DISTRICT HEALTH SOCIETY DHUBRI, ASSAM. -...
Transcript of DISTRICT HEALTH SOCIETY DHUBRI, ASSAM. -...
DHUBRI/DHAP/2010-11 1
Draft
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Prepared By DPMU, NRHM, Dhubri
DHUBRI/DHAP/2010-11 2
CHAPTER CONTENT PAGE
- EXECUTIVE SUMMARY 3-5
1 BACKGROUND 6-22
2 PROCESS FOR PLAN DEVELOPMENT 23-24
3 SITUATION ANALYSIS OF THE DISTRICT 25-44
4 PROGRESS MADE DURING 2005-06, 06-07, 07-08 & 08-09 45-67
5 CURRENT STATUS AND GOAL 68-76
6 GOAL, OBJECTIVES, STRATEGIES AND ACTIVITIES UNDER DIFFERENT COMPONENTS OF NRHM
77
PART A: RCH PROGRAMME 78-104
PART B: NRHM ADDITIONALITIES 105-121
PART C: UIP 122-139
PART D: NATIONAL DISEASE CONTROL PROGRAMME 140-192
PART E INTERSECTORAL CONVERGENCE 193
7 MONITORING AND EVALUATION/ HMIS 194-208
8 WORK PLAN 209-237
9 SUMMARY BUDGET 238
PART A: RCH PROGRAMME 239
PART B: NRHM ADDITIONALITIES 240-241
PART C: UIP 242-249
PART D: NATIONAL DISEASE CONTROL PROGRAMME 250-256
PART E: INTERSECTORAL CONVERGENCE 257
10 DETAILED BUDGET (ANNEXURE 3 E) 258-291
ANNEXURES
DHUBRI/DHAP/2010-11 3
EXECUTIVE SUMMARY
Dhubri district PIP for the year of 2010-11 (Programme Implementation Plan) prepared
under NRHM is a synopsis of various tasks and activities that are to be executed in the financial
year 2010-11. The PIP is primed considering the Goals and main objectives of NRHM, in order to
enhance the health scenario of the district.
The main goals of NRHM in Dhubri district are Reduction in Infant Mortality Rate (IMR) and
Maternal Mortality Ratio (MMR), Prevention and control of communicable and non-communicable
diseases, including locally endemic diseases, an increase of contraceptive prevalence rate among
eligible couples etc .
To achieve these goals we have adopted some strategies and that are:
Maternal Health:
1. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.
2. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas
3. Quality improvement of the ANC.
4. To increase awareness amongst the mothers and communities about the need of ANC.
5. Increasing the access through facility strengthening.
6. Social mobilization for institutional deliveries (Janani Suraksha Yojana)
7. Referral of obstetric emergencies
8. To improve the comprehensive EmOC in the CHCs and FRU.
9. Awareness of communities and PRIs about facilities having comprehensive EmOC facilities.
10. Capacity building of ANM/GNM by SBA training :
11. Ensure post partum care by AWW/ANM/LHV
12. Operatonalize services for diagnosis & Treatment at CHC/DH
13. Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STI
14. Promote communication activities for prevention and early care seeking for RTI/STI.
15. Increase the access to safe abortion in Govt. facilities. CHILD HEALTH
1. Strengthening of the Govt facilities to provide newborn care.
2. Introduce a communication package of home-based newborn care by ASHA, AWW, ANM,
CBO, and FNGO.
3. Referral of sick neonates who cannot be managed at home.
DHUBRI/DHAP/2010-11 4
4. Declaring Mother and Child Health Month during the month of September and March (bi-
annually).
5. To increase awareness amongst mothers on benefits of breast-feeding upto 6 months and
need of complementary feeding from 6 month onwards.
6. To raise awareness amongst mothers and communities on diarrhea.
7. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult to reach
areas through depot holders.
8. Strengthen facilities at PHC, CHC, SDH and DH.
9. To raise awareness amongst mothers and communities on ARI.
10. Promote referral services of severe cases of ARI and diarrhoea.
11. To prevent and treat anemia in children.
12. To work closely with ICDS functionaries to reduce malnutrition.
FAMILY PLANNING
1. To raise awareness amongst the couples and communities about the advantage of
contraceptives and small family.
2. Increase the number of service delivery points.
3. Improve the service delivery to provide quality male and female sterilization.
4. To raise awareness among the community regarding Non Scalpel Vasectomy.
ADOLESCENT HEALTH
1. Community awareness by BCC.
2. To educate and raise awareness amongst the adolescent boys and girls about human
physiology, RTI, STI, HIV/AIDS, EC and safe sex.
3. To assess service delivery by identifying institutions and also identifying counselors.
4. Required models, charts of human anatomy as teaching aids to be used.
5. A booklet will be developed on adolescent health including all the components preferably
in local languages.
6. Ensure service delivery and infrastructure facility
7. To prevent and treat anemia in adolescents.
DHUBRI/DHAP/2010-11 5
Programme Management Arrangement:
The DPMU (District Programme Management Unit) consist of one Management
specialists, Media Expert, Accounts Manager, Data Manager, Drug Store Manager, Computer
Assistant and they are working under the guidance of Joint Director of Health Services cum
Member Secretary, DHS, Dhubri. Moreover the whole activities are supervised by Deputy
Commissioner cum Chairman, DHS, Dhubri.
For Strengthening the NRHM activities and to build skill and capacity of Top level officials
to middle level officials example - DPMU, BPMU, ASHA, ANM, GNM, AWW, MO etc sensitize
orientation training is proposed in the PIP.
In the Block PHC level Block Programme Manager, Block accounts Manager are also
appointed. Pharmacists, Lab Technicians, PHC Accountant, Asst. BPM, GNM, ANM, ASHA,
ASHA Supervisor etc are alos posted in the PHCs, SDs, SHC, SCs and in the PIP requirement for
additional skill manpower like MO, Specialists, BPM, GNM, ANM has been proposed.
BUDGET
The district proposes a total budget of Rs. 16,92,81,623.23 in the PIP for the year 2010-11. The
budget summary is as follows:
Summary of Budget
Programme Amount ( In Rs.Cr)
RCH-II Flexipool 32,345,665.23
NRHM Mission Flexipool 10,99,21,450.00
Immunization(UIP) 6,018,968.00
National Disease Control Programme 0.00
(i) NVBDCP 7,469,840.00
(ii) RNTCP 7,974,000.00
(iii) NPCB 1,771,000.00
(iv) NLEP 943,100.00
(v) IDSP 1,121,600.00
(vi) NTCP 1,216,000.00
(vii) NMHP 500,000.00
Total 16,92,81,623.23
DHUBRI/DHAP/2010-11 6
CHAPTER- 1
BACKGROUND
1.1 THE DISTRICT AT A GLANCE:
Dhubri District - the gateway of western Assam happened to be in the past a meeting
place of different racial groups which mingled together and formed a unique Cultural Heritage and
Historical Background. The growth of blended culture in this region particularly in case of
Language, Art and Religion is due to continuous process of assimilation of various races, caste &
creed of local people, invaders & migrated people. Dhubri District is bounded both by inter-state
and international border i.e. West Bengal and Bangladesh in the west, Goalpara and Bogaigoan
district of Assam and Garo Hills district of Meghalaya in the east, Kokrajhar district in the north,
Bangladesh and state of Meghalaya in the south. Covering an area of 2,838 Sq. Kms. including
forests, riverines, hills etc. the district has become the most densely populated district in India with
a density of 584 persons per Sq. Km. (As per 2001 census).
Dhubri District is bounded both by inter-state and international border i.e. West Bengal
and Bangladesh in the west, Goalpara and Bogaigoan district of Assam and Garo Hills district of
Meghalaya in the east, Kokrajhar district in the north, Bangladesh and state of Meghalaya in the
south.
This district is located on the globe between 89.42 to 90.12 degree east longitude and
26.22 to 25.28 degree north latitude. The district is situated at 30 meters above the sea level on
average. General topography of Dhubri district is plain with patches of small hillocks like
Tokorabandha, Dudhnath, Chandardinga, Boukumari, Boropahar, Chakrasila etc. All these are
situated in the north eastern part of the district. Mighty river Brahmaputra is flowing through this
district from east to west with its tributaries like Champabati, Gourang, Gadadhar, Gangadhar,
Tipkai, Sankosh,Silai, Jinjiram etc.
DHUBRI/DHAP/2010-11 8
Table:1 Demography Characteristics of the District:
Table: 2 Administration of the District:
The present Dhubri District with an area of 2838 sq. km. has three Sub-divisions viz. (a) Dhubri(Sadar), (b) Bilasipara and (c) South Salmara/Mankachar
1. Revenue Circle : 8 Nos. 2.Tahsil : 7 Nos.
3. Sub Tahsil : 2 Nos. 4. Revenue Village : 1374 Nos. (Prior to BTAD)
5. Model Village : 3 Nos. 6. Revenue Village : 1133 Nos. (Excluding BTAD)
7. Anchalik Panchayat : 14 Nos. 8. Mahkuma Parishad : 3 Nos.
9. Municipal Board : 1 No. 10. Gaon Panchayat : 172 Nos. (Prior to BTAD)
11. Development Block : 14 Nos. 12. Gaon Panchayat : 168 Nos. (Excluding BTAD)
13. Police Outpost : 7 Nos. 14. Basic Town : 4 Nos.
15. Govt. Raliway Police Outpost : 2 Nos. 16. Police Station : 8 Nos.
17. Regular Fire Service Station : 2 Nos. 18. Police Watchpost : 36 Nos.
19. Border Outpost : 35 Nos. 20. River Police Outpost : 3 Nos.
Total Population : 16, 37, 344 Nos
Male 8,41,044 Nos. (51.37 %)
Female 7,96,300 Nos. (48.63 %)
Sex Ratio 1000 : 947
General Population 12,36,054 Nos. (92.76%)
Schedule Caste 64,161 Nos. (4.82%)
Schedule Tribe 32,260 Nos. (2.42%)
Urban Population 1,61,981 Nos. (12.16%)
Rural Population 11,70,494 Nos. (87.84%)
Density 577 Nos. per Sq. Km.
Percentage of Decadal growth rate (91-01) +23.42
Crude Birth Rate 31%
Crude Death Rate 9%
Maternal Mortality Rate 4/1000
Infant Mortality Rate 78/1000
Literate Person 6,25,369 Nos. (48.2%)
Male 3,73,446 Nos. (55.91%)
Female 2,51,923 Nos. (40.04%)
http://dhubri.gov.in/demography_dhubri.htm AS PER 2001 CENSUS
DHUBRI/DHAP/2010-11 9
Table: 1.2. District wise Total Population Data, 2001.
NAME Total Male Female Sex Ratio
ASSAM
Total 26655528 13777037 12878491 935
Rural 23216288 11939945 11276343 944
PC of Rural 87.10 86.67 87.56
Dhubri
Total 1637344 841044 796300 947
Rural 1444901 741574 703327 948
PC of Rural 88.25 88.17 88.32
(Source Census, 2001) Table: 1.3. District wise SC & ST Population Data, 2001.
NAME
SC Population ST Population
Total Male Female Sex Ratio
Total Male Female Sex Ratio
ASSAM Total 1825949 943674 882275 935 3308570 1678117 1630453 972
Rural 1553691 802548 751143 936 3154546 1598267 1556279 974
Dhubri Total 63208 32734 30474 931 32523 16278 16245 998
Rural 33559 17403 16156 928 31783 15878 15905 1002
(Source Census, 2001) Table: 1.4. District wise Female population data in the age group 15-49
Name TOTAL RURAL URBAN
ASSAM 6574794 5634885 939909
Dhubri 371860 320706 51154
(Source Census, 2001) Table: 1.5. District wise 0 – 6 years population data
NAME Total Male Female
ASSAM Total 4498075 2289116 2208959
Rural 4104407 2086499 2017908
Dhubri Total 340182 173081 167101
Rural 314345 159874 154471
(Source Census, 2001)
Table: 1.6. District wise Literacy Rate
NAME Total Male Female
ASSAM Total 63.25 71.28 54.61
Rural 59.73 68.22 50.70
Dhubri Total 48.21 55.91 40.04
Rural 43.90 51.72 35.61
(Source Census, 2001)
DHUBRI/DHAP/2010-11 10
Table: 1.7. Government/ Private Health institutions in the District
Sl. No. (A) Government of Health Institutions No
1. District Civil Hospital 1
2. Sub-Divisional Civil Hospital 1
3. Primary Health Centre 7
4. Community Health Centre 5
5. Mini PHC 11
6. Subsidiary Health Centre 4
7. State dispensary 11
8. First Referral Unit 1
9. Dhubri Health & Maternity Centre 1
10. Urban Health Centre 1
11. Sub Centre 246 (FW =233 & SC =13)
(B) Private Health Institution
1. Tea Garden Hospital 2
Table: 1.8. Block PHC Wise List of Health Institution in Dhubri District. Block PHC Health Institutions
Dharmasala BPHC
200 beded Dhubri Civil Hospital
Dhubri Health Maternity Centre, Dhubri
Dhubri Chest Hospital
Gauripur CHC
Dharmasala PHC
Geramari MPHC
Durahati Med SC
Bhogdahar Med SC
Alomganj Med SC
FW SC – 31
Golakganj BPHC
Golakganj PHC
Dumurdaha MPHC
Dhepdhepi MPHC
Moterjhar MPHC
Bherbhangi SD
Kachokhana SD
Paglahat Med SC
Kamandanga Med SC
Ratidaha Med SC
FW SC – 28
Halkura BPHC
Halakura PHC & CHC
Agomoni CHC
Satrasal MPHC
Boterhat SD
FW SC – 25
DHUBRI/DHAP/2010-11 11
Raniganj BPHC
Raniganj PHC
Bilasipara SHC
Sapatgram SHC
Santipur MPHC
Lakhiganj SD
Futkibari SD
Bogribari SD
Borkanda Med SC
Nayaralga Med SC
FW SC – 46
Chapor BPHC
Chapor PHC/CHC/FRU
Rangamati/Champabati MPHC
Salkocha SHC
Bahalpur SD
FW SC- 17
South Salmara BPHC
South Salmara PHC
Tumni CHC
Jaruwa MPHC
Chirakuti MPHC
Fakirganj MPHC
Medartari SD
Jamadarhat Med SC
Patakata Med SC
FW SC- 44
Gazarikandi BPHC
Gazarikandi PHC
Mankachar CHC
Sukchar MPHC
Sadullabari SHC
Kakripara SD
Jhawdanga SD
Fekamari Med SC
Baghapara/Sadullabari Med SC
Hazirhat Med SC
FW SC- 42
DHUBRI/DHAP/2010-11 12
Table: 1.9 Block PHC Wise List of Sub Centers in Dhubri District.
