Annual Report - Karuna Trust · 4 Executive Summary As Karuna Trust enters a new year, we look back...

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Annual Report 2010-2011

K Karuna Trust # 686 ,16th Main ,39th cross 4th T block Jayanagar ,Bangalore 560041 Phone :080-22447612 email:[email protected] www.karunatrust.com

Education

Advocacy Livelihood

Health

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Table of Contents EXECUTIVE SUMMARY ................................................................................................................ 4

VISION ........................................................................................................................................ 5

MISSION ...................................................................................................................................... 5

KARUNA TRUST TODAY ............................................................................................................... 5

I) HEALTH PROGRAMS ............................................................................................................................. 6

List of PHCs ........................................................................................................................................ 7

Scaling up ........................................................................................................................................... 8

1)Health Projects ................................................................................................................................ 8 a )Mobile Health Clinics ............................................................................................................................................. 8 b) Community Based Eye Care- Vision Centres through Sight Savers International (SSI) ....................................... 11 c) Community Planning & Monitoring...................................................................................................................... 13 d) Sukshema– Partnership with Karnataka Health Promotion Trust (KHPT) ........................................................... 13 e) Comprehensive District HIV Prevention Program – UNICEF .............................................................................. 16 f) Implementing Primary Health Care through PPP – Project with the Sir Dorabji Tata Trust (SDTT) .................... 19 g)Total Management of essential RCH & Primary Health Care Through Public Private Partnership with Population

Foundation of India (PFI) .......................................................................................................................................... 20 h) District Health Management Project (Swastha Karnataka) ................................................................................... 21 i) Scaling Up Project -with the John D. & Catherine T. MacArthur Foundation, USA ............................................ 22 2) Secondary Health .......................................................................................................................... 25 a) Eye Hospital .......................................................................................................................................................... 25 b) First Referral Unit ................................................................................................................................................. 26 c) Citizen‟s Help Desk .............................................................................................................................................. 27 3) Innovations in Primary Healthcare ............................................................................................... 28 a) Mainstreaming Traditional Medicine in PHCs (UNDP) ....................................................................................... 28 b) Community Mental Health Program ..................................................................................................................... 31 d)Mobile Dental Unit ................................................................................................................................................ 31 e)Village Resource Centre (Telemedicine in Collaboration with ISRO) ................................................................... 32 4) Health Research ........................................................................................................................... 32 a) Expenditure Reforms Commission (ERC) ............................................................................................................ 32 b) Study of patterns of Antibiotic Dispensing in Pharmacies in Tumkur, Karnataka, India .................................... 33 c)PAN Asian Collaboration for Evidence-based eHealth Adoption and Application (PANACeA) .......................... 34 5) Advocacy in Health ....................................................................................................................... 37

II) OTHER PROJECTS ............................................................................................................................... 37

a) Manasa Project supported by Sir Ratan Tata Trust .............................................................................................. 37 a)Non Curative Primary Healthcare Services in Yelandur Taluk of Chamarajanagar District .................................. 42 c)Integrated rural development Program in T. Narasipura Taluk (creation of SHGs) ............................................. 44 d) Wienerberger --Management of Out-patient ......................................................................................................... 47 e)Kammasandra Project ........................................................................................................................................... 49 f)Bangalore Medical College Scholarship Project:.................................................................................................... 50

III) PHC REPORT FOR 2010-11 ................................................................................................................ 51

1)KARNATAKA PHCS ......................................................................................................... 52

Consolidated Data for all PHCs in Karnataka .................................................................................. 53 1)Anegundi PHC ....................................................................................................................................................... 55 2)Aralagodu PHC ...................................................................................................................................................... 59 3)Ashokanagara PHC ................................................................................................................................................ 62 4)Begar PHC ............................................................................................................................................................. 65 5) BEGGAR‟S COLONY (NPK) PHC ..................................................................................................................... 69

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6)Castle Rock PHC ................................................................................................................................................... 74 7) Chandrabanda PHC .............................................................................................................................................. 77 8) Dindavara PHC ..................................................................................................................................................... 81 9) Doddakenahalli PHC............................................................................................................................................. 84 10) Galagihulukoppa PHC ........................................................................................................................................ 86 11) Gumballi PHC ..................................................................................................................................................... 90 12) Hirehal PHC ........................................................................................................................................................ 94 13) Hudem PHC ........................................................................................................................................................ 98 14) Huvilgola PHC .................................................................................................................................................. 102 15) Idagur PHC ....................................................................................................................................................... 104 16) Kallusadarahalli PHC ........................................................................................................................................ 107 17) Kammasandra PHC ........................................................................................................................................... 111 18) Kannura PHC .................................................................................................................................................... 114 19) Kohinoor PHC .................................................................................................................................................. 118 20) Mallapura PHC ................................................................................................................................................. 121 21) Nandikeshwara PHC ......................................................................................................................................... 125 22)Pattanayakanahalli PHC ..................................................................................................................................... 129 24) Shreemangala PHC ........................................................................................................................................... 133 25) Sri Rama Ranga Pura (S.R.R. Pura) PHC ......................................................................................................... 136 26)Sugganahalli PHC .............................................................................................................................................. 140 27)Thithimathi ......................................................................................................................................................... 143 28)V.K. Salagar PHC .............................................................................................................................................. 145 29)Yemalur PHC ..................................................................................................................................................... 149

2) ORISSA PHCS .................................................................................................................. 153 1)Alasu PHC ........................................................................................................................................................... 154 2)Barang PHC ......................................................................................................................................................... 156 3)Goudagotha PHC (N) ........................................................................................................................................... 158 4)Manitara PHC ...................................................................................................................................................... 160 5)Rahada PHC ......................................................................................................................................................... 162

3)ARUNACHAL PRADESH ..................................................................................................... 165 1)Anpum PHC ......................................................................................................................................................... 166 2)Bameng PHC ....................................................................................................................................................... 168 3)Etalin PHC ........................................................................................................................................................... 170 4)Jeying PHC .......................................................................................................................................................... 172 5)Khimiyong PHC................................................................................................................................................... 174 6)Mengio PHC ........................................................................................................................................................ 176 7)Sangram PHC ...................................................................................................................................................... 178 8)Walong PHC ........................................................................................................................................................ 180 9)Wakka PHC ......................................................................................................................................................... 182 10)Tuting CHC ........................................................................................................................................................ 184

4)MEGHALAYA PHCS .......................................................................................................... 187 1)Primary Health Centre Mawlong ......................................................................................................................... 188 2)Primary Health Centre Mawsahew....................................................................................................................... 191 3)Primary Health Centre Umtrai ............................................................................................................................. 194

5) ANDHRA PRADESH PHCS ................................................................................................. 198 1) Primary Health Centre Gadiguda ........................................................................................................................ 199 2)Primary Health Centre Lingapura ........................................................................................................................ 201

IV) FINANCE REPORT ............................................................................................................................ 204

V)AWARDS & ACHIEVEMENTS: .......................................................................................................... 213

VI )COMPLIANCE TO NORMS FOR CREDIBILITY OF VOLUNTARY ORGANAZATIONS ........ 214

VII) DONORS LIST ................................................................................................................................... 216

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Executive Summary

As Karuna Trust enters a new year, we look back on a year filled with successes, challenges and rich learnings.

It has been a long and fruitful journey – from an organization that began 25 years ago to combat endemic

leprosy in a small district in Karnataka to a reputed organization today with public-private partnerships with

governments of 5 states! Truly, Karuna Trust has come a long way!!

Karuna Trust drew inspiration from its sister organization, Vivekananda Girijana Kalyana Kendra for its work,

its vision and its commitment to community healthcare. Over the years, the Trust has been unflinching in its

passion and its vision „to strive to provide an equitable and integrated model of healthcare, education and

livelihood by empowering marginalized people to self-reliance‟.

During 2010-11, Karuna Trust has seen more of its vision fulfilled. Our most unique, successful project - public-

private partnership with the stage governments of Orissa, Karnataka, Arunachal Pradesh, Andhra Pradesh,

Manipur and Meghalaya – has benefited local communities residing in remote areas with quality, affordable

primary healthcare, 24x7 headquartered staff and round-the-year supply of essential drugs. Other innovative

projects such as the Mobile Health Clinic, Vision Centres and Citizen‟s Help Desk, have also helped rural,

underprivileged and tribal communities of remote, hilly or hard-to-reach areas access quality, affordable and

accessible primary healthcare services. The MHCs have catered to more than 50,000 beneficiaries over the

current year. The Vision Centres have seen more than 28,000 patients and provided more than 700 with

spectacles, the Citizen‟s Help Desk has an average of 7000 people per month approaching it for help and

information.

The Trust‟s other collaborations such as the partnership with the NRHM for improving maternal, neonatal and

child health (MNCH) outcomes in 8 under-served districts in North Karnataka has seen a visible decrease in

maternal and infant deaths in these districts due to our interventions. The District HIV Prevention Program has

increased focus during the current year on building up a good human resource pool of trained staff with good

understanding of ground realities through meetings, workshops, monitoring visits and training programs on such

relevant topics as reporting, behaviour change & HIV, communication and conflict resolution. Another unique

project, the First Referral Unit, set up to address issues of emergency obstetric care in the Santhemarahalli CHC

has conducted more than 1000 deliveries to date under its maternal & child health unit.

Karuna Trust‟s Hon. Secretary Dr. H. Sudarshan is also a member on many reputed state and national

committees and organizations including the Task Force on Public-Private Partnership; the National Rural Health

Mission, Govt. of India; and the Steering Group & Working Group of the Planning Commission (11th

Five Year

Plan) on the Empowerment of Scheduled Tribes. This provides a wide platform for sharing Karuna Trust‟s

learnings, experiences, challenges in the field as well as success stories with policy makers at both state and

national levels, thus enabling positive policy change in the area of health.

These initiatives reinforce the fact that health-seeking behaviour in the communities has improved remarkably

and demand for quality health services has increased considerably. Karuna Trust has also been fortunate as its

medical teams in all its projects have shown great endurance and commitment to their work, despite facing

difficult terrain and tough working conditions.

As Karuna Trust looks forward to a new, healthy and productive year, new programs are being implemented that

will reach larger numbers of communities with quality primary healthcare. These include plans for Accreditation

of our Gumballi Primary Health Centre on NABH standards in Karnataka, increasing ante-natal and child care

reach to pregnant women and immunization of children through continuous reminders, and scaling up activities

under the public-private partnership model in the states of Maharashtra, Bihar, Jharkhand, and Jammu &

Kashmir.

We are deeply honoured and grateful for the confidence and respect of our partner organizations, donors and

state governments, who have placed their faith in our ability to create change wherever we work, and without

whose support this incredible journey would not have been possible. Karuna Trust is thankful to them for its

achievements and for the encouragement to go forward with renewed enthusiasm each year....

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Introduction

Set up in 1986, Karuna Trust had its origin in the work and experience of Vivekananda

Girijana Kalyana Kendra (VGKK), which was providing basic healthcare to tribal

communities from BR Hills in Chamarajnagar district of Karnataka. When VGKK extended

its health services to tribals outside of BR Hills through a clinic at Yelandur taluk situated at

the foothills, an understanding emerged that Yelandur was hyper endemic to leprosy with a

prevalence of 21.4/1000 population. Karuna Trust was established as a response to this

problem.

Vision

A society in which we strive to provide an equitable and integrated model of health care,

education and livelihoods by empowering marginalized people to be self reliant.

Mission

To develop a dedicated service minded team that enables holistic development of

marginalized people, through innovative, replicable models, with a passion for excellence.

The primary objectives of Karuna Trust are to:

Provide integrated development to the poor and marginalized people (tribal, rural and

urban) through health, education and training for livelihoods

Organise and empower rural people to work towards a self-reliant community

Work through public private partnerships for innovative, replicable and sustainable

models

Support and complement government initiatives in health and education to improve

the quality of services and encourage community participation

Create innovative models for replication and provide benchmarks to influence

government policy and reforms

Karuna Trust Today

Over time several other health problems in the taluk became evident. Karuna Trust gradually

extended the scope of its work by addressing other health needs of the rural community,

including epilepsy, tuberculosis, RCH, dental and eye care and mental health. Karuna Trust

currently facilitates community driven integrated development programmes addressing their

health, education and livelihood needs.

From its operations in Yelandur and T Narasipura taluks in Chamarajnagar and Mysore

districts of Karnataka, Karuna Trust has now reached several other districts in Karnataka as

also other states such as Andhra Pradesh, Orissa, Arunachal Pradesh, Meghalaya and it is in

the process of extending to Maharashtra,Manipur,Jammu Kashmir,Tripura,Rajastan,

Chattisgarh, Jharkhand and Mandya Pradesh, through its work on primary health care under

Public Private Partnerships [PPP] with the government healthcare system.

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I) Health Programs

Public Private Partnership [PPP] in Health Care

The National Population Policy 2000 lists public private partnerships (PPPs) with NGOs as

an important and viable strategy for development. The work of NGOs in PPPs is essentially

supplementary and complementary to the work of the government. NGOs have the

advantage of flexibility in procedures and a rapport with the local population, which is

leveraged for greater impact through PPPs. PPPs have been initiated in several areas, health

being one of them.

Karuna Trust is actively involved in a unique PPP in health with the Government of

Karnataka (GoK). The initiative began with the taking over and running of Gumballi PHC

in Yelandur taluk of Chamarajnagar district.

The uniqueness of the Karuna Trust PPP initiative is that it is focused on community oriented

preventive medicine instead of individualistic top-driven approaches. The community driven

health approach aims at empowering every individual with essential knowledge which would

him/her to lead a healthy life and participate meaningfully in understanding and solving

health problems of the family and the community. This is achieved by integrating preventive,

promotive, curative and rehabilitative functions through an approach, which is democratic,

decentralized, culture and region specific, and participatory.

The strategies used for more effective implementation of PPPs at PHCs are to:

Build capacity of service providers at various levels for providing primary health care

Strengthen information and communication technology for appropriate and timely

consultation and skills building

Enable the provision of all essential services under one roof

Ensure that each PHC functions at optimum efficiency and in a transparent and

corruption free manner

Introduce initiatives that can help the PHC to serve as a community hub rather than

merely provide healthcare such as community-led planning and monitoring, capacity

building of VHSCs, RKSs, PRIs

This PPP initiative of Karuna Trust has grown, and in response to invitations from other state

governments, the Trust currently manages Community Health Clinic and PHCs in Karnataka,

Andhra Pradesh, Orissa, Arunachal Pradesh, Manipur and Meghalaya in partnership with the

respective state governments.

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List of PHCs

SL Name of the PHC Taluk/block District

1 Aralagudu Sagara Shimoga

2 Anegundi Gangavathi Koppal

3 Ashoknagara Khanapura Belgaum

4 Begar Shringeri Chikkamagalur

5 Beggar's Colony Yelahanka Bangalore Urban

6 Castle Rock Joida Uttar Kannada

7 Chandarabanda Raichur Raichur

8 Dindavara Hiriyoor Chitradurga

9 Galagihulukoppa Kalgatgi Dharwad

10 Gumballi Yelandur Chamarajanagar

11 Hirehala Rona Gadag

12 Hudem Koodligi Bellary

13 Huyilugola Gadag Gadag

14 Idaguru Gowribidanur Chikkaballapura

15 Kammasandra Doddaballapur Bangalore Rural

16 Kannuru Bijapur Bijapur

17 Kohinoor Basavakalyana Bidar

18 Kallusadarahalli Arasikere Hassan

19 Mallapura Jagaluru Davanagere

20 Nandikeshwara Badami Bagalkot

21 Pattanayakanahalli Sira Tumkur

22 Shrimangala Virajpet Coorg

23 Sriramarangapura Hospete Bellary

24 Sugganhalli Magadi Ramanagar

25 VK Salgar Alanda Gulbarga

26 Yemalur KR Puram Bangalore Urban

27 Doddakannali KR Puram Bangalore Urban

28 Thithimathi Virajpet Coorg

II Arunachal Pradesh

29 Anpum, Dambuk Lower Dibang Valley

30 Bameng Bameng East Kameng

31 Etalin Etalin Dibang Valley

32 Jeying Mariang Upper Siang

33 Khimiyong Khimiyong Changlang

34 Mengio Mengio Papum Pare

35 Sangram Sangram Kurung Kumey

36 Wakka Wakka Tirap

37 Walong Walong Anjaw

38 Tuting Tuting Upper Siang

III Meghalaya

39 Umtrai Umsning East Khasi Hills

40 Mawsahaw Shora East Khasi Hills

41 Mawlong Shora East Khasi Hills

IV Orissa

42 Alasu, Orissa Alasu Ganjam

43 Baranga, Baranga Ganjam

44 Goudagotha Goudagotha Ganjam

45 Manitara Manitara Ganjam

46 Rahada Rahada Ganjam

V Andhra Pradesh

47 Gadiguda Narnoor Adilabad

48 Ligapur Sirpur-U Adilabad

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Scaling up

Organizational development and scaling up

The Karuna Trust Model on PPP is a promising model to

improve access to health care in backward districts of India.

The Trust has been able to bring in significant changes in

terms of demand creation and supply at the community

level.

PFI and MSI have partnered with Karuna Trust to add on

value based activities including training of manpower for

the scaling up of Karuna Trust model of PPP for primary

health care in different parts of India. The PFI/ MSI team

visited Karuna Trust and presented the Scaling up

Management Framework to give an understanding of the

basics of the framework and to determine whether Karuna

Trust would be interested in applying this framework for

scaling up the model. During the presentation, Karuna Trust

expressed its keen interest in the framework and processes

for scaling up.

1)Health Projects

a )Mobile Health Clinics

The KHSDRP and the NRHM have been envisaged to launch various innovative schemes for

the poor vulnerable groups and underserved areas of the state. The Project aims at increasing

utilization of qualitative and measurable public and private health services, particularly in

underserved areas and amongst the

vulnerable groups.

Establishment of Mobile Health Clinics is

one of the innovative schemes which will

provide health coverage to people living in

the unreached and underserved deep

interior forest and remote villages. These

Mobile Health Clinics will be outsourced

to private health care providers.

Thirty-nine taluks of the state have been

identified to have particularly inadequate

health infrastructure. They contain many population groups which from the point of view of

accessibility of services are as poor as tribal areas, if not poorer. These areas are underserved

and have remote habitations which are far from the PHC or health facilities.

The Taluka Health Officers (THO) will identify unserved and remote villages in their taluk in

consultation with DH&FWO and the CEOs of Zilla Panchayat. Mobile health units will be

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established to cater for the health needs of these villages. This will improve access to health

care for the population of backward taluks. The units will be established in a phased manner.

The mobile health clinics will be outsourced to private organizations like reputed health care

firms and NGOs (in the following called Consultants -SP).

Each clinic will cover an area depending on the terrain and will have service points in

strategic villages.

The mobile clinics will provide primary health care services throughout the year.

Objectives of the Mobile Health Clinic

1. To provide Primary, Preventive, Curative and Promotive health care services and

referral health services to the people in the designated area.

2. To co-ordinate with the District Public Health Systems to achieve improvement in the

Millennium Development Goals such as IMR, MMR, Life expectancy etc.

3. Prevention and Control of communicable diseases.

4. To engage in providing essential quality Primary Health Care services to the people in

the designated areas.

List of Mobile Health Clinics in Karnataka

Place Distict Supported by

Chamarajanagar Chamarajanagar KHSDRP

Hangodu Hunsur KHSDRP

Pattanayakanahalli Sira(Tumkur) KHSDRP

Nandikeshwara Badami KHSDRP

Castle Rock Joyida KHSDRP

Begar Shringeri NRHM

Bandipura Gundulpet (VGKK) NRHM

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Scope of services

Government of Karnataka has identified certain backward taluks for operation of Mobile

Health Clinics to render Primary Health Care services. The Taluk Health Officer of the

concerned taluks has identified 6 priority locations where Primary Health Care services

should be provided on a weekly basis. The mobile unit will visit the identified service point

on a fixed day of the week and then provide health services to the population in the

catchment area from 9 a.m. to 5 p.m. (till works complete).

Major Successes

MHCs have been extremely beneficial to the community at large, and in particular to

those communities located in remote, hilly, forest, tribal or inaccessible areas. It has

helped more people to reach essential healthcare services and improved health of the

community as well as the awareness and importance of good health practices.

Local people have appreciated the MHC for the fact that it has helped them save

financially (reduced loss of daily wages), cut down on long travel to access health

services, long waiting hours and the heavy medical expenses incurred.

Healthcare seeking behavior has improved remarkably in communities, with people

using the MHC services for treatment of even minor ailments.

The efficient functioning and improved service delivery of MHCs has generated a

need in the local communities for addressing their health needs. An increase in the

demand for such services is also observed.

MHCs have proven to be the most effective way of reaching out to marginalized and

underprivileged populations and vulnerable groups by providing quality, accessible

and affordable health services. Hence, the concept needs to be supported, sustained

and scaled up in more districts.

The MHC is an innovative model for delivery of healthcare services. New activities

need to be integrated under this program that will encourage more communities to use

their services, increase awareness on services provided by the MHCs and increase

community participation in National Health Programs conducted.

Despite difficulty of terrain, frequent change/attrition of staff, less contact time with

each village, inadequate IEC material and less time allotted for home visits, staff of

the MHCs have shown remarkable endurance and commitment to the project.

Many villages have recorded high cases of diarrhoea. ORS usage has been poor in

such communities. The project has attempted to address this health concern by

conducting awareness programs on the issue through health camps, use of IEC

material, adequate stock of ORS and advice during counseling sessions.

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Personnel coming under the MHC project have actively participated in PRA and CNA

programs conducted over the year.

Staff also participated in the National Health Programs conducted for communities in

which awareness and information on the project and on importance of health played a

major role.

b) Community Based Eye Care- Vision Centres through Sight Savers

International (SSI)

The project proposes to strengthen Vision Centre

and optical Dispensing Units, established with the

support of Sight Savers International in 17

Primary Health Centres in 17 districts of

Karnataka. An estimated 3% of the population are

visually impaired (VI).

Following are list of 12 PHCs where are proposed

to be supported in this partnership for

implementation of the project:

Sl. No Names District

1 Anegundi Koppal

2 Ashoka Nagara Belgaum

3 Hudem Bellary

4 Gumballi Chamrajnagar

5 Hirehal Gadag

6 Kallusadarahalli Hassan

7 Kannura Bijapur

8 Mallapura Davanagere

9 Nandikeshwara Bagalkot

10 Pattanayakanahalli Tumkur

11 Shreemangala Coorg

12 Sriramarangapura Bellary

All of the above mentioned project areas are rural and remote. Few project areas are hilly and

tribal. The PHCs mentioned above are the first contact point for healthcare to the community

of respective PHCs‟ jurisdiction. Apart from the above mentioned health centres, there are 3

more PHCs where the support for PMOAs‟ salary is being provided by the Government of

Karnataka.

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Goal

The overall goal is to contribute to reducing avoidable blindness, specifically targeting the

growing problem of uncorrected refractive error and low vision.

Purpose of the project:

To establish quality and affordable refractive error services

Strengthening a process of strengthening primary eye care in rural areas under Public

Private Partnership

Some specific activities undertaken under the project

Specific Activity Milestones

1.1 Recruitment and retention of trained

staff

1.2 Organising School screening

1.3 Referral of cataract cases

1.4 IEC Activities

1.5 Refraction Services

1.6 Optical Dispensing

1.7 Reaching breakeven point

Ensuring all VCs are manned by

properly trained PMOAs.

Once a year in each school of the area

10 per month

One activity per month per VC

100 per month per centre

75 per month per centre

75% cost recovery by Sept ‘10

2.1 Submission of Monthly report to DHO

2.2 Submission of annual progress report to the

Joint Director (Oph.)

2.3 Sharing experiences with state governments

other than Karnataka for initiating similar work

in those states.

2.4 Document prepared for wider dissemination

of PPP in PEC

Every Month

Every year

Coordination meeting with Govt.

officials at least once in 6 months.

Two other states

Well documented report with details for

PPP in PEC ready by July 2011

During the reporting year, a total of 28,546 OPD patients were seen in all 12 vision centres

and 778 spectacles dispensed.

Refresher Training for PMOAs and Opticians

A refresher training for PMOAs and opticians was held on 28

th August 2010 at TRC, Mysore.

The purpose of the training was to enable the PMOAs to detect refractory errors at an early

stage and provide necessary corrective measures. The sessions included a brief description of

Sight Saver‟s International and the impact of public private partnership in primary eye care.

Topics covered included the present scenario with regard to blindness, anatomy of the eye,

the national program for blindness control, pre-disposing factors, and management systems

under the program. There was also a presentation on MIS reporting system by the Karuna

Trust team present during the workshop. The workshop was an interactive one with

participants clearing their doubts and learning new facets about the program.

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Review visit by the SSI team, May 2011

The SSI team visited Karuna Trust from 7th

to 9th

May 2011 on a monitoring-cum-review

visit. Mr.Shivananda, program in-charge for the project accompanied the team to the field

where they visited the vision centres, interacted with the staff and made suggestions for

improvement of the project based on their field observations.

c) Community Planning & Monitoring

In 2005 Government of India launched the National Rural Health Mission (NRHM) with the

vision to improve the status of the health and health services in rural India. In order to ensure

that the services reach those for whom they are meant, the NRHM proposed community-

based monitoring as one of its key strategies. This was initially planned to be piloted in eight

Indian states by early 2007. Karnataka was later included as the ninth state and the processes

began in July 2007 while the actual implementation started in April 2008.

The overall framework of community monitoring under NRHM included establishments of

mentoring groups from state level down to block level and formulating, planning and

monitoring committees at various levels from village up to the state level. In Karnataka, four

pilot districts were selected with a target to cover 45 villages in each district. Despite the late

inclusion, 562 Village Health and Sanitation Committees (VHSCs) have been formed in four

districts covering four primary health centres (PHCs) per taluk, against the original target of

180 villages in three PHCs per taluk during the first phase of the project.

The government has recently taken a more active role and has taken direct ownership of the

project. The project, which began with a pilot in 4 districts, is currently being implemented

directly by the government in all the districts of Karnataka. Each district has a nodal NGO

identified for implementation on the ground. Karuna Trust remains the advocacy partner for

the project and staff from the PHCs managed by Karuna Trust involve in all the programs

organized under the project. Karuna Trust‟s Hon. Secretary Dr.H. Sudarshan represents the

organization on the project committee at the state level.

d) Sukshema– Partnership with Karnataka Health Promotion Trust (KHPT)

Project Goal and Objectives

The goal of the project is to support the state of Karnataka and India to improve maternal,

neonatal and child health (MNCH) outcomes in rural populations through the development

and adoption of effective operational and health system approaches within the National Rural

Health Mission (NRHM). The project‟s activities will be focused on eight underserved

districts in northern Karnataka, where the aim is to improve MNCH service delivery and

outcomes. The districts under study for the project are Bidar, Gulburga, Yadgir, Raichur,

Bellary, Bijapur, Bagalkot and Koppal.

To achieve these results the project has established four key objectives:

1. Enable expanded availability and accessibility of critical MNCH interventions for

rural populations.

2. Enable improvement in the quality of critical MNCH services for rural populations.

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3. Enable expanded utilization and coverage of critical MNCH services for rural

populations.

4. Facilitate identification and consistent adoption of best practices and innovations

arising from the project at the state and national levels.

Towards achieving the project goal and objectives, the activities carried out are mapping of

currently available MNCH services, assessment of quality of MNCH services, assessment of

utilization and coverage of MNCH services and assessment of available health systems. This

will be followed by data triangulation after which specific recommendations and key

executable strategies will be drawn out.

Assessment of Health Systems will include collection of primary data as well as secondary

data at the state and the district-levels by interacting with officials responsible for various

verticals such as finance, logistics & procurement, HR, governance & administration and

MIS. The Health Systems will also be assessed from two different perspectives: the supply

side and the demand side. The data from the supply side will have to be collected by

interacting with officials at the state-level and district-level NRHM program. From the supply

side perspective, special emphasis will be on:

Public Private Partnerships (existing models, potential for use of private providers)

Strengthening of public sector

Review of various financial schemes under NRHM.

The data from the demand side will be collected by interacting with the community. From the

demand side perspective focus will be on factors that affect the accessibility and utilization of

services.

Activities during the reporting period

During the reporting period, the following activities were undertaken by the Karuna Trust

advocacy team:

Seven discussion meetings were held with Dr. Nagaraj G.V. (Advocacy Specialist for

the project) and with Dr.H. Sudarshan regarding mentoring under NRHM, RCH, field

visits, and future plans

Regular meetings were also held at the KHPT office with the KHPT staff involved in

the project. The meetings were mainly for the Karuna Trust advocacy team to keep

updated on the activities undertaken by the KHPT field teams in the districts, share

their observations and learnings from the project, discuss possible joint field visits,

discuss documentation work in connection with activities and plan for future activities

under the project.

A workshop titled „Technical Assistance to Improve Neonatal and Child Mortality

and Child Health Outcomes through NRHM in Karnataka‟ was held at Gulbarga on

21st April 2010. The workshop included dignitaries from the NRHM and RCH office

as well as DHOs, DPMOs, RCHOs, KHPT staff and Karuna Trust staff. The

workshop gave a brief overview of the health scenario in Karnataka, NRHM‟s work,

15

the goal and objectives of the current project, technical support opportunities at

district levels, and mapping of MNCH services in 8 districts and various taluks.

A mapping training was held at Bijapur for 4 districts from 24th

to 29th

May 2010. The

program was attended by a team from KHPT, St. John‟s Research Institute, Karuna

Trust, and 17 MPH students from KLE Medical College, Belgaum. The objective of

the workshop was to familiarize the group with the MNCH project, explain the

roles/concepts/formats/uses/procedures & logistics of mapping, and share information

on the current public health system, as well as develop skills in rapport building,

communication, observation and recording. The methodology included lecture

method, GDs, interviews and field practice.

A visionary workshop was held under the project from 26th

to 28th

April 2010 at the

School of Leadership, Bangalore. Seven key personnel from KHPT as well as MNCH

district staff, field staff and the Karuna Trust advocacy team were present during the

workshop (a total of 38 participants). The workshop helped participants gain clarity

on the MNCH and VHSC projects, evolve a clear perspective and vision of the

project, develop plans for implementation, develop role clarity among staff and

understand skill-building needs of the project. The methodology used included small

group work, lecture-discussions and visual aid presentations.

A meeting was held at Vikas Sabha, Bangalore on 7th

January 2011 in which key

stakeholders from Karuna Trust, KHPT, St. John‟s Medical College, IntraHealth and

University of Manitoba participated. Also present were Mr. Selva Kumar, Mission

Director, NRHM; Dr. E.V. Ramana Reddy, Secretary to Govt., Health & Family

Welfare Dept.; and Dr. V.D. Palekar, Project Director, RCH. Participants also

included senior officers from the Department of Health and Family Welfare, NRHM

consultants, District Health and Family Welfare officers, RCH officers, DPMOs and

District Nodal officers from the 8 districts where the project is being implemented.

The purpose of the meeting was to share the outcomes of two projects being

implemented by KHPT under the NRHM - project „Sukshema‟ which dealt with

improving maternal, newborn and child health outcomes in 8 North Karnataka

districts – and project „Samarth‟ for capacity building of VHSCs in Bagalkot and

Koppal districts.

A state level workshop was held on 23rd

May 2011 at State Institute for Health and

Family Welfare. The NRHM Mission Director Mr. Selva Kumar presided over the

meeting and participants included teams from KHPT and Karuna Trust as well as

from SIHFW and SHSRC. The purpose of the meeting was to essentially give an

update of the activities being implemented in the project and share the proposed

MNCH interventions. Discussions also included possible troubleshooting areas during

the pilot project to be implemented in Badami and Kushtagi taluks, scaling up plans

for the project and roles and responsibilities of additional staff to be recruited for

advocacy, management and implementation.

Visits were made by the Karuna Trust advocacy team to the districts of Raichur,

Bidar, Bijapur, and Gulbarga to interact with local district and taluk level government

officials and increase information on the project, provide support to the KHPT district

teams working in the field and address their concerns, and make their own

16

observations on the issues faced by the community, the redressal of which could

improve the functioning and efficiency of the project. The Karuna Trust District

Advocacy Manager also individually makes periodic visits to all the districts once in a

month.

e) Comprehensive District HIV Prevention Program – UNICEF

Background to the Project

Koppal district was carved out of Raichur district and became a separate district in 1998. It is

flanked by Raichur on the East, Gadag on the West, Bagalkot on the North and Bellary on the

south of its borders. Koppal has been classified as one of the vulnerable districts due to poor

health facilities. There is also large seasonal migration to the neighbouring districts for

employment due to the fact that lot of Koppal is still non-irrigable. The district also records a

high HIV prevalence as it is connected by the NH 13 and NH 64 highways, which suggests

heavy trucking traffic and numerous halt points.

Under NACP-III, UNICEF supports the State AIDS Control Societies (SACS) in developing

an integrated, holistic model for programming in select high prevalence districts in the

country. In Karnataka, Koppal is also one of the districts supported by UNICEF for

Comprehensive District HIV Prevention Program, Link Worker‟s Scheme.

The CDHP in Koppal District was implemented by UNICEF in partnership with Samraksha

from 15 December 2008 to 31 July 2009. In October 2009, the project transferred to the

District Health Office and the DAPCU. Samraksha continued to be the field partner till 7

May 2010, from whence it was taken over by Karuna Trust (from 8 May 2010 as per the

proposal). The CDHP program encompasses the overall goal of NACP-III, which is to

strengthen infrastructure, systems and human resources in HIV & AIDS prevention, care,

support and treatment programs at the district, state and national level.

The Project covers the bridge populations and address vulnerable women & young population

at varying levels of risk in a focused and time-bound manner. The project will work towards

the saturation of high risk groups. In the process, it will seek to identify other vulnerable

groups, who will also be brought into the prevention spectrum.

Over the last phase of the program, there has been concentration on building up a good

human resource pool consisting of trained link workers and supervisors, who develop in-

depth understanding of the local scenario and program implementation. A good rapport has

also been built up with the target communities, thus setting the stage for intervention in the

next phase of the program. The DHO‟s office now has a good opportunity to implement the

CDHP in the district.

Goal

To improve/ strengthen infrastructure, systems & human resources in HIV /AIDS

prevention, care, support & treatment programmes.

Key Objectives

Primary Prevention

17

PPTCT Service

Pediatric AIDS

Prevention programs for women and children affected by AIDS

Specific Objectives

To reduce stigma & discrimination, & create an enabling environment for PLHIV by

working with existing community structures.

To reduce HIV infection among HRGs, bridge population and vulnerable young

people (men & women) in rural areas through dissemination of information.

To promote increased and consistent use of condoms to protect against STIs and

unwanted pregnancy.

To generate awareness and enhance utilization of prevention, care and support

programs and services.

To increase inter linkages between gender, sexuality and HIV and young people (with

particular emphasis on women) among the general population.

To facilitate the delivery of youth-friendly health and counselling services through

existing public health service delivery points.

To reduce the vertical transmission of HIV from mother to child before, during and

after child birth by ensuring access to counselling and testing, care & treatment and

follow-up care of mothers and infants.

To facilitate diagnosis and treatment of children, ensure drug adherence, and support

assessment-based nutritional supplementation.

To ensure that children who have been orphaned by AIDS and having one or both

parents HIV positive, have equal access to family and alternate care and service

without discrimination and on par with other children in their communities.

Activities undertaken under the project during the reporting year:

Recruitment/induction/training

40 link workers and 4 taluk supervisors were selected in May 2010

Training for link workers and supervisors including training on reporting and

documentation was completed in August 2010

Link workers and supervisors were trained in community facilitation and given an

orientation on HIV prevention programs and facilities for PLHIV

DRPs and supervisors underwent DAQ training in October 2010

A training program was organized in November 2010 on Social Marketing of

Condoms. Participants were M&E personnel, link workers, DRPs, management

support teams and supervisors

A training program on documentation was held in August 2010

Primary prevention

From the DQA process, 1154 FSW, 226 MSM & no IDU‟s were found

211 peer volunteers have been identified

72 public events in 72 core villages have been organized and conducted by youth, 18

youth club meetings have been completed

18

As on date, 115 condom depots have been established in 100 core villages with

regular recording of consumption and re-stocking of condoms, and 22 RRCs and 5

VICs have been introduced.

PPTCT Services

Link workers have contacted 21,406 community members during the reporting period

Among STI cases, 1705 were referred, but only 458 availed services

Among ICTC cases, 691 were referred, but only 221 availed services

Among ART referrals, 31 were referred but only 9 availed services

Among TB cases, 131 were referred, but only 56 availed treatment

Among PPTCT, 156 were referred, but only 31 availed services

Monthly monitoring and reporting

Regular monthly meetings are being held under the program with regular reporting of

the meetings and other important events

Information Sessions

A session on „Behaviour Change in HIV Patients‟ was organized in August 2010 and

facilitated by the Navajyothi District Supervisor.

In October 2010, the DAPCU District Supervisor facilitated a session on Availability

& Accessibility of ICTC Centres‟ & also on „STI/ RTI Treatment Guidelines‟.

Working with Migrants/Truck Drivers/Cleaners

Till date, 1384 male migrants and 1050 female migrants have been contacted through

link workers.

As on date, 2776 drivers have been contacted and 8312 condoms have been

distributed to the drivers.

Other ongoing programs under the project include

Mapping of High Risk Groups: the mapping is being undertaken with support from

the PHC, SC, and AWC staff and community members and focuses on identifying

women in sex work, men having sex with men and injecting drug users

Camps were conducted for Children Affected By AIDS (CABA) from which children

acquired the skills to cope with situations that arose whilst dealing with the issue of

HIV.

Link workers do sessions and capture referrals as well as accessed services of all

target groups

Information on risk populations in 100 core villages is being consolidated by

information gleaned through meetings of networks/CBOs of women in sex work, SM

and PLHIV

Migrant men and women are regularly contacted by link workers wherever available

within the project‟s geography and one-to-one group activities organized with them.

Referrals for STIs, ICTCs and DMC services are also provided.

19

f) Implementing Primary Health Care through PPP – Project with the Sir

Dorabji Tata Trust (SDTT)

Karuna Trust (KT) has focused on Public-Private Partnerships with various state

governments towards model-building of PHCs over the last decade in India. The Trust now

manages 48 PHCs in 5 states in India. State governments contribute towards routine running

cost of the PHCs. After the takeover of the PHCs, there are some positive changes that take

place which includes doctors staying at the headquarters and availability of 24 hr emergency

service. All these factors contribute to increased utilization of the PHC. The improvement in

service delivery at the PHC also results in greater utilization and hence greater expenditure on

drugs and laboratory investigations. There is however a flat rate of Rs. 75000 per annum for

drugs; this is insufficient to meet the requirements. It is for these reasons that Karuna Trust

raises additional funds which help to run the PHCs efficiently and to make up the deficits.

