and

encompass Indian Public Health Standard (IPHS) guidelines and other relevant questions required for

contracting out of facility.

Team of Consultants:

(1) Dr. Suranjeen Prasad, M.D.

(2) Dr. M. Jawed Quereishi, MPH (Gold Medallist), PGDDHM.

(3) Mr. Arshad Hussain (ITAP representative).

Facilities visited:

Above team has carried out the Facility survey of the identified three PHCs which are as follow:

(1) Name of PHC: Singhari, Block: Meharama, District: Godda visited on 6

th

July 2011.(2) Name of PHC: Teenpahaar, Block: Rajmahal, District: Sahebganj visited on 7

thJuly 2011.

(3) Name of PHC: Atka, Block: Bagodar, District: Giridih visited on 11th

July 2011.


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Report on Singhari Primary Health Centre

A team of consultant visited Singhari Primary Health Centre which comes under Meharama block of

Godda district on 6th

July 2011. This PHC is located 3 kilometres away from Meharma CHC. Team of

consultant is also accompanied by District Programme Manager and Medical Officer of respective areas.

Status of infrastructure:

This PHC is located within village locality. PHC building is a designated government building available

for PHC only with staff quarters handed over by District collector on 11th

April 2010. The PHC is just a

building, which has functioned occasionally to host eye surgical camps. The building is of very good

quality, and has been designed as a hospital with residential quarters for doctors and other staff. PHC

have partial compound wall. Walls and floors are in good condition. Good cleanliness is maintained in

OPD, Rooms, Wards, Toilet and entire premises. A prominent display board regarding availability of

services was not there. There are separate registration counters but not functioning. There is no

pharmacy for drug dispensing and drug store. There are separate toilets for male and females but not

functioning. Separate wards for male and females are there. Separate OPD rooms are available. There is

no suggestion/complaint box available at PHC. Family welfare clinic, Newborn care corner, DOT

centres are not there. No operation theatre is available although there is space for same . Labour room and

laboratory are not available. The main water supply is hand-pump/tube well and there is a over head tank on PHC.

Sewerage facility is there with soak pit. There is no electric connection. Generator is not available. Laundry

facility, communication facility, and vehicles are not available. There is a separate space for office, store room

and kitchen. There are staff quarters but only two 4th grade staffs are staying.

Status of Human resources:

Mr. Rajpathi Tandan (Male ward attendant) from Meharama CHC and Mr. Sanath Lal soren fromBlawadah PHC is deputed to Singhari PHC.

Status and functionality of equipment:

No equipments are available there.

Status of type of services being provided as per the IPHS to the community:

Occasionally eye camps were held at PHC building. There are no services being delivered to community

at Singhari PHC.

NOTE: Photographs of Singhari PHC are annexed in Annexure A.


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Report on Teenpahaar Primary Health Centre

A team of consultant visited Teenpahaar Primary Health Centre which comes under Rajmahal block of

Sahebganj district on 7th

July 2011. This PHC is located 13 kilometres away from Rajmahal CHC. Team

of consultant was also accompanied by District Programme Manager and Medical Officer of respective

areas.


The PHC building was built under the MP fund and handed to the Health Department by the District Collector

recently. This PHC is located within village locality. PHC building is a designated government building

available for PHC. PHC doesnt have compound wall. Walls and floors are in good condition. Good

cleanliness is maintained in OPD, Rooms, Wards and entire premises except toilets. A prominent display

board regarding availability of services was not there. There are separate functional registration counters.

There is a functional pharmacy for drug dispensing and drug store. There are separate toilets for male

and females but not clean. Space for separate wards for male and females are there but functional.

Separate OPD rooms are available. There is no suggestion/complaint box available at PHC. There is a

separate waiting room for patient. Family welfare clinic is functional. Newborn care corner, DOT

centres are not there. No operation theatre is available. Labour room is available and not functional and not

well equipped. Deliveries are not conducted due to lack of staff. Laboratory is available and functional but for

only few diagnostic purposes. The main water supply is hand-pump/tube well and there is no over head tank on

PHC. Sewerage facility is there with soak pit. There is electric connection lines connected to all parts of PHC.

One inverter is available and functioning properly. Laundry facility, communication facility, and vehicles are not

available. There is no separate space for office but space available for store room and kitchen. There are no staff

quarters.


Two medical officers deputed to this PHC. Dr. Mahmood Alam and Dr.Nishant Kujur. Two ANMs were

posted named Mrs. Sohagini Murmu and Madhuri Kumari along with one MPW male- Manindar Nath

Yadav on contractual basis. One health educator named Ganesh Prasad Mandal, one clerck Mohd. Tufail

Ahmed Ansari and one 4th

grade staff Mr. Chakrawarthi Paaswan were also posted.


One binocular microscope with oil immersion is functional. New born care corner is not available, B.P.

apparatus, stethoscope are available in 2 no. out of which 1 each is functioning. Clinical thermometer,

hub cutter, examination table, writing tables, plastic chairs, full size steel almirah, fans and one vaccine

carrier are available.


Only primary treatment is available, MCH and RCH services are not available due to non availability of

staffs and equipments.

NOTE: Photographs of Teenpahar PHC are annexed in Annexure B.


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Report on Atka Primary Health Centre

A team of consultant visited Atka Primary Health Centre which comes under Bagodar block of Giridih

district on 11th

July 2011. This PHC is located 11 kilometres away from Bagodar CHC. Team of

consultant was also accompanied by District Programme Manager and Medical Officer of respective

areas.


This PHC is located within village locality. PHC building is not a designated government building

available for PHC and operated in building of veterinary department. PHC doesnt have compound wall.

Walls and floors are in good condition. Good cleanliness is maintained in OPD and Rooms. There is no

toilet facility. A prominent display board regarding availability of services was not there. There are

separate functional registration counters. There is a functional pharmacy for drug dispensing and drug

store. There is no space for separate wards for male and females. Separate OPD rooms are available.

There is no suggestion/complaint box available at PHC. There is a separate waiting room for patient.

Family welfare clinic is not functional. Newborn care corner, DOT centres are not there. No operation

theatre is available. Labour room is available and not functional and not well equipped. Deliveries are conducted

in this PHC but there is no separate area available for conducting septic and aseptic deliveries. Laboratory is

available and functional but for only few diagnostic purposes. The main water supply is hand-pump/tube well and

there is no over head tank on PHC. There is no sewerage facility. There is electric connection lines connected to

all parts of PHC. Laundry facility, communication facility, and vehicles are not available. There is no separate

space for office but space available for store room and kitchen. There are no staff quarters.


The PHC has two doctors, two ANMs, a Laboratory Technician apart from support staff. It has a HMSand a bank account.


One functional binocular microscope with oil immersion, one vaccine carrier, IUD insertion kit, normal

delivery kits, 1 fridge (165 ltr.) are available in functional condition.


Only primary treatment is available, MCH and RCH services are limited available due to non

availability of staffs and equipments.

NOTE: Photographs of Atka PHC are annexed in Annexure C.


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Annexure: A

Singhari PHC:


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ANNEXURE B: Teenpahaar PHC:


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ANNEXURE C: Atka PHC:


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A Report on Assessment of 3 PHCs in Jharkhand

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