Sl No
Name of the Block PHC
Name of Sub Center
Govt /Rented (Yes/No)
if in rented building, whether under
construction by NRHM or 12th Finance Commission
Functional (Yes/No)
Whether FW/MNP
Sub-Centre with No building (neither Govt nor Rented)
Remarks
1 Dharmasala
PHC Patamari Govt
12th Finance Commission
Yes FW
2 Dharmasala
PHC Bhogdahar Govt
12th Finance Commission
Yes Medical
3 Dharmasala
PHC Reserverchar Rented Yes FW
4 Dharmasala
PHC Char Bhasani Rented Yes FW
5 Dharmasala
PHC Airanjangla Rented NRHM-1 Yes FW
(Land not handed over)
6 Dharmasala
PHC Bidyapara Vatigaon
Rented NRHM-3 Yes FW
7 Dharmasala
PHC Motir Char Rented Yes FW
In place of Ghegraralga in NRHM-1
8 Dharmasala
PHC Howrarpaar Rented
12th Finance Commission
Yes FW
9 Dharmasala
PHC Silghagri Rented Yes FW
10 Dharmasala
PHC Gaspara Govt
12th Finance Commission
Yes FW
11 Dharmasala
PHC Dubirpar Rented NRHM-3 Yes FW
12 Dharmasala
PHC Tistarpar Rented NRHM-3 Yes FW
13 Dharmasala
PHC Singimari Govt NRHM-1 Yes FW
Temporary arrangement (Land not handed over)
14 Dharmasala
PHC Durahati Govt
12th Finance Commission
Yes Medical Temporary arrangement
15 Dharmasala
PHC Kacharihat Govt Yes FW
16 Dharmasala
PHC Soulmari Rented NRHM-2 Yes FW
17 Dharmasala
PHC Pestirpar Govt Yes FW
Temporary arrangement
18 Dharmasala
PHC Kachuarkhas Rented NRHM-3 Yes FW
19 Dharmasala
PHC Adabari Govt
12th Finance Commission
Yes FW
20 Dharmasala
PHC Bidaypara Pt - I Rented NRHM-2 Yes FW
SC running In
GP Members
House
DHUBRI/DHAP/2010-11 13
21 Dharmasala
PHC Modhusoulmari Govt Yes FW
22 Dharmasala
PHC Folimari Rented
12th Finance Commission
Yes FW
23 Dharmasala
PHC Tiamari Rented
12th Finance Commission
Yes FW
24 Dharmasala
PHC Madaikhali Govt
12th Finance Commission
Yes FW
25 Dharmasala
PHC South Geramari Rented NRHM-2 Yes FW
SC running in
ANMs house
In place of Nowarchar,(NRHM-1) but repated in NRHM2, SC may be changed from NRHM-2,
26 Dharmasala
PHC Ghageralga Rented
12th Finance Commission
Yes FW Ghegrar in place of Boraibari SC
27 Dharmasala
PHC Jhaleralga Govt Yes FW
28 Dharmasala
PHC Boraibari Govt Yes FW
29 Dharmasala
PHC Alomganj Govt
12th Finance Commission
Yes Medical Temp arrangment
30 Dharmasala
PHC Rangamati (Panbari)
Govt 12th Finance Commission
Yes FW Temp arrangment
31 Dharmasala
PHC Bolodmara Govt Yes FW
32 Dharmasala
PHC Nauarchar Rented
12th Finance Commission
Yes FW in place of silarpar
33 Dharmasala
PHC Silairpar Govt Yes FW
34 Dharmasala
PHC Darchauka Govt Yes FW
35 Golakganj
PHC Ratiadaha SC Govt
Proposed for NRHM-2 in
place of Majerchar
Yes Medical SC in Dilapidated condition
36 Golakganj
PHC Balajan SC Govt Yes FW
37 Golakganj
PHC South Raipur SC Govt Yes FW
38 Golakganj
PHC Khudimari SC Rented
12th Finance Commission
Yes FW in place of Horiorkuti
39 Golakganj
PHC Sukatikata SC Rented
12th Finance Commission
Yes FW In place of Balajan
40 Golakganj
PHC Gaikhowa SC Rented
12th Finance Commission
Yes FW Gaikhowa SC in place of S.Raipur
41 Golakganj
PHC Lalkura SC Rented Yes FW
Lalkura SC selected in place of Gaikhowa in NRHM-1
DHUBRI/DHAP/2010-11 14
42 Golakganj
PHC Hariarkuti SC Govt Yes FW
43 Golakganj
PHC Chapgarh SC Govt Yes FW
44 Golakganj
PHC Sahebganj SC Rented
12th Finance Commission
Yes FW in place of Chapgarh
45 Golakganj
PHC Binnachara SC Govt NRHM-1 Yes FW
46 Golakganj
PHC Bishkhowa-IV SC
Govt Yes FW
47 Golakganj
PHC Bishkhowa SC Govt
12th Finance Commission
Yes FW
48 Golakganj
PHC Kanuri SC Govt Yes FW
49 Golakganj
PHC Rakhalpat SC Govt Yes FW
50 Golakganj
PHC Sonahat SC Govt Yes FW
51 Golakganj
PHC Pratapganj SC Govt Yes FW
52 Golakganj
PHC Paglahat SC Govt
12th Finance Commission
Yes Medical
53 Golakganj
PHC Bisondoi SC Govt Yes FW
54 Golakganj
PHC B.N. Chariali SC Rented
12th Finance Commission
Yes FW
55 Golakganj
PHC Dafarpur SC Govt Yes FW
56 Golakganj
PHC Ujanpetla SC Govt Yes FW
57 Golakganj
PHC Bhatipetla SC Govt Yes FW
58 Golakganj
PHC Madhyapetla SC Govt Yes FW
59 Golakganj
PHC Majerchar SC Rented
12th Finance Commission
Yes FW
60 Golakganj
PHC Borochoraikhola SC
Rented 12th Finance Commission
Yes FW
61 Golakganj
PHC Bathuatuli SC Govt Yes FW
62 Golakganj
PHC Kamandanga SC Govt Yes Medical
63 Golakganj
PHC Pokalagi SC Rented NRHM-2 Yes FW
64 Golakganj
PHC Dhepdhepi SC Govt Yes FW
attached with MPHC
65 Golakganj
PHC Dumardaha Govt Yes FW
attached with MPHC
66 Halakura
PHC Ranpagli Govt Yes FW
67 Halakura
PHC Chagolia Pt-II Govt Yes FW
68 Halakura
PHC Pokalagi Pt-II Govt Yes FW Dilapidated
DHUBRI/DHAP/2010-11 15
69 Halakura
PHC Gharialdanga Govt Yes FW
70 Halakura
PHC Kherbari Pt-IV Govt Yes FW
71 Halakura
PHC Jhaskal Pt- III Govt Yes FW
72 Halakura
PHC Lohajani Rented NRHM-1 Yes FW
73 Halakura
PHC Kherbari Pt – III Govt Yes FW
74 Halakura
PHC Paborchara Govt Yes FW
75 Halakura
PHC Talli Pt - II Rented
12th Finance Commission
Yes FW
76 Halakura
PHC Shimlabari Rented NRHM-2 Yes FW
77 Halakura
PHC Bidyardabri Pt – III
Rented 12th Finance Commission
Yes FW
78 Halakura
PHC Koimari Pt-I Rented NRHM-1 Yes FW
79 Halakura
PHC Atgharitari Rented
12th Finance Commission
Yes FW
80 Halakura
PHC Kaldoba Pt- III Rented
12th Finance Commission
Yes FW
81 Halakura
PHC Uttarmara Godadhar
Rented 12th Finance Commission
Yes FW
82 Halakura
PHC Bhamondanga Rented NRHM-3 Yes FW
83 Halakura
PHC Moisa Pt- I Rented
12th Finance Commission
Yes FW
84 Halakura
PHC Kathatoli Rented NRHM-2 Yes FW
85 Halakura
PHC Kherbari Pt - I Govt Yes FW
86 Halakura
PHC Bauserkuti Rented NRHM-3 Yes FW
87 Halakura
PHC Pokalagi Pt - III Rented NRHM-2 Yes FW
88 Halakura
PHC Chotoguma SC Rented NRHM-2 Yes FW
89 Halakura
PHC Kaimmati SC Rented NRHM-2 Yes FW
90 Halakura
PHC Banyaguri SC Rented NRHM-2 Yes FW
91 Raniganj
PHC Dhemdhema Govt NRHM-1 Yes FW Temp arrangment
92 Raniganj
PHC Rokakhata Govt NRHM-1 Yes FW Temp arrangment
93 Raniganj
PHC Rabontary Govt Yes FW
94 Raniganj
PHC Murabari Govt
12th Finance Commission
Yes FW
95 Raniganj
PHC Koimari Govt Yes FW
DHUBRI/DHAP/2010-11 16
96 Raniganj
PHC Barogiraipar Govt
12th Finance Commission
Yes FW
97 Raniganj
PHC Buchirchar Govt Yes FW
98 Raniganj
PHC Kazaikata Pt – V Govt Yes FW
99 Raniganj
PHC Chechapani (Aisakati)
Govt Yes FW
100 Raniganj
PHC Dhanpur Govt NRHM-2 Yes FW Temp arrangment
101 Raniganj
PHC Mayarchar Govt
12th Finance Commission
Yes FW
102 Raniganj
PHC Kazaikata Pt – IV Govt
12th Finance Commission
Yes FW
103 Raniganj
PHC Piazbari Govt
12th Finance Commission
Yes FW
104 Raniganj
PHC Fasatpur Panbari Rented NRHM-3 Yes FW
105 Raniganj
PHC Chechapani Pt – I
Rented Yes FW
106 Raniganj
PHC Pub Sadhubhasa Rented Yes FW
107 Raniganj
PHC Ambari Rented NRHM-2 Yes FW
108 Raniganj
PHC Chotogiraipar Govt Yes FW
109 Raniganj
PHC Maspara Rented Yes FW
110 Raniganj
PHC Suripara Rented NRHM-1 Yes FW
111 Raniganj
PHC Hatipota Rented NRHM-3 Yes FW
112 Raniganj
PHC Sagunmari Rented NRHM-2 Yes FW
113 Raniganj
PHC Lutapara Rented Yes FW
114 Raniganj
PHC Bhuterkanda Rented Yes FW
115 Raniganj
PHC Gobordhanpara Rented
12th Finance Commission
Yes FW
116 Raniganj
PHC Howdartary Rented Yes FW
117 Raniganj
PHC Tamakubari Govt
12th Finance Commission
Yes FW
118 Raniganj
PHC Kadamtola Rented NRHM-3 Yes FW
119 Raniganj
PHC Kalipara Rented Yes FW
120 Raniganj
PHC Kachuagaon Rented NRHM-1 Yes FW
121 Raniganj
PHC Gutipara Rented Yes FW
122 Raniganj
PHC Thakureralga Rented Yes FW
DHUBRI/DHAP/2010-11 17
123 Raniganj
PHC Andamari Kalairchar
Rented 12th Finance Commission
Yes FW
124 Raniganj
PHC Saildhora Rented Yes FW
125 Raniganj
PHC Masaneralga santipur
Rented NRHM-3 Yes FW
126 Raniganj
PHC Choudhurirchar Rented Yes FW
127 Raniganj
PHC Masaneralga Rented NRHM-2 Yes FW
128 Raniganj
PHC Jharnarchar Rented Yes FW
129 Raniganj
PHC Patakata Rented Yes FW
130 Raniganj
PHC Chuapata Pt-V Rented NRHM-3 Yes FW
131 Raniganj
PHC Choitara Rented Yes FW
132 Raniganj
PHC Katholipara Rented Yes FW
133 Raniganj
PHC Khankhowa Govt Yes FW Temp arrangement
134 Raniganj
PHC Bogribari Govt Yes FW attached with SD
135 Raniganj
PHC Sapatgram Govt Yes FW attached with SHC
136 Raniganj
PHC Futkibari Govt Yes FW attached with SD
137 Raniganj
PHC Borkanda (Med) Govt Yes Medical
138 Raniganj
PHC Nayar Alga (Med)
Govt Yes Medical
139 Chapor PHC Bahalpur Govt Yes FW
140 Chapor PHC Simalabari Govt Yes FW Dilapidated
141 Chapor PHC Arearjhar Govt Yes FW
142 Chapor PHC Islamari Govt Yes FW Dilapidated
143 Chapor PHC Santoshpur Govt NRHM-2 Yes FW Dilapidated
144 Chapor PHC Noonmati Govt NRHM-2 Yes FW Dilapidated
145 Chapor PHC Falimari Govt Yes FW
146 Chapor PHC Batordol Govt Yes FW
147 Chapor PHC Kaljani Govt NRHM-2 Yes FW Dilapidated
148 Chapor PHC Champabati Govt Yes FW
149 Chapor PHC Hardamara Govt Yes FW
DHUBRI/DHAP/2010-11 18
150 Chapor PHC Dhirghat Rented Yes FW
151 Chapor PHC Soulmari Rented NRHM-1 Yes FW
152 Chapor PHC Kurshamari Rented NRHM-1 Yes FW
153 Chapor PHC Barunitara Govt Yes FW Dilapidated
154 Chapor PHC Jalikuria Rented Yes FW
155 Chapor PHC Haridal Rented Yes FW
156 Gazarikandi
PHC
Kalapani Govt Yes FW Attached with SHC
157 Gazarikandi
PHC
Kuchnimara Govt Yes FW
158 Gazarikandi
PHC
Bhurakata Govt Yes FW
159 Gazarikandi
PHC
Manullapara Govt Yes FW
160 Gazarikandi
PHC
Borkona Govt Yes FW Temp arrangment
161 Gazarikandi
PHC
Borairalga Govt Yes FW
162 Gazarikandi
PHC
Kokradanga Rented NRHM-3 Yes FW
163 Gazarikandi
PHC
Kanaimara Rented NRHM-3 Yes FW
164 Gazarikandi
PHC
Purandiara Rented NRHM-1 Yes FW
165 Gazarikandi
PHC
Fulerchar Rented NRHM-3 Yes FW
166 Gazarikandi
PHC
Diara Bazar Govt Yes FW
167 Gazarikandi
PHC
Bengirvita Govt
12th Finance Commission
Yes FW
168 Gazarikandi
PHC
Dharakoba Govt Yes FW
169 Gazarikandi
PHC
Gokulpur Govt
12th Finance Commission
Yes FW
170 Gazarikandi
PHC
Berabhanga Govt
12th Finance Commission
Yes FW
171 Gazarikandi
PHC
Bamunpara Govt
12th Finance Commission
Yes FW
172 Gazarikandi
PHC
Kukurmara Govt Yes FW
173 Gazarikandi
PHC
Sunarpara Rented NRHM-3 Yes FW
174 Gazarikandi
PHC
Bormanpara Govt Yes FW
175 Gazarikandi
PHC
Bangrirchar Govt
12th Finance Commission
Yes FW
176 Gazarikandi
PHC
Molakhowa Govt
12th Finance Commission
Yes FW
DHUBRI/DHAP/2010-11 19
177 Gazarikandi
PHC
Thakuronbari Rented NRHM-2 Yes FW
178 Gazarikandi
PHC
K.K.M Para Rented NRHM-2 Yes FW
179 Gazarikandi
PHC
Jhograrchar Rented NRHM-2 Yes FW
180 Gazarikandi
PHC Jhalerchar Rented NRHM-2 Yes FW
SC running in a private
house
181 Gazarikandi
PHC
Pipulbari Bazar Govt Yes FW
182 Gazarikandi
PHC
Firingirchar Govt
12th Finance Commission
Yes FW
183 Gazarikandi
PHC
Pankata Govt Yes FW
184 Gazarikandi
PHC
Teporpara Govt
12th Finance Commission
Yes FW
185 Gazarikandi
PHC
Bheramara Rented NRHM-3 No FW
186 Gazarikandi
PHC
Pipulbari Pt – II Rented NRHM-3 Yes FW
187 Gazarikandi
PHC
Jordanga Rented NRHM-2 Yes FW
188 Gazarikandi
PHC
Dakergaon Rented NRHM-2 Yes FW
189 Gazarikandi
PHC
Tangaon Govt Yes FW
190 Gazarikandi
PHC
Pubergaon Rented NRHM-1 Yes FW
191 Gazarikandi
PHC
Bamuneralga Rented NRHM-3 Yes FW
192 Gazarikandi
PHC
Jhowdanga Govt Yes FW attached with SD
193 Gazarikandi
PHC Kakripara
Govt Yes FW attached with SD
194 Gazarikandi
PHC Takimari
Rented NRHM-3 No FW
195 Gazarikandi
PHC
Khopatia
Govt 12th Finance Commission
Yes FW
196 Gazarikandi
PHC
Jewali Govt Yes FW
197 Gazarikandi
PHC
Charbetbari
Govt 12th Finance Commission
Yes FW
198 Gazarikandi
PHC
Fekamari (Med)
Govt Yes Medical
199 Gazarikandi
PHC
Baghapara (Med) Sadullabari
Govt Yes Medical
200 Gazarikandi
PHC
Hazirhat (Med) Govt Yes Medical
DHUBRI/DHAP/2010-11 20
201 South
Salmara PHC
Bauskata Govt Yes FW
202 South
Salmara PHC
Muthakhowa -II Govt Yes FW
203 South
Salmara PHC
Bhalukkandi Govt Yes FW
204 South
Salmara PHC
Jaruachar Govt Yes FW Damaged
205 South
Salmara PHC
Ravatori Govt 12th Finance Commission
Yes FW
206 South
Salmara PHC
Muhurirchar Govt Yes FW Erroted by Brahmaputra
207 South
Salmara PHC
Simlakandi Rented 12th Finance Commission
Yes FW
208 South
Salmara PHC
Airkata Rented NRHM-1 Yes FW
209 South
Salmara PHC
Padmeralga – II Govt Yes FW Damaged
210 South
Salmara PHC
Chirakuti Rented
Proposed for NRHM-2 in
place of Simlakandi
Yes FW
211 South
Salmara PHC
Poyesti Dimatola Rented 12th Finance Commission
Yes FW
212 South
Salmara PHC
Chtonisanpur Rented NRHM-2 Yes FW
213 South
Salmara PHC
Kushbari Rented 12th Finance Commission
Yes FW
214 South
Salmara PHC
Bolodmari Rented 12th Finance Commission
Yes FW
215 South
Salmara PHC
Medortary Govt Yes FW attached with SD
216 South
Salmara PHC
Katiaralga-III Rented NRHM-3 Yes FW
217 South
Salmara PHC
Golaperalga Rented
Proposed for NRHM-2 in
place of Kushbari
Yes FW
218 South
Salmara PHC
Satdubi Rented NRHM-2 Yes FW
219 South
Salmara PHC
Salkata Rented
Proposed for NRHM-2 in
place of Monirchar
Yes FW
220 South
Salmara PHC
Salapara-I Rented NRHM-3 Yes FW
DHUBRI/DHAP/2010-11 21
221 South
Salmara PHC
Ambari Rented NRHM-3 Yes FW
222 South
Salmara PHC
Natineralga Rented NRHM-3 Yes FW
223 South
Salmara PHC
River Block – III Rented Yes FW
224 South
Salmara PHC
Tumni Dewakandi
Rented NRHM-3 Yes FW
225 South
Salmara PHC
Dhenerkuti Rented NRHM-1 Yes FW
226 South
Salmara PHC
Chottobilpara Rented NRHM-3 Yes FW
227 South
Salmara PHC
Namasershow Rented NRHM-3 Yes FW
228 South
Salmara PHC
Radhuramchola Rented NRHM-1 Yes FW
229 South
Salmara PHC
Ravarchola Rented NRHM-3 Yes FW
230 South
Salmara PHC
Folimari Rented NRHM-3 Yes FW
231 South
Salmara PHC
Podmeralga – I Rented NRHM-2 Yes FW
232 South
Salmara PHC
Feskumari Rented NRHM-1 Yes FW
233 South
Salmara PHC
Kathdanga Rented NRHM-3 Yes FW
234 South
Salmara PHC
Monirchar Rented 12th Finance Commission
Yes FW
235 South
Salmara PHC
Muthakhowa Pt – III
Rented Yes FW
236 South
Salmara PHC
Satsia Rented NRHM-2 Yes FW
237 South
Salmara PHC
Chalbandhar Char
Rented Yes FW
238 South
Salmara PHC
Gosaidubi Rented 12th Finance Commission
Yes FW
239 South
Salmara PHC
Mathakata Rented NRHM-3 Yes FW
240 South
Salmara PHC
Sundarpara Rented NRHM-2 Yes FW
241 South
Salmara PHC
Nayaparowa Rented NRHM-3 Yes FW
242 South
Salmara PHC
Majerchar Chalakurarchar
Rented 12th Finance Commission
Yes FW
DHUBRI/DHAP/2010-11 22
243 South
Salmara PHC
Fulkakata Rented 12th Finance Commission
Yes FW
244 South
Salmara PHC
Tangvita River Block-9
Rented NRHM-3 Yes FW
245 South
Salmara PHC
Patakata (Med) Govt 12th Finance Commission
Yes Medical Damaged
246 South
Salmara PHC
Jamadarhat (Med)
Govt Yes Medical Erroted
DHUBRI/DHAP/2010-11 23
CHAPTER- 2
Process for Plan Development
Preparation of an absolute DHAP (District Health Action Plan) is big deal. The whole
process is depended on the capacity of the officials of DPMU, incrages of all National Diseases
Control Programme and BPMU. Before going to do a plan it is essential to acquire the technical
know how of the subjects. Keeping in mind the NRHM in joint collaboration with RRC North East
designed a 4 days Capacity Building workshop for the officials of district. It was organized at
SIHFW, Khanapara, Guwahati 10th November to 13th November 2009. The course models are
developed by PHRN, Chhattisgarh (Public Health Resource Network
The following officials of Dhubri represented for the district.