Sir Dorabji Tata Trust (SDTT) has been supporting Karuna Trust in 12 PHCs of Karnataka

and 5 in Arunachal Pradesh for the past 3 years. As Karuna Trust manages its PHCs on the

government budget allocated for the purpose, the additional funding from SDTT is towards

management support, capacity building and provide additional support for medicines and

salary support for PHC staff.

Over the course of the project, Karuna Trust has achieved the following in its PHCs:

24 hrs. healthcare service availability in all PHCs and sub-centres

100 % availability of personnel at headquarters

Increased utilization of all basic services, emergency services, RCH, etc.

Committed, trained and motivated workforce

Improved health indicators in the community when compared with State and National

statistics.

Effective implementation of National Health Programs

An evaluation was conducted by the SDTT team in November 2010. The team made

recommendations in its evaluation report of January 2011 that included up-scaling of

programs related to integrated mental healthcare, ayurvedic demo gardens, vision care and

dental care; scaling-up of healthcare at the primary level with emphasis on maintenance of

accurate HMIS, transparency and teamwork, capacity building and monitoring and

supervision; focus on quality and developing standard operating procedures through Karuna

Trust‟s own praxis; introduce needs-based planning and intervention in the District Health

Action Planning process; exploring ICT-based outreach to strengthen demand & supply

services; and drawing lessons from its praxis in terms of establishing „models‟ through

rigorous documentation and develop skills in presenting these to the government for wider

application.

A team from SDTT visited Karuna Trust in December 2010 to discuss the evaluation

conducted, recommendations made and future plans for the program. Karuna Trust submitted

a proposal for no-cost extension of the existing project, which has since been approved by

SDTT.

20

Karuna Trust has also submitted a new proposal to SDTT for the second phase of the project.

g)Total Management of essential RCH & Primary Health Care Through

Public Private Partnership with Population Foundation of India (PFI)

Karuna Trust (KT) has focused on public-private partnership with state governments towards

model-building of PHCs over the last decade in India. The Trust now manages 48 PHCs in 5

states in India.

Population Foundation of India (PFI) has

been supporting Karuna Trust since the last 5

years under the project „Total Management of

Essential RCH & Primary Health Care

through Public-Private Partnership‟ to PHCs

located in seven „C‟ category districts in

Karnataka. The „C‟ category districts are

those that are the most backward with PHCs

located in remote and hard-to-access areas.

Karuna Trust is planning to extend the present

phase of intervention to September 2011 with

regular activities including Capacity Building programs for all PHC-related personnel.

The progress of activities

As on date, all 7 identified PHCs are being managed by Karuna Trust. The PHCs are located

in „C‟ category districts that are located in remote, hard-to-reach areas and whose

performance is therefore much lower than our PHCs in non „C‟ category districts.

The capacity building and IEC components of the project need to be strengthened as these

could not be undertaken adequately as planned. However, despite these factors, the overall

performance of the PHCs has improved by at least 50% over 2006 levels. Community

awareness of PHC services and government scheme is likewise 50% higher than 2006 levels.

A limitation that KT works with is that PHC staff appointed by it in the project will not be

absorbed into other PHC service; and therefore KT is faced with a higher-than-usual staff

attrition rate. There are no easy solutions, but KT is lobbying the state government to change

policy. All the 7 PHCs need to be monitored closely in concluding phase

Major Achievement

24hrs availability of PHC staff in head quarter.

High performance rate of 60%: Institutional deliveries have increased to 100% during

the past 5 years in 4 PHCs (Kannur, Hudem, Khoinoor, Chandrabanda,) remaining 3

PHCs have 96%-100%

Quality Laboratory Services available 7 PHC in all (WIDAL,VDRL,HIV,Sugar,

HbSAg)

Mainstreaming the Community Mental Health Care at PHC

21

Adolescence health service at the PHC through Sneha Clinic at all 7 PHCs

Essential Obstetric Care: 80% early registration of ANC cases, 100% immunization,

iron supplements, Routine lab investigation and HIV testing for all the ANC cases.

PNC.

Citizens‟ Charter displayed at the all PHC

Proper Waste Management by using color coded bins and separate segregation system

followed at all PHC

Bin card system for pharmacy is followed in all PHCs

Strengthen monthly meetings with ANM/LHV/MHW/AWW

Monitored visits every month done by MO/LHV/Administrators

Mainstreaming traditional Medicine in PHCs by trained Arogyamitra

Women-friendly and gender sensitive PHC

Maximize utilization of sub-centres under the PHC area for delivery of primary RCH and related

healthcare services

24 hour compulsory head quarter availability of the ANM in 37 subcenter at 7 PHCs

100% coverage of ANC/PNC

Regular Antenatal, immunisation and health and nutrition day conducted in SC.

Effective BCC programme on family planning awareness

IUD insertion by the trained ANM and propagating the use of temporary

contraceptive method.

Adolescence heath service through Sneha clinic at all PHCs

STI/RTI at Sub-centre and effective referral of the cases to the PHC for further

treatment if needed

Improved Community Participation through proactively involving the VHSC, SHGs

and Arogya Raksha Samitis (PHC Health Management Committees), panchayats and

local groups.

Influence and facilitate change for improved health seeking behaviour in the communities covered

by the Model PHCs

Establishment of Village resource centers at PHCs for educating health awareness

Conducted VHSC capacity building for VHSC members

IEC program conducted in all PHCs

h) District Health Management Project (Swastha Karnataka)

Karuna Trust is a member of Swasthya Karnataka, which is a consortium of partners who

wish to make a difference to the health scenario in Karnataka. The partner organizations and

their main area of expertise are given below:

1. Institute of Public Health (public health)

2. Karuna Trust (governance in public services)

3. Institute of Health Management Research (hospital management)

4. Centre for Leadership and Management in Public Services (organizational

development)

5. St. John‟s Research Institute (SJRI) (field research)

Vision and Mission

22

The vision of Swasthya Karnataka is to “Achieve better health care for the people of

Karnataka through equity, quality and integrity.”

The consortium‟s mission is to achieve excellence in health care delivery systems by

strengthening district health management. The underlying belief is that technological

solutions can bring about limited improvement in health outcomes, but good management can

help achieve a quantum leap in health outcomes.

The consortium will work in close coordination with State Health and Family Welfare

Department and the District Administration.

The consortium aims to improve delivery and access to quality health care by strengthening

district health management.

Objectives of the project

To build the capacity of the district health team so that this team is enabled to manage the

health in the district in an effective and efficient manner

Strategies

The main strategy is to expose all the important stakeholders to the district health system. The

depth of this exposure will depend on the category of the stakeholder. The three main

categories are:

The senior professionals i.e. the medical and paramedical officers. These will receive

in depth training on the district health system

The junior professionals i.e. the PHC medical officers and other junior specialists.

They will receive a fewer modules of the above training programme as what is

necessary for their sphere of operation.

The community leaders e.g. PRI members, District health society members etc. will

receive a one-day orientation to district health systems and overall scope of this

capacity building initiative.

i) Scaling Up Project -with the John D. & Catherine T. MacArthur

Foundation, USA

The MacArthur Foundation has awarded a grant of $400,000 for a 3-year project from 2009-

11 on delivering maternal and reproductive health services in a Public-Private Partnership

(PPP) model. Karuna Trust has initiated and demonstrated its capacities over the last decade

with a fair amount of success. The collaboration with the Foundation seeks to scale up and

replicate the PPP model in Karnataka, Arunachal Pradesh and Meghalaya as well as in 10

other states across India.

The major objectives of the project are to implement emerging concepts in primary

healthcare such as RCH, HIV/AIDS, IEC/counselling and model-building not covered under

the present primary healthcare system. The specific objectives include improving access to

23

quality reproductive health services at primary level through taking up direct management of

35 PHCs and their 200 sub-centres, enabling cross-learning and transfer of improved PHC

management at state and district levels, and facilitating change in health-seeking behaviour

among adolescents and youth.

Initially, 3 states were covered under the health PPP model for improving grassroots

healthcare in the country. During the reporting period, 2 more states were included, bringing

the total number of PHCs under the project to 48. The RCH component of the program has

been implemented in the scaled-up 13 PHCs also. As regards staff recruitment, HR Director

and Scaling-Up Director have already been appointed. Zonal Coordinators have been

appointed to oversee project implementation in 2 zones.

The initial target of extending the project to 5 states has been achieved. Karuna Trust is in

negotiations to include another 8 states in the project, but bureaucratic negotiations and role

definition issues have delayed implementation of the project in these states. However,

proposals have been submitted in all 8 states, and Karuna Trust is in the process of including

them under PIPs in the coming year. Once these are approved, MoUs will be signed for

project implementation.

Karuna Trust plans to include an additional 40 PHCs from the six states of Karnataka (5),

Andhra Pradesh (14) ,Orissa (5),Madhya Pradesh (5),Chhattisgarh (5) and Jammu & Kashmir

(6). While Karuna Trust will directly implement the program in Karnataka, local NGOs have

been identified in Andhra Pradesh and Orissa. Proposals have already been submitted for

inclusion of these additional PHCs.

As part of scaling-up processes for the following year of the project, Karuna Trust has

proposed to take 8 additional states under scaling-up plans for the health PPP. Details of the

status of project in these 8 states are given below.

Table showing intervention plan for scaling-up in 8 states

State No. of

PHCs

No. of local

NGOs/ Individuals identified

Current Status of Intervention/ Other Remarks

Bihar 3 Nava Bharat Jagriti Kendra Proposals submitted for 3 PHCs.

Maharashtra

1

-

Plans to meet with state officials to implement

the health PPP in atleast 3 PHCs. Process

underway to identify local NGO partners to

work with KT.

Jammu &

Kashmir

19 Vivekananda Kendra; Ekal

Arogya Foundation of India;

Zubida National Institution;

Social Action for Social

Development Orgn.

Proposal submitted for 19 PHCs.

Jharkhand 3 1 local NGO identified Proposed to submit proposals for 3 PHCs.

Chhattisgarh 7 Madhya Pradesh Vikas Sabha Proposals submitted for 7 PHCs. Included in the

PIP.

Madhya

Pradesh

13 Hand In Hand Proposals submitted for 13 PHCs. Negotiations

underway. Included in the PIP.

Rajasthan 10 PHC

1 CHC

Siddhantha Foundation;

Simplex Projects

Proposals submitted for 10 PHCs and 1 CHC.

Tripura 10 Direct implementation by Proposals submitted for 10 PHCs.

24

Karuna Trust

Total 69 16 (& direct implementation

by KT in 2 states)

Improving Reproductive Health and Rights through Strengthening Primary Health Care

Services Delivery

Karuna Trust (KT) has initiated and demonstrated the success of PPP (Public Private

Partnership) as a means to improve the quality and availability of primary health care

services, especially to the rural, poor and marginalized people in North-east and South India.

Primary Health Care services translate to improved outcomes in maternal health and family

welfare. KT has now initiated PPPs in primary health care to improve primary health care

delivery in poorly performing 46 PHCs in Arunachal Pradesh, Meghalaya, Orissa, Andhra

Pradesh and Karnataka.

The efforts to revitalize one PHC in 1996 has culminated in Karuna Trust (KT) today

managing 48 PHCs in Karnataka, Orissa, Andhra Pradesh, Meghalaya and Arunachal Pradesh

(35 as per the original proposal and an 13 additional PHCs during the scaling-up process)

with commendable results compared to government-run PHCs. There are 23,458 PHCs in the

country as a whole. While the state government funds the running of the PHCs and Sub-

Centres, there are gaps in state funding which are critical to improve the capacities of PHC

staff and NGOs as well as disseminating the lessons emerging from this innovative process of

partnering with the state in order to upscale the effort.

The 48 PHCs currently being managed by the Trust serve a population of about 1.3 million

(13 lacs populations), each PHC covering 30,000 population in the plains and 20,000

population in hilly/tribal/difficult areas. The PHCs covered by this project are located in

backward areas and have generally recorded under-performance. Staffs are often not present

at the headquarters and the PHCs are poorly equipped and administered. Services for

essential surgeries, primary level dental care and gender-sensitive primary care are found to

be lacking.

Implementation of national health programs and care for chronic diseases is sporadic.

Availability of essential drugs free of cost to patients is undependable. Training and

motivation of personnel is low or non-existent. There is therefore, a need to develop these

PHCs to the highest standards for making essential healthcare universally accessible to

individuals and families in the community.

Under the current project, funded by the MacArthur Foundation, USA, Karuna Trust has

planned to take up management of additional government PHCs in 12 states: Karnataka,

Andhra Pradesh, Maharashtra, Orissa, Chhattisgarh, Bihar, Jharkhand, Jammu & Kashmir,

Madhya Pradesh, Tripura, Rajasthan and Manipur during the second year of the project.

The PHCs selected by Karuna Trust for development are those located in the most remote

and backward taluks at one PHC per district. The aim is to convert them into model PHCs

which can become nodal centres for spread-effect in the district.

25

2) Secondary Health

a) Eye Hospital

The Vivekananda Eye Hospital is located within the Gumballi PHC campus in

Chamarajnagar district. The hospital has been rendering free service to the community,

including examination, consultation and surgery. The

unit functions under the guidance of an experienced

team from Vittala International Institute of

Ophthalmology, Bangalore.

The hospital has adopted an integrated approach to

eye care and it has been functioning as an

independent unit in close coordination with the

ANMs and other health workers at the PHC. The

staff at the hospital includes a team of visiting

consultants from Vittala International Institute of

Ophthalmology, a resident ophthalmologist and supporting staff.

The eye hospital is equipped with an air conditioned operation theatre with two operating

microscopes, one of which is a Carl-Zeiss F 170. The Outpatient unit is equipped with a Slit

Lamp, Keratometry, A-scan, Direct and Indirect Ophthalmoscope, Streak Retinoscope, Trial

Frame and Trial Set, Schiotz Tonometer etc. All the services, including cataract surgeries

with IOL are done free of cost through DBCS subsidy and resources raised by Karuna Trust.

The hospital is well integrated into the primary health care approach. The ANMs, male

health workers and other field staff attached to the PHC coordinate their activities with the

hospital. The following activities are taken up:

Screening, examination, evaluation and surgery for blindness due to cataract

Promotion of Vit. A supplementation through ANMs/male health workers

Strengthening immunization services, particularly measles

Early detection, health education and treatment of chronic diseases like Diabetes

Mellitus through special Sunday clinics

Compulsory annual screening and examination for retinopathy changes for

hypertensive and diabetic patients

Routine out-patient services, emergency eye care and correction of refractive errors

Screening camps for identification of patients:

Weekly eye camps are held at villages in Chamarajnagar district, Nanjangud and T

Narasipura taluks of Mysore district with the help of other government hospitals, PHCs,

nurses and ANMs. The ANMs attached to the sub-centres along with other social workers of

Karuna Trust go house to house to motivate people to attend the weekly screening camps.

Necessary information regarding the time and place for the eye camps is provided by the

refractionist to the patient by means of pamphlets and audio systems. Ailments other than

cataract are also detected at these camps. All basic eye ailments are treated on the spot where

possible, and where necessary, patients are asked to visit the hospital for further

treatment/examination.

26

The Vivekananda Eye Hospital has performed over 3000 eye surgeries over the past four

years and is the only such hospital in Chamarajnagar district. Over the years, the awareness

generation and publicity about the services provided have resulted in greater demand for

services. The hospital is now recognized under the DBCS and receives grants for all the

cataract surgeries performed.

b) First Referral Unit

In partnership with Population Services International. The Government of Karnataka and

Diwakar Services Trust, Karuna Trust has started a first referral unit for emergency obstetric

care services in Community Health Centre, Santhemarahalli, Chamrajnagar.

Objective: The main objective between the National Rural Health Mission and the

consortium is to demonstrate public private partnership (PPP) in managing the first referral

unit (FRU) in Santhemarahalli, Chamrajnagar for enhanced service delivery and improved

maternal and child healthcare.

Project Period: The MoU is signed for two years.

Project Partners and their roles: Karuna Trust, the

lead partner and signatory of the contract, has

established collaboration with Population Services

International, Bangalore and Divakar‟s Service Trust,

credible institutions in public health, to form a

consortium to partner with NRHM and support the

objective to manage the FRU in Santhemarahalli,

Chamrajnagar district.

The consortium partners Karuna Trust, PSI and

Divakar‟s Service Trust are registered Non Governmental entities in India and have

demonstrated competencies to professionally manage the FRUs.

Services Provided: The FRU run a comprehensive maternal / women‟s health & child

health unit to encompass institutional deliveries (normal and caesarean), ANC care and OPD

services for Family Planning services with provisions for IUD insertions, tubectomies and

abortions as per MTP act provisions.

The consortium may on availability of additional resources under innovations choose to pilot

an anaemia project in the catchment area.

Manpower: The team comprises of full time resident medical officers, paramedical staff and

attendants along with a project coordinator. They have a private sector gynaecologist, private

paediatrician and anaesthetists on call every day for attendance of emergency care

situations.

27

Deliveries conducted till 31st March 2011:

Normal LSCS Total

1281 267 1548

c) Citizen’s Help Desk

Coalition Against Corruption (CAC) in association with Karuna Trust started the CHD

project at 2 hospitals namely Jayanagar General Hospital, Bangalore and District Hospital,

Ramanagara in March 2009. As you may be aware KHSDRP decided to establish Citizens

Help desks (CHD) at 18 hospitals through NGOs working in health field under NRHM

scheme based on the proposal that we had submitted to the department to establish Help

Desks in 2 hospitals as a pilot project.

Objectives of Citizens Help Desk are:

To improve services at the Government

hospitals by education of staff and

public about facilities and services

available; monitoring the quality of

Health care. Ex: time taken by doctor to

attend a patient, availability of free

drugs etc.: timely feedback to the

concerned authorities regarding staff

and drug shortages etc.

To enhance transparency and

accountability in the delivery of

services through the Help Desks which

will give regular feedback and other support

To empower the public with information from Help Desk and provide guidance

through posters, leaflets and boards etc.

Enhance the efficiency of the service provision by staff by a strategy of counseling,

confidence building and motivation.

Establish a link between service providers and users through regular feedback

mechanism.

Conducting regular interaction camps in the areas inhabited by poor to build

confidence amongst the poor to access services at Public hospitals.

Structure and Functioning of Citizens Help Desk:

The 24 hour Citizens Help Desk, each with one Help Desk Manager and four trained

community volunteers provides following services:

1. The required information & guidance to the patient on the facilities, charges etc.

28

2. Collect feedback on the quality of services from patients (in-patients and Outpatients)

and identify bottlenecks in effective delivery of services.

3. Register grievances with regard to health service through in person and help line.

4. Redress grievances by referring them to the concerned officials and follow up.

5. Acts as a channel of communication to the “Arogya Raksha Committee”.

When the CHD was established in Feb 2009 the number of people who visited the hospital

(OPD/IPD) was around 7000 on an average and by the end of July 2009 it increased to

around 18,500 on an average by Dec 09 and then after that it has stabilized to around 9000

every month on an average. The help & information sought by the people during Feb 09 was

around 7500 on an average, it increased to around 16,500 by July 09, then by Dec 09 it was

around 6500 on an average & then it is around 7000 every month on an average.

The Exit Interview conducted on OPD by CHD Staff shows that people were not at all happy

with the services but then gradually it has increased to 3 and then 42 by June 2010 and then

to 50 by March 2011. The Exit Interview on IPD patients‟ shows that initially very few

people were fully satisfied with the services say 4 people and then gradually it has increased

to 7 and then 137 by Jun 2010 and 118 by March 2011. With the increase in the number of

patients visiting the hospital the purchase of drugs from outside shops have increased from 46

in Feb 09 to 85 in Dec 09 and then the purchase has increased to around 400 on an average.

The number of Oral complaints received by the CHD has decreased but the number of written

complaints has increased. This shows the confidence among the people on the working of

CHD.

The major hurdle is the demand for graft/bribe has not decreased. The people are not only

finding it difficult to avail the facilities free of cost but are also forced to visit private

hospitals for treatment.

3) Innovations in Primary Healthcare

a) Mainstreaming Traditional Medicine in PHCs (UNDP)

India has one of the richest medicinal plant related health cultures in the world with both

codified and oral (folk) traditions. The oral culture has traditionally been rooted in ethnic

communities in the country. Village communities and particularly tribal groups and women

have been the most active carriers of the indigenous knowledge of the medicinal plants. The

written traditions are documented in thousands of

medical manuscripts, while the biological

properties of around 2000 species of medicinal

plants are documented in the manuscripts of

Ayurveda, Sidda and Unani. Both the oral as well

as the written health traditions are of tremendous

contemporary relevance as they can contribute to

the self reliance of millions of householders. It has

been reported that for 65 per cent of the population

of India, traditional medicine is the only available

source of health care. Local communities know the

use of around 8,000 species of plants for human, veterinary and plant health care. This

amounts to almost 50 per cent of the known flowering plants of India.

29

Communities use medicinal plants for maintaining health security of humans, livestock and

plants (bio-pesticides and fertilizers). The country has over one million traditional village

level healers and several millions of knowledgeable households, well versed in traditional

home remedies, preparation of health foods and practicing a range of health practices as an

integral part of local and regional cultures. India also has around five lakh registered and

licensed practitioners of the various codified indigenous systems of the medicine, who

practice in towns and cities across India. For poor households and particularly women,

traditional medicine and village level healers are relatively more accessible in terms of health

care costs and proximity than the mainstream primary health care system.

However, this rich resource base is facing threats due to degradation and over-exploitation of

species. The need for developing a long-term strategy at the global, national and local levels

for conservation of medicinal plant resources and using the rick traditional knowledge for

social, cultural and economic benefits is therefore urgently required.

Primary health care is the final common pathway for delivering health services to the people.

PHCs are the cornerstones of rural health services. A network of PHCs has been established

across the country. The integration of traditional medicine into the PHC network is an

effective method to deliver the concept to the people. Karuna Trust has utilized the PHCs it is

running in Karnataka to mainstream traditional medicine, and currently 20 PHCs and five

government ayurvedic dispensaries are actively offering traditional medicine as an option to

its patients. After a baseline survey to ascertain local health practices, they have been

assessed, validated and integrated into the PHCs. The medical officer at each PHC is the

supervisor of the programme, and the PHC staff implements the field level activities.

Arogya Mitras, who are members of the community who have an interest in traditional

medicine, or belong to families of traditional healers, have been trained and appointed at each

of the PHCs and act as the interface between the PHC and the community, and also help to

spread awareness and man the dispensaries established at each PHC.

Each of the PHCs has a demo garden with medicinal plants commonly used in the area.

These plants are used to prepare medicines in the dispensary, and also available for use by the

community. The Group D & pharmacist is responsible for maintaining the garden.

Trainings have also been conducted for PHC staff in order to orient them to the uses and

value of traditional medicine, as also SHG members, who have been trained in the use of

traditional medicine at the household level for common illnesses. These members have also

been motivated to grow medicinal herbs and plants in their backyard and use them at home.

The use of traditional medicine has become popular and demand for this as a treatment option

has increased in all the PHCs where the programme is ongoing.

Workshop on Mainstreaming TM into PHCs – Organized by FRLHT and Karuna Trust

During the reporting year, as part of scaling up plans, a workshop was organized by Karuna

Trust and FRLHT on 24th

February 2011. The workshop was attended by key partners in the

project as well as traditional healers, school teachers, ayurvedic doctors, Arogya Mithras and

30

SHG members who were involved in the pilot phase of the project. The objective of the

workshop was to share learnings from the pilot and take decisions for further action.

The table below illustrates learnings and future plans from the workshop:

Scaling Up Plans 1. Scale up project in 2 districts in Karnataka

2. New project proposal to be drawn up & submitted to NRHM/DoH&FW for

scaling up

3. Identification of new priorities to be included in second year of project (e.g.,

scorpion bites/ anaemia/ worm infestation in children)

4. appoint program officers at district level, AYUSH worker/ ANM to supervise

project implementation, therapists in GADs

5. Undertake situational analysis (mapping) exercise for wider reach & increased

funding for project

Additional Training

for Arogya Mithras/

ASHAs/ Nati Vaidyars

a) Arogya Mithras: Yoga, Acupuncture, Massage, identification of different herbal

plants & their various uses, case sheet preparation

b) ASHAs: Additional training & incentives to be provided (to supplement income,

increase efficiency)

c) Nati Vaidyars: Limitations of TM treatment & extent to which an illness can be

treated with TM

Advocacy Work by

Project Partners

1. Second meeting between FRLHT and Karuna Trust with other project partners

(NRHM, Dept. of AYUSH, Arogya Mithras, SHG groups, Nati Vaidyars,

doctors) to prepare for scale-up of current project

2. Organize a national level meet with the departments of AYUSH and MoH&FW

to share experiences and possible extrapolation of project in other states

3. Work towards ensuring atleast one PHC established per village

4. Bring project under purview of planned budget for increased scaling up (100-

200 percent or more)

5. Tie up with All India Radio to broadcast information on the project (awareness

programs, preparation of TM in homes, interviews with Nati Vaidyars, PHC

doctors, Arogya Mithras, SHG members, homemakers, etc.)

6. Use other mediums to spread awareness on TM (street plays, health camps,

puppet shows, stage shows during local village festivals/market days, etc.)

7. Funding request to NRHM for appointment of program officers/AYUSH

worker/ANM

8. Bring GADs under PPP and source additional funding for increased efficacy and

functioning

Others 1. Circulate list of all priorities identified in each PHC to all the PHCs under the

project

2. Data collection: maximum number of illnesses treated by TM, Nati Vaidyar

practices in each district/ taluk, repository of ayurvedic knowledge, best

practices, success stories, video documentaries

31

b) Community Mental Health Program

Under the PPP in Karnataka, 28 PHCs offer access to primary mental health care for the rural

community and psychiatric treatment. The program also aims at re-integration of mentally ill

people with their families.

Currently, a baseline survey is being conducted to identify the number of mentally ill cases in

all the Karnataka PHCs.

d)Mobile Dental Unit

Dental care, once considered beyond the reach of common man, is now accessible to the poor

and needy in Yelandur and T. Narasipura taluks. The PHC adopted by Karuna Trust at

Gumballi has a mobile dental clinic equipped with all the necessary instruments and a

dedicated team that visits remote villages in the

range of 800 kms in and around Yelandur and T.

Narasipura taluks on previously designated days

and treats patients free of cost. Previously, these

patients had to visit other dental colleges or go to

private clinics in Kollegal or Chamarajanagar.

On realizing that there was a need to create

awareness among the rural regarding dental health

care, Karuna Trust started the mobile dental clinic,

which was unique and the first of its kind in the

country.

The mobile dental unit is fitted with a dental chair, materials and instruments required for

fillings, cleaning (sonic scaling instrument) and tooth extraction, facilities to clean and

sterilize (autoclave) the instruments, an in-built generator for power supply and a compressor.

An X-ray machine has been specifically fabricated for this and fitted into the vehicle.

Manual scaling and small fillings using hand instruments and ART technique are undertaken.

In fact complex treatment procedures like composite restorations, root canal treatment, fixed

and removable partial dentures and complete dentures are also done in the unit.

It also has an inbuilt video system to play CDs to educate the public regarding interceptive,

preventive and curative dental health care. Treatment records are computerized and

maintained for follow-ups. Karuna Trust also trains junior health assistants and other

paramedics on basic dental care.

The dental van covers eight PHCs twice a month apart from a tribal clinic at BR Hills and

some tribal villages

32

e)Village Resource Centre (Telemedicine in Collaboration with ISRO)

Karuna Trust acts as a facilitating organization to promote and share knowledge on issues of

development, livelihood and education to people living in rural areas through the Village

Resource Centre. The organization has one Expert Centre

at Mysore and 18 student sites located in rural areas in

different districts of Karnataka. Through VSA T

connectivity at PHCs located in Karnataka and Arunachal

Pradesh, Karuna Trust is able to provide information on

such concerns as telemedicine, tele-education, geographic

information, advice on agriculture, land & water

management, weather patterns and updated information

on current market scenarios, disease & livestock,

government schemes, job opportunities and e-governance

related information.

The time assigned to Karuna Trust for this broadcasting is from 2 p.m. to 6 p.m., Monday

through Saturday. Mysore centre also organizes need-based training programs for different

groups.

4) Health Research

a) Expenditure Reforms Commission (ERC)

Review of organizational structure, developmental programs/schemes and implementation

mechanisms of Health & Family Welfare, ISM and Drugs Control Departments, Karnataka.

The study was undertaken during the year 2009-10 with a scope of reviewing the efficacy of

programmes/ schemes of the Health and Family Welfare, ISM and Drug Control Departments and

make recommendations for their restructuring and convergence to facilitate improved development

for effectiveness of services. The study included a review of the major schemes covering 80% of the

department‟s budget outlay for 2009-10, and assessments and suggestions regarding different aspects

that included an examination of whether expenditures were in alignment with the mandate of the

departments, whether changes in inter-scheme allocations helped in meeting such mandates more

effectively, if outputs/outcomes were defined, measurable and sustainable and the necessary

mechanisms to measure these.

Other tasks undertaken included reviewing smaller schemes covering last 20% of the department‟s

budget for 2009-10 assessment on these, review of processes and institutional mechanisms of program

implementation and service delivery, suggesting effective strategies for meeting expenditure on

services through user charges, suggest adoption of technologies including IT for service delivery,

recommend measures for optimizing staff strength in the departments and skill upgradation of staff.

The study was concluded in February 2011 and submitted to the Health and Family Welfare, ISM and

Drug Control Departments.

33

b) Study of patterns of Antibiotic Dispensing in Pharmacies in Tumkur,

Karnataka, India

This Study is funded by Global Antibiotic Resistance Partnership, India.

Training Programme

A training programme was conducted for the Field Investigators (FI) by Dr Anita Kotwani

and Alice Easton on 22nd

of October, 2010, at Karuna Trust in Bangalore. The programme

was attended by six field investigators, a data entry operator and three Research Assistants

from Karuna Trust. Dr. Kotwani made visual presentation on the protocol of antibiotic study

which emphasized on the method of data collection, questionnaires, standard procedures and

data analysis.

Ethical Clearance

Ethical clearance was obtained from District Health Officer, Tumkur, to conduct the study in

PHCs and Taluk Hospitals. Approval was obtained from the District Surgeon to conduct the

study in District Hospital, Tumkur.

Pilot Study

The training programme was followed by a pilot study at the District Hospital, Kunigal Taluk

Hospital, Hebbur PHC and two retail outlets on 23rd

October. This was followed by a

discussion at Sugganahalli PHC. Various queries were answered by the research team and

instructions were given to the FIs about the method of collecting data.

Questionnaire

Questionnaire and consent form is made available in English and Kannada depending on the

choice of the interviewee.

Action plan for Data Collection

Number of Primary Health Centers: 12

Number of Retail Pharmacies: 12

Number of Taluk Hospitals: 03

Number of District Hospitals: 01

Type of facility No. of Exit Interviews

per month (Target)

Total No of Exit

Interviews for 6 months

PHC 480 2880

Retail Pharmacy 480 2880

Taluk Hospital 150 900

District Hospital 90 540

Total 1200 7200

First batch of data collection was started on 23rd

of November and ended on 31st of

December, 2010. Data was collected by 3 teams of FIs comprising two persons in

each team. A total of 600 response sheets were filled during the exit interview.

Data collection begins on 15th

day of every month and ends on 14th

day of the

subsequent month.

Each facility will be visited thrice a month as mentioned in the protocol.

34

After one month of data collection, the FIs started data collection individually to

achieve the target.

Ethical Issues

There is no incidence of ethical violations or any adverse events as a consequence of the

research.

Progress of the study

The Field Investigators collect data three times a week at the designated facilities as

per the visit plan given by the Research Assistants.

Data collected during: December- 600; January- 1055; February- Data awaited.

Data entered till date: 90%

A mid- study visit was conducted by Alice Easton, Coordinator for CDDEP and Dr

Anita Kotwani, Principal Investigator, on 25th

and 26th

of March to study the progress

of the study.

A proposal was made to extend the study to 1 year to analyze the trends of pattern of

antibiotic dispensing.

A month-wise data will be collected on the number of antibiotic sensitivity tests done

at all the Government and Private laboratories in Tumkur District.

Cost of antibiotics purchased at retail pharmacies will be noted to record the highest

and lowest prices.

Availability of antibiotics at the facilities will be checked based on the essential drugs

list prescribed by Government of Karnataka.

Regular field visits will be conducted by the Research Team to do quality checks on

data collection.

Monthly meeting will be held for all the FIs to give timely updates on the progress of

the study.

Data will be collected from Drugs Control Department, Karnataka, on number of

antibiotics declared to be “Not of Standard Quality”. Details on the number of

samples collected from Tumkur District will also be collected.

c)PAN Asian Collaboration for Evidence-based eHealth Adoption and Application (PANACeA)

PAN Asian Collaboration for Evidence-based eHealth Adoption and Application

(PANACeA) is an initiative to generate evidence in the field of eHealth within the Asian

context, by forming a network of researchers and research projects from developing Asian

countries. PANACeA supports multinational projects to evaluate eHealth solution in the field

and generate evidence through methodologically sound research. The evidence acquired

through these projects will be scalable and generalisable to other developing countries. The

results will be used to advocate policies on eHealth in Asian countries

General Objectives

Develop a framework for Primary Health care providers to identify eHealth needs

35

Specific Objectives

To develop a tool to identify eHealth needs at a primary care setting

To validate the tool

To implement a key eHealth intervention as identified by the tool

During the current reporting year, the following activities were undertaken with regard to the

PANACeA study:

eHealth for Visually Impaired

A questionnaire need assessment survey was conducted among blind people of 9 PHCs of 9

districts under VI project. The questionnaire was divided into three sections. Section 1

included details pertaining to identification of the interviewee. Section 2 was designed so as

to gather information regarding priority health needs as perceived by them and existing

traditional health solutions availed when needed. The 3rd section was vastly to capture

technological exposure and to see to what extent people were aware of eHealth solutions.

This survey included 43 people from all age group, majority of the respondents belonged to

age group 46 and above and only 12% were either child or adolescents. Among the sample

more than 60% were male. It was seen that information about technologies was very poor

among the respondents, so the need of the hour was to make them aware of technologies and

services through campaigns so that they can make informed choices. Hence I.E.C

(Information Education and Communication) needs to be strengthened.

On the basis of results of need assessment survey the following activities are being thought of

for the next quarter from October 2010-January 2011:

Initially, two PHCs will be made user friendly for VI in terms of their needs. Facilities

would be modified so that they become accessible and acceptable for visually

challenged.

A day for visually challenged will be reserved every month, in which doctors from

leading eye hospital will visit and give consultations.

Blindness day can be made a success with the help of collaboration with Village

Resource centre.

To make PHCs user friendly, training is being planned to create awareness among the PHCs

staffs about the special needs of the VI clients attending facilities. Group D staffs would be

specially made available in these user friendly facilities who will accompany VI clients and

help them with consultations and prescription. A separate blindness register would also be

maintained so as to review the cases and also to address other unmet needs of VI.

Blindness day every month will be intended to address the health needs of VI along with

routine check-ups by ophthalmologist.

HMIS in PHCs

Training on Health Management Information System on DHIS 2, a web based solution, was

held at TRC Mysore on March 9 -10 2010. The participants included Medical Officers,

36

Pharmacist, First/Sceond Division Clerks and Computer operators. The training program was

need of the hour to use the available resources effectively and efficiently. Objective of the

programme was to use DHIS 2 by all PHCs run by Karuna Trust in Karnataka. The reported

training program can be considered as Phase I in which the main thrust was to start data entry

and reporting. Hence, the participants were selected on basis of their exposure to computer

and use of internet who will in impart training to their respective PHCs‟s staff.

Following the training DHIS was installed in 4 PHCs namely, Yemlur, Sugganahalli,

Gumballi and P N Halli. Although it was installed in four PHCs but only in Yemlur it is in

working condition.

Further activities planned for this project includes the following:

It is thought that a comparative study among two PHC would be carried out. One

which has working DHIS and the other without.

The differences if any observed after installation of DHIS

If following the comparative study it is found that DHIS has improved the

performance of PHC then refresher training will be planned sometime in November.

Following the training it is planned that HMIS will be introduced in remaining PHCs

also.

A case study is also planned in a PHC where VRC is done routinely.

The comparative study will be carried in the form of informal talks with the key PHC staffs.

These talks will be aimed at observing the technical awareness of the staffs, their confidence

level and also what is their experience with HMIS and perceived importance of the same.

Further a group discussion with medical officers is also planned.

Workshop at Kuala Lampur from 14th

to 16th

April 2011

An international level workshop was held on the above dates at Kuala Lampur. Dr. Smitha

Pillai, previously state advocacy manager in Karuna Trust participated in this workshop on

behalf of the organization. The workshop was organized with the objective of giving each

country involved in the PANACeA project an opportunity to present their learnings from the

project. The first part of the workshop was spent on operational planning for the program and

the second half was presentations from the various countries. Karuna Trust‟s presentation

was much appreciated by the other PANACeA partner countries. The third part of the

workshop was dedicated to dissemination plans.

37

5) Advocacy in Health

Dr.Suadarshan has been doing advocacy at various fora in his various capacities. Being a

member of various committees at state and national level, he adds grassroots perspective in

policy making. Currently he is member of the following committees:

Membership of various committees and organization affords Dr. Sudarshan to share

the learning from Karuna Trust’s work with policy makers.

Ashoka Fellow – 1982, Ashoka Innovators for

Public, USA

Member, Independent Commission on Health in

India, VHAI, New Delhi

Member, National Commission on Population,

Government of India

Member, Karnataka State Literacy Mission

Authority, Government of Karnataka

Vice-chairman, State Resource Centre, Mysore

Member, Core Group on Health, National Human

Rights Committee, New Delhi

Adjunct Professor, Indira Gandhi National Open

University and Chairperson, Steering Committee, Gyan Vahini, IGNOU, Bangalore

Member, Executive Committee, National Nutrition Mission, Government of India

Member, Executive Council, AAAJVS, Andaman & Nicobar Islands

Executive Committee Member, Janasankhya Sthiratha Kosh, Government of India

Chairman, Task Force on Public Private Partnership, National Rural Health Mission

(NRHM), Government of India

Chairman, Institute of Health management & Research (IHMR), Bangalore

Member, Steering Group& Working Group of Planning Commission (11th Five Year

Plan) on Empowerment of STs

Member, Task Force on Statistics and Healh Systems, ICMR

Member, Advisory Group on Community Action of NRHM

Member, National Commission on Population, Government of India

II) Other Projects

a) Manasa Project supported by Sir Ratan Tata Trust

Manasa Project has been catering to the homeless

mentally ill in Mysore city and the adjoining areas.

Karuna Trust started focusing on Mental Health

issues after the initiation of a Primary Health Centre

(PHC) level Epilepsy Control Programme at

Gumballi in 1991. The programme began with Dr.