Sl.No Name Designation
1 Dr. Nural Amin SDM & HO(HQ)
2 Dr. A. Bose SDM &HO- Raniganj PHC
3 Kurshed Alom DPM- NRHM
4 Maruf Alom DME-NRHM
5 Rabindra Borkakati DDM- NRHM Dhubri
In the 4 days training emphasised given on Learning by Doing approach. Almost every
lecture followed by Group Works. During the first day DHAP of 2009-10 were reviewed by Mission
Director of NRHM and Regional Director of RRC, NE.
As per discussion with Joint Director of Health Services cum Member Secretary, DHS
Dhubri a one day Capacity Building Workshop for the in-charge of All National Diseases Control
Programme, BPMU consisting SDM & HO, BPM, BAM and BEE was organized on 10th December
2009 at Joint Director of Health Services Conference Hall, Dhubri. All the major topics like
preparation of Village Health Action Plan, Training Plan, Quality Assurance, Monitoring Plan,
IEC/BCC, PPP, and HIMS are covered.
Instruction has been received from MD of NRHM vide email to attend Guwahati on 18th &
19th December 2009 along with the draft copy of DHAP 2010-11. .All the related information, data
& format were collected from respective sources like National Diseases Control Programme in-
charge, NFHS, DLHS, Censes of India various website etc.
Instruction of DO Letter of MD on Planning Process 2010-11, vide no; 109”)/2008-NRHM- I
dt 8th October 2009, Letter No 6-34/2009/NVBDCP (P & C) 2010-11, dt 14-10-09 issued by Joint
director Dr. P.K Srivastava and Letter No. M-11015/1/2009- M & E dt 9th October 2009 issued by
Director (Stats) were circulated to respective Programme officials and followed strictly while
activities were proposed in DHAP 2010-11.
DHUBRI/DHAP/2010-11 24
District planning team fixed a date for submission of draft copy of Block Health Action Plan
(BHAP) along with 5 nos of Village Health Plansand Institutional plans to district and accordingly
all the BPHC has submitted. District planning team conducted a detailed study and analysed the
Goal-objective- strategy- activity-budget etc of respective Block. Comparing all the plans a
summarize DHAP for the year 2010-11 is prepared at district. During preparation of DHAP
special instruction, guideline and direction were frequently received from State Programme
Manager of NRHM via e-mail and over mobile phone also. Moreover, DHAP of 2007-08, 2008-09
and 2009-10 were the main reference for us, the last 3 years DHAP work like an encyclopaedia in
preparation of DHAP 2010-11 of Dhubri.
DHUBRI/DHAP/2010-11 25
CHAPTER- 3
Situational Analysis Table: 3.1 District Profile– ≤ 400,000 (urban) currently under NRHM (Template-1)
S.No.
Background Characteristics
Dhubri Assam
Number % to total Number
1 Geographic Area (in Sq. Kms) 2797.78 3.56 % 78438
2 Number of blocks 14 6.39 % 219
3 Size of Villages (2001 Census) 26247
1-500 532
501-2000 638
2001-5000 181
5000+ 8
4 Number of towns 5
5 Total Population (2001) 1637344 6.14 % 26655528
-Urban 192443 5.59 % 3439240
-Rural 1444901 6.22 % 23216288
6 Sex Ratio (F/M*1000)
• Population Sex Ratio
• Child Sex Ratio
947:1000 965:1000
935
Decadal Growth rate 23.4 (DLHS III) 15.4 (SRS,09)
7 Density- per sq. km. 584 340
8 Literacy Rate (6+ Pop) 48.21 63.25
-Male 55.91 71.28
-Female 40.04 54.61
9 SC population ST population No. of Primary schools No. of Anganwadi Centres
63208 32523 1470 1792
4.8% 2.4%
1825949 3308570
10 Length of road per 100 sq. km.
12 No of villages having access to safe drinking water facility
1359
13 No of households having sanitation facility (Specify Type –sewer, septic tank)
42360
14 Population below poverty line 1171392
15
Health Status Morbidity Male Female Child
Mortality MMR IMR
480/100000 64/1000
16
Health Resources- Facilities (Specify level of Facility like Subcentre)
Personnel (Sanctioned Vacancy) Finances (Requirement and Releases)
17. 1.Birth rate and death rate 2. Fertility rate. 3. Disease maximum Disability. 4.High Risk Groups
1. 23.9 (BR) & 8.6 (DR) 2. 2.7 (Ind)
18. B.To link with the nutritional determinants- 1. % of Infants with low birth weight. 2. Weight for Age no. above 90%, 3. No between 60%-80%, 4. No. below 60% weight for age
DHUBRI/DHAP/2010-11 26
Table: 3.2 Public Health Infrastructure in the District (Template-2)
Sl.No. Health Facility Number
Govt. Building Rented House
1 District Civil Hospital 1 Nil
2 Sub-Divisional Hospital 1 Nil
3 Primary Health Centre 7 Nil
4 Community Health Centre 5 Nil
5 Mini PHC 11 Nil
6 Subsidiary Health Centre 4 Nil
7 State dispensary 11 Nil
8 First Referral Unit 1 Nil
9 Dhubri Health & Maternity Cnetre 1 Nil
10 Urban Health Centre 0 1
11 No. of Sub-Centre in Dhubri District 120 126
12 No. of FW sub-centre 107 126
13 No. of Medical sub-centre 13 Nil
(Sources; Jt.DHS, Dhubri) Table: 3.2.1 Sub Centre (SC) Building Situation
PHC wise Sanction SC Govt. Building Rented
Dharmasala PHC 34 17 17
Raniganj PHC 48 21 27
Golokganj PHC 31 22 9
Chapor PHC 17 12 5
Halakura PHC 25 9 16
South Salmara PHC 46 10 36
Gazarikandi PHC 45 29 16
Total 246 120 126
(Sources; Jt.DHS, Dhubri)
DHUBRI/DHAP/2010-11 27
Table: 3.3.1 Vacancy Posiion of Officers/Staffs under the Establishment Joint Director of Health Services, Dhubri as 30.11.09 Sl No Category of Post Sanction Stregth Staff in Position Vacancy
1 Jt. DHS 1 1 0
2 CM & HO (CD) 1 1 Attaching at MMC, Guwahati
3 Addl CM & HO (FW) 1 1 0
4 Supdt. Civil Hospital 1 1 0
5 SDM & HO & Its cadre 25 20 5
6 Sr. M & HO 48 31 17
7 M & HO-1 66 39 27
8 MO (Ayur) 20 19 1
9 Dental Surgeon 3 3 0
10 MO (Homeo) 2 2 0
11 PMA 1 1 0
12 SI 10 10 0
13 RHI 8 6 2
14 Health Asstt. 9 9 0
15 Vacinator 37 37 0
16 Driver 16 15 1
17 ANM 57 46 11
18 LHV 8 4 4
19 Opth Asstt 11 11 0
20 Cinema Operator 2 2 0
21 TB Health Visitor 2 2 0
22 Radiographar 7 5 2
23 Dresser 17 15 2
24 Lab Tech 29 29 0
25 Matron 1 0 1
26 Asstt Matron 1 0 1
27 Ward Sister 10 7 3
28 PHN 5 5 1 attached to Golaghat
29 PNO 1 1 0
30 Sister Tutor 4 4 0
31 Staff Nurse 78 53 25
32 BCG Technician 7 7 0
33 NMS 2 2 0
34 NMA 13 13 0
35 HE 11 11 0
36 Pharmacist 53 53 0
37 Gr-IV 216 211 5
38 Sweeper 63 54 9
39 Handyman 3 3 0
40 Dark Room Attendant 3 3 0
41 Head Assistant 1 0 1
42 UDA 15 15 0
43 LDA 24 21 3
44 M.L.O 1 1 0
45 Head Pharamist 1 1 0
46 Sr. Inspector of Drugs 1 1 0
47 Inpector of Drugs 1 1 0
48 Food Inspector 1 1 0
49 Asstt. Public Analysist 1 1 0
50 Research Asstt 1 1 1 duputed at Morigaon
51 Statistical Asstt 2 2 0
52 Statistical Computor 1 0 1
53 Statistical Clerk 2 1 1
DHUBRI/DHAP/2010-11 28
Table: 3.3.2 Manpower Position in the Establishment of Addl.CM & HO (FW), Dhubri as on 11/12/2009
Sl No
Category of post No. of Sanction post In-Position Vacant Position
1 Addl. CM & HO (FW) 1 1 0
2 DIO 1 1 0
3 Sr. M & HO 7 4 3
4 M & HO-I 6 1 5
5 Adminsitrative Officer 1 0 1
6 Asstt. Accountant 1 1 0
7 Cashier 1 1 0
8 UDA 12 12 0
9 Dist. Extension & Media Officer
1 1 0
10 Dy. Extension & Media Officer
2 1 1
11 L.D.Asstt 3 2 1
12 S.I.(FW & UIP) 2 2 0
13 Steno Typist 1 0 1
14 Projectionist 1 0 1
15 D.P.H.N.S 1 1 0
16 Ref Mechanic 1 1 0
17 Artist cum Photographer
1 1 0
18 Lab. Technician 3 3 0
19 Pharmacist 1 1 0
20 B.E.E 7 7 0
21 Computer 7 1 6
22 Field worker 5 5 0
23 Field & Evaluation Worker
1 1 0
24 LHV 20 8 12
25 U.E.E 1 1 0
26 A.N.M 267 180 87
27 O.T. Nurse 2 1 1
28 Dhai 3 3 0
29 Driver 7 6 1
30 Gr-IV 18 8 10
Table 3.3.4 : Doctors Position of Dhubri District as on 11.12.09
Sl No
Name of Post Sanctioned
Strength Staff in Position Vacancy
1 Jt. DHS 1 1 0
2 CM & HO (CD) 1 1 0
3 Addl CM & HO (FW) 1 1 0
4 Supdt. Civil Hospital 1 1 0
5 Dy. Supdt 5 4 1
6 DIO (FW) 1 1 0
7 SDM & HO 19 14 5
8 Sr. M & HO 48 31 17
9 M & HO-1 66 40 26
10 MO (Ayur) 20 19 1
11 Dental Surgeon 3 3 0
12 MO (Homeo) 2 2 0
Total 168 118 50
DHUBRI/DHAP/2010-11 29
Table: 3.3.5 Staffs position of the District Health Society, NRHM, Dhubri as on 11.12.09
Sl No
Designation No. of Position Vacant Remarks
1 District Programme Manager 1 0
2 District Media Expert 1 0
3 District Warehouse Store Manager
1 0
4 District Accounts Manager 1 0
5 District Data Manager 1 0
6 Computer Assistant 1 0
7 Peon 1 0 Daily Basis
8 Block Programme Manager 7 1
9 Block Accounts Manager 9 0
10 Block PHC Accountant cum Asstt BPM
16 2
11 Consultant Paedrieatic 2 0
12 Consultant Anaesthist 0 2
13 MO (MBBS) 4 0
14 MO (MBBS) 1 yr rural posting 23 14
15 MO (Ayur) 17 0
16 RHP 10 0
17 Lab Tech 14 0
18 Pharmacist 7 0
19 GNM including MMU unit 69 0
20 ANM 230 0
21 Radio Graphar for MMU 1 0
22 Lab Tech for MMU 1 0
23 Pharmacist for MMU 1 0
24 Driver 3 0
25 Handyman 2 0
Table: 3.3.6 : PHC Wise Manpower Position of Malaria Deptt. As On 7.12.09
Dharmasala PHC
Sanction In positon Vacant
SMI 0 0 0
MI 1 1 0
Lab Tech 2 1 1
SI 5 5 0
SW 19 18 1
Driver 0 0 0
DHUBRI/DHAP/2010-11 30
Golakganj PHC
Sanction In positon Vacant
SMI 1 1 0
MI 0 0 0
Lab Tech 1 1 0
SI 3 1 2
SW 15 15 0
Driver 0 0 0
Raniganj PHC