K.S. Mani, a renowned neurologist, assisting the

local doctors at Gumballi. Health workers were

taught to detect mental illness in the community and

38

the affected were treated at PHCs. A similar community based comprehensive Mental Health

project was initiated in 1995 by Dr. Kishore Kumar, and is still running successfully at

Gumballi.

The experiences gained in these earlier programmes to serve mentally ill persons have helped

in the establishment of Manasa Project in the year 2006. Manasa Project operated from

Karuna Trust premises at Chikkalli, T.N.Pura Road between 2006- March -2010. In March

2010 it is shifted to its own new facility at

K.C.Layout, opposite of Lalitha Mahal

Palace on Lalithdripura Road.

Support from Sir Ratan Tata Trust

Sir Ratan Tata Trust, Mumbai has been

extending support to the Manasa Project

since January 2007. Their support has

helped in improving capacity to provide

service to homeless people. The technical

support and advice from „The Banyan’,

Chennai has helped to systematize

functional processes.

Objectives of the Project

Establishment of Care, Support and Rehabilitation Centre for homeless mentally ill in

Mysore based on The Banyan, Chennai Model – Transit Care, Helpline for Homeless

& Rehabilitation.

To enhance public awareness and gather public support for the care for the Mentally

Ill Destitute.

Identification of Mentally Ill at the State Govt Shelter for the Homeless (Nirashritara

Parihara Kendra) at Mysore while simultaneously and help improve their facilities

and methodology.

Integration of Basic Mental Health Care with general health services in 25 PHCs in

Karnataka managed by Karuna Trust.

Work towards Positive Changes in Government policy and planning, with specific

regard to the Mentally Ill Poor.

The Manasa project comprises of the following programs:

A] Transit Care Centre,

B] Psychiatric Services at Nirashrithara Parihara Kendra [NPK], and

C] Mental Health Helpline and

D] Community Mental Health Program through PHCs.

Activities during 2010-11

a) A baseline survey of the project was started in February 2011. The study will be

conducted by Institute of Public Health, Bangalore. It aims to cover all components of

the Manasa project like TCC, Helpline, Reintegration and follow-up, NPK and

39

integration of mental health care in PHCs. During the survey, detailed verification

with regard to maintenance of records has been done whereever necessary. KAP has

been conducted for all MOs of PHCs, health workers, Staff Nurses, ANMs, ASHAs

and selected caregivers in PHC catchment areas. Topics such as health seeking

behaviour, stigma and misconception about Mental Health is also covered under the

study.

b) Psychiatric and medical care for the inmates has been arranged with the Government

Medical College Hospital (K.R. Hopsital) at Mysore

c) Contact was established with Ashakirana Hospital, Mysore for referral of people with

HIV & AIDS

d) Mysore Race Club Hospital, a specialized hospital for eye care services is providing

treatment for eye-related problems of inmates.

e) Chalk piece making, candle making and phenyl manufacturing activities have been

introduced by way of income-generation and vocational skills. The finished products

are used in Manasa‟s schools, hostels and Karuna Trust-run PHCs.

f) A psychiatrist from Mysore Medical College visits the Transit Care Centre thrice a

week and follows up on mental health of all inmates. A professor of psychiatry from

NIMHANS, Bangalore is also a visiting doctor at the Transit Care Centre as well as at

the Nirashrithara Parihara Kendra (previously known as Beggar‟s Home). A general

health physician visits the centre twice a week to attend to non-psychiatric health

problems. Other staff on call at the centre includes a clinical psychologist, a trained

occupational therapist, a social worker, and a staff nurse.

g) An exposure visit to „The Banyan‟ was conducted for the social worker and 2 health

workers

h) Networking linkages have been established with the Association for the Welfare of

Mentally Disabled (AWMD), Chetana Trust, Missionaries of Charity for Sisters &

Brothers, Shakthidhama, Vimala Terminal Care Centre, and with government

institutions such as State Home for Women, Juvenile Home for Boys & Girls, etc.

i) The project re-integrated 35 members from the Transit Care Centre with their

families. Relatives of 15 inmates under treatment have also been identified and the

process is on to re-integrate these inmates too.

Activities Audit for 2010-11

40

Transit Care Centre

The Target Beneficiary of this activity was 50 inmates at the Transit Care Centre, Mysore

Sl.

No

Activity Year -1

Targets

Accomplished in reporting

year

1 Maintenance of TCC with the facility

to accommodate

50 Average occupancy of 40

inmates

2 Preparation of Centre management

guideline/SOP by the end of

December 2010 the SOPs should be

finalised and printed

SOP for TCC; NPK;

Helpline; Reintegration of

inmates; Integration of

PHC program

Under preparation

3 Recruitment of staff Clerk/Accountant-1

Cook-1

Assistant Cook-1

Reintegration co-

ordinator-1

Completed

4 Staff training and exposure at The

Banyan, Chennai and Udhvum

Karangal, Coimbatore

Exposure visit for 6

persons Completed

5 Establishing linkage with local

hospitals

K.R. Hospital and JSS

Med college Established

6 Admission of patients Through proper channel,

Maintenance of records 50

inmates at any point of

time,

Admission of 30 inmates

every year

44 patients were admitted

during the reporting

period

7 Occupational therapeutic activities 3 hrs/day for 6 days Occupational therapy is

being done by trained

therapist

8 Vocational training activities 2 hrs. 30 mins/day Patients were involved in

vocational activities

9 Establishing relationship with the

families

At least establishing

contact with families of

70% inmates

Established linkage with

families of 15 inmates

under treatment at TCC

10 Rehabilitation/

Reintegration visits

Out of State/District

rehabilitation visit for 30

patients

35 inmates from TCC

were reintegrated to

different parts of country

11 Follow-up of visits to reintegrated

families within in Karnataka

y1-30 Families of 30 reintegrated

patients were visited and

collected information

12 Psychiatrist visits 3 visits per week 3 visits per week

13 General health Checkup by physician 3 times a week 3 times a week

14 Training of Manasa staff twice a year Twice a year One training was

completed in the month of

December -2010 by Dr.

Kishore Kumar

41

15 Documentation Developing MIS for

monthly and Annual

reports

Simple reporting formats

are developed and using

for reporting monthly

monitoring reports

Mental Health Helpline

Target Beneficiaries of the project are ______ persons rescued through the Help Line

Sl.

No

Activity Year -1

Targets

Accomplished in

reporting year

1 Rescues undertaken in a month 4 Average 5/ month

2 Number of call received in a day 3 Average 2

3 Percentage of rescues who are homeless

with mental illness

50% 80%

4 No of rescues admitted to Manasa Transit

Care Centre

30 44

5 No of rescues admitted to NPK, Mysore 12 6

6 No. of rescue cases admitted to other

institutions

6 2

Nirashrithara Parihara Kendra (previously Beggar’s Home)

Sl Activity Year -1

Targets

Accomplished in

reporting year

1 Estimated number of inmates (Males and

females)

250

(Male 150, Female

100)

98

(Male-84, Female-14)

2 % inmates with psychiatric illness (records,

Medication and regular follow up maintained) 20% 30.6%

4 % of inmates with general illness whom

medical treatment arranged 40% 25%

5 Frequency of psychiatric clinics conducted 2 Clinics per week 2 clinics /week

6 Rehabilitation 30 inmates

rehabilitated per year 9 inmates were

reintegrated

Community Mental Health Program

Target Beneficiaries of the activity was 3244 mentally ill persons who are being treated in

each PHC and their family members.

Sl.

No

Activity Year -1

Targets

Accomplished in

reporting year

42

1 Training & refresher trainings of Medical

officers- twice a year

27 PHCs One time training was

conducted for MOs of

all the PHCs

2 Training & refresher trainings of Staff nurse,

ANMs, ASHAs and Health workers of PHCs

- twice a year

27 PHCs One time training was

conducted for Staff

Nurses, Male Health

workers, ANMs of all

the PHCs

3 IEC activities 27 PHCs Posters and Manual

were given all the PHCs

4 Average no of mental health cases registered

in each PHC level per month

Enclosed separate

table Enclosed separate table

5 Appointment of PHC

co-ordinator

1 Completed

6 Monitoring visit to all 27 PHCs Thrice a year One time visit by PHC

co-ordinator

Indicators

Indicators Present

situation

Expected no.

Psychiatric facility at Mysore for Homeless

mentally ill person

1 1

Treatment facility for mental illness at

beggars‟ home

1 1

Facility for rescue of homeless mentally ill

person at Mysore

1 1

Treatment facility for mental health

through PHCs

27 PHCs 27 PHCs of

Karnataka

Managed by

Karuna Trust

The above table indicates the availability of Transit Care Facility for homeless mentally ill

women, psychiatric facilities care at Nirashrithara Parhira Kendra, helpline for the destitute

and psychiatric treatment in 26 PHCs managed by Karuna Trust in different parts of

Karnataka.

a)Non Curative Primary Healthcare Services in Yelandur Taluk of Chamarajanagar

District

Karuna Trust has been selected by the Karnataka

Health System Development & Reform Project

(KHSDRP) to provide non-curative primary health

care services in Chamarajnagar district under a project

titled „Performance-Based Partnership for Providing

Non-Curative Primary Health Care Services‟. Karuna

Trust will enable training and community activities

that lead to improved community health (especially in

the case of poor or disadvantaged communities) and

43

ensure that health services provided are utilized effectively through achieving behaviour

change and healthy practices.

Objectives of the project

The purpose of this assignment is to:

1. Provide non-curative Primary Health Care (PHC) services as specified by the GOK in

relevant documents within the selected geographic areas (hereinafter called “allotted

area”) agreed on;

2. Improve the health status of a community particularly where the community is poor or

disadvantaged;

3. Ensure that the health services provided are utilised through achieving behavioural

changes and attaining healthy practices.

4. Facilitate the participation of Panchayat Raj Institutions (PRI) (Zilla and Gram

Panchayats) and the communities at large in the design, delivery, and evaluation of

services.

The following table gives data for the reporting year related to activities undertaken under the

project:

ANC VECTOR BORNE diseases control

Inter -personal Communication 597 Inter -personal Communication 720

Group discussion 433 number of fever cases reported in previous year 2400

No.of Visit -AWW Centre 103 Primary health care (HIV.&TB)

No.of Visit to Sub Centre ANM 23 Inter -personal Communication 6530

Total ANC as per Hospital 390 Group discussion 280

Total ANC beneficiaries 240 No of projected target TB patients 22

Total Institutional deliveries during month 395 Total no of HIV infected cases in alloted

geographical area (as per PHC records)

26

IEC Activities Organized Total no of TB infected cases in alloted

geographical area (as per PHC records)

22

Orientation of VHSC Members 38 Number of HIV/TB awareness camps organised

by NGO.

32

Orientation of SHG Members 8560 Number of high risk groups identified. 3

No .of School Education Programmes 69 Number of HIV/TB awareness camps organised

by NGO.

32

No. of Jathas 49 IEC Activities Organized

No. of Street Play‟s 430 Orientation of GP Members 4565

IMMUNISATION (0-9months) Orientation of VHSC Members 475

Inter -personal Communication 52 Orientation of SHG Members 8160

Group discussion 216 Group Meetings for Vulnerable Groups 1280

No of Target children (as per PHC records

+ baseline survey)

4975 IEC Activities Organized

No of Target children missed out 1003 No.of Villages Visited 40

No of chidren who received "0"polio dose 1025 No.of House Visited 4320

No of fully immunised children (0-9

months)

1060 Total no. of ANC Cases Idintified 417

IEC Activities Organized No.of ANCs Cases with 3 ANC Check up TT

Injection

390

Orientation of GP Members No.of ANCs Cases recived T T Injection 390

44

Orientation of VHSC Members 570 Total no. of Deliveries during the month 1008

Orientation of SHG Members 7630 a) Institutional deliveries: 1003

Group Meetings for Vulnerable Groups 1580 b) Home deliveries: 5

Mothers meeting conducted 76

c)Integrated rural development Program in T. Narasipura Taluk (creation of SHGs)

Karuna Trust is a registered non-governmental

organization dedicated to rural health and

development. It was established during 1986

for the purpose of eradicating leprosy in the

Yelandur taluk. In 1996, with the financial

assistance of Dr.M.Nagaraju and Smt. Renuka

Nagaraju Family Charitable Trust, its activities

were extended to T.Narasipura taluk. It covers

a population of 279005 [2001 census] in 210

Villages spread over 05 Clusters accounting for

36 Grama Panchyaths, 2 Town Panchayats in

T.Narasipura Taluk.

Objectives

To conduct a survey to understand the needs and the situation in the villages to

participate in rural awareness programme.

To undertake need based and community based programme in collaboration with

Village Panchayat, Taluk Panchayat and Zilla Panchayat‟s.

To undertake developmental activities in the following areas: Health, Education, Self

Employment, Housing, Water and Hygiene, Self Help Groups and Community

Organization to empower to develop manpower.

To undertake workshops and training programmes to help youth of the region to take

up developmental activities themselves.

During 2010-11, the Trust prepared work plans in the Taluk under following heads:

Community Micro Finance Plan

Community Health Plan

Community Development Activities Plan

Swami Vivekananda Value Based Programme and Others

Performance of Micro Finance Activities during 2010-11

The table below provides statistical data for various activities under this head. Corresponding

figures for the previous year 2009-10 are provided for better understanding of the progress

made during the current reporting year.

Activities under Micro-Finance during 2010-2011

45

Particulars 2009-10 2010-11

Total SHGs 356 450

Formation of New SHGs 16 94

Total SHG Meetings 18483 19883

Number of SHG Training 84 106

Total Group Bank Linkage 120 93

Swarna Jayanthi Sahari

Rojagar Yojana[SJSRY] Revolving

Fund

33

SHGs

25

SHGs

Total Number of Group SJSRYs 15 10

Number of CDA Meetings 167 193

Federation Meetings Nil Nil

Federation Training Mela Nil Nil

There were 450 SHGs during 2010-2011 as compared with 356 during 2009-10. Similarly 94

new SHGs have been formed during the year as compared with only 16 during the previous

year. A total of 19883 meetings of SHGs were conducted to deliberate and provide solutions

of the problems of the members. The figure for the previous year was 18483. The average

number of meeting per SHG per year was higher at 45 as compared with 52 in the previous

year.

During the year 106 SHG training were conducted as against 84 in the previous year. Total

Group Bank Linkage was provided to 93 SHGs during the year, 120 during the previous year.

SJSRY Revolving Fund was established in 25 SHGs as compared with only 33 SHGs during

the previous year. Total number of Group SJSRY 10 this year.

A total of 193 meetings of the CDAs were held during the year compared with 167 during the

previous year. However no Federation meetings could be held during 2010-11 due to steep

increase in the activities of both SHGs and the CDAs.

The year has also seen qualitative improvement among the SHGs. As can be seen from Table:

2 there is an appreciable increase in the number of SHGs coming under Grade I [from 162 to

287] and Grade II [from 165 to 140]. Importantly the number under Grade III has come down

substantially from 29 to 23 during the year.

46

Thus, only about 5.11% of the 450 SHGs come under Grade III category. Where as 63.77 per

cent come under Grade I and 31.11 percent under Grade II. This augurs well for the healthy

development of SHGs and its members.

Table: 3 Qualitative Improvements in SHGs

Sl.No Grade 2009-10 2010-11

1 Grade I 162 287

2 Grade II 165 140

3 Grade III 29 23

TOTAL 356 450

Internal Savings of SHGs has shown marginal increase during the year. Total savings were

Rs.1,79,90500 as compared to Rs.95,30,700 during the previous year. The quantum of loans

taken by the SHGs has seen significant increase from 3,59,18000 in the year 2009-10 to

Rs.2,16,39000 in the year 2010-11. Thus, the financial turnover has increased from

Rs.3,11,69,700 to Rs.4,54,98000 in the year 2010-11[Table: 4]

Table: 4 Financial Turnover during 2010-11

2009-10 2010-11

Internal Savings of all SHGs Rs. 95,30,700 Rs. 1,79,90,500

Loans taken by SHGs Rs. 2,16,39,000 Rs. 3,59,18,000

Total Financial Turnover Rs. 3,11,69,700 Rs. 4,54,98,000

During 2010-11 financing of SHGs by the financial institutions has shown a some decrease.

Total number of SHGs financed has decreased to 93 from 104 in the previous year [Table 5].

Total amount of financing has increased to Rs.1, 23, 76,000 from Rs.1,10,85,000 in 2009-10.

This is more than 90 per cent increase.

47

State Bank of Mysore has shown substantial increase in financing SHGs from Rs.61,25,000

in 2009-10 to Rs.45,50,000 in the year 2010-11. So also the Cauvery Grameena Bank from

Rs.28,50,000 to Rs.3,60,000, IOB from Rs.2,50,000to Rs.2,80,000 and Vijaya Bank from

Rs.4,45,000 to Rs. 80,000 in the said period.

Table: 5 Bank Financing of SHGs in 2009-10 & 2010-11

Bank

2009-10

2010-11

No

of

SH

G

Amount

Rs. in

Lakh

No of

SHG

Amount

Rs. in

Lakh

State Bank of Mysore 49 61.25

20 45.50

Cauvery Grameena Bank 43 28.50

33 36.00

MDCC Bank 0 8.60

22 27.00

Sangamithra Refinance

Services [SRFS]

?

3.75

08 11.66

Indian Oversees Bank 08 2.50

08 2.80

Vijaya Bank 04 4.45 02 0.80

Total 104 110.85 93 123.76

d) Wienerberger --Management of Out-patient

About Wienerberger

Wienerberger entered the Indian subcontinent in mid-2006. Right from the beginning it has

been working on the implementation of Good Corporate Citizenship Policy that incorporates

Economic, Social and Environmental Responsibilities.

This Policy has the aim to establish Wienerberger

in India as a Good Citizen. The Policy will

support the integration of social and

environmental issues into core business activities

48

To roll out programmes for the community it works in, it is able to bring in Right Livelihood

Award and Padma Shri recipient Dr. Hanumappa Sudarshan to support the cause for local

implementation from Karuna Trust and Vivekananda Girijana Kalyana Kendra. He plus Prof.

Ghandi Doss from Bangalore University and other experts in the field of CSR are members

of the Wienerberger Steering Committee in the field of Good Corporate Citizenship.

Gottikere Clinic

Gottikere clinic, Kunigal Taluk, Tumkur District was started on 18th

January 2009

This is about 6 km from Kunigal It comes under Yeliyur PHC, Bidanagere Sub-centre of

Tumkur District

The ANM of Bidanagere Sub-centre is Mrs.Siddagangamm

A. Performance :

Months Male Female Children Total

January 124 86 18 228

February 65 48 4 119

March 87 112 10 209

April 105 117 14 236

May 129 127 16 272

June 94 69 8 171

July 64 58 6 128

August 132 122 25 279

September 106 97 15 218

October 129 133 17 278

November 78 74 10 162

December 98 112 5 215

49

e)Kammasandra Project

Karuna Trust

&

Sri Ramakirshna Paramahamsa and Vivekananda Rural Development &Education

Trust

Putani Gudu – A Brief Note

Kammasandra is a village in Doddaballapur Taluk about 60 km from Bangalore, with a

population of about 390. There were a good number of destitute children in Kammasandra

and the villages nearby. Hence, a project was taken up to focus on nutrition and education of

these children. The project was christened “Putani Gudu” and started off with significant

financial contributions from Dr. V A Ram, Plastic Surgeon in Las Vegas , Mrs. Girija Ram

and the vision of Dr. H Sudarshan. The orphanage is being run as a part of the complete rural

development project in Kammasandra.

The project identifies destitute children and seeks to provide them with nutritional food,

healthcare, and quality education.

Team: All our PHC staffs supervising team

and Smt. Shivamma (Cook)

The orphanage is now running in a new

building constructed by Karuna Trust and

Ramakrishna Vivekananda Rural

Development & Education Trust.This new

building inaugurated by Sri

Balagangadaranathaswamyjee on 23rd May

2005.

The building has 4 living rooms with shelves,

prayer hall, well-equipped kitchen, and a

dining hall, solar and computer facility. The

children are encouraged to maintain a small kitchen garden and a cowshed. The vegetables

grown and the milk produced is used by the children. The cowshed and the kitchen were

additions during this year. The building also got a facelift with painting.

Activities: The day starts at 5.30 AM for the children at Putani Gudu. After the morning

ablutions and prayer. This is followed by exercise and then the children sit for a morning

session of study. They then finish their breakfast and proceed to the school.

Selection: Putani Gudu started with 20 children, and at present has strength of 20 members.

The previous year saw the highest strength of 28 members. A Committee of 6 members does

the selection. The children chosen come from very poor socio-economic background with

severe neglect of basic education and health. The „Gudu‟ intends to provide these „uncared

for‟ children with these amenities. Due care is to incorporate discipline in their lives.

The orphanage is completely free – food, medical needs, books, uniform and other day to day

needs.

50

Achievements

The Annual Examination results for Putani Gudu were 100 %.

The children took part in various sports and extra-curricular activities and many of

them won prices at district level. Kum. Ravi Patil went up to the Taluk level sports

and went on to represent his taluk in Athletics. Kum. Gayithri was selected for the

Kho-Kho team at the Taluk Level Sports Meet.

The children from „Putani Gudu‟ excelled at cultural and literary events at school

level.

INMATES

BOYS GIRLS TOTAL

08 04 12

Class wise Strength

2nd

Std 3rd

Std 5th

Std 6th

Std 7th

Std 10th

Std Total

Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

1 0 0 3 1 0 2 0 3 0 1 1 12

Following activities are carried out under Integrated Rural Development Project:

a) Housing

b) Dairy

c) Facilities for Government Primary & High School

d) Anganawadi

e) Roads & drainage under Swasthi Grama Yojana

f)Bangalore Medical College Scholarship Project:

The Bangalore Medical College Scholarship Project was instituted in the year 2009.

Instituted as an Endowment Fund by Dr. M.L. Ramesh, Karuna Trust has tied up with Dr.

Ramesh to use the interest generated by the Endowment Fund to financially support the

medical education one underprivileged student studying in Bangalore Medical College every

year.

During the reporting year, a scholarship amount of Rs. 25,000/- was given to Mr. Manoj

Kumar, a Second Year medical student for continuing his studies.

.

51

III) PHC REPORT FOR 2010-11

52

1)KARNATAKA PHCs

53

Consolidated Data for all PHCs in Karnataka

2005-

2006

2006-

2007

2007-

2008

2008-

2009

2009-

2010

2010-

2011

Population 331251 524688 529289 578410 553204 587986

Total registration 7827 11828 11493 12636 13411 12817

Early registration 3919 7277 6692 8736 9756 9999

% of early

registration

53% 62% 58% 69% 73 78

TT coverage 6678 10932 10847 11436 13039 12423

Deliveries 5876 8255 9489 10063 11031 10828

Institutional

deliveries

3211 4645 5929 7813 10234 10374

% of institutional

deliveries

58% 56% 62% 77% 93% 96%

Maternal deaths 1 5 6 9 13 10

Live Births 4683 8349 9033 10004 10899 10676

Still births 57 93 74 167 156 133

Infant deaths 90 163 180 220 225 192

IMR 19 20 20 22 21 18

MMR 21 60 66 90 119 93

Percentage of Early Registration

54

Percentage of Institutional Deliveries

Infant Mortality Rate

Maternal Mortality Rate

55

1)Anegundi PHC

Name of the PHC : Anegundi

Taluk : Gangavathi

District : Koppal

Date of taking over : 2005

Staff : 22

Number of sub centres : 5

Population : 25,992

Sl.No Before taking over After taking over

1 LAND Lot of weeds and inadequately

maintained.

No Fencing

Total area is 1 acre.

Cleaned-up.

KT has started a demo garden and

nursery for Traditional Medicine.

2 PHC BUILDING &

STAFF QUARTERS

Many pending repair works and

Irregular maintenance.

Cleaned-up and renovated the building.

Citizen Charter displayed.

Sign-boards written.

MO quarters and Nurse Quarters were

renovated & occupied by our staff.

3 SUB-CENTER

BUILDINGS

Poorly maintained.

Buildings and were unoccupied

Cleaned-up the building.

Our ANMs occupied the Building

3 sub centers only with building.

We are looking for 2 sub centre building

location & construction of the proposed

Sub-center building upon receipt of the

funds.

4 EQUIPMENTS Supply irregular. Maintenance poor Computer, printer and tape recorder(for

IEC activities) supplied from KT.

Email services are being provided at the

PHC

Some of the essential equipments were

procured from DHO also .

We have supplied equipments for

preparation of traditional medicine.

Village Resource Centers were started in

collaboration with ISRO.

Tele conference and Tele –ECG facilities

are available in the PHC.

5 COLD CHAIN

EQIPMENT

Not Maintained Functional

6 FURNITURE Inadequate Office furniture supplied from KT (table

& chair etc)

7 STAFF Many vacant posts and poor

attendance.

KT has filled up all the staffs.

All the staffs are staying in the head

quarters and rendering 24 hrs services.

56

ADDITIONAL

STAFF

Not available KT has trained 1 counselor for

HIV/AIDS programe and has posted 1

Arogyamitra for traditional medicine

program.

8 TRAININGS Infrequent KT has trained the PHC staff on the

following subjects:

RCH and MCH services.

HIV/AIDS.

IEC

PHC Management

Plan and budget –Accounts

Capacity building

Mental Health

Traditional medicine

Participatory Rural Appraisal

Bio-waste Management

VRCs in Collaboration with ISRO

9 MEDICINES &

REGENTS

Irregular supply KT supplies additional if required.

The lab regents (not available from DHO

store, were also supplied from KT.

10 WATER &

ELECTRICITY

Poor and irregular supply. New water connection taken from the

Gram panchayat.

Minor electrical repair work for all the

buildings were taken up

12 WASTE

MANAGEMENT

Not implemented KT has implemented the waste

management in the PHC according to

KPCB standards and obtained the KPCB

certificate.

14 NEW INNOVATIONS BY KARUNA TRUST:

a IEC ACTIVITIES &

PRA PROGRAM

IEC activities were organized in all the sub-center areas through a special Van.

The PRA programms were also conducted at the village levels.

b HEALTH

INSURANCE

PROGRAM

We have launched the health insurance program in the PHC catchment area and

continuing as an ongoing program.

c TRADITIONAL

MEDICINE

PROGRAM

We have integrated the use of traditional medicine in to Primary Health care.

57

Sub centre with population

Sl.

No. Name of SC

Distance from

PHC

Buildin

g (Y/N)

No. of

village

s Population

Eligible

Couple

No. of

ASHA

Male Female

I ANEGUNDI 0 YES 5 2019 2214 695 1

Ii SANAPUR 10 YES 5 2151 2021 628 1

Iii MALLAPUR 6 NO 3 2836 2735 835 4

Iv

BASAVANDUR

GA 4 YES 5 1152 1145 380 0

V

VADDARAHA

TTI 20 NO 4 4867 4852 1457 5

Staff Pattern

Sanctioned Available Sanctioned Available

I Medical Officer 1 1 ix Jr. H.A. (M) 5 5

Ii Pharmacist 1 1 x Jr. H.A (F) 5 5

Iii Staff Nurse 1 1 xi PMOA 1 0

Iv Lab. Technician 1 1 xii SDC 0 0

V FDA/Administrator 1 1 xiii Arogyamitra 1 1

Vi LHV 0 0 xiv Driver 1 1

Vii BHEO 1 1 xv Gr. D 3 3

Vii Sr. H.A. 1 1

Out-patient and In-patient details

IPD OPD EMERGENCY

Male Female Male Female Male Female

April 2010 12 23 629 481 0 0

May 14 13 601 600 0 2

Jun 12 20 641 604 0 0

Jul 20 22 804 722 1 1

Aug 10 13 671 600 4 3

Sep 20 30 685 650 2 1

Oct 3 23 537 499 2 1

Nov 7 18 588 503 2 0

Dec 8 18 647 590 1 0

January 2011 17 19 654 663 1 1

Feb 14 33 662 619 3 3

Mar 24 14 520 515 3 2

TOTAL 161 246 7639 7046 19 14

58

Details of Laboratory Services

Name of

lab tests Apr ‘10 May June Jul Aug Sep Oct Nov Dec Jan ‘11 Feb Mar

Total

Blood for

MP test 508 527 643 647 515 693 509 567 558 519 341 409 6636

Positive

cases (slide

+ RMT)

3 1 5 8 1 2 3 1 1 0 1 1 24

Total PV 3 1 5 8 1 2 3 1 1 0 1 1 24

Total PF

Total

mixed type

Blood

sugar 7 22 10 13 12 12 0 0 6 14 13 16 125

Widal 14 14 9 16 13 14 13 18 13 19 12 16 125

VDRL 26 26 0 9 13 13 6 13 29 26 16 12 189

Pregnancy

test 12 19 18 6 17 18 16 17 20 19 13 11 186

Hb% in

PHC 39 53 39 26 36 32 29 38 28 29 29 34 412

Hb% in SC

TLC 2 0 0 0 0 1 0 0 0 0 0 0 3

DLC 2 0 0 0 0 1 0 0 0 0 0 0 3

ESR 4 6 2 0 3 3 3 3 3 3 3 3 36

Urine RE 28 29 26 19 24 13 40 16 18 26 29 31 299

Blood

grouping 38 45 19 20 18 12 16 19 0 31 30 6 294

Rapid tests

for HIV 15 37 38 45 29 0 31 0 7 18 2 4 225

Statistics

Sl.

No

Process Indicators 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

1 POPULATION 20744 24368 24368 26054 27071 26210

2 TOTAL ANC REGISTRATIONS 598 592 538 675 695 659

3 EARLY ANC REGISTRATIONS <12

WEEKS

231 259 250 574 585 544

% 39 44 46 85 84 83

4 TT COVERAGE ANC 458 505 449 609 642 653

5 TOTAL DELIVERIES 380 461 307 355 508 549

6 INSTITUTION DELIVERIES 198 168 171 262 461 514

7 % INSTITUTIONAL DELIVERIES 52 36 56 74 91 94

Vital Indicators

1 MATERNAL DEATHS 0 1 1 0 1 0

2 TOTAL LIVE BIRTHS 378 453 281 466 491 534

3 IMR 21.05 13.02 48.88 25.75 32.587 16.8539

59

2)Aralagodu PHC

Name of the PHC : Aralagodu

Taluk : Sagara

District : Shimoga

Population Covered : 2999

No. of Sub-Centres : 3

Staff : 7

Date of Taking Over : 15.10.2004

Sl. No Before taking over After taking over

1 LAND There were a lot of weeds and the

land was not properly maintained

There was no fencing around the plot

The Total area of 2 acres was cleared of

weeds

Fencing work was undertaken

KT has started a demo garden and nursery

for Traditional Medicine.

2 PHC BUILDING &

STAFF QUARTERS

The building was in need of re-

painting

Other repair work was pending

No regular maintenance of building

and staff quarters

Cleaned up & renovated the building.

A room was identified to serve as a labor

ward and renovated

Laboratory facilities were started

The PHC building was freshly painted

All services were displayed in the PHC in

the form of a Citizen‟s Charter

Name sign boards were put up at strategic

points

3 SUB-CENTER

BUILDINGS

The sub-centre buildings were vacant

and poorly maintained Cleaned up & re-painted the building

ANMs are staying in the SC Building

4 EQUIPMENT Were not being serviced regularly

and supply of essential equipment

was irregular

Computer, printer and tape recorder (for

IEC activities) have been supplied from

KT


PHC

Some essential equipment was procured

from the DHO

KT has supplied equipment for preparation

of Traditional Medicine

KT has equipped the entire lab with

necessary equipment with grants from the

Rotary Club, Shimoga

KT has renovated the entire labour room

with grants from the Rotary Club,

Shimoga

5 FURNITURE Furniture was inadequate All necessary office furniture was supplied

from KT (tables, chairs, etc.)

6 REGULAR STAFF Staff attrition rate was high

Large number of vacancies

Poor staff attendance

KT has filled up all staff positions

All staff are staying at headquarters and

rendering 24x7 healthcare services

7 TRAINING Training programs were held KT has provided periodic training to PHC

60

PROGRAMS infrequently staff on the following subjects:

RCH and MCH Services

HIV/AIDS

IEC

PHC Management

Plan and Budget – Accounts

Capacity Building

Mental Health

Traditional Medicine

PRA

Bio-Waste Management

8 MEDICINES & RE-

AGENTS

Irregular supply of both essential

medicines and re-agents KT has supplied essential medicines over

& above those supplied by the government

The lab re-agents were also supplied from

KT

9 WATER &

ELECTRICITY

Poor and irregular supply New water connection taken from the

Gram Panchayat


buildings were taken up & completed

10 WASTE

MANAGEMENT

No implementation of waste

management KT has implemented proper waste


KPCB standards & obtained a KPCB

certificate

11 NEW INNOVATIONS BY KARUNA TRUST

A

IEC ACTIVITIES &

PRA PROGRAM With the help of our IEC vehicle, we organized IEC activities in all the sub-center

areas

The PRA programme was also conducted at the village levels

B HEALTH

INSURANCE

PROGRAM

We have launched the health insurance program in the PHC catchment area &

continuing this as an ongoing program.

C TRADITIONAL

MEDICINE

PROGRAM

We have integrated the use of traditional medicine into primary healthcare

Sub-Centres with Population

Sl. No Name of the SC

Distance

From the

PHC

Building

(Y/N)

No. of

Villages Population Male Female

Eligible

Couples

No. of

ASHAs

1 ARALAGODU 0.25 km Yes 11 889 488 401 135 1

2 MANDAVALLI 07 km Yes 11 683 375 308 120 0

3 BIDARURU 12 km Yes 22 1416 778 638 230 0

Total

61

Staff Pattern

Sl.

No. Post Sanctioned Available

Sl.


I

Medical Officer

1 1 ix

Driver

0

With assistance

from

Yogaradhaya

Ii Pharmacist 1 1 x Gr. D 1 1

Iii

Staff Nurse

0

With assistance

from

Yogaradhaya xi

Lab

Technician

0

With assistance

from

Yogaradhaya

Iv

Jr. H.A. (M)

1 1 xii

FDA/

Administrator

0

With assistance

from

Yogaradhaya

V Jr. H.A (F) 3 3 xiii LHV 0 0

Vi PMOA 0 0 xiv BHEO 0 0

Vii SDC 0 0 xv Sr. H.A. 0 0

Viii Arogyamitra 0 0

Outpatient and Inpatient Details:

IPD OPD EMERGENCY

(between 5 p.m. – 8 a.m.)


April 2010 3 2 172 173 - -

May 3 5 171 162 - -

Jun 2 5 201 203 - -

July 5 3 207 198 - -

Aug 5 6 167 166 - -

Sep 8 10 286 292 - -

Oct 5 7 213 258 - -

Nov 4 6 156 257 - -

Dec 5 3 153 162 - -

Jan 2011 4 3 180 172 - -

Feb 4 3 147 127 - -

Mar 4 4 117 115 - -

Total 52 57 2170 2285 - -

Details of Laboratory Services:

Name of Lab

tests

Apr.

‘10 May Jun Jul Aug Sep Oct Nov Dec

Jan.

‘11 Feb Mar Total

Blood for MP test - - - - - - - - - - - - -

Positive cases

(slide) 0 0 0 0 0 0 0 0 0 0 0 0 0

Total PV 0 0 0 0 0 0 0 0 0 0 0 0 0

Total PF 0 0 0 0 0 0 0 0 0 0 0 0 0

Total Mixed type 0 0 0 0 0 0 0 0 0 0 0 0 0

Blood Sugar 0 0 0 0 0 0 0 0 0 0 0 0 0

Widal 0 0 0 0 0 0 0 0 0 0 0 0 0

VDRL 0 0 0 0 0 0 0 0 0 0 0 0 0

Pregnancy test 0 0 0 0 0 0 0 0 0 0 0 0 0

HB% In PHC 0 0 0 0 0 0 0 0 0 0 0 0 0

TLC 0 0 0 0 0 0 0 0 0 0 0 0 0

DLC 0 0 0 0 0 0 0 0 0 0 0 0 0

ESR 0 0 0 0 0 0 0 0 0 0 0 0 0

Urine RE 0 0 0 0 0 0 0 0 0 0 0 0 0

62

Blood Grouping 0 0 0 0 0 0 0 0 0 0 0 0 0

Rapid tests for

HIV - - - - - - - - - - - - -

Others Hbsag - - - - - - - - - - - - -

Statistics

Sl. No Process Indicators 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

1 POPULATION 3051 3165 3228 3238 2999

2 TOTAL ANC

REGISTRATIONS

88 23 52 51 45 34

3 EARLY ANC

REGISTRATIONS

<12 WEEKS

50 14 30 38 33 29

% 56.8% 61% 58% 76% 73% 85%

4 TT COVERAGE

ANC

70 12 63 31 37 21

5 TOTAL

DELIVERIES

31 9 43 15 37 17

6 INSTITUTION

DELIVERIES

31 6 19 14 37 16

7 %

INSTITUTIONAL

DELIVERIES

100% 67% 44% 93% 100% 94%

Vital Indicators

1 MATERNAL

DEATHS

0 0 0 0 1 0

2 TOTAL LIVE

BIRTHS

31 19 41 14 37 17

3 IMR 11.2 11.2 11.2 37.89 27.03 0

3)Ashokanagara PHC

Name of the PHC : Ashoknagar

Taluk : Khanapur

District : Belgaum



Staff : 15




maintained.

No Fencing

Total area is 4.12 acres.

Cleaned-up.



Fencing done.

2 PHC BUILDING &

STAFF QUARTERS


maintenance was irregular.

Medical Officer quarter was

dilapidated


Painted the building.

Medical Officer Quarter is renovated &

occupied

Citizen Charter was displayed in the PHC.

Sign boards written.

63

3 SUB-CENTER

BUILDINGS

Poorly maintained.

Buildings were vacant


ANMs are staying in the S/C Building

We have the 3 sub center with the building

out of 5.

4 EQUIPMENTS Supply was irregular with poor

maintenance. Computer, printer and tape recorder (for



PHC

Village Resource Centers were set up in


Tele conference and Tele ECG facilities

are available in the PHC.


procured from DHO.