Sanction In positon Vacant
SMI 0 0 0
MI 1 1 0
Lab Tech 1 2 0
SI 5 5 0
SW 21 18 3
Driver 0 0 0
Halakura PHC
Sanction In positon Vacant
SMI 0 0 0
MI 1 1 0
Lab Tech 1 0 0
SI 2 2 0
SW 9 9 0
Driver 0 0 0
Chapor PHC
Sanction In positon Vacant
SMI 0 0 0
MI 1 1 0
Lab Tech 1 1 0
SI 3 3 0
SW 7 7 0
Driver 0 0 0
South Salamara PHC
Sanction In positon Vacant
SMI 1 1 0
MI 0 0 0
Lab Tech 1 1 0
SI 3 3 0
SW 15 11 4
Driver 0 0 0
Gazarikandi PHC
Sanction In positon Vacant
SMI 1 0 1
MI 1 1 0
Lab Tech 1 1 0
SI 4 4 0
SW 18 17 1
Driver 0 0 0
District Head Quarter
DMO 1 1 0
MI 1 1 0
AMO 1 1 0
Sr. Asstt 2 2 0
Jr. Asstt 2 2 0
SFW 4 2 2
FW 9 7 2
Driver 4 3 1
Night Chowkidar 4 1 3
Peon 2 1 1
Van Cleaner 3 3 0
DHUBRI/DHAP/2010-11 31
Table: 3.4. Functionality of District Hospitals, CHCs, PHCs and Sub-Centers (In terms of availability of critical staff position) As On 11/12/2009 (Template-4)
Sl. No
Name of the Post Health Instistutionwise
Sanctioned strength of Doctors/staff
Staff in position
Vacancy Remarks
1 2 3 4 5
DHUBRI SUB-DIVISION
200 BEDED DIST. CIVIL HOSPITAL, DHUBRI
1 Supdt. 1 1 0
2 Dy. Supdt. 1 1 0
3 SDM & HO 4 4 0
4 Sr. M & HO 13 12 1
5 M & HO 6 6 0
6 M.O. (Ayr) 1 1 0
7 B.D.S. 1 1 0
8 M.O. (Homeo) 1 1 0
10 A.N.M. (G) 2 2 0
11 G.N.M. 37 33 4
12 GNM (NRHM) 0 12 0
13 SI (PH) 1 0 1
14 Gr. IV 57 50 7
15 Pharmacist 9 9 0
16 Driver 2 2 0
DIST. HEAD QUARTER
1 Jt. Director, DHS 1 1 0
2 CM& HO (CD) 1 1 0
3 SDM & HO 4 4 0
4 E.U. 1 1 0
5 MO (Ayur) 1 1 0
6 SI (PH) 1 1 0
7 P.M.A. 1 1 0
8 RHI 1 1 0
9 Grade-IV 17 15 2
10 Total Vacinator(posted under Different
PHC) 51 42 9
11 Total Driver Excluding DMEO(posted
in different Institution of Dhubri) 18 15 3
74 BEDED CHEST HOSPITAL, DHUBRI
1 Dy Suptd. 1 1 0
2 SDM & HO 1 1 0
3 Sr. M&HO (DTC) 1 1 0
4 M&HOI 1 1 0
5 Staff Nurse 8 6 2
6 Gr.IV 19 18 1
7 Sweeper 4 4 0
8 Pharmacist 2 2 0
9 Driver 2 2 0
DHARMASALA PHC
1 SDM&HO 1 1 0
2 Sr. M & HO 2 0 2
3 MO under NRHM 0 1 0
DHUBRI/DHAP/2010-11 32
4 A.N.M. (G) 1 1 0
5 G.N.M. 2 0 2
6 Gr.IV 2 2 0
7 Sweeper 1 1 0
9 Pharmacist 1 1 0
10 SI (PH) 1 1 0
11 RHI(PH) 1 1 0
12 Health Assistant(PH) 2 2 0
GAURIPUR CHC & SHC/F W.M./C 6 BEDED
1 Sr. M & HO 2 2 0
2 M & HOI 3 1 2
3 M.O. (Ayr) 1 1 0
4 A.N.M. (G) 2 2 0
5 G.N.M. 3 2 1
6 Gr.IV 9 7 2
7 Sweeper 2 2 0
8 Pharmacist 2 2 0
9 GNM (NRHM) 0 4 0
10 SI (PH) 1 1 0
11 Health Assistant(PH) 1 1 0
20 BEDED MATERNITY CENTRE, DHUBRI
1 Sr. M & HO 1 1 0
2 M & HOI 2 2 0
3 Ward Sister 1 1 0
4 G.N.M. 1 1 0
5 Gr.IV 8 8 0
6 Sweeper 1 1 0
7 GNM (NRHM) 0 3 0
TOWN STATE DISPENSARY
1 Sr. M & HO 1 1 0 Attached to CM carcade
2 M&HOI 1 1 0
3 Pharmacist 1 1 0
4 Gr.IV 2 2 0
5 Sweeper 1 1 0
GERAMARI MINI PHC
1 M&HOI 1 1 0
2 M.O. (Ayr) 1 1 0
3 MO (Ayur) under NRHM 0 1 0
4 A.N.M. (G) 1 1 0
5 Gr.IV 2 2 0
6 Sweeper 1 1 0
7 Pharmacist 1 1 0
ALOMGANJ MEDICAL SUB-CENTRE
1 A.N.M. (G) 1 1 0
2 ANM (NRHM) 0 1 0
3 Gr.IV 1 0 1
DURAHATI MEDICAL SUB-CENTRE
1 A.N.M. (G) 1 1 0
2 ANM (NRHM) 0 1 0
3 Gr.IV 1 1 0
BHOGDAHAR MEDICAL SUB-CENTRE
1 A.N.M. (G) 1 1 0
DHUBRI/DHAP/2010-11 33
2 Gr.IV 1 1 0
HALAKURA PHC
1 SDM&HO 1 1 0
2 Sr. M&HO 2 1 1
3 M&HOI 1 0 1
4 M.O. (Ayr.) 1 1 0
5 A.N.M. (G) 4 3 1
6 Gr.IV 5 4 1
7 Sweeper 2 1 1
8 Pharmacist 1 1 0
9 SI (PH) 1 0 1
10 Health Assistant(PH) 1 1 0
11 Driver 1 1 0
HALAKURA CHC
1 Sr. M&HO 1 1 0
2 MO under NRHM 0 1 0
3 G.N.M. 4 3 1
4 GNM (NRHM) 0 2 0
AGOMANI C.H.C.
1 Sr. M&HO 1 0 1
2 M&HO 4 4 0
3 M.O. (Ayr.) 1 1 0
4 G.N.M. 4 3 1
5 A.N.M. (G) 1 1 0
6 RHI (PH) 1 0 1
7 Gr.IV 4 4 0
8 Sweeper 1 1 0
9 Pharmacist 1 1 0
10 GNM (NRHM) 0 5 0
SATRASAL MINI P.H.C.
1 M&HOI 2 2 0 1 attached to Goalpara CH
2 GNM (NRHM) 0 2 0
3 Gr.IV 1 1 0
4 Sweeper 1 1 0
5 Pharmacist 1 1 0
BOTERHAT S/D
1 M&HOI 1 0 1
2 Gr.IV 2 2 0
3 Sweeper 1 0 1
4 Pharmacist 1 1 0
GOLAKGANJ P.H.C. & 8 BEDED M/C F.W.
1 SDM&HO 1 1 0
2 Sr. M&HO 2 1 0
3 M&HOI 1 0 1
4 MO under NRHM 0 1 0
5 M.O. (Ayr.) 1 1 0
6 MO (Ayur) under NRHM 0 1 0
7 GNM (NRHM) 0 6 0
8 Pharmacist 2 1 1
9 SI (PH) 1 0 1
DHEPDHEPI MINI P.H.C.
1 M&HOI 1 0 1
DHUBRI/DHAP/2010-11 34
2 MO under NRHM 0 1 0
3 M.O. (Ayr.) 1 1 0
4 A.N.M. (G) 1 1 0
5 Gr.IV 4 3 1
6 Sweeper 2 2 0
7 Pharmacist 1 1 0
8 RHI (PH) 1 1 0
DUMARDAHA MINI PHC
1 M&HOI 1 1 0
2 Gr.IV 1 1 0
3 Sweeper 1 1 0
4 Pharmacist 1 1 0
MOTERJHAR S/D
1 M&HOI 1 1 0
2 MO under NRHM 0 1 0
3 A.N.M. (G) 1 1 0
4 Gr.IV 2 1 1
5 Sweeper 1 1 0
6 Pharmacist 1 1 0
KACHOKHAN S/D
1 M&HOI 1 0 1
2 MO (Ayur) 1 1 0
3 MO under NRHM 0 1 0
4 Lab Tech under NRHM 0 1 0
5 Pharmacist 1 1 0
6 GNM under NRHM 0 2 0
7 ANM 2 2 0
8 Gr-IV 1 1 0
RATIADAHA MEDICAL S/C
1 A.N.M. (G) 1 1 0
2 ANM (NRHM) 0 1 0
3 Gr.IV 1 1 0
PAGLAHAT MEDICAL. S/C
1 A.N.M. (G) 1 1 0
2 ANM (NRHM) 0 1 0
3 Gr.IV 1 1 0
BERBHANGI SD
1 M&HOI 1 1 0
2 MO under NRHM 0 1 0
3 Gr.IV 1 1 0
4 Sweeper 1 0 1
5 Pharmacist 1 1 0
BILASIPARA SUB-DIVISION
CHAPOR PHC
1 SDM&HO 1 1 0
2 Sr. M & HO 2 1 1
3 M&H.O.-I 2 0 2
4 M.O. (Ayr) 1 1 0
5 Dental Surgeon 1 1 0
6 Pharmacist 2 2 0
7 A.N.M. 5 4 1
8 SI (PH) 1 0 1
9 RHI (PH) 1 0 1
DHUBRI/DHAP/2010-11 35
10 Gr.IV 6 5 1
11 Sweeper 2 1 1
12 Driver 2 2 0
CHAPOR CHC (FRU)
1 Deputy Supdt. 1 1 0
2 Sr. M & HO 2 1 1
3 M&H.O.-I 2 2 0
4 Pharmacist 1 1 0
5 Staff Nurse 7 5 2
6 GNM (NRHM) 0 4 0
7 A.N.M. 1 1 0
8 Gr.IV 2 2 0
BAHALPUR S/D
1 M&H.O.-I 1 1 0
2 MO under NRHM 0 1 0
4 Pharmacist 1 1 0
5 GNM (NRHM) 0 1 0
6 Gr.IV 1 1 0
7 Sweeper 1 1 0
SALKOCHA SHC 6 BEDED M/C 1 M&H.O.-I 1 1 0 2 MO under NRHM 0 2 0 3 Pharmacist 1 1 0 4 Gr.IV 2 2 0 5 Sweeper 1 0 1
RANIGANJ PHC
1 S.D.M. & H.O. 1 1 0
2 Sr. M & HO 2 2 0
3 M.O. (Ayr) 1 1 0
4 Pharmacist 1 1 0
5 A.N.M.(G) 4 4 0
6 GNM (NRHM) 0 2 0
7 Health Assistant(PH) 1 1 0
8 SI (PH) 1 1 0
9 Gr.IV 5 4 1
10 Sweeper 1 1 0
11 Driver 1 1 0
FUTKIBARI S/D
1 M&H.O.-I 1 1 0 deputed Goalpara CH
2 MO (Ayur) under NRHM 0 1 0
3 Pharmacist 1 1 0
6 M.O. (Ayr) NRHM 0 1 0
7 Gr.IV 1 1 0
8 Sweeper 1 1 0
LAKHIGANJ S/D
1 M&H.O.-I 1 1 0 Attached to Jothat
2 MO under NRHM 0 2 0
3 M.O. (Ayr.) NRHM 0 1 0
4 Pharmacist 1 1 0
DHUBRI/DHAP/2010-11 36
5 Gr.IV 1 1 0
6 Sweeper 1 1 0
BILASIPARA SUB-DIVISION (HQ)
1 SDM&HO-I 1 1 0 Attached to Dhubri CH
BILASIPARA S.H.C. & F.W. 12 BEDED M/C
1 Sr. M & HO 1 1 0
2 M&H.O.-I 4 3 1
3 M.O. (Ayr.) 1 1 0
4 MO (Ayur) under NRHM 0 1 0
5 Health Assistant(PH) 1 1 0
6 Pharmacist 1 1 0
7 A.N.M. (G) 1 1 0
8 Gr.IV 3 3 0
9 Sweeper 2 2 0
BAGRIBARI S/D
1 M & H.O.-I 1 1 0
2 MO under NRHM 0 2 0
3 Pharmacist 1 1 0
4 A.N.M. 1 1 0
5 Gr.IV 1 1 0
6 Sweeper 1 1 0
SAPATGRAM S.H.C. & F.W. 6 BEDED M/C
1 M&H.O.-I 3 1 2
2 M.O. (Ayr.) 1 1 0
3 Pharmacist 1 1 0
4 Staff Nurse 1 0 1
5 Gr.IV 2 2 0
6 Sweeper 1 0 1
BARKANDA MEDICAL. SUB-CENTRE
1 M.O. (Ayr.) 1 0 1
2 MO (Ayur) under NRHM 0 1 0
3 A.N.M.=1 1 1 0
4 Gr.IV 1 1 0
NAYERALGA MEDICAL. SUB-CENTRE
1 A.N.M.-=1 1 1 0
2 Gr.IV 1 1 0
SANTIPUR MPHC
1 M & HO-1 1 0 1
2 MO (Ayur) under NRHM 0 1 0
HATSINGIMARI SUB-DIVISION
SDCH
1 Dy. Supdt. 1 1 0
2 SDM & HO 1 1 0 On commuted leave
3 Sr. M & HO 4 1 3
4 M & HO 2 0 2
5 MO (Ayur) under NRHM 0 1 0
6 Pharmacist 2 0 2
7 Metron 1 0 1
8 W.Sister 2 0 2
9 Radigraphar 2 0 2
10 Lab Tech 1 0 1
DHUBRI/DHAP/2010-11 37
11 Acctt cum cashier 1 1 0
12 UDA 1 1 0
13 LDA 1 1 0
14 Gr-IV 12 12 0
SOUTH SALMARA PHC
1 SDM&HO 1 0 1
2 Sr. M & HO 2 1 1
3 M&H.O.-I 3 0 3
4 M.O (Ayur) 1 1 0
5 MO under NRHM 0 1 0
6 A.N.M. (G) 5 1 4
7 Gr.IV 9 8 1
8 Sweeper 2 2 0
9 Pharmacist 1 1 0
10 SI (PH) 1 1 0
11 RHI (PH) 1 1 0
SOUTH SALMARA CHC
1 Deputy Supdt. 1 0 1
2 Sr. M & HO 3 0 3
3 MO under NRHM 0 1 0
4 MO (Ayur) under NRHM 0 2 0
5 G.N.M. 4 0 4
6 Driver 1 1 0
JARUA MPHC
1 M & HO 1 0 1
2 MO under NRHM 0 1 0
3 Pharmacist 1 1 0
4 Gr-IV 1 1 0
FAKIRGANJ MPHC
1 M & HO-1 1 1 0
2 MO under NRHM 0 1 0
3 Lab Tech 1 1 0
4 Gr-IV 1 1 0
CHIRAKUTI MPHC
1 M & HO-1 1 0 1
2 MO under NRHM 0 1 0
3 MO (Ayur) 0 1 0
4 Pharmacist 1 1 0
5 Gr-IV 1 0 1
MEDARTARI MINI PHC
1 M.O. (Ayur) 1 1 0
2 MO under NRHM 0 1 0
3 RHI (PH) 1 1 0
4 Gr.IV 1 1 0
5 Sweeper 1 1 0
6 Pharmacist 1 1 0
PATAKATA MEDICAL S/C
1 A.N.M. (G) 1 0 1
2 ANM (NRHM) 0 2 0
3 Gr.IV 1 1 0
JAMADARHAT MEDICAL S/C
1 A.N.M. (G) 1 0 1
2 Gr.IV 1 1 0
DHUBRI/DHAP/2010-11 38
GAJARIKANDI PHC
1 SDM&HO 1 0 1
2 Sr. M & HO 2 2 0
3 M.O. (Ayr) 1 1 0
4 MO under NRHM 0 1 0
5 GNM (NRHM) 0 3 0
6 SI (PH) 1 1 0 attaced at Gauripur CHC
7 RHI (PH) 1 1 0
8 Health Assistant(PH) 2 2 0
1 nos. H/A attached in Sukchar MPHC
HATSINGIMARI SHS
1 Sr. M & HO 1 1 0
2 HEB. Sr. M&HO 1 0 1
3 A.N.M. (G) 1 1 0
4 Staff Nurse 3 2 1
5 Gr.IV 4 3 1
6 Sweeper 1 1 0
7 Pharmacist 2 2 0
SDM&HO (HQ) HATSINGIMARI
1 Gr.IV 5 3 2
MANKACHAR CHC/FRU
1 Sr. M & HO 1 1 0
2 M&HO-I 3 3 0
3 Staff Nurse 3 0 3
4 GNM (NRHM) 0 5 0
5 Gr.IV 6 6 0
6 Sweeper 2 1 1
7 Pharmacist 2 2 0
MANKACHAR MINI PHC
1 Sr. M & HO 1 1 0
2 M&HO-I 2 0 2
3 A.N.M. (G) 1 1 0
MANKACHAR S/D
1 A.N.M. (G) 2 0 2
JHOWDANGA MINI PHC
1 M & HO – I 1 1 0
2 MO under NRHM 0 1 0
3 Gr.IV 1 1 0
4 Sweeper 1 1 0
KAKRIPARA MINI PHC
1 M.O. (Ayur) 1 1 0
2 MO under NRHM 0 1 0
3 Gr.IV 1 1 0
4 Sweeper 1 1 0
5 Pharmacist 1 1 0
SADULLABARI S.H.C.
1 M&HO-I 1 0 1
2 MO (Ayur) under NRHM 0 1 0
3 A.N.M. (G) 1 1 0
4 Gr.IV 3 2 1
SUKHCHAR MINI PHC
DHUBRI/DHAP/2010-11 39
1 M & HO-I 1 1 0
2 M.O. (Ayur) 1 1 0
3 Gr.IV 4 4 0
4 Sweeper 1 1 0
5 Pharmacist 1 1 0
ADARSHAMANJURIGAON MEDICAL S/C
1 M.O. (Ayur) 1 0 1
2 M.O under NRHM 0 1 0
BAGHAPARA MEDICAL S/C
1 A.N.M. (G) 1 0 1
2 Gr.IV 1 1 0
HAZIRHAT MEDICAL S/C
1 A.N.M. (G) 1 1 0
3 Gr.IV 1 1 0
FEKAMARI MEDICAL S/C
1 A.N.M. (G) 1 1 0
2 Gr.IV 1 1 0
DHUBRI/DHAP/2010-11 40
Table: 3.5. Status of Logistics in Dhubri District (Template-5)
Logistics Elements Description
Availability of a dedicated District warehouse for health department
Yes, Zonal Drug Ware House, Dhubri
Stock outs of any vital supplies in last year . -
Indenting Systems (from peripheral facilities to districts) Respective Institution makes their indents with last months
receipt, expenditure and balance in hands. In case of
Sub Center their indents comes through their respective PHC
with countersigned & submitted to the district.
Existence of a functional system for assessing Quality of Vaccine
Yes
Table: 3.6 Status of Logistics (Details about the training institution/s) (Template-6)
Details about the training institution/s
Name of the Institution: FHW/GNM training Centre, Dhubri Key issues
Physical Infrastructures Availability of lecture halls = No Lecture hall Training faculty = 7, deputation = 4 Residential accommodation for Trainees (men and women) = Dining hall = Not Available Furniture’s, = Not Sufficient Safe drinking water and electricity etc = Not Available
• 2 Class rooms is there for taking class.
• There is one room for all faculties.
• There is a Hostel for Girls.
• Electricity from Hospital
Provide details of Faculty (Sanctioned and In-position) with designation and specialization
Sanction post = 8 (Sister tutor/PHN) In Position = 7 (Sister Tutor = 3 & PHN = 4)
Availability of Teaching Aids, computers etc. Assessment of availability of common audio visual aids at the facility
Computer = 2 Laser Printer = 1 OHP = 2
Availability of annual training plans for the last year and achievements of the plan?
There is no Annual training plans, 46 nos. of GNM students completed 3 years course in the year 2005-2006.
Training activities under NRHM: i) Orientation / sterilization workshops on NRHM
- District level officers of related departments, sub district level officers, elected PRIs, field NGOs, faculty of ANMTCs/DTCs, block panchayat and Gram panchayat
ii) Training for strengthening of health system
- ASHA training - Skill based trainings
The districts are required to indicate the trainings conducted for all categories of health personnels with reference to the training load. The cumulative number of trained manpower and the number of trained during the current year along with percentage of achievement may be specified.
GNM trainees admitted on 25.5.06 for 3 years 6 months=48 nos ANM trainees admitted on 21.3.07 for 18 months=32 nos.
DHUBRI/DHAP/2010-11 41
Table: 3.7 BCC Infrastructures in Dhubri District (Template-7)
Human Resources for BCC i.e. District Media officers, Dy Media officers and block level staff Any trainings the staff has undergone in media planning or material development in past five years Any functional Mass media audio- visual aids such as 16 mm projectors, Video cameras, VCD/DVD players
No Yes, LCD Projector-1
-Did the district prepare a BCC plan in the past year? -If yes, what BCC activities were planned and undertaken? -In the absence of plan, find out what BCC activities were undertaken?
No
Are there other institutions available in the private sector for conducting communication activities using modern media or folk media???
No
Table 3.8 Details of ICDS programme in Dhubri District (Template-9)
Sl No
Name of the Block with ICDS
Programme
Number of AWCs
CDPOs and ACDPOs
Supervisors
AWWs AW helpers
S F S IP S IP S IP S IP
1 Gauripur 198 198 2 1 9 9 198 198 198 198
2 Agomoni 151 151 1 1 6 5 151 151 151 151
3 Golakganj 115 115 1 1 4 4 115 115 115 115
4 Rupshi 146 146 1 1 5 5 146 146 146 96
5 Debitola 164 164 1 1 6 6 164 164 164 164
6 Bilasipara 103 102 1 1 3 2 103 102 103 102
7 Mahamaya 121 121 1 1 5 3 121 121 121 121
8 Nayeralga 77 77 1 1 3 3 77 77 77 77
9 Chapor-Salkocha 115 115 1 1 3 3 115 115 115 115
10 S.Salmara 109 109 1 1 3 3 109 108 109 108
11 Jamadarhat 78 76 1 1 1 1 78 76 78 78
12 Fekamari 139 139 1 1 4 3 139 139 139 139
13 Mankachar 152 152 1 1 5 2 152 152 152 150
14 Birsing Jarua 127 127 1 1 4 3 127 127 127 127
Total 1795 1792 15 14 61 52 1795 1791 1795 1741
(Source ICDS, Dhubri Office)
S = Sanctioned; F =Functioned and IP = In Position
DHUBRI/DHAP/2010-11 42
Table: 3.9 Elected representatives to Panchayat institutions
Name of the block
Total
panchayat
villages
Total ZP
members
Total BDC/Mandal
members
Total Panchayat
Pradhans
Male Femal
e Male Female Male Female
A. Dhubri Sub Division
1 Gauirpur 150
7 6
10 5
2 Debitola 60 5 1
3 Rupshi 110 5 6
4 Golakganj 100 5 5
5 Agomoni 130 11 2
6 Hatidhura 40 4 0
Sub Total (A) 590 7 6 40 19
B. Bilasipara Sub Division 7 Chapor Salkocha 120
5 2
6 6
8 Bilasipara 100 6 4
9 Nayeralga 90 7 2
10 Mahamaya 120 6 6
Sub Total (B) 430 5 2 25 18
C. Hatsingimari Sub Division 11 Mankachar 150
4 4
9 6
12 Fekamari 140 10 4
13 South Salmara 130 10 3
14 Jamdarhat 90 7 2
15 Birsing Jorua 150 9 6
Sub Total (C) 660 4 4 45 21
(Source : ZP Office, Dhubri)
Total Panchyat Villages = 1680
Tatal No. of Panchyat = 168
Total ZP Members = 28 (Male = 16, Female = 12)
Total Panchyat Pradhan = 168 (Male = 110, Female = 58)
Table: 3.10 NAME OF THE NGOs WORKING IN HEALTH SECTOR IN THE DHUBRI DISTRICT: - (Template-11)
Sl No
Names of NGOs Address Remarks
1 Gauripur Vivekananda Club, Gauripur
P.O.-Gauripur Dist-Dhubri (Mother NGO of DHS, Dhubri)
MNGO, Dhubri
2 North Easr Zone Welfare Developments Society, Hatsingimari
Hatsingimari, Gazarikandi FNGO, Gazarikandi PHC
3 Social Activites voluntary Organisation, Mankachar
Mankachar, Gazarikandi FNGO, South Salmara
4 Legal Social Development Organisation, Dharmasala
Dharmasala, Dhubri FNGO, Dharmasala PHC
5 A Society for Human Resource Overall Management
Nayahat Bazar, Dhubri FNGO, Raniganj PHC
DHUBRI/DHAP/2010-11 43
Table: 3.11 Key RCH Indicators
Key - Indicators, Reproductive and Child Health – Rapid Household Survey (RCH-RHS) For 1998-99 & 2002-04
INDICATORS
ASSAM DHUBRI
1998-99 2002-04 1998-99 2002-04
Marriage below 18 28.7 23.8 59.0 33.8
Birth order 3+ 45.9 40.6 52.7 50.9
Know all FP * 42.6 24.2 71.1 15.7
CPR any mode** 28.4 28.7 26.2 19.6
Unmet need 37.6 22.5 36.4 29.8
ANC 56.0 61.5 37.8 37.8
Full ANC 24.8 42.6 18.5 23.6
Institutional Delivery 23.8 26.8 11.5 10.6
Safe Delivery 31.9 33.2 17.4 13.0
MMR 398*** 490****
Full Vaccination 46.7 19.3 83.7 14.0
No Vaccination 11.6 23.6 1.6 28.2
Aware AIDS-Female 37.7 49.1 19.7 20.4
RTISTI-Female 28.5 24.3 42.4 21.8
Aware AIDS-Male 57.7 34.7
RTISTI-Male 15.1 1.3
RW-ANM 7.7 3.1 12.3 4.2
The above table shows the comparative data of different parameters of different health indicators of Assam, and Dhubri district.
DHUBRI/DHAP/2010-11 44
Table 3.12: Key Health Indicators of Dhubri District [Source: DLHS-2(02-04)& DLHS-3(07-08)]
Indicators Assam Dhubri
DLHS-3 DLHS-2 DLHS-3 DLHS-2
Marriage and Fertlity
Marriage below 18 21.8 25.8 38.2 38.1
Birth Order 3 and above NA NA 32.9 53.0
% of births to women during age 15-19 out of total births 5.2 - 17.0 -
Currently used Family Planning Methods (Currently married women, age 15-49)
Any Method (%) 49.7 55.6 32.7 42.5
Any modern Method (%) 31.2 26.9 23.6 17.3
Female Sterlization (%) 10.7 11.6 2.2 4.5
Total Unmet need 26.1 23.6 37.2 32.4
Maternal Health
Mothers registered for ANC in the first trimaster during the last pregnancy (%)
39.4 38.5 20.7 -
Mothers who had at least 3 ANC visits during the last pregnancy (%)
45.1 39.4 21.9 20.9
Mothers who got atleast one TT injection when they were pregnant with their last live birth/still birth (%)
69.3 55.0 40.4 31.9
Institutional births (%) 35.3 23.2 15.8 8.5
Delivery at home assisted by a doctor/nurse/LHV/ANM (%) 7.7 9.2 3.8 3.0
Child Immunization
Children (12-23 months) who have received BCG (%) 80.5 61.3 73.7 38.0
Children (12-23 months) who have received Measles Vaccine (%)
65.2 33.7 43.4 18.8
Children (12-23 months) fully immunizaed 48.0 16.0 23.2 8.4
Child feeding practices
Children breastfed within one hour of birth (%) 65.7 50.6 70.0 -
Knowledge of HIV/AIDS and RTI/STI among Ever Married Women (age 15-49)
Women heard of HIV/AIDS (%) 54.8 44.0 41.6 15.2
Women heard of RTI/STI (%) 16.8 21.8 4.4 19.2
Knowledge of HIV/AIDS and RTI/STI among Un-married Women (age 15-24)
Women heard of HIV/AIDS (%) 72.2 - 54.5 -
Women heard of RTI/STI (%) 13.5 - 4.0 -
Women Facilitated/Motivated by ASHA for
Ante-natal Care (%) NA NA 13.3 -
Delivery at Health facility (%) NA NA 7.7 -
Use of Family Planning Methods NA NA 7.2 -
DHUBRI/DHAP/2010-11 45
CHAPTER - 4 Progress Made During 2005-2009
Table 4.1:
Status of ASHA Block PHC wise (Excluding BTAD)
Sl. No
Name of PHC Estimated
Population as on Nov 2009
Status of ASHA during
07-08
Status of ASHA during
08-09 (Exculding
BTAD)
Status of AHSA during 09-10 as
on Jan’10
1 South Salmara PHC 332656 230 230 282
2 Halakura PHC 170500 150 150 172
3 Golakganj PHC 267224 200 225 266
4 Dharmasala PHC 322157 260 229 289
5 Raniganj PHC 323724 234 203 303
6 Chapor PHC 136200 140 125 139
7 Gazarikandi PHC 298692 230 204 275
Total 1851153 1444 1366 1726
Sl Name of the Block
PHC
No of ASHA Received Training
1st Module 2nd Module 3rd Module 4th Module 5th Module
1 Dharmasala BPHC 229 229 229 229 229
2 Golakganj BPHC 206 206 206 206 206
3 Halakura BPHC 160 160 160 160 160
4 Raniganj BPHC 201 201 201 201 201
5 Chapor BPHC 140 139 139 139 124
6 Gazarikandi BPHC 204 204 204 204 200
7 South Salmara BPHC 230 230 230 230 220
District Total 1370 1369 1369 1369 1340
Table 4.2: No. of VHND Observed Block PHC Wise during 06-07, 07-08, 08-09 & 09-10 (upto
Jan’10)
Sl Name of the BPHC/
Urban Center/ Reporting Unit
No of VHND 2006-07
No of VHND 2007-08
No of VHND 2008-09
No of VHND 2009-10 (upto
Jan’10)
1 Dharmasala BPHC 133 2877 2652 2086
2 Golakganj BPHC 3 679 2117 1666
3 Halakura BPHC 232 927 1599 1569
4 Raniganj BPHC 68 2193 2051 1652
5 Chapor BPHC 195 1516 1533 1240
6 Gazarikandi BPHC 66 1582 1894 1530
7 South Salmara BPHC 300 1414 2188 2327
Total: 997 11188 14034 12070
DHUBRI/DHAP/2010-11 46
Table 4.3: Status of Village Health and Sanitation Committee of Dhubri District during 08-09 and 09-10 (upto June’09)
Sl No
Name of Block PHC No. of VHSC
formed during 08-09
No. of VHSC Acct Open
during 08-09
Achievement PC
No. of VHSC formed
during 09-10
No. of VHSC Acct Open
during 09-10
Achievement PC
1 Golakganj PHC 219 219 100.00% 209 209 100%
2 Dharmasala PHC 212 212 100.00% 212 212 100%
3 Halakura PHC 150 150 100.00% 160 160 100%
4 Chapor PHC 124 124 100.00% 124 124 100%
5 Raniganj PHC 201 196 97.51% 197 197 100%
6 South Salmara PHC 226 226 100.00% 223 223 100%
7 Gazarikandi PHC 190 179 94.21% 185 185 100%
Total 1322 1306 98.79% 1310 1310 100%
Table 4.4: INSTITUTION WISE DELIVERY REPORTS OF DHUBRI DISTRICT
Year: 2005-06
Sl. No
Name of PHC/District Hospital
Home Delivery Institutional Delivery Grand Total
1 Dharmasala 2621 27 2648
2 Golokganj 1630 241 1871
3 Halakura 1369 194 1563
4 Raniganj 1633 199 1832
5 Chapor 1184 59 1243
6 South Salmara 1045 0 1045
7 Gazakandi 916 74 990
8 Dhubri Civil Hospital 0 2896 2896
Total 10398 3690 14088
Year : 2006-07
Sl. No
Name of PHC/District Hospital
Home Delivery Institutional Delivery Grand Total
1 Dharmasala 3080 338 3418
2 Golokganj 1921 453 2374
3 Halakura 1561 495 2056
4 Raniganj 2490 553 3043
5 Chapor 1310 252 1562
6 South Salmara 1588 0 1588
7 Gazakandi 1664 335 1999
8 Dhubri Urban 0 2568 2568
Total 13614 4994 18608
DHUBRI/DHAP/2010-11 47
Year: 2007-08
Sl No. Name of PHC/Urban Unit Name of the Institution
Home Delivery
Institutional Delivery
Grand Total
1 Dhubri Urban Dhubri CH
37 3448
3945 20 Bed MC. Dhubri 460
2 Chapor PHC
Chapor FRU
1735
764
2716
Bahalpur SD 45
Salkocha SHC 133
Jalikura SC 3
Soulmari SC 7
Champabati SC 26
Noonmati SC 1
Dhirghat SC 1
Bamungaon SC 1
3 Halakura PHC
Agomoni CHC
1424
661
3229 Halakura CHC 883
Satrasal SD 86
Boterhat SD 175
4 Dharmasala PHC
Gouripur CHC
2737
419
3971 Dharmasala PHC 719
Kazigaon SD 57
Debitola SD 39
5 Gazarikandi PHC Mankachar CHC
1749 306
3530 Gazarikandi PHC 1475
6 Golakganj PHC Golakganj PHC 1769 1024 2793
7 Raniganj PHC
Raniganj PHC
2340
266
3722
Bilasipara SHC 759
Sapatgram SHC 258
Lakhiganj SD 91
Futkibari SD 8
8 South Salmara PHC Bolodmara SC 3630 3 3633
Total 15421 12118 27539
Year: 2008-09 Sl No. Name of PHC Name of Institution Home Institutional Total
1 Dhubri Urban Dhubri Civil Hospital
0 4102
4517 20 Beded Mat. Cen. 415
2 Chapor PHC
Chapor FRU
1195
642
2069 Bahalpur SD 56
Salkocha SHC 176
3 Halakura PHC
Agomoni CHC
1064
651
3278 Halakura CHC 1299
Satrasal SD 93
Boterhat SD 171
4 Dharmasala PHC Gouripur CHC
2314 399
3368 Dharmasala PHC 655
5 Gazarikandi PHC Mankachar CHC
2034 632
4173 Gazarikandi PHC 1507
6 Golakganj PHC
Golakganj PHC
1624
1261
3547 Tamarhat MPHC 609
Kachokhan SD 48
Moterjhar SD 5
7 Raniganj PHC
Raniganj PHC
2554
176
3976
Bilasipara SHC 828
Sapatgram SHC 231
Lakhiganj SD 142
Futkibari SD 45
8 South Salmara BPHC 2780 0 2780
Total 13565 14143 27708
DHUBRI/DHAP/2010-11 48
Year: 2009-10 (Upto Jan’10)
Sl No.