Equipment for preparation of traditional

medicines were supplied by KT

Sub-centers with Population:


Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Ashoknagar No 6 4432 2167 2265 797 3

2 Amboli No 6 2257 1123 1134 406 2

3 Asoga No 5 2941 1476 1465 529 2

4 Rumewadi No 3 3101 1579 1522 558 3

5 Shiroli No 13 2893 1460 1433 711 4

Total 33 15624 8305 8379 3001 14


IPD OPD EMERGENCY


April 2010 5 8 564 500 0 0

May 13 25 600 630 0 0

Jun 2 13 524 565 0 0

Jul 15 28 186 200 0 0

Aug 2 14 168 198 0 0

Sep 9 12 228 159 0 0

Oct 9 22 192 150 0 0

Nov 11 3 305 315 0 0

Dec 10 12 258 278 0 0

January 2011 9 12 234 285 0 0

Feb 1 4 192 211 0 0

Mar 3 6 154 171 0 0

TOTAL 89 159 3605 3654 0 0

64


Name of lab

tests Apr ‘10 May June Jul Aug Sep Oct Nov Dec Jan ‘11 Feb Mar

Total

Blood for

MP test 221 212 272 293 272 290 247 312 377 317 300 290 3403

Positive

cases (slide

+ RMT)

0 0 0 0 0 1 0 0 1 0 0 0 2

Total PV

Total PF

Total mixed

type

Blood sugar 0 0 0 0 4 0 0 3 0 9 5 3 24

Widal 0 0 1 1 1 0 1 1 2 0 1 3 11

VDRL 7 2 2 5 2 5 3 1 3 8 2 7 47

Pregnancy

test 7 3 7 6 7 8 8 4 9 4 7 8 78

Hb% in

PHC 53 26 31 52 26 48 45 41 46 84 38 63 553

Hb% in SC

TLC 0 0 0 0 1 1 0 0 0 0 64 1 7

DLC 0 0 0 0 0 1 0 0 0 0 4 1 6

ESR 0 1 0 1 2 0 0 0 0 0 2 2 8

Urine RE 43 27 10 24 17 23 23 23 28 32 36 44 339

Blood

grouping 0 6 0 0 2 6 4 4 2 11 6 9 50

Rapid tests

for HIV 0 0 0 0 0 0 0 0 0 0 0 0 0

Staff Pattern









Viii Sr. H.A. 0 0

65

Statistics

Sl.

No


1 POPULATION 14509 14874 15732 16116 16365 16934



WEEKS

140 226 281 214 308 303

% 55 79 97 68 76 81

4 TT COVERAGE ANC 264 289 294 315 398 373



7 % INSTITUTIONAL DELIVERIES 45% 69% 79% 75% 92% 96%

Vital Indicators



3 IMR 24.29 22.39 13.99 7.35 14.815 14.0056

4)Begar PHC

Name of the PHC : PHC Begar

Taluk : Sringeri

District : Chikamagalore


No. of Sub-Centres : 7+2

Staff : 22




maintained.

No Fencing

Total area is 3 acres.

Cleaned-up.

Started a demo garden and nursery


2 PHC BUILDING &

STAFF QUARTERS


maintenance irregular.

Staff quarters were poorly

maintained


All the quarters are renovated and

occupied.

Citizen Charter displayed in the

PHC.

Sign- boards written.

3 SUB-CENTER

BUILDINGS

Buildings were poorly maintained

and un-occupied Buildings are cleaned up

ANMs staying in the Building

We have the 6 sub centers with

building.

4 EQUIPMENTS Not being serviced regularly and

supply irregular. Computer, printer and tape

recorder(for IEC activities) supplied

66

from KT.

Email services are being provided at

the PHC

Some of the essential equipments

were procured from DHO.

Traditional medicine preparation

equipments are also supplied.

5 COLD CHAIN

EQIPMENT

Not maintained Functional

6 FURNITURE Inadequate Some Office furniture(table & chair)

have been procured

7 STAFF Many vacancies and poor

attendance. All the Vacant posts have been filled

up.


quarters and they are rendering the

24 hrs services.

8 TRAININGS Infrequent KT staffs have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REGENTS

Irregular supply. KT supplies essential medicines in

case of any shortage.

The lab regents were also supplied

from KT.

10 WATER &

ELECTRICITY

Poor and irregular supply. Water supply available

Some minor electrical repair work

for all the buildings were taken up

12 WASTE

MANAGEMENT

Not implemented KT has implemented the Bio-waste


KPCB standards and obtained the

KPCB certificate.


A IEC ACTIVITIES &

PRA PROGRAM With the help of a special IEC vehicle we organized IEC activities in all the

sub-center areas.

The PRA programme also conducted in the village levels.

B HEALTH

INSURANCE

PROGRAM

Health insurance program is launched in the PHC catchment area and

continuing as an ongoing program.

C TRADITIONAL

MEDICINE

PROGRAM

Traditional medicine has been integrated into the Primary Health care.

67

Before After



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Begar Y 4 1867 900 967 316

2 Kuppanamakki 4 Y 4 1735 930 805 297

3 Holekappa 6 Y 4 1580 830 750 271

4 Kigga 21 Y 3 2758 1400 1358 334 1

5 Gandagatta 19 Y 4 1670 810 860 259 2

6 Harur 20 Y 5 1912 802 1110 314 2

7 Kerkatte 40 N 4 1665 732 933 205 2

8 Nemmar 28 N 3 1781 876 905 340 1

9 Tyavana 20 N 4 1844 869 975 359 1

Total 35 16812 8149 8663 2695 9

Staff Pattern









Viii Sr. H.A. 0 0


IPD OPD EMERGENCY


April 2010 10 12 424 419 8 4

May 11 6 344 342 5 9

Jun 5 12 485 524 11 7

Jul 5 10 553 491 5 1

68

Aug 11 10 654 668 14 14

Sep 9 38 767 831 7 13

Oct 12 10 449 682 18 12

Nov 4 14 424 480 7 13

Dec 5 13 359 350 11 12

January 2011 6 5 442 444 11 20

Feb 12 18 535 474 5 12

Mar 2 5 362 352 5 15

TOTAL 92 143 5798 6007 107 132


Name of lab


Total

Blood for

MP test 345 296 582 483 385 568 348 358 434 327 461 400 4987

Positive

cases (slide

+ RMT)

- - - - - - -

Total PV 1 1 2

Total PF

Total mixed

type

Blood sugar 2 2 33 20 38 25 11 9 16 4 160

Widal 3 4 89 203 65 24 9 8 7 10 422

VDRL 9 7 2 7 9 7 38

Pregnancy

test 6 2 2 6 11 7 4 6 4 3 5 2 58

Hb% in

PHC 9 12 7 4 66 59 13 14 29 34 20 4 271

Hb% in SC

TLC 4 6 7 5 6 2 6 2 4 42

DLC 4 6 7 5 6 2 6 2 4 42

ESR 4 6 7 5 6 2 6 2 4 42

Urine RE 3 5 2 4 11 17 9 8 16 27 7 5 114

Blood

grouping 1 4 8 7 7 27

Rapid tests

for HIV

69

Statistics

Sl.

No


1 POPULATION 0 12880 13059 12856 12604 16812



WEEKS

0 112 103 121 129 209

% 0 69 76 85 88 97

4 TT COVERAGE ANC 0 153 113 129 125 214




Vital Indicators



3 IMR 0 64.81 30.49 97.8 59.322 23.8095

5) BEGGAR’S COLONY (NPK) PHC

1. Name of the PHC : Beggar’s Colony

2. Taluk : Yelhanka

3. District : Bangalore Urban

4. Population Covered : 1010

5. Staff : 05

6. Date of taking over : 1st January 2006


1 PHC BUILDING &

STAFF QUARTERS

Irregular maintenance. Lot of

pending repair work remained

No proper staff quarters

Building has been cleaned up

One staff quarters building with resident

staff nurse

All services are displayed in the PHC.

Name boards written & put up


supply was irregular

Computer, printer and tape recorder

supplied from KT


PHC

Some essential equipment was procured

from DHO and Social Welfare department

We have created laboratory facilities

3 COLD CHAIN

EQIPMENT

Not available We have supplied one Refrigerator with

the help of Social Welfare department


& chair)

5 STAFF Irregular and frequent vacancies KT has filled up all the staff positions

All staffs are headquartered 24x7 &

70

providing 24-hrs services

6 ADDITIONAL

STAFF

Not available KT has posted 1 lab technician.

7 TRAININGS Infrequent KT staff have been trained on the

following:

RCH and MCH services

HIV/AIDS

IEC

PHC Management

Plan and Budget – Accounting

Capacity Building

Mental Health

Waste Management

8 MEDICINES &

REAGENTS

Irregular supply KT has also supplied essential medicines

(apart from supply from the Govt.)

Lab reagents were also supplied from KT

9 WATER &

ELECTRICITY

Poor and irregular supply Running water supply to the PHC

undertaken with the help of the Social

Welfare department

Minor electrical repair work for all

buildings undertaken by KT

10 WASTE

MANAGEMENT

Not implemented KT has implemented waste management in

the PHC according to KPCB standards

11 MENTAL HEALTH

CAMP

Not done We have conducted mental health camps in

collaboration with NIMHANS

12 EYE CAMPS Not done We have conducted cataract operations in

collaboration with Viveka Drushti Eye

Hospital

Staff Position


i Medical Officer 1 1 ix Jr.H.A. (M) 0 0

ii Pharmacist 1 1 x Jr.H.A (F) 1 1

iii Staff Nurse 0 0 xi PMOA 0 0

iv Lab. Technician 0 0 xii SDC 0 0

v FDA/Administrator 1 1 xiii Arogyamitra 0 0

vi LHV 0 0 xiv Driver 0 0

vii BHEO 0 0 xv Gr. D 0 2

viii Sr. H A 0 0

71

Outpatient and Inpatient details

IPD OPD

Male Female Male Female

Apr 2010 9 0 292 146

May 40 2 408 99

Jun 42 2 387 141

Jul 27 17 192 85

Aug 46 29 213 80

Sep 8 7 143 111

Oct 7 6 103 84

Nov 0 0 84 50

Dec 0 0 56 40

Jan 2011 0 0 92 75

Feb 0 0 80 68

Mar 0 0 125 71

TOTAL 179 63 2175 1050

Community Mental Health Programme

Sl.No Month Male Female Total

1. April - 2010 25 12 37

2. May - 2010 26 14 40

3. June - 2010 19 05 24

4. July - 2010 13 03 16

5. August - 2010 12 01 13

6. September - 2010 32 13 45

7. October - 2010 27 07 34

8. November - 2010 07 03 10

9. December - 2010 14 03 17

10. January - 2011 18 05 23

72

11. February - 2011 10 06 16

12. March - 2011 10 03 13

Total 213 75 288

1. Psychosis

200

2. Epilepsy

19

3. Neurosis

4

4. Mental Retardation 28

5. Depression

10

6. Alcoholic Depression Syndrome 27

Total 288

Laboratory tests

Sl.No Investigation

No of Cases

examined Remarks

1. HP 672 277

2. TC & DC 145 -

3. ESR 165 70

4. Urine Micro 134 54

5. Sputum 94 02

6. Widal 51 07

7. Pregnancy Test 09 05

8. Hbs Ag Nil Nil

9. BT / CT Nil Nil

10. Urine BP / BS 84 -

73

Mortality details

Apr 2010 24

May 34

Jun 57

Jul 49

Aug 106

Sep 1

Oct 1

Nov 1

Dec 1

Jan 2011 1

Feb 1

Mar 1

Summary

In 2009, the number of inmates was around 250, but increased suddenly during the reporting year to

1000. These additional people were accommodated within the same infrastructure & existing

manpower. Although Karuna Trust approached the state government for recruiting extra staff to cope

with the increased influx of people, its request was not considered. As a result, hygiene was not

maintained properly, and an outbreak of cholera in August resulted in the death of 106 inmates. A

priority meeting between Karuna Trust and the government followed as a result of which 9 staffs were

appointed from the Social Welfare department for a period of one year. These included:

1. Lady Medical Officer : 1

2. Social Worker : 1

3. Staff Nurses : 5

4. Lab Technician : 1

5. Group D : 1

Karuna Trust also changed the Medical Officer.

The condition of the centre is much improved and stabilized now and the project is functioning

smoothly.

`

6)Castle Rock PHC

Name of the PHC : Castle Rock

Taluk : Joida

District : Uttara Kannada



Staff : 19



1 LAND Land was full of weeds and not

maintained well The total land area of 2.5 acres was cleaned

up



2 PHC BUILDING &

STAFF QUARTERS

Repair work to building was

pending

Irregular maintenance of building

and staff quarters

Cleaned up & re-painted the building

All the services were displayed in the PHC

in the form of a Citizen‟s Charter

Name sign boards have been put up at

important entrances in the PHC

3 SUB-CENTER

BUILDINGS

SC building poorly maintained

Building was vacant There is only one SC with the building

Building cleaned up thoroughly

The ANM has been given occupancy space

in the building

4 EQUIPMENT Not being serviced regularly

Supply was irregular Computer, printer and tape recorder (for

IEC activities) supplied from KT


PHC

Some of the essential equipment was

procured from the DHO


medicine has been supplied

Village Resource Centres have been set up

in collaboration with ISRO

Tele-conference and Tele-ECG facilities

have been made available in the PHC

5 COLD CHAIN

EQIPMENT

Not maintained properly KT has made functional the cold chain

equipment for use in the PHC

6 FURNITURE Inadequate KT supplied adequate furniture

7 REGULAR STAFF Many vacancies

Poor attendance All vacant posts have been filled up

All staff are staying at headquarters and

rendering 24x7 health services

8 TRAINING Infrequent PHC staff have been periodically trained

on the following subjects:

RCH and MCH Services

HIV/AIDS

IEC

PHC Management

Plan and Budget – Accounts

Capacity Building

75

Mental Health

Traditional Medicine

PRA

Bio-Waste Management

Village Resource Centres, that have been

established in Collaboration with ISRO

9 MEDICINES & RE-

AGENTS

Irregular supply KT supplies essential medicines whenever

there is a shortage in supply

The lab re-agents are also supplied from

KT

10 WATER &

ELECTRICITY

Poor and irregular supply Water is available


buildings were undertaken

12 WASTE

MANAGEMENT

Not implemented KT has implemented bio-waste


KPCB standards and obtained a KPCB

certificate

14 NEW INNOVATIONS:

A IEC ACTIVITIES &

PRA PROGRAM With the help of our IEC vehicle we organized IEC activities in all the sub-centre

areas

PRA program was also conducted at the village level

B HEALTH

INSURANCE

PROGRAM

Health insurance program has been launched in the PHC catchment area and is

running as an ongoing program

C TRADITIONAL

MEDICINE

PROGRAM

Traditional medicine has been integrated into PHCs as part of primary healthcare

Sub-centres with Population


Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Castle Rock 0 kms. No 3 2121 1114 1007 321 1

2 Konsheth 8 kms. No 8 1074 535 539 165 2

3 Chandvadi 14 kms. No 7 1203 592 611 176 1

4 Tinaighat 18 kms. No 7 1977 963 1014 305 3

5 Anmode 12 kms. Yes 13 3618 1896 1722 554 3

Total 38 9993 5100 4893 1521 10

Staff Pattern







76



Viii Sr. H.A. - 0


IPD OPD EMERGENCY


April 2010 10 7 328 422 5 1

May 4 6 292 297 9 3

Jun 4 8 339 321 5 6

Jul 6 11 417 380 1 9

Aug 1 3 409 395 1 2

Sep 4 3 340 360 2 3

Oct 5 5 236 226 4 4

Nov 2 4 245 275 6 2

Dec 3 8 230 224 8 3

January 2011 3 3 260 271 6 3

Feb 3 4 275 288 4 4

Mar 3 3 230 266 1 8

TOTAL 48 65 3601 3725 52 48


Name of


Total

Blood for

MP test - 232 247 227 162 234 133 146 186 176 193 193 2129

Positive

cases (slide

+ RMT)

0 0 0 0 0 0 0 0 0 0 0 0 0

Total PV 0 0 0 0 0 0 0 0 0 0 0 0 0

Total PF 0 0 0 0 0 0 0 0 0 0 0 0 0

Total

mixed type 0 0 0 0 0 0 0 0 0 0 0 0 0

Blood

sugar 0 8 15 10 6 11 7 13 5 8 6 9 98

Widal 20 2 1 0 0 0 1 0 0 4 1 2 31

VDRL 24 1 6 3 2 3 2 3 4 3 3 2 56

Pregnancy

test 6 6 4 4 1 7 13 7 6 3 3 3 63

Hb% in

PHC 39 15 20 38 30 18 20 12 16 13 29 29 279

77

Hb% in SC - - - - - - - - - - - - -

TLC 9 10 14 10 21 6 12 13 5 7 10 19 136

DLC 9 10 14 10 21 6 12 13 5 7 10 19 136

ESR 7 3 12 15 20 8 6 6 4 4 6 19 110

Urine RE 30 28 16 10 22 28 20 24 21 19 30 32 280

Blood

grouping - 2 6 3 2 3 2 3 3 2 10 9 45

Rapid tests

for HIV - 0 20 0 0 7 16 0 6 0 29 37 115

STATISTICS:

Sl.

No


1 POPULATION 9302 9302 9497 9546 10216



WEEKS

60 99 118 103 134 146

% 53% 67% 53% 65.18% 73% 83%

4 TT COVERAGE ANC 92 132 213 158 169 170



7 % INSTITUTIONAL DELIVERIES 50% 81% 77% 80% 95 88%

Vital Indicators



3 IMR 28.40 15.27 26.85 36.23 12.66 3

7) Chandrabanda PHC

Name of the PHC : Chandrabanda

Taluk : Raichur

District : Raichur



Staff : 9




maintained.

No Fencing


Cleaned-up.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS


irregular maintenance.

All the staff quarters were

dilapidated


PHC building was painted.

Staff Quarters were renovated &

occupied

Sign-boards have been written.

78

Citizen Charter have been displayed in

the PHC

3 SUB-CENTER

BUILDINGS

Poorly maintained.



ANMs occupied the Building

4 sub centers are located in the

government building.

Two Sub-centers are under minor repair.


supply irregular. Computer, printer and tape recorder( for



PHC

Village Resource Center has been set

up in collaboration with ISRO.

Tele conference and Tele- ECG

facilities are available in the PHC.


received from DHO.


medicine has been supplied.

We have procured one baby warming

machine from the DHO

5 COLD CHAIN

EQIPMENT

Available Available & functional

6 FURNITURE Inadequate Furniture procured.


attendance.

All vacant posts have been filled up.


quarters and they are rendering the 24

hrs services.

8 TRAININGS Infrequent PHC staff have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Irregular supply. KT supplies the essential medicines and

lab reagent in case of shortage in Govt.

supply.

10 WATER &

ELECTRICITY

The pump set is repaired and got the

running water in the PHC.

Minor electrical repair work was under

taken.

Electric connections in the staff quarters

were also renovated.

12 WASTE

MANAGEMENT

Not implemented Bio-waste management in the PHC is

being implemented according to KPCB

standards and KPCB certificate

obtained.


a IEC ACTIVITIES &

PRA PROGRAM With the help of our IEC vehicle we organized IEC activities in all the sub-

center areasl.


79

b HEALTH

INSURANCE

PROGRAM

Health insurance program was launched in the PHC catchment area.

c TRADITIONAL

MEDICINE

PROGRAM




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Chandrabanda 0 Yes 4 5480 2740 2740 900 5

2 Katlatkur 8 No 5 6862 3456 3406 1022 6

3 Singnodi 8 Yes 6 6457 3248 3209 1020 5

4 Waduatti 10 Yes 5 6785 3398 3387 1146 6

5

Total 20 25584 12842 12742 4088 22

Staff Pattern


I Medical Officer Yes Yes ix Jr. H.A. (M) Yes Yes

Ii Pharmacist Yes Yes x Jr. H.A (F) Yes Yes

Iii Staff Nurse Yes Yes xi PMOA No No

Iv Lab. Technician No Yes xii SDC No No

V FDA/Administrator Yes Yes xiii Arogyamitra No No

Vi LHV Yes No xiv Driver No No

Vii BHEO xv Gr. D Yes Yes

Viii Sr. H.A. Yes Yes


IPD OPD EMERGENCY


April 2010 13 24 422 803 0 2

May 12 15 512 808 0 2

Jun 20 25 635 815 0 1

Jul 20 37 595 735 0 2

Aug 10 34 435 680 0 3

Sep 12 29 585 650 0 1

Oct 18 30 380 746 0 1

Nov 16 22 516 769 0 4

Dec 17 31 253 786 0 1

January 2011 4 28 496 610 0 2

Feb 16 19 424 512 0 1

Mar 12 18 418 612 0 2

TOTAL 170 312 5703 8526 0 22

80


Name of


Total

Blood for

MP test 422 402 449 408 394 408 425 392 392 314 346 381 5125

Positive

cases (slide

+ RMT)

Total PV

Total PF

Total

mixed type

Blood

sugar

Widal 8 6 7 5 3 2 2 2 2 2 2 41

VDRL 6 7 8 1 16 10 3 4 55

Pregnancy

test 32 28 34 38 18 13 28 31 22 44 15 20 323

Hb% in

PHC 22 25 32 20 18 27 30 31 24 30 24 23 306

Hb% in SC

TLC

DLC

ESR 6 4 5 2 4 21

Urine RE 22 25 30 38 18 13 31 22 44 18 23 284

Blood

grouping 22 25 32 20 12 10 30 31 24 30 10 246

Rapid tests

for HIV

Statistics Sl.

No


1 POPULATION 0 24367 23480 23480 24631 25584



WEEKS

0 254 220 415 522 483

% 0 39 35 62 68 71

4 TT COVERAGE ANC 0 595 675 715 665 673


6 INST2ITUTION DELIVERIES 0 340 232 392 662 632

7 % INSTITUTIONAL DELIVERIES 0 57% 39% 63% 90% 89%

Vital Indicators



3 IMR 0 16.89 20.27 36.12 32.123 30.2158

81

8) Dindavara PHC

Name of the PHC :

Dindavara

Taluk :

Hiriyur

District : Chitradurga



Staff : 21

Date of Taking Over :

02.02.2005



maintained.

No Fencing


Cleaned-up.

Fencing done



2 PHC BUILDING &

STAFF QUARTERS


irregular maintenance .


We have painted the building.

We have total 8 staff quarters out of that 2

building are under repair. KT has plan to

renovate them.

All the services were displayed in the PHC.

Name boards written.

3 SUB-CENTER

BUILDINGS

Untidy and dirty

Building were vacant Cleaned-up the building.


Only 2 sub center is located in government

building.

4 EQUIPMENTS Irregular supply Computer, printer and tape recorder (for



PHC


procured from DHO.


medicine has been supplied from KT.

Village Resource Center has been set up in


Tele conference and Tele ECG facilities

are made available in the PHC.

5 COLD CHAIN

EQIPMENT


6 FURNITURE Inadequate Furniture available

7 STAFF Many vacancies with poor

attendance. KT has filled up all the vacant posts

All the staffs were staying in the head

quarters and they are rendering the 24 hrs

services.

8 TRAININGS Infrequent KT has given the training to the PHC staff



HIV/AIDS.

82

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Irregular supply KT supplies the essential medicines and

Lab reagent in case of shortage.

10 WATER &

ELECTRICITY

Irregular supply The pump set is repaired and got the


Minor electrical repair work was under

taken.

12 WASTE

MANAGEMENT




certificate


a IEC ACTIVITIES &

PRA PROGRAM With the help of our IEC vehicle we organized IEC activities in all the sub-center

areas.

The PRA programme also conducted at the village levels.

b HEALTH

INSURANCE

PROGRAM

Health insurance program has been launched in the PHC catchment area and

running as an ongoing program.

c TRADITIONAL

MEDICINE

PROGRAM


IEC Activities Distribution of Madilu kit in the PHC



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Dindavara 0 Yes 11 5074 2592 2482 875 5

2 Gowdanahalli 10 km No 5 4708 2302 2406 685 4

3 Pilali 10 km Yes 14 6441 3199 3242 978 6

4

5

Total 13 16223 8093 8130 2538 15

Staff Position


I Medical Officer 2 2 Ix Jr.H.A. (M) 3 3

Ii Pharmacist 1 1 X Jr.H.A (F) 4 4

Iii Staff Nurse 0 0 Xi PMOA 1 1

83

Iv Lab. Technician 1 1 Xii SDC 1 1

V FDA/Administrator 1 1 Xiii Arogyamitra 0 1

Vi LHV 1 1 Xiv Driver 1 1

vii BHEO 1 1 Xv Gr. D 3 3

viii Sr. H A 1 1


IPD OPD EMERGENCY


April 2010 35 33 620 660 0 0

May 70 92 786 830 0 0

Jun 57 57 774 690 0 0

Jul 66 83 1030 1156 0 0

Aug 38 39 1036 1210 0 0

Sep 18 28 1000 880 0 0

Oct 10 11 465 515 0 0

Nov 3 5 518 490 0 0

Dec 10 11 557 523 0 0

January 2011 10 23 525 600 0 0

Feb 12 28 523 503 0 0

Mar 18 28 432 472 0 0

TOTAL 347 438 8266 8529 0 0

Details of Laboratory Services Name of lab


Total

Blood for

MP test 710 535 729 1614 969 990 521 470 657 566 538 583 8882

Positive

cases (slide

+ RMT)

Total PV 3 3 2 1 6

Total PF

Total mixed

type

Blood sugar

Widal 79 13 9 21 39 161

VDRL 31 53 63 36 28 21 22 12 36 53 27 382

Pregnancy

test

Hb% in

PHC

Hb% in SC

TLC

84

DLC

ESR

Urine RE

Blood

grouping

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 13791 15045 15045 15359 16658 16233



WEEKS

170 178 123 272 320 297

% 61 64 33 75 82 90

4 TT COVERAGE ANC 260 253 392 339 384 284




Vital Indicators



3 IMR 7.94 6.97 35.82 45.61 39.867 10.989

9) Doddakenahalli PHC

Name of the PHC : Doddakenahalli

Taluk : Bangalore East

District : Bangalore Urban



Staff : 5


Staff Pattern Sanctioned Available Sanctioned Available

I Medical Officer 1 1 ix Jr. H.A. (M)

Ii Pharmacist x Jr. H.A (F) 3 3

Iii Staff Nurse xi PMOA

Iv Lab. Technician xii SDC

V FDA/Administrator xiii Arogyamitra

Vi LHV xiv Driver

Vii BHEO xv Gr. D 1 1

Viii Sr. H.A.

85


IPD OPD EMERGENCY


April 2010 238 217

May 329 271

Jun 344 307

Jul 287 247

Aug 220 190

Sep 181 172

Oct 191 160

Nov 256 205

Dec 178 132

January 2011 308 269

Feb 247 219

Mar 248 204

TOTAL 3027 2593


Name of lab


Total

Blood for

MP test 198 219 227 224 242 264 216 224 197 193 193 211 2608

Positive

cases (slide

+ RMT)

Total PV

Total PF

Total mixed

type

Blood sugar 38 40 37 30 36 40 43 40 36 29 30 39 438

Widal

VDRL

Pregnancy

test 25 20 26 28 30 26 28 29 30 28 31 33 334

Hb% in

PHC 41 28 35 40 44 49 43 54 49 44 36 45 510

Hb% in SC

TLC

DLC

ESR

Urine RE 32 28 35 42 44 49 47 55 49 8 21 45 455

Blood

grouping 32 28 35 42 44 49 47 55 49 8 21 45 455

Rapid tests

for HIV 32 28 35 42 44 49 47 55 49 8 21 45 455

86

Statistics

Sl.

No

Process Indicators 2009-10 2010-11

1 POPULATION 32212 32336

2 TOTAL ANC REGISTRATIONS 496 496


WEEKS

371 431

% 75 86

4 TT COVERAGE ANC 616 507

5 TOTAL DELIVERIES 320 316

6 INSTITUTION DELIVERIES 317 315

7 % INSTITUTIONAL DELIVERIES 99 100

1 MATERNAL DEATHS 0 0

2 TOTAL LIVE BIRTHS 319 315

3 IMR 6.2696 3.1746

10) Galagihulukoppa PHC

Name of the PHC : Galage Hulukoppa

Taluk : Kalgatgi

District : Dharwad



Staff : 19

Date of Taking Over : 20-6-2005



maintained.

No Fencing


Cleaned-up.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS

Many pending repair works.


Citizen Charter displayed in the PHC.


Minor repair works undertaken.

3 SUB-CENTER

BUILDINGS

Poorly maintained.

Building were vacant


Minor renovation done for the sub centers.


All the 5 sub centers are located in the



supply irregular. Computer, printer and tape recorder (for



87

PHC


received from DHO.

Equipment for preparation of Traditional

medicine has been supplied from KT.

VRC equipments were installed in


Tele conference and Tele- ECG facilities

aremade available in the PHC.

5 COLD CHAIN

EQIPMENT

Not Maintained. Functional

6 FURNITURE Inadequate Office furniture procured.


attendance. KT has filled up all the vacant posts.


quarters and rendering the 24 hrs services.

8 TRAININGS Infrequent KT has trained the PHC staff on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REGENTS

Irregular Supply KT supplies the essential medicines and lab

reagents in case of delay in govt. supply.

10 WATER &

ELECTRICITY

Poor and Irregular supply Available

Minor electrical repair work has been

under taken for all the buildings.

12 WASTE

MANAGEMENT



KPCB standards and obtained KPCB

certificate.


a IEC ACTIVITIES &


areas.


b HEALTH

INSURANCE

PROGRAM

Health insurance program is launched in the PHC catchment area and running as

an ongoing program.

c TRADITIONAL

MEDICINE

PROGRAM


88


Sl.

No Name of the SC

Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Galage Hulukoppa 0 Y 2 6398 3286 3112 1021 5

2 Muttagi 8 Y 4 5807 3023 2784 895 2

3 Dumwada 15 Y 1 3640 1870 1770 575 2

4 Gambyapur 15 Y 4 5590 2935 2655 865 2

5 G Basvanekoppa 22 Y 8 6779 3575 3204 1040 5

Total 19 28214 14689 13525 4396 16

Staff Pattern









Viii Sr. H.A. 1 1


IPD OPD EMERGENCY


April 2010 20 63 182 234

May 35 47 208 369

Jun 40 7 348 293

Jul 35 78 127 240

Aug 78 73 432 582

Sep 30 43 375 376

Oct 18 23 292 361

Nov 13 30 471 297

Dec 8 11 345 396

January 2011 12 12 393 429

Feb 13 20 218 354

Mar 20 34 166 327

TOTAL 322 441 3557 4258 0 0

89


Name of


Total

Blood for

MP test 456 622 595 746 678 731 509 561 589 552 557 690 7287

Positive

cases

(slide +

RMT)

0 0 0 0 1 1RT 0 0 1 & 2 RT 0 0 0 1

Total PV 0 0 0 0 1 1 0 0 2 0 0 0 4

Total PF 0 0 0 0 0 0 0 0 0 0 0 0 0

Total

mixed

type

0 0 0 0 0 0 0 0 0 0 0 0 0

Blood

sugar 10 7 10 7 5 4 0 0 0 0 0 0 43

Widal 03 7 8 3 15 31 5 0 0 0 0 0 72

VDRL 0 0 0 0 0 0 0 0 0 0 0 0 0

Pregnancy

test 27 16 17 28 16 26 23 24 18 14 23 24 256

Hb% in

PHC 22 22 37 21 28 18 20 55 25 32 17 51 348

Hb% in

SC

TLC 11 0 1 0 2 0 0 3 1 1 0 2 21

DLC 1 0 1 0 2 0 0 3 1 1 0 2 11

ESR 3 0 1 0 2 0 0 3 1 1 0 2 13

Urine RE 77 54 54 59 35 0 30 66 60 50 22 51 558

Blood

grouping 5 0 8 0 0 0 0 0 0 0 0 0 13

Rapid

tests for

HIV

0 0 0 0 0 0 0 0 0 0 0 0 0

Statistics

Sl.

No


1 POPULATION 25214 26132 26601 27010 27975 28214



WEEKS

202 374 412 574 572 669

% 43 67 65 82 80 94

4 TT COVERAGE ANC 460 602 587 648 673 648




Vital Indicators



3 IMR 8.06 40.32 15.99 28.32 32.206 28.8809

90

11) Gumballi PHC

Name of the PHC : Gumballi

Taluk : Yelandur

District : Chamarajanagar

Population Covered : 22,432


Staff : 18



1 LAND No boundaries

Lot of weeds and dirty

KT Purchased the Land. Total 28 Acres out of that 2

Acres for PHC

Cleaned-up.

Boundaries identified

Fencing done

2 PHC BUILDING &

STAFF QUARTERS

No building and staff

quarters New building constructed by KT

Staff Quarters were also constructed by KT.

3 SUB-CENTER

BUILDINGS

Poorly maintained

Buildings were vacant Cleaned-up the building.


We have the 3 sub centers with the building.

Minor repair work done.

We are looking for location & construction of the

proposed 2 Sub-center building upon receipt of the

funds.

4 EQUIPMENTS Inadequate and supply

irregular Computer, printer and tape recorder supplied from

KT.

Email services are being provided at the PHC

VRC equipments were installed in collaboration

with ISRO.

Tele conference and tele ECG are doing in the PHC.

Some of the equipments were purchased from IPP

IX (K) funds.

We have installed the X-ray machine

Solar lights were installed.

5 COLD CHAIN

EQIPMENT

Not available The equipments were procured from DHO

6 FURNITURE Inadequate Office furniture supplied from KT (table & chair)


attendance. KT has filled up all the staffs.

All the staffs were staying in the head quarters and

they are rendering the 24 hrs services.

8 TRAININGS Infrequent KT has given the training to the PHC staff on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA

VRCs in Collaboration with ISRO.

Waste Management

91

9 MEDICINES &

REGENTS

Irregular supply KT has also supplied the essential medicines other

than the Govt. supply.

The lab regents were also supplied from KT.

10 WATER &

ELECTRICITY

No KT has done this facility.

11 WASTE

MANAGEMENT

Not implemented KT has implemented the waste management in the

PHC according to KPCB standards.

12 Ambulance Service No KT has provided the Ambulance Services.

13

Dental Clinic No KT has provided the Dental Clinic in the PHC

Mobile Dental Clinic Service for the Villages.

14 Eye Hospital No KT has constructed the New 20 bedded Eye hospital

in the campus.

It is serving the 5 lacs population in

Chamarajanagara district.


A IEC ACTIVITIES &


level.


B HEALTH

INSURANCE

PROGRAM

We have implemented the health insurance program in the PHC catchment area.

The program is going on.

C TRADITIONAL

MEDICINE

PROGRAM

We have implemented the use of traditional medicine in to Primary Health care

the PHC.


Staff Pattern


I Medical officer 1 1 ix jr.H.A.(M) 4 4

ii Pharmacist 1 1 x Jr.H.A.(F) 5 5


iv Lab Technician 1 1 xii SDC - -

V FDA / Administrator 1 1 xiii Arogryamitra - -

vi LHV - - xiv Driver 1 1

vii BHEO - - xv Gr,D 1 1

viii Sr.HA - -


Sl.

No Name of SC

Distance

From

PHC

Building

(Y/N)

No. of

Village Population Male Female

Eligible

Couple

No of

ASHA

I Gumballi 2 kms No 3 5675 2847 2828 842 5

Ii Yeragamballi 3.5 kms Yes 4 5307 2658 2649 793 5

Iii Y.K.Mole 2 kms No 3 4285 2156 2129 852 5

Iv B.R.Hills 24 kms Yes 10 2383 1299 1084 388 2

V Komaranapura 2 kms Yes 3 4586 2300 2286 744 3

92


IPD OPD EMERGENCY

(Between 5 p.m. – 8 a.m.)


April 2010 6 - 573 501 - -

May 47 50 758 714 - -

Jun 12 25 870 793 - -

July 2 5 893 810 - -

Aug 1 4 957 817 - -

Sep 1 8 836 700 - -

Oct 3 6 673 609 - -

Nov - 3 763 687 - -

Dec - 7 739 700 - -

Jan 2011 1 5 712 640 - -

Feb 1 12 653 628 - -

Mar 2 14 - - -


Name of Lab

tests

Apr

10 May Jun Jul Aug Sep Oct Nov Dec

Jan

11 Feb Mar Total

Blood for MP

test 220 281 279 277 243 229 205 140 196 169 182 180 2551

Positive cases

(slide) - - - - - - - - - - - - -

Total PV - - - - - - - - - - - - -

Total PF - - - - - - - - - - - - -

Total Mixed type - - - - - - - - - - - - -

Blood Sugar 93 81 73 85 58 80 99 68 120 89 56 102 1004

Widal 6 8 12 17 16 18 9 7 6 5 4 11 119

VDRL 10 20 20 13 23 18 6 24 17 23 24 28 226

Pregnancy test 10 12 10 14 15 16 9 19 19 16 9 11 160

HB% In PHC 26 38 64 38 41 37 25 34 32 35 42 49 461

TLC 4 11 15 9 9 18 9 9 5 9 7 16 121

DLC 3 10 15 7 8 18 9 9 5 9 7 16 116

ESR 5 9 26 8 8 18 8 9 8 10 8 17 134

Urine RE 189 230 320 211 243 170 222 168 255 210 197 250 2665

Blood Grouping 10 20 21 17 26 19 9 27 18 25 23 17 232

Rapid tests for

HIV - - - - - - - - - - - - -

Others Hb & Ag 13 21 20 17 23 19 6 24 23 25 16 16 223

CT BT TIME 6 2 28 4 4 4 - 2 - 4 4 2 60

Total 595 743 903 717 717 664 616 540 704 629 579 715 8072

93

STATISTICS & INDICATORS

Sl.

No


1 POPULATION - 9302 9302 9497 9546 22432

2 TOTAL ANC REGISTRATIONS 113 148 221 158 183 -


WEEKS

60 99 118 103 134 304

% 53% 67% 53% 65.18% 73% -

4 TT COVERAGE ANC 92 132 213 158 169 353




Vital Indicators



3 IMR 28.40 15.27 26.85 36.23 12.66 9

Arogya Raksha Samiti - Governing Body

Sl.

No. Name Position Designation / Occupation

1 Smt. Mamatha President

2 Member Secretary

3 Smt. D. Jayalaxmma Member

4 Smt. Ambika Member

5 Sri. Somanna Member

6 Sri. Anand Member

7 Smt. Shwetha Member

8 Smt. Bhagylaxmi Member

9 Smt. D. Nagamma Member

10 Dr. K. S. Sharath Member

Number of ARS meeting held during April 2010 – March 2011: 4

Receipt and Payment

Receipt Rs. Payment Rs.

Opening Balance on 1 Apr. 2010 Expenditure

Amount Received during the year

(mention the date of receipt)

Closing Balance as on 31 Mar. 2011

Total Total

Activities under ARS meeting:-

1. UPS Repair

2. Battery

3. Beds

4. Cement work

5. Surgical instruments

6. BP Apparatus

7. Oxygen Cylinder

94

8. Delivery focus lamp

9. Community health day

10. PHC glow sign board

12) Hirehal PHC

Name of the PHC : Hirehal

Taluk : Ron

District : Gadag



Staff : 13




maintained.

No Fencing

Total area is 1 acre.

Cleaned-up.

Compound wall constructed with the help

of ZP/DHO.

Started a demo garden and nursery for

Traditional Medicine.

2 PHC BUILDING &

STAFF QUARTERS

No building maintenance, untidy

and dirty.




Provision for doctor‟s stay made in the

PHC campus.

3 SUB-CENTER

BUILDINGS

Poorly maintained.




Out of 4 sub centers only 2 Sub centre has


4 EQUIPMENTS Irregular supply and poor

maintenance

Computer, printer and tape recorder (for



PHC


procured from DHO.

Equipments for preparation of Traditional

medicine have been supplied by KT.

95



5 COLD CHAIN

EQIPMENT


6 FURNITURE Inadequate Office furniture made available


attendance.

KT has filled up all the vacant posts.


quarters and rendering the 24 hrs services.

8 TRAININGS Infrequent PHC staff has been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Irregular supply KT supplies the essential medicines and lab

reagent if there is any delay in Govt.

supply.

10 WATER &

ELECTRICITY

Poor and irregular supply Available

Minor electrical repair work was

undertaken.

12 WASTE

MANAGEMENT




certificate.


A IEC ACTIVITIES &

PRA PROGRAM

With the help of our IEC vehicle we organized IEC activities in all the sub-center

areas.

PRA programme also conducted in the village levels.

B HEALTH

INSURANCE

PROGRAM



C TRADITIONAL

MEDICINE

PROGRAM




Distance

From the

PHC

Building

(Y/N)

No. of

Villages

Population Male Female Eligible

Couples

No. of

ASHAs

1 Hirehal 1 km Yes 2 5258 2680 2578 842 5

96

2 Kotabal 5 km Yes 3 7844 4000 3844 1255 6

3 Madalageri 5 km Yes 3 5037 2569 2468 805 5

4 Mugali 10 km Yes 4 4584 2337 2247 733 4

5

Total 12 22723 11586 11137 3635 20


IPD OPD EMERGENCY


April 2010 10 14 303 455 3 5

May 21 21 584 691 5 7

Jun 12 29 520 591 0 0

Jul 17 27 578 608 0 2

Aug 22 35 413 657 0 2

Sep 12 17 538 573 0 0

Oct 20 11 525 675 1 2

Nov 6 10 410 453 0 2

Dec 8 22 382 445 0 2

January 2011 0 1 340 441 0 0

Feb 7 16 500 420 0 6

Mar 10 19 340 401 0 4

TOTAL 145 222 5433 6410 9 32


Name of lab


Total

Blood for MP

test 433 505 495 494 497 480 496 437 479 520 436 427 5699

Positive cases 0 5 1 4 5 0 4 2 3 2 0 2 28

97

(slide + RMT)

Total PV 0 5 1 4 5 0 4 2 3 2 0 2 28

Total PF

Total mixed

type

Blood sugar

Widal 0 0 14/6 30/17 25/6 20/6 30/11 25/8 30/7 20/8 30/10

VDRL 8 10 10 10 5 5 5 10 5 0 0 0 68

Pregnancy test 30 20 15 10 15 5 20 25 15 18 20 26 219

Hb% in PHC 98 135 98 78 85 85 80 90 60 125 98 80 1112

Hb% in SC

TLC 0 5 0 0 0 0 0 0 0 0 0 0 5

DLC 0 5 0 0 0 0 0 0 0 0 0 0 5

ESR 10 10 10 10 10 5 8 10 10 10 5 10 108

Urine RE 90 125 95 85 48 30 80 85 80 105 40 40 903

Blood grouping 46 55 46 30 48 30 32 45 35 60 40 26 493

Rapid tests for

HIV

Staff Pattern




Iii Staff Nurse 0 3(NRHM) xi PMOA 1 1





Viii Sr. H.A. 0 0

Statistics

98

Sl.

No


1 POPULATION 0 22740 24470 24614 24093 22717



WEEKS

0 307 330 358 403 448

% 0 52 74 65 78 80

4 TT COVERAGE ANC 0 460 457 476 578 535




Vital Indicators



3 IMR 0 28.65 16.09 17.03 16.908 26.0417

13) Hudem PHC

Name of the PHC : Hudem

Taluk : Kudligi

District : Bellary



Staff : 19



1 LAND Boundaries of land not clear

Lot of weeds and not adequately

maintained.

No fencing

Total area is 3.4 acres, Compound wall

constructed with the help of ZP funds.


for Traditional Medicine and planted about

100 plants of 20 verities in the PHC

campus.

2 PHC BUILDING &

Staff Quarters


maintenance irregular. Window

glasses were broken,

Building has been painted and broken glass

pan of the windows are replaced.

Citizen Charter displayed.

3 SUB-CENTER Poorly maintained and We have the 4 sub centers with the

99

BUILDINGS Buildings were unused and vacant buildings.




supply irregularly. Computer, printer and tape recorder (for


Email connectivity is provided at the PHC

Village Resource Centers set up in


Tele conference and Tele- ECG facility

available in the PHC.

Some of the essential equipments and

furniture were procured from DHO like

Cots, BP apparatus etc.

Equipments for preparation of traditional

medicines were supplied.

We have supplied centrifuge machine and

other laboratory equipments.

5 COLD CHAIN

EQUIPMENT

Not maintained. Functional.

6 FURNITURE Inadequate Available


attendance. All the vacant posts were filled up



service.


following subjects:


HIV/AIDS.

IEC

PHC Management


Mental Health


PRA & Village Health Plan


9 MEDICINES &

REAGENTS

Irregular supply KT supplies the essential medicines and lab

reagents in case of delay in Govt. supply.

The lab regents were also supplied from

KT.

10 WATER &

ELECTRICITY

Irregular supply Out of ZP and GP funds a separate bore

well and motor connection done for the

water supply to the hospital.

A new transformer has been installed for

the electricity supply to the PHC and pump

house.

12 WASTE

MANAGEMENT




certificate.


a IEC ACTIVITIES &

PRA PROGRAM

With the help of our IEC vehicle we organized IEC activities in all the sub-centers

areas.

b HEALTH

INSURANCE

PROGRAM

Health insurance program has been launched in the PHC area and running as an

ongoing program.

100

c TRADITIONAL

MEDICINE

PROGRAM


Hudem PHC Demo garden in the PHC



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Hudem 0 No 2 3196 1605 1591 3

2 Thaakanahalli 4 Yes 4 4217 2120 2097 4

3 Poojarahalli 6 Yes 7 8078 4034 4044 7

4 Jumbanhally 8 Yes 5 6991 3495 3496 7

5 Hurihala 15 No 8 6277 3204 3073 5

6 Bhimsandra 35 Yes 12 11648 5362 6286 11

Total 38 40407 19820 20587 37

Staff Pattern


i Medical Officer 1 1 ix Jr. H.A. (M) 4 4

ii Pharmacist 1 1 x Jr. H.A (F) 6 6



v FDA/Administrator xiii Arogyamitra

vi LHV 1 1 xiv Driver

vii BHEO xv Gr. D 1 1

viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 26 37 600 795 0 1

May 24 34 350 508 0 8

Jun 7 14 462 500 1 6

Jul 8 17 350 606 0 4

101

Aug 24 28 350 478 0 3

Sep 20 34 380 447 11 1

Oct 17 46 400 427 0 2

Nov 22 26 450 367 5 1

Dec 12 25 348 481 0 0

January 2011 11 30 350 369 0 7

Feb 11 31 476 347 0 2

Mar 13 29 430 435 0 0

TOTAL 195 351 4946 9677 17 35


Name of


Total

Blood for

MP test 467 306 467 497 454 408 443 403 447 415 376 468 5151

Positive

cases (slide

+ RMT)

1 1 1 1 1 5

Total PV

Total PF

Total

mixed type

Blood

sugar

Widal 5 2 5 6 8 8 6 6 7 8 5 7 73

VDRL 1 1 4 6 6 4 4 3 6 5 7 7 54

Pregnancy

test 10 10 8 12 8 12 10 18 8 19 15 20 150

Hb% in

PHC 48 42 52 45 42 28 36 34 30 20 32 36 415

Hb% in SC

TLC

DLC

ESR 10 8 6 10 12 14 12 8 6 8 4 9 107

Urine RE 36 26 30 32 32 22 42 27 42 29 29 40 387

Blood

grouping 1 4 4 3 5 7 7 8 39

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 34144 36986 35900 37382 38969 39408



WEEKS

415 591 591 643 758 758

% 44 62 62 61 81 73

4 TT COVERAGE ANC 850 896 896 889 930 1058


102



Vital Indicators



3 IMR 12.64 14.66 23.46 18.32 13.497 11.0974

14) Huvilgola PHC

Name of the PHC : Huilgola

Taluk : Gadag

District : Gadag



Staff : 13

Date of Taking Over : 16th

October

2008



maintained.

Cleaned-up.


2 PHC BUILDING &

STAFF QUARTERS



ANM quarter was dilapidated


We have repair of buildings are under

progress .

3 SUB-CENTER

BUILDINGS

One ANMs are residing in the Building


supply was irregular. Some of the essential equipments were

procured from DHO.

5 COLD CHAIN

EQIPMENT






quarters and are rendering the 24 hrs

services.

8 TRAININGS Infrequent Planned for training by Karuna Trust

9 MEDICINES &

REAGENTS

Regular supply Ensured Availability

10 WATER &

ELECTRICITY

Poor and irregular supply. Planned for alternative arrangement

11 WASTE

MANAGEMENT

Not implemented Planned to be implemented in next year


Staff Pattern


I Medical officer 1 1 ix Jr. H.A.(M) 3 3

103

ii Pharmacist 1 1 x Jr. H.A.(F) 3 3

iii Staff Nurse No No xi PMOA No No

iv Lab Technician 1 1 xii SDC No No

V FDA / Administrator 1 1 xiii Arogyamitra No No

vi LHV No No xiv Driver No No

vii BHEO No No xv Gr, D 1 1+1

viii Sr. H.A. 1 1


Sl.

No Name of SC

Distance

From

PHC

Building

(Y/N)

No. of

Village Population Male Female

Eligible

Couple

No of

ASHA

I Huilgola HQ Yes 2 4382 2302 2080 673 5

Ii Hirekoppa 5 kms. No 3 4876 2685 2191 757 4

Iii Neralagi 25 kms. Yes 3 4103 2211 1892 618 4


IPD OPD EMERGENCY

(Between 5 p.m. – 8 a.m.)


April 2010 12 20 636 300 1 3

May 20 23 335 529 3 4

Jun 10 18 404 636 2 3

July 13 10 404 468 8 7

Aug 19 21 381 373 10 3

Sep 15 24 388 395 17 14

Oct 7 10 275 322 12 8

Nov 12 2 286 242 13 5

Dec 1 1 312 253 7 3

Jan 2011 11 10 267 245 19 7

Feb 2 14 197 223 12 8

Mar 3 3 220 303 10 3

Total 125 156 3707 4289 114 68

Details of Laboratory Services Name

of Lab

tests

Apr

10 May Jun Jul Aug Sep Oct Nov Dec

Jan

11 Feb Mar Total

Blood

for MP

test

290 351 424 366 359 528 303 273 389 358 279 318 4238

Positive

cases

(slide)

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

Total

PV 1 2 N 1 1 1 1 N N 1 N N 8

Total PF N 1 N N N N N N N N N N 1

Total

Mixed

type

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

Blood

Sugar - - - - - - - - - - - - -

Widal 3 1 N 11 39 43 13 9 11 4 25 32 191

VDRL N 8 25 17 32 79 28 2 11 18 19 95 334

104

Pregnan

cy test 6 8 20 17 5 4 9 13 7 16 7 12 124

HB% In

PHC 27 84 95 80 69 141 89 32 46 55 53 118 889

TLC - - - - - - - - - - - - -

DLC - - - - - - - - - - - - -

ESR N 4 3 8 15 27 3 8 3 10 10 7 98

Urine

RE

43/

46/

6

33/

33/

18

44/

44/

0

39/

39/

31

61/

61/

61

74/

74/

74

49/

49/

49

23/

23/

23

32/

32/

25

49/

44/

46

21

/21 /21

116/

116/

116

581/

579/

470

Blood

Groupin

g

2 26 33 27 16 51 28 5 16 23 8 98 333

Rapid

tests for

HIV

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

Others

Hb &

Ag

1 7 29 13 8 5 1 1 3 1 N N 69

CT BT

TIME

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

STATISTICS & INDICATORS Sl.

No


1 POPULATION - 9302 9302 9497 9546 13599



WEEKS

60 99 118 103 134 249

% 53% 67% 53% 65% 73% 91%

4 TT COVERAGE ANC 92 132 213 158 169 545




Vital Indicators



3 IMR 28.40 15.27 26.85 36.23 12.66 9

15) Idagur PHC

Name of the PHC : Idagur

Taluk : Gouribidanur

District : Chikkaballapur



Staff : 18




maintained.

No Fencing


Cleaned-up.

Fencing done.



105

2 PHC BUILDING &

STAFF QUARTERS

Many pending repairs works and

maintenance was irregular.

Medical Officer quarter was

dilapidated


Building was painted .

MO Quarter is renovated & occupied

Name boards have been written in the each

of the section.


2 Staff quarters were newly constructed

with the help MP Grants.

3 SUB-CENTER

BUILDINGS

Poorly maintained.








PHC

Tele conference and Tele- ECG are doing

in the PHC.


procured from DHO.

Equipment for preparation of Traditional

medicines were supplied from KT

5 COLD CHAIN

EQIPMENT

Not properly maintained Functional & properly maintained



attendance All the vacant posts are filled



services.

8 TRAININGS Infrequent The PHC staffs have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Inadequate &Irregular supply KT has also supplies the essential

medicines &lab reagent in case of delay in

Govt. supply.

10 WATER &

ELECTRICITY

Poor and irregular supply The pump set is repaired and got the



buildings were taken up.

12 WASTE

MANAGEMENT

Not implemented Implemented the Bio-waste management in

the PHC according to KPCB standards and

obtained the


A IEC ACTIVITIES &


areas.


B HEALTH

INSURANCE

PROGRAM



106

C TRADITIONAL

MEDICINE

PROGRAM

Traditional medicine has been integrated into Primary Health care.

Sub-centres with Population


Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Idaguru 0 Yes 5 5

Staff Pattern




Iii

Staff Nurse

1

1 (on

Maternity

Leave) xi

PMOA

1 1





Viii Sr. H.A. 0 0


IPD OPD EMERGENCY

Male Female Male/ Female Male Female

April 2010 60 67 726 - -

May 13 15 852 - -

Jun 76 44 1638 - -

Jul 9 29 1358 - -

Aug 18 24 1274 - -

Sep 132 109 1658 - -

Oct 17 16 1550 - -

Nov 15 5 660 - -

Dec 18 5 614 - -

January 2011 28 5 730 - -

Feb 6 9 676 - -

Mar 16 26 789 - -

TOTAL 398 354 12415 - -


107

Name of lab


Total

Blood for

MP test 557 516 653 722 629 662 554 542 530 570 599 706 7240

Positive

cases (slide

+ RMT)

0 0 0 0 0 0 0 0 0 0 0 0 0

Total PV 0 0 0 0 0 0 0 1 0 1 0 0 2

Total PF 0 0 0 0 0 0 0 0 0 1 0 0 1

Total mixed

type 0 0 0 0 0 0 0 0 0 0 0 0 0

Blood sugar 0 0 0 0 0 0 0 0 0 0 4 4 8

Widal 0 0 0 0 0 0 1 2 3 5 3 7 21

VDRL 3 5 6 0 0 0 3 2 0 0 0 0 19

Pregnancy

test 11 9 13 10 14 9 8 15 4 7 11 8 119

Hb% in

PHC 11 27 80 16 27 41 59 64 40 27 24 49 465

TLC 4 11 17 7 9 9 9 4 9 10 13 14 116

DLC 5 13 9 7 9 8 9 5 10 11 11 10 107

ESR 0 17 21 9 6 18 11 5 4 3 11 13 118

Urine RE 4 25 8 4 11 6 9 19 23 17 18 21 165

Blood

grouping 1 0 0 0 0 3 7 9 8 8 7 10 53

Rapid tests

for HIV 0 0 0 0 0 0 0 0 0 0 0 0 0

STATISTICS:

Sl.

No


1 POPULATION 9302 9302 9497 9546 28284

2 TOTAL ANC REGISTRATIONS 113 148 221 158 183 -


WEEKS

60 99 118 103 134 325

% 53% 67% 53% 65.18% 73% -

4 TT COVERAGE ANC 92 132 213 158 169 -

5 TOTAL DELIVERIES 107 131 149 143 159 -

6 INSTITUTION DELIVERIES 53 106 115 115 151 -

7 % INSTITUTIONAL DELIVERIES 50% 81% 77% 80% 95 -

Vital Indicators

1 MATERNAL DEATHS 0 0 0 0 0 -


3 IMR 28.40 15.27 26.85 36.23 12.66 -

16) Kallusadarahalli PHC

Name of the PHC : Kallusadarahalli

Taluk : Arsikere

District : Hassan

108



Staff : 17




maintained.

No Fencing


Cleaned-up.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS

No building maintenance Cleaned-up the building.



All staff including MO stays in

headquarters.

3 SUB-CENTER

BUILDINGS

Poorly maintained.



ANMs are staying the Building


supply irregular. Computer, printer and tape recorder

supplied from KT.


PHC


procured from DHO.


medicine.

5 COLD CHAIN

EQIPMENT

Not maintained. Functional

6 FURNITURE Inadequate Adequately available


attendance. All the vacant posts were filled up.



services.

8 TRAININGS Infrequent The PHC staffs have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Irregular Supply KT supplies the essential medicines and lab

reagent in case of delay in Govt. supply.

The lab reagents were also supplied from

KT.

10 WATER &

ELECTRICITY

Poor and irregular supply Minor electrical repair work done for all

the buildings. Water supply regular

12 WASTE

MANAGEMENT



KPCB Standards and obtained KPCB

certificate.

109

14 NEW INNOVATION BY KARUNA TRUST

a IEC ACTIVITIES &


areas.


b HEALTH

INSURANCE

PROGRAM

Health insurance program has been launched in the PHC catchment area.

c TRADITIONAL

MEDICINE

PROGRAM


School Health Check-up PHC Building



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Kallusadarahalli 0 Yes 5 4326 2206 2120 765 5

2 R.N.Koppalu 5 No 4 2498 1316 1182 320 2

3 Kalagundi 3 No 4 2565 1269 1296 451 3

4 Shanagere 9 Yes 9 3544 2107 1437 620 4

5 Kuruvanka 15 Yes 10 4313 2413 1900 644 4

6 Martagere 13 Yes 11 4766 2393 2373 728 4

7 Purlehalli 16 Yes 9 4850 2410 2440 778 5

Total 52 26862 14114 12748 4306 27

Staff Pattern









Viii Sr. H.A. 0 0

110


IPD OPD EMERGENCY


April 2010 0 0 713 674 0 0

May 0 0 677 672 0 0

Jun 0 0 641 630 0 0

Jul 0 0 623 592 0 0

Aug 0 0 411 328 0 0

Sep 1 6 500 446 0 0

Oct 3 2 313 305 0 0

Nov 4 3 481 446 0 0

Dec 2 2 455 446 0 0

January 2011 2 1 352 330 0 0

Feb 4 2 363 322 0 0

Mar 6 2 400 257 0 0

TOTAL 22 18 5929 5448 0 0



Total

Blood for MP

test 948 906 1022 1059 1027 950 919 957 1002 967 875 915 11557

Positive cases

(slide + RMT)

Total PV 1 1

Total PF

Total mixed

type

Blood sugar

Widal

VDRL

Pregnancy test 10 6 8 5 7 14 7 8 4 6 6 7 88

Hb% in PHC 49 50 43 45 35 40 28 33 35 35 30 37 460

Hb% in SC

TLC 9 4 5 7 6 4 5 4 4 5 5 4 62

DLC 9 4 5 7 6 4 5 4 4 5 5 4 62

ESR 9 4 5 7 6 4 5 4 4 5 5 4 62

Urine RE 49 50 43 45 35 40 28 33 35 35 30 37 460

Blood

grouping 1 1 1 1 2 1 1 1 9

Rapid tests for

HIV

Statistics Sl.

No


1 POPULATION 0 24840 25044 25219 26486 27028

111



WEEKS

0 260 311 319 375 358

% 0 98 95 83 86 85

4 TT COVERAGE ANC 0 332 331 322 388 397




Vital Indicators



3 IMR 0 37.56 18.12 11.24 13.514 4.92611

17) Kammasandra PHC

Name of the PHC :

Kammasandra

Taluk :

Doddaballapura

District : Bangalore



Staff : 6


01.06.2003


1 LAND No Land

(New land purchased with the help

of local donor.)


Cleaned-up.

Landscaping done.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS

No buildings.

New PHC building and staff quarters were

constructed with the help of local donor.



KT has constructed compound wall and

provided gate.

3 SUB-CENTER

BUILDINGS

No building. One quarter has been constructed for ANM

in Kammasandra with the help of local

donor.

4 EQUIPMENTS Inadequate Computer, printer and tape recorder (for



procured from DHO.

We have supplied equipments for

preparation of herbal medicinal..

5 COLD CHAIN No We have purchased one refrigerator for

112

EQIPMENT this purpose.

6 FURNITURE Inadequate Furniture supplied from KT (table &

chair) with the help of a donors

7 STAFF Irregular and vacancy KT has filled up all the staffs.



services.




HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA

Waste Management


9 MEDICINES &

REAGENTS

Irregular supply KT has also supplied the essential

medicines other than the Govt. supply.


KT.

10 WATER &

ELECTRICITY

Not available New water and electrical connection taken

for the PHC.

12 WASTE

MANAGEMENT



KPCB standards.


a IEC ACTIVITIES &


level.


b HEALTH

INSURANCE

PROGRAM

We have implemented the health insurance program in the PHC catchment area.


c TRADITIONAL

MEDICINE

PROGRAM

We have implemented the use of traditional medicine in to Primary Health care

the PHC.


Sub-centers with Population

Name of SC Distance

from PHC

Building

(Y/N)

No. of

vilages Population Male Female

Eligible

Couple

No. of

ASHA

Kanmagala 6 km No 11 3666 1842 1824 638 4

Staff Pattern




iii Staff Nurse 1 1 Xi PMOA 0 0



vi LHV 0 0 Xiv Driver 0 0


113

viii Sr. H A 0 0


IPD OPD EMERGENCY


April 2010 140 169 2 2

May 246 206 1 0

Jun 211 219 2 1

Jul 224 254 1 1

Aug 270 295 2 1

Sep 134 145 3 1

Oct 253 264 2 2

Nov 261 280 0 0

Dec 253 300 0 0

January 2011 299 275 2 1

Feb 264 283 1 1

Mar 253 264 0 0

TOTAL 2808 2954 16 10


Name of lab

tests

Apr.

09 May June Jul Aug Sep Oct Nov Dec

Jan.

10 Feb. Mar. Total

Blood for

MP test

Positive

cases (slide

+ RMT)

Total PV

Total PF

Total mixed

type

Statistics Sl.

No


1 POPULATION 0 3252 3409 3839 4096 3666



WEEKS

1 14 19 58 48 39

% 0 78 83 100 55 53

4 TT COVERAGE ANC 0 18 25 38 51 90




Vital Indicators



3 IMR 0 0 0 0 0 0

114

18) Kannura PHC

Name of the PHC : Kannur

Taluk : Bijapur

District : Bijapur



Staff : 25



1 LAND No boundaries.

Lot of weeds and inadequately

maintained.

No Fencing


Cleaned-up.


Land scalping done.

Planted few trees in the campus.

Fencing work under progress.

2 PHC BUILDING &

STAFF QUARTERS




dilapidated


We have repainted the building.

Staff Quarters were renovated & occupied.

3 SUB-CENTER

BUILDINGS

Poorly maintained.


Cleaned-up the buildings.


Minor repair work taken up in the S/C also.

4 EQUIPMENTS Not maintained properly and supply

was irregular. Computer, printer and tape recorder (for



PHC






procured from DHO.

5 COLD CHAIN

EQIPMENT

Not maintained. Available and functional






services.


following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA

VRC equipments installed in Collaboration

with ISRO.


115

9 MEDICINES &

REGENTS

Irregular supply. KT supplies the essential medicines other

lab. Reagents in case of delay in the Govt.

supply.

10 WATER &

ELECTRICITY

Poor and irregular supply.

Minor electrical repair work undertaken.

12 WASTE

MANAGEMENT




certificate.

14 INNOVATIONS BY KARUNA TRUST:

a IEC ACTIVITIES &


area.


b HEALTH

INSURANCE

PROGRAM

Health insurance program has been launched in the PHC catchment area

and running as an ongoing program.

PHC Kannura

Sub-center s with Population

Name of SC Distance from

PHC

Building

(Y/N)

No. of

villages Population Male Female

Eligible

Couple

No. of

ASHA

I Kannura 0 Yes 3 6372 5882 1838 3

ii Domnal 12 km Yes 2 3068 2833 885 1

iii Thidagundi 7.5 km Yes 2 2574 2377 609 1

iv Makanapur 5 km No 3 2242 2070 646 1

v Gunaki 12 km Yes 3 2548 2447 698 3

vi Minchnal 16 km Yes 2 2419 2326 487 2

vii Arakere 15 km Yes 2 2847 3123 895 3

viii Siddapur

10 km Yes 1 2512 2427 740 0

ix Boothnal 17 km No 2 3005 2775 867 3

x Jalgeri 43 km Yes 2 3062 2836 883 3

xi Yathnal Y 53 km Yes 1 1965 1767 552 1

116

Staff Pattern:

Sanctione

d

Availabl

e

Sanctione

d

Availabl

e

I Medical Officer 1 1 ix Jr.H.A. (M) 6 6

ii Pharmacist 1 1 x Jr.H.A (F) 11 11






vii

i

Sr. H A

1 1

Out patient and Inpatient details

IPD OPD EMERGENCY


April 2010 158 267 1164 1161 15 6

May 122 236 1026 1186 3 2

Jun 84 123 1139 1206 24 16

Jul 99 114 1692 2173 10 4

Aug 92 138 1590 1696 16 10

Sep 66 94 1590 1755 25 16

Oct 33 60 1332 1097 20 10

Nov 12 53 1042 961 10 4

Dec 12 41 1001 1027 10 16

January 2011 49 21 1035 886 14 10

Feb 16 62 657 729 10 6

Mar 30 72 606 536 12 10

TOTAL 778 1336 13927 14453 169 110


Name of lab tests Apr

‘10 May June Jul Aug Sep Oct Nov Dec

Jan

‘11 Feb Mar

Total

Blood for MP test 830 943 955 1477 `660 930 1004 815 808 745 772 932 11860

Positive cases

(slide + RMT)

Total PV 2 6 8 99 13 7 11 20 10 4 8 7 200

Total PF

Total mixed type 2 6 3 99 14 7 12 20 10 5 9 18 205

Blood sugar

Widal 2 11 5 3 4 1 3 10 3 4 46

VDRL 14 12 15 18 12 27 34 20 20 18 16 16 222

Pregnancy test 38 49 38 30 31 45 30 38 34 43 47 48 471

Hb% in PHC 22 27 33 29 23 32 45 33 33 29 31 27 364

Hb% in SC

117

TLC

DLC

ESR

Urine RE 18 12 25 27 15 39 35 31 27 17 21 18 282

Blood grouping 40 10 14 11 8 27 31 25 20 21 17 18 242

Rapid tests for

HIV 37 79 29 37 0 0 0 0 0 28 18 19 247

HBs age

Others

Statistics Sl.

No


1 POPULATION 49317 53237 53237 53442 55255 55582



WEEKS

562 1480 665 853 945 880

% 49 91 46 60 60 55

4 TT COVERAGE ANC 928 1328 1086 950 1925 1623




Vital Indicators



3 IMR 12.84 22.54 20.99 24.89 21.382 16.5794

118

19) Kohinoor PHC

Name of the PHC : Kohinoor

Taluk : Basavakalyana

District : Bidar



Staff : 20



1 LAND No boundaries.

Lot of weeds and not adequately

maintained.

Total area is 120 x 20 feet.

Cleaned-up.


2 PHC BUILDING &

STAFF QUARTERS




dilapidated


Buildings were repainted.

Staff Quarters were renovated & occupied.

3 SUB-CENTER

BUILDINGS

Poorly maintained.



ANMs occupied the Buildings



supply was irregular. Computer, printer and tape recorder(for



PHC



Tele conference and Tele- ECGs are done

at the PHC.

5 COLD CHAIN

EQIPMENT


6 FURNITURE Inadequate Adequate


attendance.

All the vacant posts are filled up.



services.




HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA



9 MEDICINES &

REGENTS

Irregular supply KT has also supplies the essential

medicines and lab reagents.

10 WATER &

ELECTRICITY

Poor and irregular supply Minor electrical repair work was taken up

in all the buildings.

12 WASTE Not implemented KT has implemented the waste

119

MANAGEMENT management in the PHC according to


certificate.


a IEC ACTIVITIES &


area.


b HEALTH

INSURANCE

PROGRAM


Sub-centers with Population

Name of SC

Distance

from PHC

Building

(Y/N)

No. of

villages Population Male Female

No. of

ASHAs

I Kohinoor 0 No 1 2541 2559 5

Ii Attur 6 km No 4 2052 2070 3

Iii Batgeri 8 km Yes 5 2785 2809 5


IPD OPD EMERGENCY


April 2010 57 38 960 970 0 0

May 38 24 1205 1205 0 0

Jun 38 19 974 987 0 1

Jul 38 23 1151 1149 0 0

Aug 47 24 930 932 0 0

Sep 21 10 948 952 0 1

Oct 23 16 441 443 0 1

Nov 17 12 825 830 0 0

Dec 9 6 570 590 0 0

January 2011 10 6 460 463 0 1

Feb 15 8 530 548 0 0

Mar 32 17 461 469 0 0

TOTAL 345 200 9455 9544 0 4

Staff Position



Ii Pharmacist 1 1 x Jr.H.A (F) 3 3






viii Sr. H A 1 1

120

Laboratory Services


‘10 May June Jul Aug Sep Oct Nov Dec

Jan

‘11 Feb Mar

Total

Blood for MP test

Positive cases (slide +

RMT)

Total PV

Total PF

Total mixed type

Blood sugar

Widal 4 3 6 3 0 0 0 0 0 0 0 5 21

VDRL 0 0 0 0 0 2 0 0 0 0 4 0 6

Pregnancy test 6 2 5 5 0 2 0 4 0 10 6 10 50

Hb% in PHC 20 17 15 11 0 20 15 20 17 0 15 10 160

Hb% in SC

TLC

DLC

ESR

Urine RE 20 12 0 14 0 13 12 19 9 16 19 12 146

Blood grouping 6 2 7 3 0 0 1 16 19 5 12 0 71

Rapid tests for HIV

BT CT

Statistics Sl.

No


1 POPULATION 28629 29630 31960 32605 15914 14110



WEEKS

0 315 315 505 420 234

% 0 48 48 66 56 69

4 TT COVERAGE ANC 0 659 620 749 578 236




Vital Indicators



3 IMR 0 6.9 6. 17 8.4602 4.9

121

20) Mallapura PHC

Name of the PHC :

Mallapura

Taluk : Jagalur

District : Davangere



Staff : 22

Date of Taking Over : 20-06-

2005



maintained.

No Fencing


Cleaned-up.

Fencing done



2 PHC BUILDING

& STAFF

QUARTERS




Repainted the building.

All the quarters were occupied by our

staff.



3 SUB-CENTER

BUILDINGS

Poorly maintained.


Cleaned-up the buildings.

ANMs occupied the Buildings.

We have 6 sub centers with building.


supply irregular.

Computer, printer and tape recorder(for


Email services are being provided at

the PHC


procured from DHO.

Equipments for preparation of

Traditional medicines were supplied.

Village Resource Center equipments

were installed in collaboration with

122

ISRO.

Tele conference and Tele- ECG

facilities are made available in the

PHC.

5 COLD CHAIN

EQIPMENT




attendance.

KT has filled up all the vacant posts.



services.

8 TRAININGS Infrequent PHC staffs are trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS

Irregular supply KT also supplies the essential

medicines other lab reagents in case

shortage.

10 WATER &

ELECTRICITY

Poor and irregular supply Minor electrical repair work for all the


12 WASTE

MANAGEMENT




certificate.


A IEC ACTIVITIES

& PRA

PROGRAM

With the help of our IEC vehicle we organized IEC activities in all the

sub-center area.


B HEALTH

INSURANCE

PROGRAM


C TRADITIONAL

MEDICINE

PROGRAM


123



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Mallapura 0 Y 4 2392 1175 1217 360 3

2 C.M. Holle 2 Y 6 4139 1961 2178 641 4

3 H.M. Holle 10 Y 6 4261 2110 2151 641 4

4 H.V. Halli 15 Y 6 5641 2877 2764 846 4

5 H.N. Pura 24 Y 8 6973 3466 3507 1339 4

6 Anabur 35 Y 9 5922 2950 2972 993 7

Total 39 29328 14539 14789 4820 26


IPD OPD EMERGENCY


April 2010 5 6 369 0 3

May 4 9 703 2 1

Jun 3 3 442 0 0

Jul 4 6 488 0 4

Aug 13 20 596 1 3

Sep 12 17 610 0 0

Oct 10 5 298 0 2

Nov 10 10 282 1 0

Dec 7 10 370 0 1

January 2011 8 6 436 0 0

Feb 10 12 362 0 0

Mar 19 21 362 0 2

TOTAL 105 125 5318 4 16


Name of


Total

Blood for

MP test 501 465 570 649 743 587 590 601 506 506 569 635 6922

Positive

cases (slide

+ RMT)

0 0 0 0 0 0 0 0 0 0 0 0 0

Total PV -10 -5 -14 -2 -16 -7 -23 -22 -10 -30 -19 -6 -164

124

Total PF 0 0 0 0 0 0 0 0 0 0 0 0 0

Total

mixed type 0 0 0 0 0 0 0 0 0 0 0 0 0

Blood

sugar 0 0 0 0 0 0 0 0 0 0 0 0 0

Widal 2 1 1 0 0 0 1 0 3 2 0 0 10

VDRL 0 0 0 0 0 0 0 0 0 0 0 0 0

Pregnancy

test 17 2 2 18 9 14 1 18 6 15 22 10 134

Hb% in

PHC 35 3 7 27 3 18 2 62 0 33 51 34 275

Hb% in SC

TLC 0 0 0 0 0 0 0 0 0 0 0 0 0

DLC 0 0 0 0 0 0 0 0 0 0 0 0 0

ESR 30 0 0 0 0 0 0 0 0 3 0 2 8

Urine RE 17 3 0 11 0 12 2 62 16 37 46 24 230

Blood

grouping 1 0 0 0 2 0 19 0 0 0 0 0 22

Rapid tests

for HIV 0 0 0 0 0 0 0 0 0 0 0 0 0

Staff Pattern









Viii Sr. H.A. 1 1

125

Statistics

Sl.

No


1 POPULATION 25737 26766 26966 27529 28548 29223



WEEKS

290 344 380 437 354 423

% 46 48 61 81 72 78

4 TT COVERAGE ANC 580 628 618 685 531 564




Vital Indicators



3 IMR 8.64 3.66 9.23 19.23 26.201 28.5036

21) Nandikeshwara PHC

Name of the PHC :

Nandikeshwara

Taluk :

Badami

District :

Bagalkot

Population Covered :

20908

No. of Sub-Centres :

3

Staff :

16


25.01.2006

126



maintained. Total area is 3 acres.

Cleaned-up.



We have planted 211 plants in the PHC

campus with the help of Forest department

2 PHC BUILDING &

STAFF QUARTERS




dilapidated



Staff Quarters were renovated & occupied

Citizen charter has been displayed.

Sign boards have been written for each of

the sections.

3 SUB-CENTER

BUILDINGS

Poorly maintained.

Building was vacant


ANM occupied the Building


supply irregular. Computer, printer and tape recorder (For

IEC activities ) supplied from KT.


PHC

Village Resource Center equipments were

installed in collaboration with ISRO.




received from DHO.

Equipments for preparation of traditional

medicine has been supplied by KT.

5 COLD CHAIN

EQIPMENT

Non Functional.

Minor repair Functional.



attendance. All the vacant posts have been filled up.



services.

8 TRAININGS Infrequent The PHC staff have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REGENTS

Irregular supply. KT supplies the essential medicines &other

lab reagents in case of delay in Govt.

supply.

10 WATER & Not available / Under repair The pump set is repaired and got the

127

ELECTRICITY running water in the PHC.



12 WASTE

MANAGEMENT


management in the PHC as per the KPCB

standard and obtained certificate from the

board.

14 INNOVATIONS BY KARUNA TRUST:

a IEC ACTIVITIES &


area.


b HEALTH

INSURANCE

PROGRAM


c TRADITIONAL

MEDICINE

PROGRAM

Traditional medicine has been integrated into the Primary Health care..



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Nandikeshwara Yes 4 7

2 Kutaknakeri Yes 4 6

3 Adagava Yes 3 4

4

5

Total 11 17

Staff Strength




Iii Staff Nurse 3 3 Xi PMOA 0 1



Vi LHV 1 1 Xiv Driver 0 0


viii Sr. H A 01 01

One Counselor, One Refractionst and One Arogya Mitra were appointed by Karuna Trust

128


IPD OPD EMERGENCY


April 2010 5 12 3 11

May 15 27 2 2

Jun 16 27 0 0

Jul 21 24 0 0

Aug 18 25 1 0

Sep 7 22 0 0

Oct 5 25 4 1

Nov 3 20 1 0

Dec 4 9 1 0

January 2011 7 14 0 0

Feb 7 13 0 0

Mar 2 13 0 1

TOTAL 110 231 13122 12 15


Name of lab


Total

Blood for

MP test 377 325 489 347 0 432 266 398 488 275 279 247 4414

Positive

cases (slide

+ RMT)

5 10 13 12 0 14 7 11 8 2 0 0 77

Total PV 3 7 12 11 0 13 7 11 8 2 0 0 72

Total PF 2 3 1 1 0 1 0 0 0 0 0 0 8

Total mixed

type

Blood sugar

Widal 7 15 22 17 0 3 5 0 1 3 2 0 75

VDRL 0 0 0 0 0 0 0 0 0 0 0 0 0

Pregnancy

test 8 6 2 11 4 9 8 6 7 6 6 9 82

Hb% in

PHC 29 10 33 43 38 22 17 18 24 44 29 32 339

Hb% in SC

TLC

DLC

129

ESR

Urine RE 29 10 33 43 38 22 17 18 24 44 29 32 339

Blood

grouping

Rapid tests

for HIV

Statistics Sl.