Name of PHC Name of Institution Home
Delivery Institution Delivery
Total
1 Dhubri Urban
Dhubri Civil Hospital
0
4054
4355
20 Beded Mat. Cen. Dhubri 301
2 Chapor PHC
Chapor FRU
916
731
1788 Bahalpur SD 36
Salkocha SHC 105
3 Halakura PHC
Agomoni CHC
646
594
2797 Halakura CHC 1315
Satrasal MPHC 110
Boterhat SD 132
4 Dharmasala
PHC
Gouripur CHC 1971
331 2780
Dharmasala PHC 478
5 Gazarikandi
PHC
Mankachar CHC 1960
783 4305
Gazarikandi PHC 1562
6 Golakganj
PHC
Golakganj PHC
1135
1248
3416
Tamarhat MPHC 616
Kachokhan SD 200
Moterjhar SD 147
Dhepdhepi MPHC 70
7 Raniganj PHC
Raniganj PHC
2196
127
3722
Bilasipara SHC 997
Sapatgram SHC 202
Lakhiganj SD 136
Futkibari SD 64
8 South Salmara
PHC 2652 0 2652
Total 11476 14339 25815
DHUBRI/DHAP/2010-11 49
Table 4.5: JSY BENEFICIARIES OF DHUBRI DISTRICT
Year : 2005-06
Name of Health Institution
Home Delivery
Institutional Delivery
Total
Chapor PHC 30 8 38
Gazarikandi PHC 157 9 166
Raniganj PHC 22 0 22
Total 209 17 226
Year : 2006-07
Name of PHC Name of Health Institution
Home Delivery
Institutional Delivery
Total
Chapor PHC
Chapor PHC
996
82
1307 Salkocha SHC 5
Bohalpur SD 6
Chapor FRU 218
Golakganj PHC Golakganj PHC 1526 416 1942
Halakura PHC
Halakura PHC
993
406
1565 Agomoni CHC 134
Boterhat SD 31
Satrasal SD 1
Dharmasala PHC Dharmasala PHC
1340 96
1588 Gauripur CHC 152
Gazarikandi PHC Gazarikandi PHC 2238 358 2596
Raniganj PHC
Raniganj PHC
1017
100
1618 Bilasipara SHC 324
Sapatgram SHC 177
South Salmara PHC S.Salmara PHC 2753 0 2753
Urban Unit
Dhubri Urban 100 464
1803 Dhubri Civil Hosp 962
Dhubri 20 Bed MC 277
Total 10963 4209 15172
Year : 2007-08 Sl No. Name of PHC Name of Institution Institutional Delivery
1 Dhubri Urban Dhubri Civil Hospital 2996
20 Bed Maternity centre, Dhubri. 467
2 Chapor PHC
Chapor FRU 688
Bahalpur SD 45
Salkocha SHC 130
Jalikura SC 3
Soulmari SC 7
Champabati SC 10
Noonmati SC 1
Dhirghat SC 1
Bamungaon SC 1
3 Halakura PHC
Agomoni CHC 738
Halakura CHC 879
Satrasal SD 88
Boterhat SD 193
4 Dharmasala PHC
Gouripur CHC 282
Dharmasala PHC 719
KazigaonSD 46
Debitola SD 7
5 Gazarikandi PHC Mankachar CHC 258
Gazarikandi PHC 1179
6 Golakganj PHC Golakganj PHC 1007
7 Raniganj PHC
Raniganj PHC 203
Bilasipara SHC 564
Sapatgram SHC 181
Lakhiganj SD 58
Futkibari SD 1
8 South Salmara PHC Bolodmara SC 3
Total 10755
DHUBRI/DHAP/2010-11 50
Year : 2008-09
Sl No.
Name of PHC Name of Institution Total
1 Dhubri Urban Dhubri Civil Hospital 3201
20 Beded Mat. Cen. Dhubri 405
2 Chapor PHC
Chapor FRU 379
Bahalpur SD 60
Salkocha SHC 146
3 Halakura PHC
Agomoni CHC 591
Halakura CHC 1124
Satrasal SD 75
Boterhat SD 174
4 Dharmasala
PHC Gouripur CHC 436
Dharmasala PHC 610
5 Gazarikandi
PHC Mankachar CHC 426
Gazarikandi PHC 757
6 Golakganj PHC
Golakganj PHC 1259
Tamathat MPHC 473
Kachokhana SD 48
Moterjhar SD 0
7 Raniganj PHC
Raniganj PHC 176
Bilasipara SHC 730
Sapatgram SHC 204
Lakhiganj SD 143
Futkibari SD 50
Total 11467
Year: 2009-10 (Upto Jan’10)
Sl
No. Name of
PHC Name of
Institution April May June July Aug Sept Oct Nov Dec Jan Total
1 Dhubri Urban
Dhubri Civil Hospital
195 134 207 492 465 211 1031 856 0 0 3591
20 Beded Mat. Cen
31 13 14 20 36 0 35 40 46 37 272
2 Chapor
PHC
Chapor FRU 0 0 0 216 161 91 72 55 70 92 757
Bahalpur SD 0 0 0 10 4 5 2 2 5 0 28
Salkocha SHC 0 0 0 10 5 24 3 5 14 14 75
3 Halakura
PHC
Agomoni CHC 3 0 39 144 22 89 104 12 0 0 413
Halakura CHC 0 0 137 513 180 4 223 168 0 0 1225
Satrasal MPHC 0 0 0 38 30 0 17 0 0 0 85
Boterhat SD 0 0 0 43 41 0 32 0 0 0 116
4 Dharmasala
PHC
Gouripur CHC 0 1 1 92 38 1 2 35 0 0 170
Dharmasala PHC
0 0 149 27 0 0 172 62 0 0 410
5 Gazarikandi
PHC
Mankachar CHC 0 0 255 0 195 0 193 0 97 0 740
Gazarikandi PHC
0 0 0 494 423 0 0 0 436 0 1353
DHUBRI/DHAP/2010-11 51
Sl No.
Name of PHC
Name of Institution
April May June July Aug Sept Oct Nov Dec Jan Total
6 Golakganj
PHC
Golakganj PHC 0 0 197 0 86 0 114 223 164 0 784
Tamathat MPHC 0 48 223 0 0 0 161 0 72 0 504
Kachokhana SD 14 6 9 0 0 0 82 0 35 0 146
Moterjhar SD 0 0 25 10 4 0 33 23 0 0 95
Dhepdhepi MPHC
0 0 0 4 0 0 51 0 11 0 66
7 Raniganj
PHC
Raniganj PHC 0 0 30 12 14 11 12 0 31 21 131
Bilasipara SHC 1 0 58 257 97 6 0 0 309 220 948
Sapatgram SHC 15 8 50 7 4 0 50 10 35 15 194
Lakhiganj SD 0 0 41 10 18 2 0 0 0 74 145
Futkibari SD 4 3 5 4 9 3 7 0 0 0 35
Total 263 213 1440 2403 1832 447 2396 1491 1325 473 12283
DHUBRI/DHAP/2010-11 52
Table 4.6: STATUS OF CIVIL WORK UNDER NRHM, DHUBRI AS ON 5.11.09
STATUS OF CIVIL WORK UNDER NRHM, DHUBRI DISTRICT AS ON 31.7.09
Rs. 30 Thousand allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge)
Sl No
Name of Block PHC
Name of Institution/SC
Implementing Agency
Fund alloted
per institution
Financial year
Type of
work
Progress of work in % age
Remarks
1 Dharmasala PHC
Madaikhali S/C
HMC 0.30 lac ‘05-06 M&R 100% Completed
2 Alomganj S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
3 Golakganj PHC
Ratiadaha S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
4 Biskhowa S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
5 Chapor PHC
Airarjhar S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
6 Raniganj PHC
Borogirai S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
7 Borkanda S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
8 Halakura PHC
Chagolia S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
9 Ranpagli S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
10 Gazarikandi PHC
Fekamari S/C HMC 0.30 lac ‘05-06 M&R 100% Completed
Rs. 50 Thousand allotted for Maintenance & Repairing of Health Institution during 2005-06 (as reported by BPHC Incharge & inspection report of JE, NRHM)
Sl No
Name of Block PHC
Name of Institution
Implementing Agency
Fund allotted per institution
Progress of
work in % Age
Remarks
1 South Salmara PHC
Medartari SC HMC 0.50 lac 100% completed
2 Dharmasala PHC
Geramari MPHC HMC 0.50 lac 100% Completed
3 Golakganj PHC Kachokhana MPHC
HMC 0.50 lac 100% Completed
4 Golakganj PHC Dhepdhepi MPHC
HMC 0.50 lac 100% Completed
5 Chapor PHC Salkocha MPHC HMC 0.50 lac 100% Completed
6 Raniganj PHC Sapatgram MPHC
HMC 0.50 lac 100% Completed
7 Raniganj PHC Lakhiganj MPHC HMC 0.50 lac 100% Completed
8 Raniganj PHC Futkibari MPHC HMC 0.50 lac 100% Completed
9 Halakura PHC Boterhat SD HMC 0.50 lac 100% Completed
10 Gazarikandi PHC
Jhowdanga MPHC
HMC 0.50 lac 100% Completed
DHUBRI/DHAP/2010-11 53
Rs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge & inspection report of JE, NRHM)
Sl.No Name of
Institution Implementing
Agency
Fund alloted per institution
Financial year
Type of
work
Progress of work in %
Age Remarks
1 Halakura PHC HMC 1 lac ‘06-07 MSR 100% Completed
2 Golakganj PHC HMC 1 lac ‘06-07 M&R 100% Completed
3 Dharmasala PHC HMC 1 lac ‘06-07 M&R 100% Completed
4 Raniganj PHC HMC 1 lac ‘06-07 MSR 100% Completed
5 South Salmara PHC
HMC 1 lac ‘06-07 M&R 100% Completed
6 Gazarikandi PHC HMC 1 lac ‘06-07 M&R 100%
Completed only staff quarter
repaired.
7 Chapor PHC HMC 1 lac ‘06-07 M&R 100% Completed
Rs. 1 lakh allotted for Maintenance & Repairing of Health Institution (as reported by BPHC Incharge & inspection report of JE, NRHM)
Sl No
Name of Block PHC
Name of Institution
Implementing Agency
Fund alloted
per institution
Financial year
Type of
work
Progress of work
in % Age
Remarks
1
Halakura PHC
Rangpagli S/C HMC 1 lac 06-07 MSR 100% Completed
2 Chagolia S/C HMC 1 lac 06-07 MSR 100% Completed
3 Gharialdanga S/C
HMC 1 lac 06-07 MSR 100% Completed
4 Kharbari S/C HMC 1 lac 06-07 MSR 100% Completed
5
Golakganj PHC
Protapganj S/C HMC 1 lac 06-07 MSR 100% Completed
6 Rakhalpat S/C HMC 1 lac 06-07 MSR 100% Completed
7 South Raipur S/C
HMC 1 lac 06-07 MSR 100% completed
8 Bishkhowa Bazar S/C
HMC 1 lac 06-07 MSR 100% completed
9 Sonahat S/C HMC 1 lac 06-07 MSR 100% Completed
10 Harirhat S/C HMC 1 lac 06-07 MSR 100% Completed
11 Madhyapetla S/C
HMC 1 lac 06-07 MSR 100% Completed
12 Chaghar S/C HMC 1 lac 06-07 MSR 100% Completed
13
Dharmasala PHC
Debitola S/C HMC 1 lac 06-07 MSR 100% Completed
14 Madhusoulmari S/C
HMC 1 lac 06-07 MSR 100% completed
15 Baraibari S/C HMC 1 lac 06-07 MSR 100% Completed
16 Jhaleralga S/C HMC 1 lac 06-07 MSR 100% Completed
17 Madaikhali S/C HMC 1 lac 06-07 MSR 100% Completed
18 Gaspara S/C HMC 1 lac 06-07 MSR 100% Completed
19
Chapor PHC
Bahalpur S/C HMC 1 lac 06-07 MSR 100% Completed
20 Arerjhar S/C HMC 1 lac 06-07 MSR 100% Completed
21 Nunmati S/C HMC 1 lac 06-07 MSR 100% Completed
22 Falimari S/C HMC 1 lac 06-07 MSR 100% Completed
23 Raniganj Chotogiraj S/C HMC 1 lac 06-07 MSR 100% Completed,
DHUBRI/DHAP/2010-11 54
24 PHC Tamokobari
S/C HMC 1 lac 06-07 MSR 100% Completed
25 Rabantari S/C HMC 1 lac 06-07 MSR 100% Completed
26 Silabari S/C HMC 1 lac 06-07 MSR 100% Completed
27 Kaimari S/C HMC 1 lac 06-07 MSR 100% Completed
28 Buchirchar S/C HMC 1 lac 06-07 MSR 100% Completed
29 Aysakati S/C HMC 1 lac 06-07 MSR 100% Completed
30
South Salmara
PHC
Bauskata S/C HMC 1 lac 06-07 MSR 100% Completed
31 Muthakhowa S/C
HMC 1 lac 06-07 MSR 100% Completed
32 Bhalukkandi S/C
HMC 1 lac 06-07 MSR 100% Completed
33 Salkata S/C HMC 1 lac 06-07 MSR 100% completed
34 Medertari S/C HMC 1 lac 06-07 MSR 100% Completed
35
Gazarikandi PHC
Kalapani S/C HMC 1 lac 06-07 MSR 100% completed
36 Kuchnimara S/C
HMC 1 lac 06-07 MSR 100% completed
37 Manullapara S/C
HMC 1 lac 06-07 MSR 100% completed
38 Borona S/C HMC 1 lac 06-07 MSR 100% Completed
39 Borealga S/C HMC 1 lac 06-07 MSR 100% Completed
40 Kukurmara S/C HMC 1 lac 06-07 MSR 100% Completed
Rs. 2 lakh allotted for Maintenance & Repairing of Health Institution (as reported JE, NRHM)
Sl No
Name of Block PHC
Name of Institution
Implementing
Agency
Fund alloted per institution
Financial year
Type of
work
Progress of work
in % Age
Remarks
1 Halakura PHC
Agomoni CHC HMC 2 lac 06-07 M&R 100% Completed
2 Halakura CHC HMC 2 lac 06-07 M&R 100% Completed
3 Dharmasala PHC
Gauripur CHC HMC 2 lac 06-07 M&R 100% Completed
4 Chapor PHC Chapor CHC HMC 2 lac 06-07 M&R 100% Completed
Rs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 06-07, Sources : PWD report as on 24.9.08 & AE, NRHM report as on 05.05.09
Sl No
Name of Institution
Implementing Agency
Fund alloted per institution
Financial
year
Type of work Progress of work
in % Age
Remarks
1 Dhepdhepi MPHC
Dist Const. Committ.
5.0 lac 06-07 24x 7Hr Delivery
Service 100% completed
2 Kachokhana SD
Dist Const. Committ.