No


1 POPULATION 0 19280 19280 19431 20217 20217



WEEKS

0 268 304 357 452 397

% 0 46 65 77 81 70

4 TT COVERAGE ANC 0 558 500 467 552 514




Vital Indicators



3 IMR 0 12.89 25.52 28.71 14.141 26.6344

22)Pattanayakanahalli PHC

Name of the PHC :

Pattanayakanahalli

Taluk : Sira

District : Tumkur



Staff : 22


04.07.2005


1 LAND Lot of weeds and t inadequately

maintained.

No Fencing


Cleaned-up.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS



Medical Officer quarters was

dilapidated



MO Quarter was renovated & occupied

Name boards have been written in the each

of the section.

Citizen Charter was displayed in the PHC.

New 2 Staff quarters were constructed with

the help of local donor.

130

Operation Theater was renovated through

local MLA funds.

Rain water harvesting work is under

process with the help of local NGO.

3 SUB-CENTER

BUILDINGS

Buildings were vacant and poorly

maintained. Cleaned-up the building.






PHC

Village Resource center equipments were





procured from DHO.

Equipments for preparation of herbal

medicinal have been supplied by KT.

5 COLD CHAIN

EQIPMENT


6 FURNITURE Inadequate Some of the chairs received from the

Swasahaya Sangha‟s as donation.

Some of the furniture and equipments

received from Helpage India and Viveka

Drusti Eye Hospital, Bangalore.


attendance. KT has filled up all the vacant posts .All

the staffs are staying in the head quarters

and are rendering the 24 hrs services.

8 TRAININGS Irregular The PHC staffs have been trained on the

following subjects:


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REGENTS

Irregular supply KT supplies the essential medicines &

other lab reagent if there is shortage in

Govt. supply. L

Free medicines were received from Micro

Labs and supplied.

10 WATER &

ELECTRICITY

Poor and irregular supply The pump set is repaired and got the

running water in the PHC through

Grampanchyath.

We have done the minor electrical repair

work for all the buildings.

12 WASTE

MANAGEMENT



KPCB standards obtained the certificate

from the board.

14 INNOVATIONS BY KARUNA TRUST

a IEC ACTIVITIES & With the help of our IEC vehicle we organized IEC activities in all the sub-center

131

PRA PROGRAM area.


b HEALTH

INSURANCE

PROGRAM


c TRADITIONAL

MEDICINE

PROGRAM


Group discussion in the training PHC- Building



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 P N Halli 0 No 2 4320 2200 2120 648 4

2 Hemdore 5 No 5 4523 2310 2213 655 4

3 Veerganhalli 5 No 4 3565 1800 1765 648 3

4 Nadur 2 No 4 2883 1500 1383 432 3

5 Kereyagahalli 6 No 4 2766 1400 1366 414 3

6 H.Gollahalli 13 Yes 5 2924 1496 1428 428 4

7 Togargunte 14 No 4 2663 1380 1283 399 2

8 Gowdagere 15 Yes 6 4215 2150 2065 632 4

9 Bevinhalli 14 Yes 5 4141 2100 2041 612 3

10 Chengavara 15 Yes 8 4247 2160 2087 637 5

11 Bandhakunte 12 No 5 3354 1680 1674 503 3

Total 101 52 38416 20176 19425 6008 38

Staff Pattern



132

Ii Pharmacist 1 1 x Jr.H.A (F) 11 11






viii Sr. H A 1 1


Name of lab


Total

Blood for MP

test 925 907 1018 969 1258 1108 873 799 770 798 847 928 11200

Positive cases

(slide + RMT)

Total PV 2

2 0 0 1 1 1 0 0 1 0 0 8

Total PF

Total mixed

type

Blood sugar 20 40 30 40 35 40 30 38 40 35 28 30 406

Widal 5 4 6 3 2 4 7 9 13 16 6 7 82

VDRL

Pregnancy test 8 14 10 20 15 10 13 20 15 18 25 29 187

Hb% in PHC 80 106 100 105 70 68 73 `02 90 61 70 74 999

Hb% in SC

TLC

DLC

ESR

Urine RE 260 235 190 245 185 180 205 270 290 185 188 185 2618

Blood

grouping 30 32 13 24 34 27 40 18 24 29 24 36 331

Rapid tests for

HIV 233 159 227 153 63 42 154 138 160 169 100 145 1743

Statistics

Sl.

No


1 POPULATION 38080 38931 39374 39630 39820 35801



WEEKS

435 505 471 594 627 628

% 58 67 66 70 74 94

133

4 TT COVERAGE ANC 784 753 713 758 442 729




Vital Indicators



3 IMR 27.64 27.29 16.56 16.37 17.544 23.8095

24) Shreemangala PHC

Name of the PHC : Sreemangala

Taluk : Virajpet

District : Kodagu



Staff : 22




maintained.

No Fencing


Cleaned-up.

Fencing done.



2 PHC BUILDING &

STAFF QUARTERS




Repainted the building.

Citizen Charter has been displayed in the

PHC.


3 SUB-CENTER

BUILDINGS

Poorly maintained.

Building were vacant Cleaned-up the building.



supply irregular. Computer, printer and tape recorder ( for



PHC


procured from DHO.


medicine has been supplied by KT.





5 COLD CHAIN

EQIPMENT

Not maintained. Functional






services.

8 TRAININGS Infrequent The PHC staff have been trained on the

following subjects:

134


HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA

Bio-w3aste Management

9 MEDICINES &

REAGENTS


other lab reagents in case of any delay in

Govt. supply.

10 WATER &

ELECTRICITY

Poor and Irregular supply We have done some minor electrical repair


12 WASTE

MANAGEMENT




certificate from the Board.


a IEC ACTIVITIES &


area..


b HEALTH

INSURANCE

PROGRAM


c TRADITIONAL

MEDICINE

PROGRAM


PHC Building



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Sreemangala - Yes 3 1697 770 927 222 3

2 Nalkeri 12 No 4 2650 1312 1338 360 1

3 Kurchi 12 Yes 4 2547 1180 1367 309 3

4 Kothur 19 No 3 1989 897 1092 337

5

Total 14 8883 4159 4724 1228 7

Staff Pattern

135





iv Lab. Technician 2 2 xii SDC - -

v FDA/Administrator 1 1 xiii Arogyamitra - -

vi LHV 1 1 xiv Driver - -

vii BHEO - 0 xv Gr. D 4 4

viii Sr. H.A. 1 1 Counseller 1 1


IPD OPD EMERGENCY


April 2010 7 26 275 0 1 5

May 13 18 344 0 4 0

Jun 9 11 409 450 1 1

Jul 6 14 487 398 2 0

Aug 4 6 463 330 3 2

Sep 7 15 482 311 3 0

Oct 8 12 445 289 3 0

Nov 6 10 318 386 2 0

Dec 8 16 441 359 2 1

January 2011 9 16 392 417 0 0

Feb 9 14 392 443 0 0

Mar 4 21 306 387 8 2

TOTAL 90 179 4835 4389 29 11


Name of lab


Total

Blood for

MP test 145 178 152 182 160 141 164 120 166 139 147 122 1816

Positive

cases (slide

+ RMT)

Total PV

Total PF

Total mixed

type

Blood sugar 17 15 26 35 31 27 16 18 38 16 20 43 302

Widal 2 1 8 0 1 1 3 3 4 8 2 3 36

VDRL 4 7 5 2 5 4 6 4 13 3 15 9 77

Pregnancy

test 10 5 8 15 7 6 2 14 6 19 7 8 107

Hb% in

PHC 30 18 23 29 29 29 29 25 25 30 40 53 347

136

Hb% in SC

TLC 7 11 8 5 10 7 1 3 0 1 0 6 64

DLC 7 10 8 5 10 7 1 3 0 0 0 0 51

ESR 7 9 7 3 9 7 0 1 1 0 0 0 44

Urine RE 11 17 10 9 11 16 20 10 18 20 31 45 218

Blood

grouping 11 9 10 9 10 19 21 14 20 9 21 19 172

Rapid tests

for HIV 0 0 0 0 0 0 0 0 0 1 0 0 1

Statistics

Sl.

No


1 POPULATION 0 8647 8613 7460 8883 8353



WEEKS

0 120 154 109 95 132

% 0 72 100 77 71 85

4 TT COVERAGE ANC 0 145 113 129 134 151




Vital Indicators



3 IMR 0 53.19 63.16 25 20.833 38.7597

25) Sri Rama Ranga Pura (S.R.R. Pura) PHC

Name of the PHC : S.R.R. Pura

Taluk : Hospet

District : Bellary



Staff : -



1 LAND Boundaries of land not clear

Lots of weeds and not adequately

maintained.


Cleaned-up.

Land scalping done.



We have planted trees in the PHC campus.

Fencing done

2 PHC BUILDING &

STAFF QUARTERS

No building maintenance, window

glasses were broken, all the doors

were damaged, untidy and dirty.


We have fixed the glasses for all the

windows.

137


dilapidated and many pending

repair works, maintenance

irregular.

All the doors were repaired.


Staff Quarters were renovated.

3 SUB-CENTER

BUILDINGS

Poorly maintained.

Buildings were vacant. We have the 4 sub centers with the

building.

Cleaned up the building.



supply irregular. Computer, printer and tape recorder

supplied from KT.


PHC


procured from DHO.

We have supplied medicinal preparation

equipments.

5 COLD CHAIN

EQIPMENT

Non Functional

Under repair Repaired, now it is functional.


& chair)


attendance. KT has filled up all the staffs.



services.




HIV/AIDS.

IEC

PHC Management


Mental Health


PRA


Waste Management

9 MEDICINES &

REGENTS

Irregular supply KT has also supplied the essential


The lab regents were also supplied from

KT.

10 WATER &

ELECTRICITY

Poor and irregular. The water supply connection is given by

the Gram Panchyath.

We have done the minor electrical repair

work & got the new connection for all the

buildings.

12 WASTE

MANAGEMENT



KPCB standards.

14 INNOVATIONS BY KARUNA TRUST

A IEC ACTIVITIES &


level.

The PRA programme also conducted in the village level.

B HEALTH

INSURANCE

PROGRAM

We have implemented the health insurance program in the PHC catchments area.


C TRADITIONAL

MEDICINE We have implemented the use of traditional medicine in to Primary Health care

the PHC.

138

PROGRAM The program is going on.

Sub-Centres with Population:


Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 S.R.R. Pura 0 kms. Yes 1 - - - - 2

2 Suggenahalli 4 kms. Yes 4 - - - - 2

3 Jowcck 8 kms. Yes 6 - - - - 5

4 Devalapura 10 kms. Yes 2 - - - - 5

Total 13 - - - - 14

Staff Pattern:

Sl.


Sl.


I Medical Officer 1 Ix Driver -

Ii Pharmacist 1 X Gr. D 2

Iii Staff Nurse - Xi Lab Technician 1

Iv Jr. H.A. (M) 2 Xii FDA/ Admin. -

V Jr. H.A (F) 4 Xiii LHV 1

Vi PMOA 1 Xiv BHEO -

Vii SDC 1 Xv Sr. H.A. -

Viii Arogyamitra -

Outpatient and Inpatient Details:

IPD OPD EMERGENCY

(between 5 p.m. – 8 a.m.)


April 2010 25 23 319 280 2 1

May 16 33 512 245 3 1

Jun 14 32 350 503 1 2

July 25 20 477 384 3 1

Aug 14 17 465 315 2 2

Sep 24 38 361 368 4 1

Oct 22 31 399 422 1 1

Nov 37 33 696 526 2 -

Dec 30 35 629 616 3 1

Jan 2011 26 19 558 - 1 3

Feb 12 40 560 - 2 1

Mar 23 30 598 - 1 2

Total 268 351 5924 3659 25 16


139

Name of Lab

tests

Apr.

‘10 May Jun Jul Aug Sep Oct Nov Dec

Jan.

‘11 Feb Mar Total

Blood for MP

test 412 358 353 375 375 363 405 910 397 404 299 399 5050

Positive cases

(slide) - - - 2 3 1 2 4 - 1 1 1 15

Total PV - - - 2 2 1 1 4 - 1 - 1 12

Total PF - - - - 1 - 1 - - 1 1 - 4

Total Mixed type - - - - - - - - - - - - -

Blood Sugar 4 2 - 10 17 21 - 24 21 12 32 31 147

Widal 17 - - - - - 10 22 14 12 10 7 92

VDRL - - - - - - 2 1 10 9 10 11 43

Pregnancy test 10 17 14 10 9 9 13 8 13 9 14 12 138

HB% In PHC 72 38 40 44 38 51 49 81 85 67 77 78 720

TLC 13 9 8 7 6 6 6 12 11 11 8 7 104

DLC 13 9 8 7 6 6 6 12 11 11 8 7 104

ESR 13 9 8 7 6 6 6 12 11 11 8 7 104

Urine RE 216 114 123 132 114 153 147 243 258 201 203 234 2172

Blood Grouping 4 2 - - - - 13 66 52 10 11 11 169

Rapid tests for

HIV 47 - - 92 41 - 52 9 74 23 53 156 547

Others Hbsag 16 10 7 13 8 10 6 10 11 8 10 11 120

Statistics

Sl. No Process Indicators 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

1 POPULATION 3051 3165 3228 3238 22543

2 TOTAL ANC

REGISTRATIONS

88 23 52 51 45 42

3 EARLY ANC

REGISTRATIONS

<12 WEEKS

50 14 30 38 33 82

% 56.8% 61% 58% 76% 73% -

4 TT COVERAGE

ANC

70 12 63 31 37 81

5 TOTAL

DELIVERIES

31 9 43 15 37 143

6 INSTITUTION

DELIVERIES

31 6 19 14 37 -

7 %

INSTITUTIONAL

DELIVERIES

100% 67% 44% 93% 100% -

Vital Indicators

1 MATERNAL

DEATHS

0 0 0 0 1 -

2 TOTAL LIVE

BIRTHS

31 19 41 14 37 -

3 IMR 11.2 11.2 11.2 37.89 27.03 -

140

26)Sugganahalli PHC

Name of the PHC : Sugganahalli

Taluk : Magadi

District : Ramanagara



Staff : 12





maintained.

Total area is 20 Guntas.

Cleaned-up.




2 PHC BUILDING &

STAFF QUARTERS



Head quarter ANM quarter was

dilapidated



ANM Quarter was renovated & occupied.

3 SUB-CENTER

BUILDINGS

No One New sub center building is constructed

with the help of the Gram-panchyat and the

process facilitated by KT.

ANMs are residing in the Building


supply was irregular. Computer, printer and a tape recorder

(For the IEC activities) were supplied from

KT.


PHC



Tele-conference and Tele- ECG facilities



procured from DHO.


medicine was supplied by KT.

5 COLD CHAIN

EQIPMENT







services.

8 TRAININGS Infrequent The PHC staff on the following subjects:


HIV/AIDS.

IEC

PHC Management


141

Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS


other lab reagent in case of delay in Govt.

supply.

10 WATER &

ELECTRICITY

Poor and irregular supply. We have done the minor electrical repair

work for all the buildings with the help of

Local donor.

11 WASTE

MANAGEMENT




certificate from the board.


a IEC ACTIVITIES &


area.


b HEALTH

INSURANCE

PROGRAM

Health insurance program in has been launched in the PHC catchment area.

c TRADITIONAL

MEDICINE

PROGRAM




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Sugganahalli 0 Yes 8 3961 1982 1979 453 4

2 Chikkahalli 9 No 11 3427 1738 1689 503 4

3 Hulikal 5 Yes 15 4833 2348 2485 669 5

4 Chikkamaskal 8 No 9 2822 1419 1403 459 2

5

Total 43 15043 7487 7556 2084 15

Staff Pattern









142

Viii Sr. H.A. 0 0


IPD OPD EMERGENCY


April 2010 11 32 1146 902 0 0

May 6 16 898 697 12 13

Jun 6 15 934 730 6 12

Jul 6 12 830 820 13 28

Aug 4 7 631 576 2 8

Sep 0 3 514 685 0 2

Oct 3 15 501 365 5 6

Nov 6 18 491 364 3 3

Dec 1 13 478 375 2 1

January 2011 6 18 473 498 2 3

Feb 5 15 728 499 2 1

Mar 8 24 1073 648 3 2

TOTAL 62 188 8697 7159 50 79



Total

Blood for

MP test 175 263 383 379 383 319 201 275 380 146 272 257 3433

Positive

cases (slide

+ RMT)

0 0 0 0 1 0 0 0 0 0 0 0 1

Total PV

Total PF

Total mixed

type

Blood sugar 80 0 0 0 2 7 6 18 31 24 27 13 208

Widal 0 0 6 1 11 2 0 2 6 8 2 3 41

VDRL 21 4 1 0 0 2 1 0 20 13 13 3 78

Pregnancy

test 7 23 14 20 19 11 16 0 23 2 25 22 182

Hb% in

PHC 53 38 22 20 25 35 28 48 47 34 31 21 402

Hb% in SC

TLC 0 0 0 0 8 0 5 6 2 4 3 2 30

DLC 0 0 0 0 8 0 0 0 0 0 0 1 9

ESR 0 0 0 0 0 2 3 4 0 0 0 0 9

Urine RE 18 9 2 3 2 9 10 22 26 29 30 7 167

Blood

grouping 23 4 2 0 5 4 4 19 19 14 11 6 111

Rapid tests

for HIV 34 8 10 0 11 13 0 0 0 21 24 9 130

143

Statistics

Sl.

No


1 POPULATION 14168 14441 14441 14446 14335 15043



WEEKS

213 228 252 263 207 217

% 82 92 95 90 82 88

4 TT COVERAGE ANC 237 241 260 284 235 218




Vital Indicators



3 IMR 29.27 15.15 4.85 4.52 12.552 8.58369

27)Thithimathi

Name of the PHC : Thithimathi

Taluk : Virajpet

District : Kodagu



Staff : 19




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Thithimathi A 0 Yes 7 1910 1113 797 277 2

2 Thithimathi B 3 No 7 2301 1261 1040 281 2

3 Mattigudu 3 Yes 10 2487 1392 1095 298 3

4 Devarapura 5 Yes 9 2727 1219 1508 311 2

5 Hebbale 7 Yes 9 2114 1203 911 286 3

6 Attur 9 No 5 3694 1724 1970 484 4

Total 47 15233 7912 6871 1937 16

Staff Pattern




144






Viii Sr. H.A. 0 0


IPD OPD EMERGENCY


April 2010 27 19 182 243 0 0

May 14 17 341 412 6 3

Jun 12 20 406 309 4 6

Jul 11 18 450 350 11 5

Aug 15 18 305 345 11 8

Sep 19 11 298 303 9 7

Oct 21 5 190 210 8 10

Nov 15 15 206 259 14 2

Dec 7 8 201 199 13 7

January 2011 6 15 169 211 7 7

Feb 11 15 225 225 18 13

Mar 3 15 261 59 8 11

TOTAL 161 176 3234 3125 109 79


Name of


Total

Blood for

MP test

Positive

cases (slide

+ RMT)

Total PV

Total PF

Total mixed

type

Blood sugar 48 3 0 0 0 0 0 22 15 24 24 17 153

Widal 2 2 2 1 2 3 0 0 0 0 3 1 16

VDRL 9 14 13 14 20 15 12 13 14 11 22 17 174

Pregnancy

test 9 5 11 15 17 7 11 11 9 3 6 18 122

Hb% in 85 55 53 47 72 132 64 62 45 61 70 67 813

145

PHC

Hb% in SC

TLC 18 14 7 13 13 9 13 13 12 14 13 9 148

DLC 18 14 7 13 13 9 13 13 12 14 13 9 148

ESR 18 14 7 13 13 9 13 13 12 14 13 9 148

Urine RE 54 34 34 45 55 58 41 43 35 44 49 48 540

Blood

grouping 17 13 17 5 23 15 12 4 15 20 220 14 375

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 9337 13614 13784 13730 14783 13585



WEEKS

162 175 175 257 286 279

% 78 56 61 79 83 100

4 TT COVERAGE ANC 190 249 270 272 294 279




Vital Indicators



3 IMR 0 20 14.13 0 11.765 16.8776

28)V.K. Salagar PHC

Name of the PHC : V K Salgara

Taluk : Alanda

District : Gulbarga



Staff : 17



146



maintained.

No Fencing


Cleaned-up.




2 PHC BUILDING &

STAFF QUARTERS

No building maintenance, untidy

and dirty.



3 SUB-CENTER

BUILDINGS

Untidy and dirty

Building was vacant Cleaned-up the building.

ANM occupied the Building




IEC activities ) were supplied from KT.


PHC

New telephone connection is taken.

5 COLD CHAIN

EQIPMENT

Non functional / under repair Functional

6 FURNITURE Inadequate





services.

8 TRAININGS Infrequent The PHC staffs have been trained



HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA


9 MEDICINES &

REAGENTS


other lab reagents in case of delay in govt.

supply.

10 WATER &

ELECTRICITY

Poor and irregular supply We have done the minor electrical repair


12 WASTE

MANAGEMENT




certificate fro the Board.


a IEC ACTIVITIES &


area.


b HEALTH

INSURANCE

PROGRAM


147

PHC V.K.Salagar – before After



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 V K Salgara - No 1 5128 2619 2509 775 4

2 Kamalanagar 8 No 4 6406 3366 3040 940 7

3 Belamagi 7 Yes 2 6060 3175 2885 942 4

4

5

Total 7 17594 9160 8434 2657 15

Staff Pattern









viii Sr. H.A. 1 1


IPD OPD EMERGENCY


April 2010 46 34 536 1035 0 0

May 14 47 488 1006 0 0

Jun 34 62 715 1067 0 0

Jul 21 33 785 1122 0 2

Aug 16 23 831 1105 7 2

Sep 29 38 870 862 7 5

148

Oct 15 18 882 1131 8 13

Nov 13 16 842 1033 5 9

Dec 6 9 673 338 8 4

January 2011 18 18 810 800 4 2

Feb 20 36 606 783 2 3

Mar 38 33 483 784 9 8

TOTAL 270 367 8581 11852 50 48


Name of


Total

Blood for

MP test 196 256 327 346 375 322 249 280 285 282 282 304 3504

Positive

cases (slide

+ RMT)

Total PV 0 0 0 2 3 0 0 2 0 0 0 0 7

Total PF 0 0 0 0 0 0 0 0 0 2 0 0 2

Total

mixed type

Blood

sugar 14 8 7 10 13 9 12 14 10 12 15 18 132

Widal 38 42 29 34 33 35 36 33 36 26 38 20 403

VDRL 28 8 24 26 28 22 18 20 25 20 20 20 259

Pregnancy

test 30 34 31 28 32 33 29 30 35 27 28 36 373

Hb% in

PHC 78 40 58 64 57 53 48 66 78 39 58 64 703

Hb% in SC

TLC 8 12 7 11 10 12 9 8 6 10 8 8 109

DLC 8 12 7 11 10 12 9 8 6 10 8 8 109

ESR 8 12 7 11 10 12 9 8 6 10 8 8 109

Urine RE 62 37 38 51 53 46 43 55 60 34 38 45 562

Blood

grouping 32 20 20 25 25 18 23 25 28 24 22 22 284

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 0 15827 16056 16680 18670 17584



WEEKS

0 176 177 258 348 314

% 0 43 44 60 71 79

4 TT COVERAGE ANC 0 455 446 410 395 357



149


Vital Indicators



3 IMR 0 46.03 23.01 37.79 25.974 15.9151

29)Yemalur PHC

Name of the PHC : Yemalur

Taluk : Bangalore East

District : Bangalore Urban



Staff : 7



1 LAND No Land.

(New land purchased with the help

of local donors)


Cleaned-up.

Landscaping done.

Fencing done

2 PHC BUILDING &

STAFF QUARTERS

No building KT has constructed the new PHC building

with the help of local donors.

One staff quarters also constructed in the

PHC building.

All the services were displayed in the PHC.


3 SUB-CENTER

BUILDINGS

No Building KT has constructed one quarters for the

ANM in the PHC Building.

4 EQUIPMENTS Inadequate Computer, printer and tape recorder

supplied from KT.


PHC


procured from DHO.

Tele ECG is doing in the PHC.

5 COLD CHAIN

EQIPMENT

Not available KT has received one refrigerator from a

donor.


& chair)

Some of the equipments were received

from youth club and NGOs.

7 STAFF Newly shifted PHC KT has filled up all the staffs.



services.




150

HIV/AIDS.

IEC

PHC Management


Capacity building

Mental Health


PRA

Waste Management


9 MEDICINES &

REAGENTS

Poor supply KT has also supplied the essential



KT.

10 WATER &

ELECTRICITY

Not available New water and electrical connection taken.

12 WASTE

MANAGEMENT



KPCB standards.

14 NEW INNOVATION BY KARUNA TRUST:

a IEC ACTIVITIES &


level.


b FREE EYE CAMPS Free cataract eye camps were conducted with the help of Sri. Viveka Drusti Eye

Hospital and HelpAge India.



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Yemalur - No 2 6065 3165 2900 926 3

2 Marathahalli 4 No 2 19815 10134 9681 3030 2

3

4

5

Total 4 25880 13299 12581 3956 5

Staff Pattern




Iii Staff Nurse xi PMOA

Iv Lab. Technician 1 xii SDC

V FDA/Administrator xiii Arogyamitra

Vi LHV xiv Driver


Viii Sr. H.A.

151


IPD OPD EMERGENCY


April 2010 0 0 237 175 0 0

May 0 0 381 277 0 0

Jun 0 0 412 269 0 0

Jul 0 0 587 502 0 0

Aug 0 0 455 528 0 0

Sep 0 0 397 468 0 0

Oct 0 0 285 289 0 0

Nov 0 0 314 242 0 0

Dec 0 0 275 251 0 0

January 2011 0 0 281 265 0 0

Feb 0 0 199 186 0 0

Mar 0 0 264 256 0 0

TOTAL 0 0 4087 3708 0 0

Details of Laboratory Services Name of


Total

Blood for

MP test 267 371

Positive

cases (slide

+ RMT)

2

Total PV 2

Total PF

Total mixed

type

Blood sugar 42 30 41 41 58 41 45 42 49 38 30 57 514

Widal 5 5 11 21 14 11 0 4 4 3 0 4 82

VDRL 10 16 6 10 0 6 5 6 13 10 2 11

Pregnancy

test 0 7 10 9 6 5 8 10 9 10 2 7 83

Hb% in

PHC 18 23 36 41 25 27 20 29 22 30 12 0 278

Hb% in SC

TLC 10 14 19 21 13 16 10 5 7 6 5 10 136

DLC 10 14 19 21 12 16 10 5 1 6 5 10 136

ESR 10 14 19 21 15 16 6 8 6 5 12 12 144

Urine RE 5 6 6 6 5 5 7 5 8 5 3 3 64

Blood

grouping 10 5 10 24 9 6 7 9 15 8 2 10 115

Rapid tests

for HIV

152

Statistics

Sl.

No


1 POPULATION 4985 4485 5864 5820 19525 25495



WEEKS

61 57 71 200 202 296

% 49 63 43 58 59 68

4 TT COVERAGE ANC 125 54 152 307 453 373




Vital Indicators



3 IMR 0 0 0 0 0 0

153

2) Orissa PHCs

154

1)Alasu PHC

Name of the PHC : Alasu

Taluk : Jagannath Prasad

District : Ganjam



Staff : 7




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Alasu 1 km No 18 970 5

2 Kadua 3 km No 18 1195 6

3 Rauti 5 km No 12 1210 8

4

5

Total

Staff Pattern


I Medical Officer 1 1 ix Jr. H.A. (M)

Ii Pharmacist 1 1 x Jr. H.A (F)

Iii Staff Nurse 1 1 xi PMOA

Iv Lab. Technician 1 1 xii SDC

V FDA/Administrator 1 1 xiii Arogyamitra

Vi LHV xiv Driver 1 1


Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 0 0 329 274 0 0

May 0 0 366 244 0 0

Jun 0 0 375 271 0 0

Jul 0 0 443 312 0 0

Aug 0 0 370 296 0 0

Sep 0 0 347 239 0 0

Oct 0 0 297 234 0 0

Nov 0 0 394 369 0 0

Dec 0 0 420 401 0 0

January 2011 0 0 467 385 0 0

Feb 0 0 417 352 0 0

155

Mar 0 0 487 329 0 0

TOTAL 0 0 4712 3606 0 0


Name of


Total

Blood for

MP test 75 73 75 81 69 81 78 72 72 55 74 76 811

Positive

cases (slide

+ RMT)

11 4 7 11 12 10 5 5 5 2 3 3 78

Total PV 5 2 7 11 1 1 4 0 0 0 3 2 11

Total PF 6 2 0 0 11 9 1 5 5 2 0 1 67

Total mixed

type

Blood sugar

Widal

VDRL

Pregnancy

test 10 5 3 9 3 6 5 4 7 5 4 7

Hb% in

PHC 69 72 68 50 69 69 50 45 45 45 60 49 691

Hb% in SC

TLC 73 78 65 45 70 72 45 30 40 51 52 50 671

DLC 73 78 65 45 70 72 45 30 40 51 52 50 671

ESR

Urine RE 70 80 70 53 72 70 53 50 50 48 54 60 730

Blood

grouping

Rapid tests

for HIV

Statistics Sl.

No

Process Indicators 2010-11

1 POPULATION 25525

2 TOTAL ANC REGISTRATIONS 264


WEEKS

71

% 27

4 TT COVERAGE ANC 197

5 TOTAL DELIVERIES

6 INSTITUTION DELIVERIES

7 % INSTITUTIONAL DELIVERIES

1 MATERNAL DEATHS

2 TOTAL LIVE BIRTHS 19

156

3 IMR

2)Barang PHC

Name of the PHC : Baranga

Taluk : Patrapur

District : Ganjam



Staff : 7

Date of Taking Over : 1/10/2008



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Baranga 0 Y 5120 2896 2224 855 5

2 Keshari pada 4 Y 4766 2360 2406 634 2

3 Jayanti pur 9 N 6222 2995 3227 925 4

4 B. Nuagam 12 Y 4335 2100 2235 662 5

5 Gudipadur 19 N 4428 2299 2129 658 3

Total 24871 12650 12221 3734 19

Staff Pattern


I Medical Officer 1 ix Jr. H.A. (M)

Ii Pharmacist 1 x Jr. H.A (F)

Iii Staff Nurse 1 xi PMOA


V FDA/Administrator 1 xiii Arogyamitra

Vi LHV xiv Driver 1

Vii BHEO xv Gr. D 1

Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 457 325 2

May 352 360 1

Jun

157

Jul 512 493 1 2

Aug 569 489 2

Sep 607 396 1 1

Oct 595 498 1

Nov 647 551 1

Dec 633 611 1

January 2011 672 622 2

Feb 593 504 1 1

Mar 428 451 1 3

TOTAL 6531 5687 5 16


Name of lab


Total

Blood for

MP test 222 195 296 270 345 245 208 276 203 198 34 2492

Positive

cases (slide

+ RMT)

1 4 1 2 1 1 10

Total PV 4 2 1 1 8

Total PF 1 1

Total mixed

type

Blood sugar

Widal

VDRL

Pregnancy

test 2 3 12 17

Hb% in

PHC 49 43 75 84 101 106 75 103 91 72 67 866

Hb% in SC

TLC

DLC 56 36 78 103 110 107 100 108 84 84 21 887

ESR 15 18 26 18 16 17 14 20 12 12 19 187

Urine RE 43 45 91 61 78 82 53 110 78 65 56 762

Blood

grouping 17 1 10 28 5 5 4 70

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 24874


3 EARLY ANC REGISTRATIONS <12 262

158

WEEKS

% 78


5 TOTAL DELIVERIES

6 INSTITUTION DELIVERIES 26


1 MATERNAL DEATHS


3 IMR

3)Goudagotha PHC (N) Name of the PHC : Goudagotha PHC(N)

Taluk : Surada

District : Ganjam



Staff : 7

Date of Taking Over : 1/1/2008



Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Goudagotha 0 Y 43 8820 4381 4439 1501 7

2 Merikote 18 Y 33 6435 3226 3209 1426 7

3

4

5

Total 76 15255 7607 7648 2927 14

Staff Pattern





159



Vi LHV xiv Driver 1

Vii BHEO xv Gr. D 1

Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 2 1 269 374 8 9

May 8 7 312 397 13 8

Jun 2 4 315 509 8 7

Jul 9 3 328 427 16 14

Aug 7 10 307 496 10 8

Sep 5 10 358 330 7 8

Oct 5 4 306 309 5 6

Nov 9 8 343 379 8 12

Dec 7 5 376 469 5 8

January 2011 6 9 386 422 11 15

Feb 3 6 285 304 7 5

Mar 7 10 353 448 6 12

TOTAL 70 77 3938 4864 104 112


Name of lab


Total

Blood for MP

test 90 101 150 242 151 150 130 164 110 147 200 229 1864

Positive cases

(slide + RMT) 1+4 2+5 3+6 8+10 5+8 4+12 2+12 5+12 3+13 6+7 5+11 6+14 50+114

Total PV 0 1 1 3 2 2 1 1 0 0 2 1 14

Total PF 5 7 9 18 13 16 14 17 16 13 16 20 164

Total mixed

type 0 0 0 1 1 1 0 0 0 2 0 0 5

Blood sugar

Widal

VDRL

Pregnancy test 3 6 9 18

Hb% in PHC 13 24 31 42 30 24 29 48 34 22 26 28 351

Hb% in SC

TLC 1 6 10 10 2 2 8 8 8 3 12 15 85

DLC 3 20 16 19 23 53 28 43 24 20 20 22 291

ESR 1 10 5 3 5 6 9 12 12 5 5 10 84

Urine RE 11 26 26 17 21 23 30 40 30 20 28 21 293

160

Blood

grouping 10 10

Rapid tests for

HIV

Statistics

Sl.

No


1 POPULATION 16535



WEEKS

251

% 72


5 TOTAL DELIVERIES 116


7 % INSTITUTIONAL DELIVERIES 37

1 MATERNAL DEATHS


3 IMR

4)Manitara PHC

Name of the PHC : Manitara

Taluk : Buguda

District : Ganjam



Staff : 7




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Manitara - Yes 7 6947 3637 3310 1293 8

2 Kanakuturu 5 km Yes 4 6340 3161 3179 985 4

3 Golabandha 10 km Yes 5 6294 3147 3147 1100 6

4 16 19581 9945 9636 3378 18

5

Total

Staff Pattern Sanctioned Available Sanctioned Available



161




Vi LHV xiv Driver 1

Vii BHEO xv Gr. D 1

Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 0 0 522 322 4 5

May 0 0 695 393 3 2

Jun 0 0 434 833 8 2

Jul 0 0 991 792 13 13

Aug 0 0 704 605 2 1

Sep 0 0 746 546 4 2

Oct 0 0 524 725 5 3

Nov 0 0 640 440 2 1

Dec 0 0 762 563 4 2

January 2011 0 0 421 632 8 1

Feb 0 0 454 238 5 2

Mar 0 0 522 315 10 5

TOTAL 0 0 7415 6404 68 39


Name of


Total

Blood for

MP test 79 72 93 95 151 122 54 70 27 37 38 23 861

Positive

cases (slide

+ RMT)

15 1 15 14 19 9 10 12 1 3 4 1 104

Total PV 2 1 5 7 4 5 3 6 0 3 3 1 40

Total PF 13 0 10 7 15 4 7 6 1 0 1 0 64

Total mixed

type

Blood sugar

Widal

VDRL 1 2 2 2 1 0 1 2 0 11

Pregnancy

test 3 1 3 5 1 5 7 3 1 2 3 0 34

Hb% in

PHC 18 19 18 25 32 39 29 12 18 10 22 21 263

Hb% in SC

162

TLC 3 5 3 7 9 4 0 0 2 0 6 0 39

DLC 6 8 15 18 63 29 8 7 12 3 15 6 190

ESR 1 0 0 1 3 1 0 1 1 0 4 3 15

Urine RE 15 5 2 2 3 4 2 3 7 1 5 2 51

Blood

grouping 3 4 3 3 2 6 4 1 0 2 5 0 33

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 20025



WEEKS

248

% 66




7 % INSTITUTIONAL DELIVERIES 100

1 MATERNAL DEATHS


3 IMR

5)Rahada PHC

Name of the PHC : Rahada

Taluk : Khallikote

District : Ganjam



Staff : 7



Sl. No Name of the SC Distance

From the

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

163

PHC

1 Angragaon 4 Yes 13 5545 5342 1783 8

2 Sandhamula 1 No 7 2755 2338 850 4

3 Sankuda 6 Yes 5 2546 2620 872 5

4 Talasara 3 Yes 9 3968 3750 1225 5

5

Total

Staff Pattern







Vi LHV xiv Driver 1

Vii BHEO xv Gr. D 1

Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 4 3 554 595 0 6

May 9 12 848 707 0 4

Jun 13 15 959 1056 1 5

Jul 10 14 952 915 0 4

Aug 5 6 750 1010 0 3

Sep 5 7 937 808 1 3

Oct 4 5 655 645 0 3

Nov 10 14 656 803 0 5

Dec 6 5 599 584 1 5

January 2011 7 5 631 636 0 4

Feb 12 10 526 525 1 7

Mar 9 11 663 573 2 8

TOTAL 94 107 8730 8857 6 57


Name of


Total

Blood for

MP test 40 23 42 107 88 50 44 32 26 28 44 47 571

Positive

cases (slide

+ RMT)

Total PV 6 1 2 0 1 0 0 0 0 0 0 1 11

164

Total PF 13 5 10 16 10 8 4 1 3 0 2 10 82

Total

mixed type

Blood

sugar 8 13 6 10 12 8 8 5 5 11 11 1 98

Widal

VDRL

Pregnancy

test

Hb% in

PHC 13 20 24 22 39 20 11 7 16 25 15 9 221

Hb% in SC

TLC 31 16 55 77 52 57 43 37 34 54 41 59 556

DLC 41 28 73 91 69 59 48 37 17 55 59 42 619

ESR 16 16 28 22 23 28 14 18 19 25 15 15 239

Urine RE 36 26 49 44 31 27 26 18 35 39 18 23 372

Blood

grouping

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION



WEEKS

538

% 94



6 INSTITUTION DELIVERIES


1 MATERNAL DEATHS


3 IMR

165

3)Arunachal Pradesh

166

1)Anpum PHC

Name of the PHC Anpum Population 7528

Name of the Dist L. Dibang Valley Male 3880

Distance from Itanagar 337 km ( 10 hrs) Female 3648

Distance from District HQ 87 km ( 3 hrs) 0-5 yrs population 1207

No of villages 16 6-11 yrs population 1436

No of ASHA 16 11-18 yrs population 1270

Eligible couple 1198 18-60 yrs population 3420

No of house holds 1375 Above 60 yrs population 195


Name of SCs Distance

from PHC

Motorable/

on foot

Villa

ges

Populat

ion

Male Female Eligible

Couple

No. of

ASHAs

Keba 11 km Motorable 4 1893 977 916 138 4

Paglam 17 km Motorable 4 2012 1036 976 206 5

Bizari 16 km Motorable 3 1415 732 683 203 3

Staff Pattern

Category Nos. Category Nos.

Doctor 2 ANM at PHC 3

Staff Nurse 2 ANM at Sub Centres 6

Pharmacist 1 Health Assistant 1

Lab Technician 1 Ambulance Driver 1

Others (G-D) 5 Total 22

Out-Patient and In-Patient details

Months OPD IPD Minor OT Injection Casualty/Emergency Referral

April „10 666 13 102 188 55 1

May‟10 1025 31 200 197 89 4

June‟10 1297 71 72 221 128 1

167

July‟10 1091 55 220 239 84 1

Aug‟10 1414 28 57 119 55 1

Sep‟10 1071 8 66 146 19 1

Oct‟10 985 18 97 132 71 1

Nov‟10 776 9 54 166 32 2

Dec‟10 623 15 32 115 56 2

Jan‟11 508 11 44 73 36 0

Feb‟11 632 9 51 147 33 2

March‟11 960 63 115 170 37 1

TOTAL 11048 331 1110 1913 695 17

Details of Laboratory Services Name of lab tests Ap

r

10

Ma

10

Jun

10

July

10

Aug

10

Sep

10

Oct

10

N

ov

10

Dec

10

Jan

11

Feb

11

Mar

11

Tota

l

Blood for MP test 50 145 181 125 207 63 17 0 11 11 32 69 911

RMT done 26 46 68 80 55 39 25 29 22 6 30 31 457

Positive cases (slide

+ RMT)

19 32 83 73 63 18 19 11 13 8 20 15 374

Total PV 6 10 38 23 29 4 3 0 0 2 4 5 124

Total PF 11 19 36 29 32 9 12 9 12 5 16 9 199

Total mixed type 2 3 9 21 2 5 4 2 1 1 0 1 51

Blood sugar 0 1 6 0 0 1 2 0 0 1 3 2 16

Widal 07 28 79 72 34 26 9 2 6 8 8 5 284

VDRL 0 2 1 0 0 1 0 0 0 1 15 14 34

Pregnancy test 21 21 18 21 21 34 36 9 15 10 41 40 287

Hb% in PHC 4 7 22 25 25 36 36 38 43 47 100 121 504

Hb% in SC 12 24 17 15 15 31 27 14 41 57 84 95 432

TLC 4 2 2 0 0 2 1 0 0 1 0 0 12

DLC 4 2 2 0 0 2 1 0 0 1 0 0 12

ESR 4 3 2 0 0 2 0 0 0 2 0 0 13

Urine RE 0 1 0 1 0 1 0 0 0 0 1 1 5

Stool RE 0 0 1 0 0 1 0 0 0 0 0 0 2

Blood grouping 3 7 0 0 2 2 3 0 0 2 3 12 34

Sputum test done 0 1 2 0 0 0 0 0 0 0 5 4 12

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Tota

l

New ANC registered 10 11 5 6 28 17 15 15 18 21 23 33 202

ANC<12 weeks 2 10 3 4 13 12 9 10 9 8 11 22 113

Pregnant women who

had 3 ANC

2 1 2 8 14 7 14 15 6 7 15 19 110

TT 1 8 7 0 1 17 14 7 8 9 12 14 22 119

TT 2 2 3 3 1 12 11 13 7 5 5 11 15 88

Booster 0 2 2 1 10 7 2 1 3 5 2 4 39

Pregnant women given

100 IFA tab.

2 1 2 8 14 7 14 15 6 7 15 19 110

168

Home delivery 1 0 0 1 12 14 12 6 11 14 8 6 85

Institutional delivery 7 0 2 4 8 5 11 5 3 5 6 7 63

PNC within 48 hrs 8 0 2 5 22 19 25 10 14 19 14 12 150

Oral pills cycles

distributed

3 2 1 0 11 19 20 13 11 13 38 30 161

Nos. of condom pieces

distributed

10 20 28 0 6 7 1 2 3 30 23 14 144

IUD Insertions 0 0 0 0 4 0 0 0 1 1 3 2 11

IUD removals 0 0 0 0 0 0 0 1 1 0 0 1 3

2)Bameng PHC

Name of the PHC BAMENG Population 6316

Name of the Dist East Kameng Male 3184

Distance from Itanagar 355 km Female 3132

Distance from District HQ 48 km 0-5 year 1094







from

PHC

Motorable/

on foot

Trekking

hrs from

PHC

villa

ges

Popul

ation

Mal

e

Fem

ale

No. of

ASHA

No of

schools

PAKKE 13km Motorable - 12 1860 913 947 9 7

MARJIMGLA 32km Motorable - 8 931 474 457 8 5

LADA 52km On foot 18 hrs. 18 1621 829 792 4 6

PAKSA 15km On foot 4 hrs 8 610 307 303 3 4

Staff Pattern







Out-Patient and In-Patient Details

Months OPD IPD Minor OT Injection Casualty/Emergency Referral

April „10 898 19 75 394 07 0

May‟10 1049 29 301 311 18 7

June‟10 1012 22 61 442 03 01

July‟10 1227 68 74 550 42 02

Aug‟10 1012 66 160 554 50 01

169

Sep‟10 880 54 202 458 12 1

Oct‟10 889 45 169 593 18 0

Nov‟10 808 14 74 423 19 0

Dec‟10 711 18 98 455 23 0

Jan‟11 647 10 88 478 30 1

Feb‟11 838 13 131 436 04 1

March‟11 1029 19 135 508 25 3

TOTAL 11000 377 1568 5602 251 17


Name of lab tests Ap

r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

Nov

10

Dec

10

Jan

11

Feb

11

Mar

11

Total

Blood for MP test 29 31 32 21 78 50 66 71 13 06 14 29 440

RMT done 32 66 97 94 30 05 0 04 27 27 68 38 488

Positive cases

(slide + RMT)

21 31 38 26 19 18 18 16 04 01 09 10 211

Total PV 10 11 16 13 13 14 10 11 01 01 02 07 109

Total PF 11 20 17 08 04 04 08 05 01 0 06 02 86

Total mixed type 0 0 05 05 02 0 0 0 02 0 01 01 16

Blood sugar 04 02 02 04 02 03 01 0 02 0 0 03 23

Widal test 06 18 31 27 15 21 24 16 0 0 22 37 217

VDRL 04 0 02 02 0 0 0 02 0 01 0 03 14

Pregnancy test 06 04 02 01 04 01 08 04 05 0 04 07 46

Hb% in PHC 11 33 26 34 27 16 08 26 25 13 23 26 268

Hb% in SC 01 02 0 03 0 0 05 08 05 04 01 04 33

TLC 01 0 03 02 02 02 01 01 01 0 0 03 16

DLC 01 32 03 03 03 02 01 01 01 0 0 03 50

ESR 02 32 04 05 02 02 01 01 01 0 0 03 53

Urine RE 0 0 02 01 01 0 02 02 01 0 0 1 10

Stool RE 0 0 01 0 0 0 0 0 0 0 0 0 1

Blood grouping 05 07 11 04 03 39 02 06 02 01 0 04 84

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

Nov

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 04 0 7 3 3 3 3 2 0 2 2 2 31

3 ANCs 0 0 1 1 2 1 0 0 1 5 4 3 18

TT 1 5 5 3 6 1 9 5 5 10 4 4 4 61

TT 2 3 0 0 1 0 0 0 1 1 5 2 1 14

Booster 0 0 0 0 0 0 0 0 0 0 0 04 4

100 IFA tab given 7 3 7 9 5 12 10 11 8 10 6 4 92

Home delivery 3 4 0 4 1 2 3 4 4 7 3 8 43


PNC within 48 hrs 2 4 4 5 0 3 3 2 0 6 0 4 33

Oral pills given 2 0 0 3 2 22 22 35 30 25 24 25 190

170

Condom distributed 30 70 100 500 0 30 45 100 30 50 34 27 1016

3)Etalin PHC

Name of the PHC Etalin Population 2188

Name of the Dist Dibang Valley Male 1105


Distance from District HQ 54 km ( 2 hrs) 0-5 year 258




No of house holds 488 Above 60 yrs

population

86

Sub-Centre with Population

Name of SC Distance

from

PHC

Motorable/on

foot

Trekking

hours

from

PHC

Vill

age

s

Popul

ation

Male Femal

e

No. of

ASHA

Eligible

Couple

Arzoo 35 KM Mororable - 16 601 310 291 5 102

Anelih 45 Km 15Km on foot 6 Hrs 12 438 227 211 4 74

Staff Pattern








Months OPD IPD Minor OT Injection Casualty/Emergenc

y

Referral

171

April „10 597 7 64 451 68 1

May‟10 585 9 71 266 71 5

June‟10 550 19 52 302 72 0

July‟10 792 41 60 671 144 6

Aug‟10 1027 44 39 772 65 8

Sep‟10 810 17 61 416 30 6

Oct‟10 831 25 162 526 105 5

Nov‟10 778 13 64 354 40 0

Dec‟10 593 8 72 273 60 4

Jan‟11 456 10 83 280 66 5

Feb‟11 606 11 64 305 105 4

March‟11 551 6 71 218 35 1

TOTAL 8176 210 863 4834 861 45



r

10

Ma

10

Jun

10

July

10

Aug

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total

Blood for MP test 20 49 24 128 264 115 115 86 62 60 85 16 1024

RMT done 2 8 21 87 40 20 16 0 26 16 24 47 307


+ RMT)

7 8 15 57 70 29 26 3 16 23 32 7 293

Total PV 5 5 5 32 26 10 10 3 13 12 16 2 139

Total PF 2 2 5 16 39 17 13 0 3 11 10 4 122

Total mixed type 0 1 5 9 5 2 3 0 0 0 6 1 32

Blood sugar 0 0 7 4 0 0 0 0 0 0 5 0 16

Widal 15 33 1 0 112 95 36 29 27 15 41 0 404

VDRL 0 0 0 0 6 4 7 1 6 0 10 0 34

Pregnancy test 3 3 0 5 6 9 8 2 7 6 8 9 66

Hb% in PHC 20 22 32 22 37 18 24 16 62 28 41 35 357

Hb% in SC 9 10 15 16 0 15 44 27 24 24 20 13 217

TLC 17 14 1 14 20 3 13 15 13 4 29 0 143

DLC 17 14 1 14 20 3 13 15 13 4 29 0 143

ESR 17 14 12 14 20 3 13 15 13 4 29 0 154

Urine RE 11 9 8 7 19 6 14 4 11 5 12 4 110

Stool RE 0 0 0 0 0 1 0 0 0 0 10 0 11

Blood grouping 12 8 3 1 15 5 9 4 5 9 8 0 79

Sputum test 1 1 0 0 1 1 0 10 0 14

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

10

Au

g

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Tota

l


172

ANC<12 weeks 2 2 0 2 3 1 16 0 1 0 3 6 36

Pregnant women who had

3 ANC

3 0 3 5 1 4 6 6 3 3 5 0 39

TT 1 3 1 4 8 4 4 3 1 2 1 7 0 62

TT 2 3 1 2 5 3 4 3 1 1 2 1 3 47

TT Booster 1 0 4 0 3 3 1 0 1 2 4 2 32


100 IFA tab.

5 8 5 12 13 8 13 1 5 1 12 9 92

Home delivery 3 0 4 1 3 0 6 6 1 1 0 2 27


PNC within 48 hrs 5 0 3 4 6 2 12 8 5 2 5 6 58

Oral pills cycles

distributed

27 22 29 26 32 35 32 34 59 25 41 30 392


4)Jeying PHC

Name of the PHC Jeying Population 3278

Name of the Dist Upper Siang Male 1713








Name of SC Distance

from PHC

Motorable/on

foot

Villa

ges

Populat

ion

Male Female No. of

ASHA

Eligible

Couple

Bine S/c 50km Motorable 3 512 266 246 34 2

Sibuk S/C 55Km Motorable 2 870 452 418 81 2

Staff Pattern









y

Referral

April 10 496 05 26 0 0 0

May 10 493 13 107 126 82 1

173

June 10 574 21 83 127 34 03

July 10 322 08 164 107 91 02

Aug 10 378 20 96 123 50 2

Sept 10 371 06 135 87 34 01

Oct 10 576 19 146 144 9 1

Nov 10 397 11 88 98 6 1

Dec 10 264 06 64 54 6 2

Jan 11 178 2 68 52 5 1

Feb 11 192 12 87 71 56 1

March 11 232 13 112 121 54 1

TOTAL 4473 136 1176 1110 427 16



r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oc

t

10

No

v

10

De

c

10

Ja

n

11

Fe

b

11

Mar

11

Total

Blood for MP test 39 57 79 65 69 37 76 38 19 17 35 26 557

RMT done 0 27 12 06 36 34 25 35 08 05 17 24 229


+ RMT)

4 19 16 12 11 9 11 4 0 0 4 09 99

Total PV 2 5 6 6 6 3 4 0 0 0 0 3 35

Total PF 2 14 10 6 5 5 7 4 0 0 3 2 58

Total mixed type 0 0 0 0 0 1 0 0 0 0 1 4 6

Blood sugar 0 2 6 2 0 4 4 5 0 4 2 1 30

Widal 4 7 5 8 8 1 6 6 2 6 2 1 56

VDRL 0 2 3 3 0 2 3 1 0 2 3 2 21

Pregnancy test 0 6 7 3 7 11 10 6 3 6 4 3 66

Hb% in PHC 11 12 7 7 7 23 20 23 14 11 45 61 241

Hb% in SC 8 8 7 4 5 5 18 16 5 11 5 7 99

TLC 0 0 0 0 0 0 0 15 0 0 0 0 15

DLC 0 0 0 0 0 0 10 0 6 2 5 13 36

Urine RE 0 1 3 4 1 1 0 1 0 0 0 3 14

Stool RE 0 1 1 1 0 0 0 0 0 0 0 1 4

Blood grouping 0 4 5 2 0 8 0 0 0 0 0 0 19

Sputum test 0 2 1 1 0 0 0 3 0 0 1 0 8

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Mar

11

Total


ANC<12 weeks 5 2 1 1 0 2 2 1 1 2 4 0 21

Pregnant women who 2 5 2 2 2 5 5 5 8 4 3 2 45

174

had 3 ANC

TT 1 6 4 3 6 3 2 11 4 2 3 2 0 46

TT 2 0 9 3 3 4 2 2 7 6 1 3 0 40

Booster 1 1 0 0 0 0 1 0 0 0 1 0 4

Hb% level <11 0 0 0 3 0 5 1 1 0 2 0 1 13


100 IFA tab.

6 7 3 2 5 4 6 4 8 3 2 3 53

Home delivery 5 7 6 3 1 2 3 5 2 1 5 3 43


PNC within 48 hrs 6 7 6 5 2 4 10 7 3 4 6 6 66

Oral pills cycles

distributed

1 7 5 1 14 0 12 18 58 9 15 8 148


distributed

97 42 40 55 70 0 60 32 396 135 108 150 1185

Wet mount test 2 0 4 4 2 3 4 1 3 2 0 0 25

5)Khimiyong PHC

Name of the PHC Khimiyong Population 3744

Name of the Dist Changlang Male 1940

Distance from Itanagar 658 Km Female 1804

Distance from District HQ 38 Km 0-5 year 531






Name of SC Distance

from PHC

Motorable/on foot Villages Popul

ation

Male Fem

ale

No. of

ASHA

Eligible

Couple

Yanam 18 km Motorable 5 915 464 451 4 86

Jongji Havi 20 km Half Motorable 5 1194 598 596 5 156

Staff Pattern Category Nos. Category Nos.








y

Referral

April „10 505 2 45 100 28 0

May‟10 602 2 42 155 11 2

June‟10 620 6 102 261 24 1

July‟10 781 2 71 219 35 0

175

Aug‟10 991 2 37 459 25 0

Sep‟10 784 0 50 465 68 0

Oct‟10 672 0 55 323 84 0

Nov‟10 535 1 59 196 9 1

Dec‟10 582 1 28 186 18 0

Jan‟11 419 7 48 195 32 1

Feb‟11 541 0 69 131 11 0

March‟11 466 1 43 67 30 0

TOTAL 7498 24 649 2757 375 5



r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Mar

11

Total

Blood for MP test 0 23 24 50 40 47 71 29 56 44 25 11 420

RMT done 11 28 28 43 41 48 12 11 8 0 7 12 249


RMT)

3 20 20 38 22 28 30 9 12 18 26 13 239

Total PV 2 9 9 18 8 21 21 5 7 14 13 6 133

Total PF 1 11 11 20 14 5 9 4 5 4 12 6 102

Total mixed type 0 0 0 0 0 2 0 0 0 0 1 1 4

Widal 0 5 26 28 26 16 17 4 7 4 8 4 145

VDRL 0 0 0 5 0 5 7 6 5 2 3 0 33

Pregnancy test 2 0 4 7 4 2 7 7 6 7 8 89 143

Hb% in PHC 3 5 7 9 7 9 15 60 59 39 45 103 361

Hb% in SC 2 0 0 2 1 2 8 48 38 30 24 18 173

Urine RE 0 1 0 1 0 0 0 0 0 0 11 0 13

Blood grouping 0 3 6 6 13 7 8 7 5 5 3 3 66

Sputum test 0 0 0 0 0 0 0 0 11 4 0 0 15

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 2 2 3 10 4 3 6 4 4 3 1 1 43

Pregnant women who

had 3 ANC

5 3 1 4 4 2 5 6 3 2 14 14 63

TT 1 2 7 3 10 4 6 9 10 8 4 8 4 75

TT 2 7 2 4 4 10 3 9 10 6 7 12 6 80

TT Booster 1 0 0 1 0 0 1 1 0 0 0 0 4

Hb% level <11 0 0 4 0 3 2 7 5 4 5 0 0 30

Severe anaemia (Hb>7)

treated

0 0 1 0 0 0 3 0 0 0 0 0 4


100 IFA tab.

5 3 1 4 4 2 5 5 1 1 11 14 56

Home delivery 7 2 5 2 0 3 4 1 5 2 5 1 37


176

PNC within 48 hrs 3 3 1 1 2 9 9 4 20 12 7 4 75

Oral pills cycles

distributed

40 32 29 32 34 36 32 34 50 61 48 54 482


IUD Insertions 0 2 2 0 0 0 0 0 0 2 0 0 6

IUD removals 0 0 1 0 0 0 0 0 0 1 0 7 9

6)Mengio PHC

Name of the PHC Mengio Population 4386

Name of the Dist Papum Pare Male 2208








Name of SC Distance

from

PHC

Motorable/

on foot

Trekking

hours

from PHC

Villa

ges

Popul

ation

Male Femal

e

No. of

ASHA

Eligibl

e

Coupl

e

Kamrung 14 km Motorable 11 701 335 366 11 69

Nyopang 25 km on foot 10 hrs 6 654 323 331 6 59

Pilla 45 km On foot 12 hrs 4 332 154 178 4 54

Staff Pattern








Months OPD IPD Minor OT Injection Casualty/Em

ergency

Referral

April „10 584 02 65 157 64 0

May‟10 722 14 111 254 46 01

June‟10 727 14 98 172 41 0

July‟10 1019 13 156 202 25 3

Aug‟10 983 16 83 148 18 2

Sep‟10 715 11 83 105 12 0

177

Oct‟10 526 12 113 165 10 03

Nov‟10 256 17 80 122 0 0

Dec‟10 442 07 91 224 14 0

Jan‟11 376 4 58 95 03 0

Feb‟11 435 24 33 189 17 3

March‟11 425 5 51 129 0 0

TOTAL 7210 139 1022 1962 250 12



r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oc

t

10

No

v

10

De

c

10

Ja

n

11

Fe

b

11

Mar

11

Total

Blood for MP test 31 41 29 90 84 29 41 27 15 16 22 10 435

RMT done 30 43 29 28 55 44 36 45 19 12 04 9 354

Positive cases

(slide + RMT)

20 27 23 41 44 15 26 16 9 5 8 3 237

Total PV 13 21 17 28 35 9 21 11 8 4 4 1 172

Total PF 4 4 5 9 9 5 4 1 1 1 4 1 48

Total mixed type 3 2 1 4 0 1 1 4 0 0 0 1 17

Blood sugar 0 0 0 0 0 0 0 2 0 0 0 0 02

Widal 12 28 11 25 9 22 22 10 7 5 10 8 169

VDRL 0 0 0 0 0 4 4 3 2 3 6 4 26

Pregnancy test 15 20 13 12 6 6 10 7 2 11 7 12 121

Hb% in PHC 8 19 9 8 8 8 13 12 9 6 14 10 124

Hb% in SC 4 8 4 3 3 1 3 8 2 4 4 13 57

TLC 0 0 0 0 0 0 2 2 0 0 1 0 05

DLC 0 0 5 1 0 1 3 2 0 0 1 0 13

ESR 0 0 0 0 0 1 0 0 0 0 1 0 02

Urine RE 3 4 10 4 0 4 6 0 1 1 2 0 35

Stool RE 0 0 1 0 0 0 0 0 0 0 0 0 01

Blood grouping 3 0 0 0 0 15 4 3 2 3 5 5 40

Sputum test 0 0 2 2 0 0 2 5 3 2 2 0 18

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oct

10

No

v

10

De

c

10

Ja

n

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 0 0 0 03 1 4 1 3 2 0 4 2 20

Pregnant women who

had 3 ANC

3 0 4 2 4 7 5 4 4 5 2 0 40

TT 1 08 9 4 5 1 4 3 7 2 5 6 12 66

178

TT 2 3 8 4 7 2 5 3 3 5 4 2 5 51

Booster 0 0 0 2 2 2 2 0 1 0 1 0 10

Hb % level <11 8 0 0 0 0 1 3 0 2 3 0 3 20

100 IFA tab given 8 17 4 3 4 7 5 6 3 5 2 0 64

Home delivery 4 1 3 5 1 6 3 7 4 8 8 3 53


PNC within 48 hrs 4 2 6 3 5 9 3 5 3 10 6 3 59

Oral pills cycles

distributed

8 13 11 0 9 17 0 92 18 0 0 0 168


distributed

13 31 5 0 120 370 1060 0 170 13

5

0 0 1904

IUD Insertions 0 0 0 0 0 1 0 0 0 0 1 0 2

7)Sangram PHC

Name of the PHC Sangram Population 6320

Name of the Dist Kurung Kumey Male 3085


Distance from District HQ 45 km ( 2 hrs) 0-5 year 1017






Name of SC Distance

from PHC

Motorable/on

foot

villa

ges

Popul

ation

Male Female No. of

ASHA

Eligible

Couple

Pagba 16 Km Motorable 6 608 298 310 5 73

Leel 14 Km Motorable 13 1515 710 789 13 201

O' Point 6 Km Motorable 6 1162 566 598 6 156

Staff Pattern







Radiographer 1


Months OPD IPD Minor OT Injection Casualty/Eme

rgency

Referral

179

April „10 1368 57 19 986 120 19

May‟10 1640 72 25 1064 107 1

June‟10 1584 76 22 1231 136 13

July‟10 1374 35 12 611 100 0

Aug‟10 1376 80 11 741 94 0

Sep‟10 1380 55 19 999 119 1

Oct‟10 1350 27 20 712 56 1

Nov‟10 989 29 16 495 63 0

Dec‟10 420 8 16 200 12 2

Jan‟11 884 18 16 517 52 3

Feb‟11 1157 20 20 610 28 3

March‟11 1091 25 11 587 52 2

TOTAL 14613 502 207 8753 939 45



r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oct

10

No

v

10

De

c

10

Jan

11

Fe

b

11

Ma

r

11

Total

Blood for MP test 12 80 35 44 214 112 45 51 10 4 11 41 659

RMT done 79 112 64 38 45 19 25 13 5 6 13 53 472


RMT)

23 33 23 22 52 21 16 13 1 0 1 14 219

Total PV 9 20 21 11 28 15 8 3 0 0 1 4 120

Total PF 7 11 0 8 16 3 5 4 1 0 0 7 62

Total mixed type 7 2 2 3 8 3 3 6 0 0 0 3 37

Blood sugar 10 8 4 3 9 0 0 1 0 0 0 26 61

Widal 81 155 59 0 9 14 13 8 0 6 3 37 385

VDRL 10 7 0 0 0 1 5 7 0 1 4 16 51

Pregnancy test 10 12 8 9 17 15 10 16 2 8 16 13 136

Hb% in PHC 13 17 19 18 13 16 9 11 3 4 11 34 168

Hb% in SC 0 10 6 6 18 34 21 32 16 13 20 27 203

TLC 10 7 10 4 8 1 0 1 0 2 0 8 51

DLC 12 8 10 5 8 1 0 1 0 2 1 8 56

ESR 10 7 2 0 0 0 0 0 0 0 0 0 19

Urine RE 7 10 11 2 3 8 6 4 0 2 2 12 67

Blood grouping 15 14 28 19 12 13 8 10 0 32 12 25 188

Sputum Test 0 0 0 0 0 2 1 1 0 0 4 6 14

Statistics

SERVICES Ap

r

10

Ma

10

Jun

10

Jul

y

10

Au

g

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 2 4 5 2 5 10 1 4 0 2 4 6 45

3 ANC 2 18 8 11 6 4 10 10 6 10 4 8 97

TT 1 17 21 8 7 8 8 11 12 7 10 11 7 127

TT 2 8 15 10 5 6 6 6 6 10 8 6 10 96

Booster 1 2 1 1 5 4 1 0 2 1 3 2 23

180

100 IFA tab given 4 18 8 13 6 4 10 10 6 10 4 6 99

Home delivery 6 9 7 11 12 12 9 4 10 15 10 0 105


PNC within 48 hrs 7 11 9 3 10 12 8 7 10 14 12 7 110

Oral pills given 24 26 13 3 9 14 7 6 0 0 0 2 104

Condom given 160 100 50 40 31 10 30 10 0 40 40 50 561

IUD Insertions 0 2 0 0 0 0 0 0 0 0 0 1 3

8)Walong PHC

Name of the PHC WALONG Population 2005

Name of the Dist Anjaw Male 1091








Name of SC Distance

from PHC

Motorable/on

foot

villa

ges

Popul

ation

Male Female No. of

ASHA

Eligible

Couple

Yasong 21 km Motorable 10 448 226 222 8 63

Kibitho 31 km Motorable 9 744 436 308 6 130

Staff Pattern








Months OPD IPD Minor OT Injection Casualty/Emer

gency

Referral

April „10 336 3 34 68 4 0

May‟10 384 11 30 208 6 3

June‟10 631 28 44 101 8 0

July‟10 1017 20 63 354 8 1

Aug‟10 1012 15 134 216 11 1

Sep‟10 796 14 43 260 4 1

Oct‟10 558 10 44 149 5 1

Nov‟10 383 12 16 112 8 0

181

Dec‟10 506 3 49 133 2 0

Jan‟11 396 6 41 91 4 3

Feb‟11 423 3 51 100 4 0

March‟11 406 10 55 122 10 1

TOTAL 6848 135 604 1914 74 11

Details of Laboratory Tests


r

10

Ma

10

Jun

10

Jul

y

10

Aug

10

Sep

10

Oc

t

10

No

v

10

De

c

10

Ja

n

11

Fe

b

11

Mar

11

Total

Blood for MP test 6 6 10 24 2 5 6 6 0 2 10 0 77

RMT done 2 2 7 19 17 14 0 9 13 0 8 3 94


+ RMT)

0 0 1 3 0 4 6 4 4 0 12 2 36

Total PV 0 0 0 0 0 1 2 2 2 0 5 0 12

Total PF 0 0 0 3 0 1 1 2 1 0 5 2 15

Total mixed type 0 0 1 0 0 2 3 0 1 0 2 0 9

Blood sugar 3 2 4 1 1 5 2 0 0 0 0 1 19

Widal 0 0 5 3 0 10 7 6 0 1 16 4 52

VDRL 3 2 7 4 0 5 2 3 0 4 6 4 40

Pregnancy test 3 0 11 21 5 12 3 5 14 1 11 10 96

Hb% in PHC 6 5 17 10 9 19 8 18 11 19 13 14 149

Hb% in SC 1 1 8 6 7 7 2 4 9 10 5 6 66

TLC 0 2 2 1 1 0 2 0 1 0 0 0 9

DLC 0 2 2 1 1 2 4 1 1 0 1 0 15

ESR 2 2 2 1 1 0 2 0 1 5 0 1 17

Urine RE 5 5 12 7 1 1 6 3 1 9 8 3 61

Stool RE 1 0 0 0 0 0 1 0 0 0 0 0 2

Blood grouping 4 2 8 6 5 5 5 18 3 7 8 2 73

Sputum test done 0 1 0 1 0 0 0 0 0 0 0 2 4

Wet mount test 2 2 7 4 0 4 2 1 0 1 6 2 31

Statistics

SERVICES Ap

r

10

Ma

10

Ju

n

10

July

10

Aug

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 4 2 5 3 3 2 2 1 5 3 3 4 37

3 ANCs 5 0 5 3 4 1 2 5 7 3 4 3 42

TT 1 4 2 4 13 7 8 1 0 6 3 3 3 54

TT 2 1 4 2 2 8 2 6 1 2 6 3 3 40

Booster 0 0 2 2 2 2 1 0 2 1 1 2 15

100 IFA tab given 4 2 9 12 7 1 3 5 7 5 3 2 60

Home delivery 0 1 0 0 5 1 4 2 5 3 3 2 26


182

PNC within 48 hrs 3 2 6 2 7 5 3 4 7 2 2 9 52

Oral pills cycles

distributed

26 68 20 41 22 35 12 31 39 22 316 45 677


RTI /STI cases treated

for male

0 1 0 1 1 1 0 0 0 0 0 0 4

RTI /STI cases treated

for female

0 2 4 3 1 0 0 0 0 0 0 0 10

IUD Insertions 0 0 3 1 0 2 1 0 0 0 0 0 7

9)Wakka PHC

Name of the PHC Wakka Population 11279

Name of the Dist Tirap Male 5685


Distance from District HQ 78 km 0-5 year population 1806






Name of SC Distance

from PHC

Motorable/on

foot

villa

ges

Popul

ation

Male Female No. of

ASHA

Eligible

Couple

Nginu 22 Motorable 5 4879 2557 2322 6 672

Khanu 24 Motorable 3 2122 1048 1074 4 303

Staff Pattern








Months OPD IPD Inpatient at

midnight

Minor

OT

Injection Casualty/E

mergency

Referral

April „10 1430 26 106 184 432 9 0

May‟10 2062 27 91 173 591 11 5

June‟10 2150 36 90 151 426 3 0

July‟10 2227 32 194 150 587 1 0

Aug‟10 2325 40 232 244 988 7 0

183

Sep‟10 1355 25 141 15 385 1 0

Oct‟10 1722 26 192 139 461 2 0

Nov‟10 1619 20 97 198 527 9 0

Dec‟10 1373 9 67 122 372 0 1

Jan‟11 826 5 13 105 189 5 0

Feb‟11 1405 11 0 91 173 9 0

March‟11 1425 11 65 94 374 1 0

TOTAL 19919 268 1288 1666 5505 58 6

Details of Laboratory Services Name of lab tests Apr

10

Ma

10

Jun

10

Jul

10

Au

g

10

Se

p

10

Oc

t

10

No

v

10

De

c

10

Ja

n

11

Feb

11

Ma

r

11

Total

Blood for MP test 29 0 7 122 10 0 42 52 16 8 9 14 309

RMT done 79 36 26 52 99 24 5 20 16 8 5 35 405


+ RMT)

32 15 4 19 14 2 3 15 1 1 4 4 114

Total PV 15 8 0 15 7 2 3 13 1 1 1 2 68

Total PF 15 4 4 4 6 0 0 2 0 0 1 2 38

Total mixed type 2 3 0 0 1 0 0 0 0 0 2 0 8

Widal 6 0 3 12 7 0 11 16 8 4 7 16 90

VDRL 10 0 3 6 1 0 1 5 2 0 2 3 33

Pregnancy test 12 7 22 10 9 7 6 7 5 2 10 11 108

Hb% in PHC 25 4 21 28 54 29 7 17 8 3 21 40 257

Hb% in SC 0 3 10 11 7 12 11 3 8 5 15 29 114

TLC 0 0 0 0 0 0 0 0 1 0 1 0 2

DLC 0 0 0 0 0 0 0 0 4 0 3 5 12

ESR 0 0 0 1 4 0 2 0 0 0 0 3 10

Urine RE 20 0 2 10 1 1 6 7 3 2 10 11 73

Blood grouping 14 0 6 14 6 0 5 11 6 25 11 6 104

Sputum test 5 2 1 6 0 3 5 0 0 5 6 33

Statistics

SERVICES Apr

10

M

a

10

Jun

10

Ju

l

10

Aug

10

Sep

10

Oct

10

No

v

10

Dec

10

Jan

11

Feb

11

Ma

r

11

Total


ANC<12 weeks 3 3 9 9 4 8 4 4 9 9 9 3 74

Pregnant women who

had 3 ANC

3 10 7 7 8 9 8 9 4 2 14 9 90

TT 1 30 20 15 25 15 16 22 7 9 13 14 20 206

TT 2 12 14 2 7 11 17 14 12 2 11 4 15 121

Booster 0 1 0 3 5 1 0 0 0 11 0 0 21


100 IFA tab.

30 9 10 11 9 16 13 9 9 7 14 19 156

Home delivery 8 8 12 26 24 18 19 24 10 16 24 9 198


PNC within 48 hrs 11 10 12 27 22 20 25 26 11 15 25 11 215

Oral pills distributed 4 25 14 13 21 36 21 2 18 15 27 13 209

184


RTI/STI treatment for

Male

0 1 1 2 0 0 0 2 2 0 1 0 9

RTI/STI treatment for

Female

1 1 1 2 0 0 0 5 9 0 0 0 19

10)Tuting CHC

Name of the PHC Tuting

Name of the Dist Upper Siang

Distance from Itanagar 670 Km

Distance from District HQ 300 Km

No of villages 40

Population 9000 approx.*

No of Sub-centres Migging, Gelling, Palling, Singa & Ngokong

Staff Pattern








Months OPD IPD Minor OT Injection Casualty/Em

ergency

Referral

Nov‟10 194 0 17 199 0 0

Dec‟10 542 0 36 357 0 0

Jan‟11 503 0 25 395 0 0

Feb‟11 947 0 138 479 0 11

March‟11 1386 44 71 488 50 3

TOTAL 3572 44 287 1918 50 14


Name of lab tests Nov

10

Dec

10

Jan

11

Feb

11

Mar

11

Total

Blood for MP test 0 9 16 38 170 233

RMT done 31 42 23 47 0 143

Positive cases

(slide + RMT)

4 9 5 11 17 46

185

Total PV 2 4 2 6 6 20

Total PF 1 1 3 5 6 16

Total mixed type 1 4 0 0 5 10

Blood sugar 0 0 0 0 0 0

Widal 0 0 0 0 31 31

VDRL 0 0 0 0 14 14

Pregnancy test 3 12 5 13 12 45

Hb% in PHC 0 3 8 20 41 72

Hb% in SC 0 5 3 4 8 20

TLC 0 0 0 0 2 2

DLC 0 0 0 0 4 4

ESR 0 0 0 0 5 5

Urine RE 5 9 10 12 16 52

Blood grouping 0 0 0 0 92 92

Statistics

SERVICES Nov

10

Dec

10

Jan

11

Feb

11

Mar

11

Total

New ANC registered 10 5 5 4 8 32

ANC<12 weeks 10 5 5 0 0 20

Pregnant women with 3 ANC 2 0 2 0 1 5

TT 1 4 5 2 4 7 22

TT 2 1 2 3 1 1 8

Booster 2 1 3 0 0 6

Pregnant women given 100 IFA tab. 10 5 5 6 1 27

Home delivery 0 0 0 0 2 2

Institutional delivery 1 0 2 0 1 4

PNC within 48 hrs 1 0 2 0 1 4

Oral pills cycles distributed 0 10 7 15 1 33

Condom pieces distributed 0 17 10 100 3 130

186

Activities Photos of AP

187

4)Meghalaya PHCs

188

1) Primary Health Centre Mawlong General information:-

Name of the PHC Mawlong Population 3689

Name of the Dist East Khasi Hills Male 1954

Distance from Shillong 75 km Female 1735






PHC Then & Now:

Before taking over After taking over

LAND Inadequately maintained.

No Fencing No gardening

Cleaned-up, Fencing done

KT has started garden.

PHC BUILDING

& STAFF

QUARTERS

Poor maintenance of

building, Underutilized of

the PHC building

Cleaned-up the building. We have painted the

building. Tiles fixed in labour room. Fully utilized

SUB-CENTER

BUILDINGS

No SC Karuna Trust started a health unit to provide services

for villagers.

EQUIPMENTS Irregular ,Inadequate

No Autoclave

Not utilized, No Oxygen

Suction machine, nebulizer, Autoclave, Microscope,

micropippet, Oxygen, baby warmer, MoT table, IPD

beds, labour cot etc supplied

COLD CHAIN Poor maintenance Well maintained with generator back up

FURNITURE Inadequate Well furnished

STAFF Many vacancies with poor

attendance.

KT has filled up all the vacant posts as per MoU.

All the staffs are staying in the head quarters and they

are rendering the 24 hrs services.