5.0 lac 06-07 24x 7Hr Delivery
Service 100% completed
3 Satrasal SD Dist Const. Committ.
5.0 lac 06-07 24x 7Hr Delivery
Service 100% completed
4 Salkocha SHC Dist Const. Committ.
5.0 lac 06-07 24x 7Hr Delivery
Service 100% completed
5 Lakhiganj SD Dist Const. Committ.
5.0 lac 06-07 24x 7Hr Delivery
Service 100% completed
DHUBRI/DHAP/2010-11 55
Rs. 5 Lakhs allotted for Up gradation of BPHC to 24x 7delivery Services during the year 07-08, Sources : PWD report as on 31.7.09
Sl No
Name of Institution
Implementing Agency
Fund alloted per institution
Financial year
Type of work Progress of work in
% Age
Remarks
1 Moterjhar SD Dist Const. Committ.
5.0 lac 07-08 24x 7Hr Delivery
Service 100% completed
2 Sadullabari SHC
Dist Const. Committ.
5.0 lac 07-08 24x 7Hr Delivery
Service 100% completed
3 Kakripara SD Dist Const. Committ.
5.0 lac 07-08 24x 7Hr Delivery
Service 100%
Work Just completed
4 Basbari SD Dist Const. Committ.
5.0 lac 07-08 24x 7Hr Delivery
Service 100%
Work completed
5 Sapatgram SHC
Dist Const. Committ.
5.0 lac 07-08 24x 7Hr Delivery
Service 100%
Works completed
Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09, Sources : PWD report as on 31.01.10
Sl No
Name of Institution
Implementing Agency
Fund alloted per institution
Financial year
Type of work Progress of work in
% Age Remarks
1 Dumardaha MPHC
Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 100%
Work completed
2 Bogribari SD
Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 100%
Work completed
3 Berbhangi SD
Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 90%
Work in progress
4 Jhowdanga SD
Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 100%
Work completed
5 Boterhat SD Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 57% completed
Rs. 6 Lakhs allotted for Up gradation of PHCs to 24x 7delivery Services during the year 08-09, Source : PWD report as on 31.01.10
Sl No
Name of Health Inst
Implementing Agency
Fund alloted per institution
Financial year
Type of work Progress of work
in % Age Remarks
1 Jarua MPHC Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 45%
Work in progress
2 Bilasipara SHC Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 55% Work in progress
3 Futkibari SD Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 13% Work in progress
4 Santipur MPHC Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 70% Work in progress
5 Tamarhat MPHC Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 40% Work in progress
6 Geramari MPHC Dist Const. Committ.
6.0 lac 08-09 24x 7Hr Delivery
Service 41% Work in progress
DHUBRI/DHAP/2010-11 56
Rs. 5.3 Lakhs allotted for Up gradation of 24X7 hr delivery of BPHC during the year 05-06 and 07-08 under NRHM
Sources : AE, NRHM as on 24.7.08
Sl No
Name of Institution
Implementing Agency
Fund Allotted per institution
Financial year
Type of work Progress of work in
%
Remarks
1 Raniganj PHC HMC 5.3 lac ‘05-06 Upgradation to 24 hr delivery
100% Completed
2 Golakganj PHC HMC 5.3 lac ‘05-06 Upgradation to 24 hr delivery
100% Work completed
3. Dharmasala PHC Dist. Const. Committee
5.3 Lac ‘07-08 Upgradation to 24 hr delivery
100% Work completed
Rs.7.4 lakhs allotted for Up gradation of Health Institution to 24 x 7 hr Delivery services as on 31.03.08
Sl No
Name of Institution
Implementing Agency
Fund alloted
Financial year
Type of work Progress of work
in % Age
Remarks
1 20 beds MC
Dhubri Town & Country
Planning 7.4 L 06-07
Upgradation to 24 hr delivery
100% Completed
2 Agomoni
CHC Dist. Const. Committee
7.4 L ’07-08 Upgradation to 24
hr delivery 100%
Completed and handed
over
Rs. 14.9 Lakhs allotted for Up-gradation of BPHC to FRU during the year 2006-2007 (Source : PWD building report as on 30.05.09 and AE, NRHM report as on 24.9.08)
Sl No
Name of Institution
Implementing Agency
Fund allotted
Type of work
Progress of work in
percentage
Remarks
1 Golakganj PHC PWD
Building 14.9 lac
BPHC to FRU
100% Work completed
2 Gazarikandi PHC HMC 14.9 lac BPHC to
FRU 100% Work completed
Repairing of Doctor's Quarter and Staff Quarter during 07-08 (Source : PWD building report as on 30.5.09 & AE, NRHM report as 31.3.09)
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in % age
Remarks
1 Gauripur CHC PWD (B) Doctors & Staff Quarter 100% Work completed
2 Chapor CHC PWD (B) Doctors & Staff Quarter 100% Work completed
3 Raniganj PHC PWD (B) Doctors & Staff Quarter 100% Work completed
4 Halakura CHC PWD (B) Doctors & Staff Quarter 100% Work completed
5 Satrasal MPHC PWD (B) Doctors & Staff Quarter 100% Work completed
6 Boterhat SD PWD (B) Doctors & Staff Quarter 100% Work completed
7 Gazarikandi PHC PWD (B) Doctors & Staff Quarter 100% Work completed
Repairing of Doctor's Quarter and Staff Quarter during 08-09 (Source : PWD report as 31.01.10)
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency in
2008-09 Type of work
Progress of work in % age
Remarks
1 Dharmasala PHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed
2 Lakhiganj SD 6.0 L PWD (B) Doctors & Staff Quarter 58% Work progress 3 Salkocha SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 4 Bilasipara SHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 5 Futkibari SD 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed 6 Geramari MPHC 6.0 L PWD (B) Doctors & Staff Quarter 100% Work completed
DHUBRI/DHAP/2010-11 57
Construction of Stabilization Unit during 08-09, Source : PWD report as on 31.01.10
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work
Progress of work in % age
Remarks
1 Dharmasala BPHC,
4.2 L Dist Const Committ
Stabilization unit
40%
2 Golakgnaj BPHC 100%
3 Raniganj BPHC, 85%
4 Gazarikandi BPHC, 30%
5 Chapor CHC, 60%
6 Gauripur CHC, 11%
7 Halakura CHC, 100%
8 Agomoni CHC, 60%
9 Mankachar CHC, 35%
10 Sapatrgam SHC, 75%
11 Bilasipara SHC and 85%
12 20 beded Maternity Centre 20%
Construction / Upgradtion of Twon SD to FRU during 08-09
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in %
age Remarks
1 Town SD 14.43 L Const
Committ
Construction of Ground floor of 2 9two) st R.C.C Bldg (with a provision of Assam Type 1
st floor)
for upgradation of town state dispensary to FRU standard in the campus of Old Civil hospital, Dhubri
70% Work in progress
DHUBRI/DHAP/2010-11 58
Table 4.7: Status of Civil Work Implemented by PWD Building
Rural Health Block Pooling Complex during 2006-07 (Source : PWD report as on 31.12.09)
Sl No
Name of Block PHC
Name of Institution
Fund alloted
Implementing Agency
Type of work
Progress of work in %
age Remarks
1 Chapor PHC
Chapor CHC
100 L PWD
(Building)
Block Pooling
Complex 100% Work completed
2 Gazarikandi PHC
Mankachar CHC
100 L PWD
(Building)
Block Pooling
Complex 100% Work completed
3 Halakura PHC
Halakura CHC
100 L PWD
(Building)
Block Pooling
Complex 86% Work in progress
CHC to IPHS standard during 06-07 (Source : PWD building report as on 31.7.09)
Sl No
Name of Institution
Fund alloted per institution
Implementing Agency
A.A letter no Progress of
work in % age Remarks
1 Chapor CHC
40 L PWD
(Building)
NRHM/ESTIMATE/DHUBRI/405/2996
dtd. 23-10-06 100% Work completed
2 Mankachar
CHC 40 L
PWD (Building)
100%
Work completed and Handed over
3 Halakura
CHC 40 L
PWD (Building)
100% Work completed
4 Gauripur
CHC 40 L
PWD (Building)
NRHM/ESTIMATE/DHUBRI/405/5659
dtd. 5-12-06 100%
Work completed and Handed over
Construction of Doctor's Quarter and Nurses Quarter during 06-07 (Source : PWD building report as on 5.11.09)
Sl No
Name of Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in
% age Remarks
1 Golakganj PHC 28.80 L PWD (B) Doctors & Nurse
Quarter (Assam Type) 100% Work completed
2 Bilasipara SHC 28.80 L PWD (B) Doctors Qtr (1unit) &
Nurse Qtr (3 unit) 100% Work completed
3 Gauripur CHC 28.80 L PWD (B) Doctors Qtr (1unit) &
Nurse Qtr (3unit) 100% Work completed
4 South Salmara CHC 28.80 L PWD (B) Doctors Qtr (1unit) &
Nurse Qtr (3 unit) 100%
Work completed except electrification
5 Bogribari SD 28.80L PWD (B) Doctors Qtr (1unit) &
Nurse Qtr (3 unit) 100% Work completed
6 Dhepdhepi MPHC 28.80L PWD (B) Doctors Qtr (1unit) &
Nurse Qtr (3 unit) 100% Work completed
Construction of 200 beded Civil Hospital, Dhubri (Source : AE report as on 31.1.10)
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in % age
Remarks
1 Dhubri Civil hospital PWD (B) Construction of 200 beded Civil hospital
74% Work in progress
DHUBRI/DHAP/2010-11 59
RCC GNM School cum Hostel Building for 100 Nursing students (Source : PWD building report as on 31.12.09)
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in % age
Remarks
1 Dhubri Civil Hospital PWD (B) RCC GNM School cum Hostel Building
43% Work in progress
Construction of Wards in Dhubri District During 2008-09 (Source : PWD report as on 31.01.10)
Sl No Name of
Institution/PHC/CHC/SD etc
Fund alloted
Implementing Agency
Type of work Progress of work in % age
Remarks
1 Salkocha SHC Assam Type Ward 80% Work in progress
2 Lakhiganj SD 70% Work in progress
3 Satrasala MPHC 70% Work in progress
Table 4.8: Perormance Of Mobile Mdical Unit, Dhubri During 08-09 & 09-10 (Upto Jan’10)
Month During 08-09 During 09-10 (upto Jan’10)
Total
No of Camps held 60 79 139
No of Patient Treated 9878 12597 22475
No of ANC 540 765 1305
No of PNC 469 117 586
No of X-Ray 3 0 3
No of USG 0 3 3
No of ECG 0 0 0
No of Patient examined for Blood Test 361 252 613
No of Patient examined for Urine Test 201 108 309
No of Patient examined for Stool Test 0 79 79
Table 4.9: Performance Of Boat Clinic Service , Dhubri during 07-08, 08-09 & 09-10 (upto Jan’10)
During 07-08
During 08-09
During 09-10 (upto Jan’10)
Total
No. of camps 11 143 173 327
Genral Health Checkup 2083 23129 20165 45377
ANC 106 772 426 1304
PNC 39 515 43 597
Routine Immunization (BCG+OPVII+OPVIII+B+DTI+DTII+Measles+TTI + TT2)
223 2253 3167 5643
Vitamin A 5 15 21 41
Family Planning 43 1189 1334 2566
IPPIP 0 0 0 0
Sppl Vacnation 0 0 0 0
DHUBRI/DHAP/2010-11 60
Table 4.10: Performance Of Evening Opd Services, Dhubri during 08-09 & 09-10 (Upto Jan’10)
Sl No
Name of the Inst
During 08-09 During 09-10
Day OPD
Evening OPD
% over Day OPD
Day OPD
Evening OPD
% over Day OPD
1 Chapor FRU 39524 8758 22.16% 51055 14029 27.48%
2 Dhubri Civil
Hospital/Dhubri Health & Maternity Centre
106854 13351 62.92% 38075 11078 29.10%
3 Golakganj PHC 19171 2994 15.62% 29450 5982 20.31%
4 Mankachar CHC 20902 2950 14.11% 37377 7310 19.56%
5 Agomoni CHC 10200 2272 22.27% 15319 4690 30.62%
6 Gauripur CHC 11768 1260 10.71% 21589 2690 12.46%
7 Bilasipara SHC 18279 2052 11.23% 32267 5516 17.09%
Total 226698 33637 14.84% 225132 51295 39.82%
Table 4.11: Status of Training/workshop conducted by DHS, Dhubri
Sl. No
Name of the Training Trainee Duration During the year
1 ASHA facilitator Training
2 BTT Training for 1st Module Block Training Team
3 ASHA induction Training 1st Phase at BPHC
ASHA
4 ASHA induction Training 2nd Phase at BPHC
ASHA
4 BTT Training for 2nd,3rd,4th & 5th Module
Block Training Team 6 Days 2007-08
5 Workshop for NRHM staff BPMU/MO(ayur) 2 Days 2007-08
6 Management of Immunization ANM 1 day 2007-08
DHUBRI/DHAP/2010-11 61
Table 4.12: UIP performance Report of Dhubri District
year
Infa
nt
Targ
et
BCG PC DPT PC OPV PC Measles PC PW
target TT PC
2004-0
5
39175 35335 90.20% 28589 72.98% 28589 72.98% 27126 69.24% 44602 39036 87.52%
2005-0
6
38906 43300 111.29% 29940 76.95% 29940 76.95% 28609 73.53% 46285 38660 83.53%
2006-0
7
38906 41238 105.99% 40484 104.06% 40484 104.06% 25224 64.83% 46285 40301 87.07%
2007-0
8
49356 50150 101.61% 42251 86% 42251 86% 44207 90% 54840 49485 90.24%
2008-0
9
42479 47107 110.89% 39576 93.17% 39576 93.17% 36511 85.95% 50184 41529 82.75%
2009-1
0
(Upto
Jan’1
0)
50723 35530 70.05% 32528 64.13% 32365 63.81% 31357 61.82% 57622 38837 67.40%
Table 4.13: Family Welfare Performance of Dhubri District
YEAR METHOD TARGET ACHIEVEMENT PERCENTAGE
2006-2007
Sterilisation 3500 28 0.80%
I.U.D/Copper-T (insertion) 4000 703 17.57%
O.P.(User) 3000 1689 56.30%
C.C.(User 4000 1979 49.47%
2007-2008
Sterilisation 1352 37 2.73%
I.U.D/Copper-T (insertion) 2459 665 27.04%
O.P.(User) 2828 1675 59.23%
C.C.(User 3073 1512 49.20%
2008-2009
Sterilisation 7800 1525 19.55%
I.U.D/Copper-T (insertion) 3900 680 17.44%
O.P.(User) 3000 2433 81.10%
C.C.(User) 3100 2444 78.84%
2009-2010 (Upto Jan’10)
Sterilisation 9800 777 7.93%
I.U.D/Copper-T (insertion) 4900 971 19.82%
O.P.(User) 4700 2875 61.17%
C.C.(User) 4700 2685 57.13%
DHUBRI/DHAP/2010-11 62
Table 4.14: Status Report of Majoni Scheme as on 31st Jan’10 of Dhubri District
Sl Reporting Month
No of Girl Child born during the month
(Source Live Birth - HMIS Report)
No of beneficiaries
submitted application form
No of Fixed Deposite issued
Total Fund Utilised
1 Feb-09 375 10 5 25,000.00
2 Mar-09 478 6 0 0.00
3 Apr-09 437 7 0 0.00
4 May-09 364 3 0 0.00
5 Jun-09 354 195 0 0.00
6 Jul-09 495 277 99 495,000.00
7 Aug-09 645 94 96 480,000.00
8 Sep-09 851 193 85 425,000.00
9 Oct-09 832 94 60 300,000.00
10 Nov-09 719 407 25 125,000.00
11 Dec-09 629 385 326 1,630,000.00
12 Jan-10 638 114 0 0.00
Total 6817 1785 696 3,480,000.00
Table 4.15: Status Report of Mamoni Scheme as on 30th Nov'09 of Dhubri District
Name of the BPHC
Total No of Pregnant Women
Register for ANC
Total no of PW completed ANC visit
Total no release of Payment for mamoni
Scheme Fund Utilization
1st 2nd 3rd 1st
Installment 2nd
Installment
Golakganj BPHC 6042 6015 5494 3463 226 106 166,000.00
Dharmasla BPHC 6536 6508 3592 3301 162 148 155,000.00
Halakura BPHC 3364 1142 1354 1991 336 63 199,500.00
Raniganj BPHC 7280 6606 1815 2381 400 0 200,000.00
Chapor BPHC 2994 2994 1936 2097 292 97 194,500.00
South Salmara BPHC 9149 9149 4484 4133 145 145 145,000.00
Gazarikandi BPHC 7831 7721 4456 2977 192 192 192,000.00
Dhubri Civil Hospital 615 615 491 174 340 99 219,500.00
Dhubri Health & Maternity Centre
1131 1131 877 787 210 190 200,000.00
44942 41881 24499 21304 2303 1040 1,671,500.00
Table 4.16: Status of ASHA Incentive for Full Immunization as on 31st Jan’10
SL No Name of BPHC Target for Fully
Imunization Infants fully immunized
Incentive of Rs. 250 received by ASHA
Total Amount
1 South Salmara BPHC 9002 6040 2963 740750.00
2 Halakura BPHC 6078 4575 1271 317750.00
3 Dharmasala BPHC 6832 6070 2487 621750.00
4 Golakgnaj BPHC 8378 6108 1227 306750.00
5 Gazarikandi BPHC 8200 8138 1458 364500.00
6 Raniganj BPHC 8792 6535 1761 440250.00
7 Chapor BPHC 4452 3238 2051 512750.00
Total 51734 40704 13218 3304500.00
DHUBRI/DHAP/2010-11 63
Table: 4.17 Performance Report of National Disease Control Programme of Dhubri District
Table: 4.17.1: National Vector Borne Diseases Control Programme (NVBDCP)
(Report from Jan 2004 to Dec 2008) of Dhubri District
Year Total
Population
No. of B/S Species R.T. given
Death due to Malaria
Incidence
Coll. Eaxm Pos Pv Pf Conf. DigABERSPR SFR API AFI Pf%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
2004 1618945 93223 93223 1149 84 1065 1149 Nil Nil 5.75 1.23 1.14 0.71 0.65 92.30%
2005 1667208 94314 94314 1066 71 995 1066 Nil Nil 5.65 1.13 1.05 0.63 0.59 93.30%
2006 1692358 1308331308332432321 2131 2432 6 Nil 7.73 1.85 1.62 1.43 1.25 87.60%
2007 1725283 1217121217121977182 1795 1977 18 Nil 7.05 1.62 1.47 16.2414.7490.79%
2008 1729694 1243341243341411 98 1313 1411 Nil Nil 7.18 1.13 1.05 11.3410.5693.05%
2009 (Upto
Nov’09)1728860 1137451137451513 67 1446 1513 4 Nil 6.57 1.33 1.27 0.87 0.83 95.57%
Table: 4.17.2: National Leprosy Eradication Programme in Dhubri District (NLEP)
Year
New cases detected during the year
Cases discharged during the year
Total No of Leprosy cases under treatment
2002-03 81 76 76
2003-04 63 53 86
2004-05 70 88 68
2005-06 46 54 60
2006-07 32 16 76
2007-08 47 50 73
2008-09 51 54 70
2009-10 (Upto Oct’09)
37 20 87
DHUBRI/DHAP/2010-11 64
Table: 4.17.3: National Programme for Control of Blindness (NBCP)
Table: 4.17.3.1 Cataract Performance of Dhubri District
YEAR IOL
2006-07 866
2007-08 768
2008-09 426
2009-10 (Upto Nov’09)
402
Table: 4.17.3.2: School Eye Screening (SES) Performance of Dhubri District.