OPD Mo not stayed at PHC 2 MOs, 2 OPD rooms, 24 hours service

IPD No ward 7 beds available

Laboratory No Fully Functional,

Pharmacy Inadequate All essential drugs available, KT procures if needed,

Anti snake venom and anti rabies injection are kept

Labour room No Labour room KT modified building to well equipped labour room,

Tiles fixed, attached toilet

Minor OT Poorly maintained Fully functional

Referral services Nil KT procured new ambulance

National Health

Programs

Irregular Effective implementation of Malaria control, RNTCP,

NBCP, HIV/AIDS

TRAININGS Infrequent

Regular Training on RCH and MCH services. IEC,

PHC Management, Capacity building

WATER &

ELECTRICITY

Irregular supply 24 hours availability of water & electricity

189

Performance (April 10 to March 2011)

Months OPD IPD Minor

OT

Injection Casualty/Emergenc

y Referral

April „10 783 02 08 21 13 01

May‟10 1120 05 18 29 23 03

June‟10 844 06 16 24 17 Nil

July‟10 1613 45 26 57 19 01

Aug‟10 1608 29 12 42 53 01

Sep‟10 1144 22 19 35 20 -

Oct‟10 1108 24 09 36 35 01

Nov‟10 992 15 38 37 41 -

Dec‟10 702 13 03 160 42 -

Jan‟11 737 21 04 36 33 -

Feb‟11 657 12 04 218 25 01

March‟11 743 04 02 46 31 -

TOTAL 12051 198 159 741 352 8

Maternal Care Services:

SERVICES Apr

10

Ma

10

Jun

10

Jul

10

Aug

10

Sep

10

Oct

10

Nov

10 Dec

10

Jan

11

Feb

11

Mar

11 Total


ANC<12 weeks 5 6 3 3 4 3 2 1 5 1 5 1 39

Pregnant women who

had 3 ANC

3 3 4 2 5 3 4 1 6 3 1 1 36

TT 1 5 11 1 3 2 2 3 3 2 1 2 1 36

TT 2 5 4 2 4 1 3 1 1 2 4 - 3 30

TT Booster 2 2 2 1 0 8 3 2 - 1 1 1 23


100 IFA tab.

3 3 4 2 5 3 4 1 6 3 1 1 36

Home delivery - - - - 7 3 4 3 - - 1 1 19

Institutional delivery * - - - 1 3 5 6 6 5 8 3 6 43

PNC within 48 hrs - - - 1 5 2 10 11 5 8 3 8 53

Oral pills cycles

distributed

4 4 6 5 4 2 4 4 10 7 5 4 59

Condom distributed Nil 10 Nil 30 100 10 30 110 120 210 70 40 730

Maternal death - - - - - - - - - - - - 0

**Out of 43 ID, total 21 deliveries conducted at PHC labour room

190

Laboratory report:


10

May

10

Jun

10

Jul

10

Aug

10

Sep

10

Oct

10

Nov

10

Dec

09

Jan

10

Feb

10

Mar

10

Total

Blood for MP test 47 29 35 85 38

7

187 11

4

135 32 52 84 90 1277

RMT Done - - - - - 19 11 9 7 16 42 23 127

Positive cases - 3 2 3 9 4 5 3 4 2 6 2 43

Total PV cases - 1 2 3 9 4 3 1 - 1 2 - 26

Total PF cases - 2 - - - - 2 2 4 - 4 2 16

Total mixed - - - - - - - - - 1 - - 1

Blood sugar Nil Nil Nil 2 - 1 3 4 5 1 4 8 28

Widal test 11 13 11 36 89 65 55 46 13 31 55 42 467

VDRL test 9 7 5 4 12 16 8 26 9 9 31 27 163

Pregnancy test 4 6 3 5 6 6 8 7 10 7 19 11 92

Blood grouping 8 9 4 5 11 12 5 4 9 6 8 8 89

Hb% 16 45 18 21 63 41 33 51 26 41 78 70 503

TLC 9 7 7 14 35 19 26 46 14 38 68 66 349

DLC 9 7 7 13 35 19 26 46 14 38 68 67 349

ESR 9 7 6 14 37 27 27 46 14 38 66 66 357

Urine RE 1 5 1 9 18 17 29 39 14 16 31 21 201

Sputum 6 17 12 23 42 28 14 26 20 12 18 35 253

Stool RE Nil Nil Nil 1 2 6 1 3 1 6 2 - 22

Personnel Availability: (as on 31st March 2011)



Staff Nurse 2 Ambulance Driver 1

Pharmacist 1 Accountant 1

Health Educator 1 Others (G-D) 5

Lab Technician 1 Total 19

191

2)Primary Health Centre Mawsahew

General information:-

Name of the PHC Mawsahew Population 3297

Name of the Dist East Khasi Hills Male 1604

Distance from Shillong 67 km Female 1693




Eligible couple 18-60 yrs population 1510


Sub Centre coverage:


from

PHC

Motorable/

on foot

Trekking

hrs from

PHC

villa

ges

Popul

ation

Mal

e

Fem

ale

No. of

ASHA

No of

schools

Wakhaliar 3 Motorable - 4 762 367 395 4 91

Rumnong 25 On foot 3.5 hours 8 470 250 220 2 47

Mawphu 40 On foot 7 hours 5 1188 562 626 3 154

Two SCs Mawphu and Rumnong are located in very inaccessible & difficult locations. Mowphu SC

takes 7 hours continuous trekking from PHC Mawsahew while it takes 3-4 hours to reach Rumnong

SC on foot. During the govt. run period all the three subcentres were completely non functional,

building were dilapidated and the SCs were without any healthcare items. Karuna Trust took up the

repairing work and made some arrangements for staying of staff in all the SCs. All the SC level

healthcare materials have been provided in these health centres. In one SC, two ANMs stay together

to provide 24 hours health services. During the year ANMs have visited all the houses under the PHC

and SCs and they could visit the households 1066 times. This results a good rapport between PHC/SC

staff and the community which ultimately increased the general awareness & also the control over the

communicable diseases.

PHC Then & Now:

Services Before taking over After taking over

LAND Inadequately maintained.

No Fencing No gardening Cleaned-up, Fencing done

KT has started herbal garden.

PHC BUILDING &

STAFF QUARTERS

Poor maintenance of

building, Dilapidated


the PHC building



Tiles fixed in labour room

Fully utilized

SUB-CENTER

BUILDINGS

Untidy and dirty

Not functional Cleaned-up the building.

ANMs occupied the Building,

3 SCs becomes Functional

192

EQUIPMENTS Inadequate equipment

No Autoclave, Not utilized

No Oxygen

Suction machine, nebulizer, Autoclave,

micropippet, Oxygen, baby warmer, MoT

table, IPD beds, labour cot. Foot steps,

revolving tool, IV stand etc supplied

COLD CHAIN

EQIPMENT

Maintained without

generator

Alternate power back up with generator and

inverter

FURNITURE Inadequate Well furnished PHC and staff quarter


attendance.

KT has filled up all the vacant posts , 2 MOs, 2

GNMs, 8 ANMs, 1 pharmacist, 1 LT

All the staffs are staying in the head quarters

and they are rendering the 24 hrs services.

OPD No regular MO stayed at

PHC

2 MOs, 2 OPD rooms, 24 hours service



Pharmacy Inadequate All essential drugs available, KT procures if

needed

Anti snake venom and anti rabies injection are

kept in PHC

Labour room No Labour room KT modified building to well equipped labour

room, Tiles fixed, attached toilet

Minor OT Very poor Fully functional


National Health

Programs

Irregular Effective implementation of Malaria control,

RNTCP, NBCP, HIV/AIDS, etc


Regular Training on RCH and MCH services.

IEC, PHC Management, Capacity building

WATER &

ELECTRICITY



Months OPD IPD Minor OT Injection Casualty/Eme

rgency Referral

April „10 236 01 - - - -

May‟10 281 02 - 24 04 01

June‟10 413 - - - - -

July‟10 336 01 - 18 - -

Aug‟10 451 24 03 52 119 01

Sep‟10 857 30 01 391 69 01

Oct‟10 738 24 02 362 52 02

Nov‟10 744 21 11 180 75 04

Dec‟10 539 09 22 175 39 04

Jan‟11 809 08 06 88 43 01

Feb‟11 800 10 12 162 38 02

March‟11 862 14 09 225 40 04

TOTAL 7066 144 66 1677 479 20

Maternal care services:

SERVICES Apr

10

Ma

10

Jun

10

Jul

10

Aug

10

Sep

10

Oct

10

Nov

10

Dec

10

Jan

11

Feb

11

Mar

11

Total

193

** Out of 27 ID, total 13 deliveries were conducted at PHC labour room

ANC registered 1 9 10 6 7 13 7 18 12 9 17 7 116

ANC< 12 weeks 1 5 5 1 - 2 4 12 4 4 8 7 53

Pregnant women

who had 3 ANC

- 2 - 5 2 8 5 12 13 12 14 16 89

TT 1 - 6 8 5 2 8 5 10 6 4 7 4 65

TT 2 1 1 2 2 6 3 6 06 - 6 3 3 39

Booster 1 - 1 - 2 - - - - 5 7 1 17

Pregnant women

given 100 IFAtab

3 - 1 - 3 4 4 13 9 4 14 18 73

Home delivery - - - - 4 3 5 3 2 4 1 0 22

Delivery at PHC - - - 4 1 2 2 3 5 1 4 5 27

PNC within 48 hrs - 1 1 2 3 2 2 3 7 2 1 3 27

Oral pills cycles

distributed

3 4 4 - 4 4 23 30 19 32 11 17 151

Nos. of condom

pieces distributed

- - - - - - - 500 05 370 130 110 1115


10

May

10

Jun

10

Jul

10

Aug

10

Sep

10

Oct

10

Nov

10

Dec

09

Jan

11

Feb

10

Ma

r

10

Total

Blood for MP test - 4 30 36 167 70 70 61 33 23 20 18 532

RMT Done - - 5 36 14 30 70 2 - - - - 157

Positive case

(Slide+RMT)

- - - 4 39 18 2 - - - - - 63

Total PV cases - - - 2 18 10 2 - - - - - 32

Total PF cases - - - 2 19 8 - - - - - - 29-

Total mixed - - - - 2 - - - - - - - 2

Widal - - 6 3 44 43 47 33 13 19 8 16 232

VDRL - - 3 1 5 6 4 19 14 18 10 6 86

Pregnancy test - - 1 1 5 7 2 20 9 13 7 10 75

Blood grouping - 3 6 5 4 6 10 25 12 11 5 3 90

Hb% - 2 37 52 161 82 129 11

0

11

1

85 78 67 914

TLC - - - - 21 16 12 17 6 8 7 14 101

DLC - - 2 - 12 1 12 10 5 8 5 12 67

ESR - - - 1 8 3 15 17 11 9 6 14 84

Urine RE - - 5 5 15 16 16 30 14 16 11 15 143

Stool RE - - - - 2 2 4 4 - 2 - - 14

Sputum 0 0 8 12 14 2 15 15 8 19 11 18 122

194




Staff Nurse 2 ANM at SC 6


Health Educator 1 Ambulance Driver 1

Lab Technician 1 Others (G-D) 7

3)Primary Health Centre Umtrai General information:-

Name of the PHC Umtrai Population 4104

Name of the Dist Ri Bhoi Male 2069

Distance from Shillong 105 Female 2035

No of AWC 7 0-5 year 716






Months OPD IPD Minor OT Injection Casualty/Emer

gency

Referral

April „10 409 13 02 41 04 02

May‟10 691 26 - 90 28 05

June‟10 849 21 01 71 10 07

July‟10 530 18 02 84 03 02

Aug‟10 521 14 1 74 - 01

Sep‟10 443 06 03 66 01 04

Oct‟10 689 21 01 95 09 03

Nov‟10 430 18 01 83 02 01

195

Dec‟10 465 06 03 47 03 04

Jan‟11 537 17 12 69 09 -

Feb‟11 452 24 15 81 09 01

March‟11 547 10 08 66 10 03

TOTAL 6563 194 49 867 88 32

Sub Centre coverage:

Name of

SCs

Distance

from

PHC

Motorable/o

n foot

Vill

age

s

Popul

ation

Mal

e

Fema

le

No. of

ASHA

Eligible

couple

SC building

Umlaper 7 Motorable 5 1475 746 729 4 180 Dilapidated

PHC Then & Now:

Before taking over After taking over

LAND Not maintained. No Fencing

No gardening

Cleaned-up, Fencing done. KT has started

garden.

PHC BUILDING &

STAFF QUARTERS

Poor maintenance of


the PHC building

Cleaned-up the building. We have painted the

building. Tiles fixed in labour room. Fully utilized

SUB-CENTER

BUILDINGS

Untidy and dirty

Not functional


ANMs occupied the Building, 1 SC becomes

Functional

EQUIPMENTS Irregular

Inadequate

No Autoclave

Not utilized No Oxygen

Suction machine, nebulizer, Autoclave,

Microscope, micropippet, Oxygen, baby warmer,

MoT table, IPD beds, labour cot, Patient tools, IV

stand, mattress etc supplied

COLD CHAIN

EQIPMENT

Maintained without

generator

Generator and inverter available

FURNITURE Inadequate Well furnished


attendance.

KT has filled up all the vacant posts , 2 MOs, 2

GNMs, 1 LT, 1 Pharmacist, 5 ANMs, and 1

Health educator

All the staffs are staying in the head quarters and

they are rendering the 24 hrs services.

OPD No regular MO stayed at

PHC

2 MOs, 2 OPD rooms, 24 hours service



Pharmacy Inadequate All essential drugs available, KT procures if

needed. Anti snake venom and anti rabies

injection are kept in PHC

Labour room No Labour room KT modified building to well equipped labour

room, Tiles fixed, attached toilet

196

Total 37 deliveries conducted in this room

Minor OT Poorly maintained Fully functional


National Health

Programs

Irregular Effective implementation of Malaria control,

RNTCP, NBCP, HIV/AIDS


Regular Training on RCH and MCH services.

IEC, PHC Management, Capacity building

WATER &

ELECTRICITY


Maternal Care Services:

SERVICES Apr

10

Ma

10

Jun

10

July

10

Aug

10

Sep

10

Oct

10

Nov

10

Dec

10

Jan

11

Feb

11

Mar

11

Total


ANC- < 12 weeks 3 5 5 6 6 4 11 3 6 5 7 7 68

Pregnant women who

had 3 ANC

3 2 2 2 1 5 2 6 2 6 3 3 37

TT 1 9 5 5 9 8 9 8 11 4 4 3 6 81

TT 2 6 5 - - 6 3 1 10 11 3 3 2 61

Booster 2 - 2 - 5 1 3 - 1 5 3 1 18


100 IFA tab.

3 1 2 6 1 5 2 6 2 6 3 3 40

Home delivery 13 10 7 1 8 4 3 3 1 4 4 3 61

Institutional delivery

**

1 1 3 4 1 1 8 4 3 9 8 4 47

PNC within 48 hrs 3 11 7 4 - 1 8 7 3 11 12 7 74

Oral pills cycles

distributed

45 30 50 45 47 50 45 40 40 35 40 51 518


distributed

40 20 20 14

0

30

0

50

0

34

0

32

0

300 25

0

20

0

270 2700

Maternal death - - - - - - - - - - - - 0 ** Out of 47 ID, total 37 deliveries took place in PHC labour room.

Laboratory Report:-


10

May

10

Jun

10

Jul

10

Aug

10

Sep

10

Oct

10

Nov

10

Dec

09

Jan

10

Feb

10

Mar

10

Total

Blood for MP test 42 197 157 82 57 42 55 35 31 56 65 95 924

RMT Done 21 37 41 9 - 4 27 16 15 33 13 31 247

Positive cases 10 26 52 16 5 5 18 12 16 26 20 18 224

Total PV cases 3 7 2 2 2 3 2 4 4 2 8 39

Total PF cases 7 15 47 14 3 2 10 8 10 18 18 8 160

Total mixed 4 3 6 2 6 2 2 25

Blood sugar 5 - - - 1 2 8 7 4 2 23 29 81

Widal 4 1 1 2 2 1 - 7 4 8 8 16 54

VDRL 15 5 9 - 15 16 25 11 13 12 13 15 149

Pregnancy test 5 5 5 5 4 6 15 12 9 11 11 16 104

Blood grouping 13 7 10 - 8 13 23 12 13 12 12 15 138

197

Hb% 37 8 15 7 20 18 29 36 33 71 102 120 496

TLC 7 - - 3 - - 4 6 3 13 40 52 128

DLC 8 - - 3 - - 4 6 3 13 40 52 129

ESR 6 - - 2 - 1 1 6 3 10 21 17 67

Urine RE 7 4 9 8 13 15 23 16 18 21 14 25 173

Stool RE 8 1 - 3 - - - 4 6 03 04 10 39

Sputum - - - - - - - - - 02 - - 2




Staff Nurse 2 ANM at SC 2


Health Educator 1 Ambulance Driver 1

Lab Technician 1 Others (G-D) 5

198

5) Andhra Pradesh PHCs

199

1) Primary Health Centre Gadiguda

Name of the PHC : Gadiguda

Taluk : Narnoor

District : Adilabad



Staff : 13



Sl.

No Name of the SC

Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Gadiguda 2 km Under

construction

12 4613 2053 2560 274 2

2 Mediguda 5 km Under

consrtuction

16 3967 1980 1987 220 2

3 Parsuwada 7 km Under

construction

14 3174 1564 1610 217 2

4

5

Total 42 11754 5597 6157 711 6

Staff Pattern






V FDA/Administrator xiii Arogyamitra 1 1



Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 180 192 910 1120 1 2

May 105 115 610 617 1 3

Jun 102 105 810 830 2 3

Jul 112 122 1120 1022 2 1

Aug 79 82 640 730 4 6

Sep 104 114 1002 1038 6 6

200

Oct 132 163 906 926 3 5

Nov 201 214 945 1033 1 3

Dec 221 294 980 1225 1 1

January 2011 209 223 937 1041 0 2

Feb 310 365 890 968 0 1

Mar 205 234 935 1200 0 1

TOTAL 1960 2223 10685 11750 21 34


Name of


Total

Blood for

MP test 250 262 241 250 274 305 315 320 251 300 311 330 3409

Positive

cases (slide

+ RMT)

Total PV

Total PF 0 1 0 0 0 0 1 0 1 1 0 0 4

Total

mixed type

Blood

sugar

Widal

VDRL

Pregnancy

test 6 7 12 20 25 31 29 26 5 12 7 10 190

Hb% in

PHC 26 35 26 30 28 25 28 30 20 25 30 40 343

Hb% in SC

TLC

DLC

ESR

Urine RE

Blood

grouping

Rapid tests

for HIV 282 305 279 300 327 361 373 376 277 338 348 380 3946

201

Statistics

Sl.

No


1 POPULATION 12154



WEEKS

247

% 100%




7 % INSTITUTIONAL DELIVERIES 27%

1 MATERNAL DEATHS 0


3 IMR 148.93617

2)Primary Health Centre Lingapura

Name of the PHC : Lingapura

Taluk : Sirpur-U

District : Adilabad



Staff : 15




Distance

From the

PHC

Building

(Y/N)

No. of


Eligible

Couples

No. of

ASHAs

1 Lingapur Yes 15 4524 2496 2028 804 3

2 Kothapally 9 km Under

construction

9 3601 1968 1633 640 1

3 Gumnoor-B 12 km Under

construction

14 2186 1234 952 393 2

4

5

Total 38 10311 5698 4613 1837 6

Staff Pattern


202








Viii Sr. H.A.


IPD OPD EMERGENCY


April 2010 110 160 920 160 2 2

May 175 143 701 143 1 2

Jun 130 165 617 165 2 4

Jul 201 214 1312 214 3 4

Aug 202 210 1230 210 2 3

Sep 205 246 1220 246 3 5

Oct 104 114 808 114 3 4

Nov 239 134 801 134 5 4

Dec 211 219 1010 219 2 5

January 2011 150 220 811 220 2 3

Feb 300 230 901 230 1 2

Mar 232 363 802 363 2 0

TOTAL 2259 2418 11133 2418 28 38


Name of


Total

Blood for

MP test 330 320 306 322 360 338 342 321 320 420 440 485 4304

Positive

cases (slide

+ RMT)

Total PV

Total PF 0 0 0 0 1 4 2 2 4 0 0 0 13

Total

mixed type

Blood

sugar

Widal

VDRL

Pregnancy

test 5 4 8 12 6 8 10 6 4 5 6 8 82

Hb% in 39 42 29 40 31 32 42 30 26 30 30 26 397

203

PHC

Hb% in SC

TLC

DLC

ESR

Urine RE

Blood

grouping

Rapid tests

for HIV

Statistics

Sl.

No


1 POPULATION 2271



WEEKS

247

% 100%




7 % INSTITUTIONAL DELIVERIES 13%

1 MATERNAL DEATHS 0


3 IMR 0

204

IV) Finance Report

2010-2011

`

1) ABOUT THE INSTITUTION:

The Trust is a voluntary organization registered as a Public Charitable Trust (the Trust in short) under the

Indian Registration Act, 1902 mainly to tackle leprosy epidemic in Yelandur Taluk of Chamarajanagara district.

Having successfully eradicated the said epidemic with in a period of 8 years, is now working to the cause of

rural health and development of people residing in Yelandur and T. Narasipura Taluk through Health,

Education, Vocational training and Social Economic programmes and to empower rural poor to organize

themselves and to work towards achievement of a self reliant community. The Trust is also maintaining many

Primary Health Centres (PHCs), Primary Health Units (PHUs) and Mobile Health Units (MHUs) handed over to

it from the Government of Karnataka, Government of Arunachala Pradesh, Government of Meghalaya and

Government of Orissa.

2) REGISTRATION PARTICULARS:

PARTICUALRS REGISTRATION No.

The Indian Registration Act, 1902

Original Registration

*12/1985-86 Volume 27/Pages 207-213 dated

5.3.1986 with the Sub Registrar of

Chamarajanagara

Amendments:

1)*8 IV Volume 27/Pages 241-248 dated 24.7.1990

with the Sub Registrar of Chamarajanagara

2) *10/1996/97/Volume 29/Page No. 241-218 dated

16.8.1996 with the Sub Registrar of

Chamarajanagara

The Income Tax Act, 1961

Section 12A Registration

TRUST/718/10A/Vol/B-1/86

Section 80G Recognition

K-23/80G/CIT/Mys/2006-07

The Foreign Contribution (Regulation) Act,

1976

094590090

Permanent Account Number AAATK 2765 Q

Tax Identification Number (VAT Act, 2003)

29520264827 w.e.f. 1.4.2005

206

ADDRESSES OF DIFFERENT OFFICES OF KARUNA TRUST ( R)

PLACE

ADDRESS

Registered Office B.R. Hills, Yelandur Taluk, Chamarajanagara District,

Karnataka-571 441

Mysore Office No.81/82, C/o TRC-VGKK, Near J.S.S. College,

Nanjanagud Road, Mysore-570 025

Bangalore Office No.686, 16th

Main, 39th

Cross, 4th

„T‟ Block

Jayanagara, Bangalore-560 041

Meghalaya State New Kench‟s Trace, Behind Sankerdev College, PO

Rilbong, Shillong-793 004

Aurnachala Pradesh

Viveka Building, Opp. Arunodaya School

„H‟ Sector, Itanagara, Arunachalapradesh

Orissa State

C/o Human Development Foundation

M-4, Samant Vihar (PO)

Macheswar Rly. Colony,

Bhubaneshwar, Orissa – 751 017

Andra Pradesh Adilabad District, Andra Pradesh

3) BOOKS OF ACCOUNT AND PROJECTS:

i) Entire books of account of the Trust are divided into two sets called Local Account and Foreign

Account. Under Local Account, all funds received and utilized inside India are accounted. Under Foreign

Account, all funds received from abroad and utilized inside India are accounted. Further, based upon the

projects separate books of accounts are maintained in Local and Foreign account. Cash books are maintained in

manual and then fed into computer using Tally.ERP-9 Software. Printouts of Cash Book, General Ledger and

Journal Register are taken from computers.

ii) The following are the separate Projects operated in the financial year 2010-11:

LOCAL ACCOUNT:

1) Local General

2) Herbal Medicine Plant Unit (HMPU)

3) Primary Health Center-Gumballi (PHC Gumballi)

4) ANM Nursing School

5) Mobile Health Clinic, Chamarajanagara

207

6) NCRI, Hyderabad

[Books of accounts for the projects 1-6 are maintained at B.R. Hills]

7) AIISH Project

8) MANASA Project

9) KT-General Account (Mysore)

10) Mobile Health Unit

[Books of accounts for the projects 7-10 are maintained at Mysore Office]

KT-Bangalore Accounts

11) Locost Medicines

12) Traditional Medicines (TM)

13) Population Foundation of India(PFI)

14) Sir Dorabji Tata Trust [SDTT]

[Books of accounts for the projects 11-15 are maintained at Bangalore Office]

15) Primary Health Centers, Primary Health Units and Mobile Health Units - Karnataka (26 PHCs & 6

MHUs /31 different books)

Books are maintained at Individual PHCs / MHCs itself but controlled by the Bangalore Office

Consolidation of financial transactions are also done at the Bangalore office. However there are no

separate books of account for consolidated financial statements]

16) Meghalaya Primary Health Centres (PHCs)

[Books of maintained at Individual PHCs itself but controlled by the Bangalore Office Consolidation of

financial transactions are also done at the Bangalore office

However there are no separate books of account for consolidated financial statements]

17) Andra Pradesh

[Books of maintained at Individual PHCs itself but controlled by the Bangalore Office Consolidation of

financial transactions are also done at the Bangalore office

However there are no separate books of account for consolidated financial statements]

SDTT-Aurnachala Pradesh(AP) and Karnataka

[Books of maintained at Arunachala pradesh and Bangalore Office Consolidation of financial

transactions are also done at the Bangalore office However there are no separate books of account for

consolidated financial statements]

18) Orissa Primary Health Centers(PHCs)

[Books of maintained at Individual PHCs itself but controlled by the Bangalore Office

Consolidation of financial transactions are also done at the Bangalore office However there are no

separate books of account for consolidated financial statements]

19) Arunachala Pradesh Primary Health Centres(PHCs)

[Books of maintained at Arunachala pradesh Office itself)

FOREIGN ACCOUNT:

20) Foreign General

21) Indian Literacy Project

22) T. Narasipura Project

23) MacArthur Project

[Books of accounts for the projects 22-25 are maintained at B.R. Hills

`

KARUNA TRUST ( R )

RURAL HEALTH PROJECT

B.R. HILLS, YELANDUR TALUK, CHAMARAJANAGARA DISTRICT-571 441

EXPENDITURE AS AT

31.3.2011 Percentage (%)

To GRANT UTILISATION:

Programme Expenses - Health 125,897,275.00 93.22

Research Poject Expenses 808,600.00 0.60

Rural Development Expenses 692,499.00 0.51

Education Expenses 286,183.00 0.21

Fixed Assets

" Building, Vehicles and Equipments 4,904,565.00 3.63

Administrative Expenses 2,469,944.00 1.83

"

"

TOTAL 135,059,066.00 100.00

Programme Expenses - Health

93.22%

Research Poject Expenses

0.60%

Rural Development

Expenses0.51%

Education Expenses

0.21%

Building, Vehicles and Equipments

3.63%

Administrative Expenses

1.83%

Expenditure

209

INCOME AS AT

31.3.2011 Percentage (%)

By Grants Received : Government 124198102.00 90.80

Non-Government (Funding Agencies) 6630596.00 4.85

" General Donations 3,768,346.00 2.75

Interest on SB 119,972.00 0.09

Rental Income 1,394,294.00 1.02

Fee Collections (User Fees) 677,200.00 0.50

-

TOTAL 136,788,510.00 100.00

Grants Received : Government

90.80%

Non-Government (Funding Agencies)

4.85%

General Donations

2.75%

Interest on SB0.09%

Rental Income1.02%

Fee Collections (User Fees)

0.50%

Income

210

KARUNA TRUST ( R )

RURAL HEALTH PROJECT

B.R. HILLS, YELANDUR TALUK, CHAMARAJANAGARA DISTRICT-571 441

CONSOLIDATED RECEIPTS AND PAYMENTS ACCOUNT FOR THE YEAR ENDING 31.3.2011

RECEIPTS Amount

`. AS AT 31.3.2011 AS AT 31.3.2010

To OPENING BALANCES:

Cash on hand 566,829.48 295,871.50

Cash with Banks 22,593,125.66 23,159,955.14 18,496,875.66

" GRANTS:

Government 102,569,401.00 97,306,454.00

Non Government 5,630,596.00 108,199,997.00 20,982,658.80

" REVENUE RECEIPTS:

General Donation 4168808.50

3709201.93

Interest on investments & on SB 3,393,039.62 543,084.65

Rental Income 1,394,294.00 1,369,955.00

Fee Collections 1,853,095.00 1,646,468.00

Other General Receipts 1,605,862.65 4,834,562.41

Income from Sales 17,873.00 12,432,972.77 678.00

" CAPITAL RECEIPTS:

Specific Donations/Funds 22,628,701.00 10,472,327.00

Internal Advances 62,990,139.84 57,500,478.80

TDS Refunds/FD matured 25,447,931.18 886,138.00

Others (Deposit refund/PF/PT etc.) 2,049,122.00 113,115,894.02 6,045,849.00

TOTAL 256,908,818.93 224,090,602.75

PAYMENTS Amount

`. AS AT 31.3.2011 AS AT 31.3.2010

By REVENUE PAYMENTS:

Administrative Expenses 2,007,922.20 9,562,668.94

Programmes / Grant Utilization 108,027,712.60 110,035,634.80 110,081,299.69

" CAPITAL RECEIPTS:

Specific Donations-Utilizations 19,656,844.00 3,396,987.00

Advances (internal/External/Work) 66,282,308.17 52,257,929.00

Loan Repaid 2,785,431.00 4,183,285.00

Fixed Deposit made 8,369,056.00 9,620,549.00

Fixed Assets acquired/WIP 4,904,565.00 6,894,010.00

Others (Deposits made/PT/PF etc.) 16,878,395.00 118,876,599.17 5,038,786.15

" CLOSING BALANCES:

211

Cash on hand 502,487.31 359,014.31

Cash with Banks 27,494,097.65 27,996,584.96 22,696,073.66

TOTAL 256,908,818.93 224,090,602.75

CONSOLIDATED INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDING 31.3.2011

EXPENDITURE Amount

`. AS AT 31.3.2011 AS AT 31.3.2010

To GRANT UTILISATION:

Opening Balance of Grant receivable (1,152,761.92) 13,359,674.09

Grant utilized / Programme Exp. during the year 89,694,806.18 113,318,826.74

Closing Balance of Grant unutilized 16,733,429.21 105,275,473.47 7,780,286.22

" Opening stock-Medicines 312,509.00 404,028.85

Purchase of Medicines 123,759.00 318,573.19

Administrative Expenses 1,937,071.20 2,373,339.20 11,452,540.59

" Depreciation on Fixed assets 1,602,504.77 1,970,316.99

" Excess of Income over Expenditure 5,677,239.31 3,196,510.27

TOTAL 114,928,556.74 151,800,756.94

INCOME Amount

`. AS AT 31.3.2011 AS AT 31.3.2010

By Opening Balance of Grant unutilized 13,246,378.21 11,586,566.00

Grant received during the year 95,347,571.93 123,518,655.82

Closing Balance of Grant receivable (6,284,038.67) 102,309,911.47 1,732,180.60

" General Donations 3,773,572.50 9,116,342.03

Interest on investments & on SB 3,256,641.25 534,226.65

Rental Income 1,394,294.00 1,679,169.00

Fee Collections 2,111,375.00 1,661,536.00

Other General Receipts 1,646,806.34 1,250,273.00

Income from Sales 195,044.18 409,298.84

Closing Stock-Medicines 240,912.00 12,618,645.27 312,509.00

TOTAL 114,928,556.74 151,800,756.94

CONSOLIDATED BALANCE SHEET AS ON 31st MARCH 2011

LIABILITIES Amount `. AS AT 31.3.2011 AS AT

31.3.2010

CAPITAL/GENERAL RESERVE: 31,160,755.49 30,955,060.94

CAPITAL FUND

Specific Funds / Corpus Fund 37,794,095.21 23,609,963.00

212

CURRENT LIABILITIES:

Advances Repayable - 22,782,667.27

Grants Unutilized 12,866,654.00 16,058,774.50

Sundry Creditors 1,466,388.37 4,928,218.36

Deposits-Repayable 888,501.00 4,853,146.87

Outstanding Liabilities 1,957,884.00 17,179,427.37 3,547,746.00

TOTAL 86,134,278.06 106,735,576.94

ASSETS Amount `. AS AT 31.3.2011 AS AT

31.3.2010

FIXED ASSETS 30,988,236.68 32,528,150.94

INVESTMENTS 13,034,574.00 16,203,940.00

CURRENT ASSETS, LOANS & ADV.

Cash and Bank Balances 25,571,722.45 23,055,087.97

Stock of Medicines 240,912.00 312,509.00

Sundry Debtors 1,353,519.74 1,196,680.91

Work and Internal advances 10,306,510.86 28,071,228.27

Deposits/EMD/TDS etc. 1,070,201.00 1,233,786.00

Grant Receivable 3,568,601.33 42,111,467.38 4,134,193.85

TOTAL 86,134,278.06 106,735,576.94

As per my report of For KARUNA TRUST (R)

Even date attached

for N.A. AJIT KUMAR & Co.,

Chartered Accountants

(Dr. Paran Gowda) (Dr. H. Sudarshan) (Sidduveeraiah)

President Hon. Secretary Treasurer

CA AJIT KUMAR N.A.

Proprietor (M.No. 210215)

(Mahadevaswamy) (Manjunath H.J.) (Ranganatha Sharma)

Accountants

Date: 13/06/2011

Place: Bangalore

213

V)Awards & achievements:

Pride of Karnataka (2011)

Mahavir Ahimsa Award (2011)

Citizen Extraordinaire Award (2011) – Rotary Club of Bangalore

The PHFI Outstanding Achievement Award (2009) – Public Health Foundation of

India

Sagar Award for Social Service (2009)

Vivekananda Medal (2004) – Ramakrishna Mission

Devaraj Urs Award (2003) – Govt. of Karnataka

Krishnadevaraya Award (2002)

Human Rights Award (2001)

Dr. Babasaheb Ambedkar award for

VGKK (2002) – Govt. of Karnataka

Mahaveer Award (2001)

Padmashree (2000) – President of India Basava Shree Award (1999)

Karnataka Jyothi Award (1997)

International Distinguished Physician

(1995) – American Association of

Physicians of Indian Origin

Dr. Pinnamaneni & Seethadevi Foundation Award (1995)

Right Livelihood Award or The Alternate Nobel Prize (1994) – Right Livelihood

Award Foundation, Sweden Karnataka State Award for Best Child Welfare Organization for VGKK (1994)

Environment Award (1992) – Govt. of Karnataka

Dr. B. R. Ambedkar Centenary Award (1992) – Govt. of Karnataka

Vivekananda Seva Puraskar (1991)

Rajyothsava State Award (1984) – Govt. of Karnataka

Other Achievements

Times of India has honored Karuna Trust with “Best NGO award”

Introduction of website to Karuna Trust with the help of Mr. Sanjeev Garde

In collaboration with Weinnerberger under its Corporate Social Responsibility(CSR) ,

Karuna Trust conducted a Mega Medical Camp in Yeliyur PHC, Kunigal Taluk,

Tumkur District

Under Volunteer programme 6 students from different universities worked with

Karuna Trus

Contributions:

1. During Dr.Sudarshan‟s visit to USA, individual donors have given money as donation

2. Rotatry club(Shimoga)has given 500 birthing kits under matching grant

3. Microsoft India has donated 1 ambulance for Manasa project, Mysore

4. Karuna Trust in collaboration with Jindal steel has signed a MoU for Gadiganoor &

Metric PHC management under PPP in Bellary. This is on process

5. Jindal Power Limited is supporting Itanagar PHC in Arunachal Prades

214

VI )COMPLIANCE TO NORMS FOR CREDIBILITY OF VOLUNTARY

ORGANAZATIONS

COMPLIANCE TO NORMS FOR CREDIBILITY OF VOLUNTARY ORGANAZATIONS A Registration

Public trust act Charitable trust 05.03.1986 no.12 vol 27 page 207-218

Society registration act -

FCRA 094590090-30-10-1986

PAN AAATK2765Q

Exemption under income tax act -

50 under 80 (G) Yes

100 under 35 AC -

B Clarity and commitment about mission and approach [ Brochure enclosed ]

In memorandum of association and various reports Well defined and articulated

Translated in to programmes and activities Well ensured

Efforts towards developing clarity and acceptance among Special measures are on

Staff members beneficiaries and local community Yes

C Governance and programmatic operation

Governing board members/ trustees Meeting date : 19.09.2009, 21.07.2010

Activities targets and systems for on going monitoring Well established and in place more emphasis on qualitative

aspects bottom

Review up approach in target setting and monthly review, external

review at times

Formation of executive committee Active and meets every quarter

Policy for purchase and issuing Well defend and in practice

Maintained of dead stock register Up to date

D Human resource

Gross salary Male Female Total Year of

service

Male Female Total

Less than 3000 0 0 0 1 to 5 217 193 410

3001 to 5000 0 0 0 5 to 10 294 201 495

5001 to 10000 22 8 30 10 to

15

8 5 13

10001 to 20000 456 375 881 15

above

4 2 6

20001 to 30000 45 18 63

30000 and above

Total 523 401 924 523 401 924

Monthly salary highest Rs 60000 /- month

Lowest Rs. 7890/- month

Formal appointment orders and information about norms

and rules & regulations

Given to all staff

All eligible benefits and supports for personal accident

medical claim, children education, tours, ,magazines etc.

Incoming and out going staff joined left

Building family spirit and information culture Conscious efforts are on

Co-ordination committee HOD and key staff member from all departments

50% female members

215

Meeting every 15 days

E Accountability and transparency

PUBLICATIONS:

Annual progress report Published every year

Annual audited accounts Published every year

Financial aspects

Yearly budget exercise and financial review in board

meeting

Annual basis

Accounts systems Well laid out and in practice

Emphasis on receipts and bills for every financial

transaction

Ensured

Accounts monitory meeting Monthly basis

Accounts audited by professional experts Systematically ensured and published every year

Sharing of accounts and expenditure with local

community

More needs to be done

Evaluation and review by external experts Well documented

Income tax, charity commissioner, employment

exchange, food, and drugs act, pollution control board,

minimum daily wages etc.

Largely scrupulously adhered to

Air travel Domestic: Travelled 12 Times (All sponsored)

International: 3 Times (All sponsored)

Acceptance of various awards Largely in the name if institutions

216

VII) Donors List

KARUNA TRUST

BANGALORE

List of Individual and Institutional Donors 2010-11

Sl.No. Names

I Institutional Donors

1 Government of Karnataka, Health & Family Welfare Department

2 Government of Arunachal Pradesh - Department HFW & NRHM

3 Government of Orissa - Department HFW & NRHM

4 Government of Andhra Pradesh-Department HFW & NRHM

5 Government of Meghalaya - Department HFW & NRHM

6 Karnataka Health Systems Development and Reforms Project (KHSDRP)

7 National Rural Health Mission (NRHM)- Karnataka

8 Sir Dorabji Tata Trust, Mumbai

9 Sir Ratan Tata Trust, Mumbai

10 Population Foundation of India, New Delhi

11 Sight Saver's, Mumbai

12 Wiener Berger Brick Industry Pvt.Ltd., Bangalore

13 India Development Foundation (IDF)

14 Rotary Club Shimoga

15 Supraja Foundation, Hong Kong

16 Macarthur Foundation

17 Panacea, United Kingdom

18 The Bill & Melinda Gates Foundation though Karnataka Health Promotion Trust (KHPT)

19 KRS Foundation

20 American Service to India (ASTI)

21 India Friends Association, USA

22 Global Antibiotic Resistance Partnership - India, USA

23 Jinda Steel World (JSW) -Bellary

II Individual Donors

1 Dr. VA Ram, USA

2 Dr. M. Nagaraju

3 Dr. M.L.Ramesh, USA

4 Belur S. Sreenath, USA

Annual Report - Karuna Trust · 4 Executive Summary As Karuna Trust enters a new year, we look back...

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Transcript of Annual Report - Karuna Trust · 4 Executive Summary As Karuna Trust enters a new year, we look back...