Sl No Activity 2006-07 2007-08 2008-09 2009-10
(upto Nov)
1
No. of Teachers trained in Screening for Refractive Errors
362 63 Nil Nil
2 No of school going Children Screened
5100 8273 4271 5199
3
No of school going Children detected with Refractive Errors
95 418 189 167
4 No of school going Children provided with free glass
41 378 229 84
Table: 4.17.4: Performance of RNTCP for the last 4 Quarters ie. July’08 to June’09
TB Unit
Total number of patients put on treatment
Annualized total case
detection rate (per lakh pop)
No of new smear positive cases put on treatment
Annualized New smear positive case detection rate (per lakh p op)
Cure rate for cases detected in the last 4 corresponding
quarters
Plan for the next year
Proportion of TB
patients tested for
HIV Annualized NSP CDR
Cure rate
(85%)
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
Dhubri DTC TU
275
175
149
196
74
47
71
94
92
37
53
58
67
27
69
75
86.5
86.8
86.5
86.5
70% or more
85%
Figure not available at present
Gauripur TU
-
156
135
172
- 61
59
76
- 58
46
69
- 62
48
72
- - - - 70% or more
85%
Bilasi
para TU
134
133
107
154
50
49
47
68
61
60
53
74
61
60
63
88
87.8
87.7
86
91 70%
or more
85%
Gazarikandi TU
173
91
104
96
60
31
47
44
55
29
31
42
52
27
38
52
78.2
89.2
88.3
85.2
70% or more
85%
DHUBRI/DHAP/2010-11 65
Table4.18: PROGRESS OF BIRTH AND DEATH REGISTER Deptt.
PERFORMANCE YEAR TOTAL NO OF BIRTH TOTAL NO OF DEATH
2005 28357 3294
2006 30944 3451
2007 31544 3109
2008 33628 3057
2009 (Upto Oct’09) 24710 2903
PERFORMANCE YEAR INFANT DEATH MATERNAL DEATH STILL BIRTH
2005 5 0 131
2006 2 4 92
2007 32 19 234
2008 100 25 286
2009 (Upto Oct’09) 104 21 239
Table4.19 : PROGRESS OF HEALTH CHECKUP IN DHUBRI SCHOOL under School Health Deptt.
PERFORMANCE YEAR TOTAL NO. OF SCHOOLS
COVERED TOTAL NO. OF STUDENTS COVERED
2005 198 21295
2006 184 23319
2007 187 23166
2008 173 21211
2009(Upto Oct’09) 201 22837
Table 4.20 : Progress under AIDS control Programme
A. Performance of ICTC (Integrated Counseling and Testing Centre) – General in Dhubri East : 28-05-03 Working : 03-12-03 Counseling Details/Positive Cases
YEAR PRE-TEST
TEST POST TEST
POSITIVE CASES TOTAL
MALE FEMALE
2003 83 83 62 2 2 4
2004 195 195 195 2 3 5
2005 176 176 174 2 1 3
2006 409 409 397 3 4 7
2007 1608 1153 1153 5 0 5
2008 1660 1620 1620 2 8 10
2009 (Upto Nov’09) 1873 1869 1851 4 2 1
G. Total 6004 5505 5452 20 15 35
B. Performance of ICTC –PPTCT in Dhubri District
East/Working : 01-01-07
Counciling Details/Positive Cases
YEAR PRE-TEST
TEST POST TEST
POSITIVE CASES TOTAL
MALE FEMALE
2007 1640 1576 1576 0 1 1
2008 1718 1749 1593 0 2 2
2009 (upto Nov’09) 3556 3548 3538 0 2 2
G.Total 6914 6873 6707 0 5 5
Positive Casese in the District : 40 (Male =20 & Female = 20)
AIDS Cases = 7 (till Nov’09)
Death = 7 (till Nov’09)
DHUBRI/DHAP/2010-11 66
Table: 4.21 .Progress of IEC activity in Dhubri District: Progress during 2009-10. A). Under Emergency management fund:
Sl.No Name of the IEC/BCC activity Languages Quantit
y Remarks
1. 1/8 Size Leaflets on Malaria Assamese 25000
copies Distributed to Malaria Prone area and to DMO
2 Poster Assamese 6000
copies Do
3 Flex Banner on Swine Flu Assamese 200 nos Installed in BPHC wise
prominent places
4 Leaflets on Swine Flu Assamese 50000
copies Distributed in BPHC wise
5 Leaflets on Diabetes Assamese 3000
copies Distributed during World Diabetes day
B). Workshop & Meeting
Sl.No Name of the IEC/BCC
activity Conducted by Quantity Remarks
1 Focus Group Discussion BEE 480
2 Focus Group Discussion HE 660
3 Focus Group Discussion LHV 840
4 Awareness meeting on
breastfeeding at Dist HQ DPMU 1 no DC attend the
meeting on 3rd August 09
5 Awareness meeting on Breastfeeding at BPHC
BPMU 7 nos Local MLA, BDO, etc attended.
6 Awareness meeting on
Diabetes DPMU 1 no In connection world
diabetes Day.
C). Miking
• Weekly Miking in all session day is going on.
• BPHC wise Cassette on Immunization, malaria prepared.
• Centrally a Cassette is prepared on Diabetes.
• During Observation of world breastfeeding week mike is done round the District
• During Health Mela 2009 Miking was done in all 3 places of health mela by respective
BPHC
D). Screening of Films
• For adolescent Health Clinic a Hind Film Hari Bari is provided to all the BPHC for
screening and accordingly they have screened.
• On 22nd November 2009 Some Diabetes awareness videos screened at The Town Club
Dhubri premises during the Diabetes Awareness cum Free Blood Sugar Estimation Camp.
• Screening of Film on Breastfeeding on 3rd August 2009 at Jt. DHS Conference Hall Dhubri
during observation of World Breast feeding Week.
DHUBRI/DHAP/2010-11 67
E). General IEC
Sl.No Name of the IEC/BCC activity Languages Quantit
y Remarks
1 Installation of Hoarding Boards
on EOPD Assamese 7 nos
Installed in the health institution where EOPD is launched
2 Supply of Digital Still Camera to
BPMU 10 nos
Out of IEC fund the camera were procured
3 Information Board for SC on Flex Assamese 492 nos Subject are JSY, Immunization,
FP, ASHA, MMU, Majoni etc
4 Hoarding Boards Assamese 35 nos Installed in all BPHC areas,
JSY, FP
5 Newsletter Bi lingual 4000
copies
6 Annual Report English 4000
copies
7 Street Play 84 nos Covering all the district street
plays are organized on Malaria, JSY, FP, and Immunization.
8 Rallies on Breastfeeding 7 nos BPHC wise really organized.
9 Poster on Health Meal 2009 Assamese 6000
copies Hanged in prominent places
10. Cloth Banner for Health Mela
2009 Assamese 45 nos Displayed at prominent places.
11. Leaflets on malaria, JSTY,
ASHA etc Assamese
21000 copies
Distributed to the audiences
12. Hand Bill on EOPD Assamese 10000 copies
Distributed during Health Mela
F). Other Activity:
Yoga:
• 20 nos of School has been selected and MoU singed among Deputy Commissioner, Head Master and NGO.
• 40 % of the total approved budget has been released to NGO as per MoU.
• NGO- North East Apex Body has already engaged physical instructor to the 20 ns of selected school and Yoga programme already started
School Health Awareness Programme:.
• District level convergence meeting held with SSA on 30th October 2009 at SSA office Dhubri and finalized the programme.
• Initially 100 nos of Schools were selected for the programme.
• Block level Convergence meeting with SSA officials has been organized and strategy is prepared.
Now as per action plan School Health Awareness Programme in 100nos of School is going on successfully.
DHUBRI/DHAP/2010-11 68
CHAPTER - 5
INDICATIVE FORMAT FOR CURRENT STATUS AND TARGETS
RCH II GOAL STATE: ASSAM
Current status
(specify year & source)
Target
10-11 11-12
MMR 480 (SRS 2004-06) <350
IMR 64 (SRS 2008) <58
TFR 2.7 (SRS 2007) <2.4
RCH OUTCOMES Current Status
(year & source)
TARGET
10-11 11-12
Maternal Health
1. % of pregnant women receiving full ANC coverage (3 ANC checks, 2 TT injections & 100 IFA
Tablets)
Overall 21.9% (DLHS 3)
2007-08
35% 55%
2. % of pregnant women age 15-49 who are anaemic
Overall 72.0%
(NFHS3 2005-06)
3. % of births assisted by a doctor/nurse/LHV/ANM/other health personnel
Overall 19%
(HMIS web portal)
30% 45%
4. % of institutional births
Overall 15.8% (DLHS 3)
2007-08
40% 50%
5. % of mothers who received post partum care from a doctor/ nurse/ LHV/ ANM/ other health personnel within 2 days of delivery for their last birth
Overall 14.8% (DLHS 3)
2007-08
35%
Child Health
DHUBRI/DHAP/2010-11 69
RCH OUTCOMES Current Status
(year & source)
TARGET
10-11 11-12
6. % of neonates who were breastfed within one hour of life
Overall 70.0% (DLHS 3)
2007-08
80% 90%
7. % of infants who were breastfed exclusively till 6 months of age
Overall 38.1% (DLHS 3)
2007-08
50% 60%
8. Children (6-24 months) who received solid or semisolid food and still being breastfed (%)
Overall 97.7 % (DLHS 3)
2007-08
100% 100%
9. % of children 12-23 months of age fully immunized
Overall 23.2% (DLHS 3)
2007-08
80% 90%
10. % of children 6-35 months of age who are anaemic
Overall 76.7%
(NFHS3 2005-06)
60% 40%
11. Children (above 21 months) who have received three doses of Vitamin A (%)
Overall 10.3% (DLHS 3)
2007-08
30% 50%
12. % of children under 3 years age with diarrhoea in the last 2 weeks who received ORS
Overall 39.1% (DLHS 3)
2007-08
60% 75%
13. % of children under 3 years age who are underweight
Overall 17.81%
(HMIS web portal)
10% 5%
Family Planning
14. Knowledge of all modern family planning method
Overall 23.6% (DLHS 3)
2007-08
45% 60%
15. Contraceptive prevalence rate (limiting methods)
Male Sterilization 6.65%
(HMIS Report)
20% 30%
Female Sterilization 5.54%
(HMIS Report)
40% 50%
16. Contraceptive prevalence rate (spacing methods)
Oral Pills 48.13%
(HMIS Report)
60% 80%
DHUBRI/DHAP/2010-11 70
RCH OUTCOMES Current Status
(year & source)
TARGET
10-11 11-12
IUDs 14.76%
(HMIS Report)
30% 50%
Condoms 43.96%
(HMIS Report)
60% 80%
17. Unmet need for spacing methods among eligible couples
Overall 10.1% (DLHS 3) 2007-08
8% 5%
18. Unmet need for terminal methods among eligible couples
Overall 27.1% (DLHS 3)
2007-08
20% 10%
DHUBRI/DHAP/2010-11 71
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
Infrastructure
1. No. and % of PHCs upgraded to
provide 24X7 RCH services (as per
GOI guidelines)
Out of 29
nos. 18
nos. Inst
completed
and
Handed
over
6
2
3 -
2. No. and % of health facilities upgraded to FRUs, fulfilling the minimal criteria per the FRU guidelines (at
least 3 critical criteria)
a. District Hospitals
b. Sub-district/ Civil Hospitals
c. CHCs
d. Block PHCs
3. No. and % of functional Sub-Centres c 246 nos.
4. No. and % of health facilities that
have operationalised IMEP guidelines
Human Resources
5. No. and % of ANM positions filled d 230
(NRHM)
180 (FW)
46 (jt
DHS),
Total= 456
nos. of
ANM
posted at
SC and
Other inst
ie 93%
filled up
29 29 29 29
DHUBRI/DHAP/2010-11 72
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
6. No. and % of specialist positions filled
at FRUs d
O&G -2
Ananes-
1(trained)
Dental -1
Paed-1
all are
posted at
Chapor
FRU
O&G-1, Ped-1, Anaes-2, Med -2
Dental-1, Eye –2, Surgeo –2 should
be posted at Chapor and Mankachar
FRU
Programme Management
7. % of district action plans ready Yes
Financial Management
8. % of districts reporting quarterly
financial performance in time
Yes
Logistics / Procurement
9. % of district not having at least one
month stock of
a. Measles vaccine
b. OCP
c. EC Pills
d. Surgical Gloves
0%
10. % of sub-centres supplied Kit A and
Kit B in the last 6 months
246 nos. of
SC
supplied
with Kit A
and Kit B ie
100%
246 (Kit A & B) 246 (Kit A & B)
Training
11. No. and % of Medical Officers trained in
a. Management of Common Obstetric
Complications
b. Life-saving anaesthesia skills 1 4
c. EmOC 1 4 4. 4 4.
d. RTI/STI 12 3 3 2 2
e. Safe Abortion Services - 4 4 4 2
f. MTP using other methods 6 5 5 5 -
DHUBRI/DHAP/2010-11 73
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
g. IMNCI 13 - - - -
h. Facility Based Newborn care - - - - -
i. Care of sick children and severe
malnutrition
- - - - -
j. NSV 2 1 1 1 1
k. Laparoscopic sterilisation 6 - - - -
l. Minilap (Abdominal Tubectomy) 4 (MO-
2,OT-2
MO-1
OT-1
MO-1
OT-1
- -
m. IUD insertion 13 8 8 8 4
n. ARSH - - - - -
o. IMEP - - - - -
12. No. and % Staff trained in SBA
a. ANM 53 3 3 3 3
b. LHV 10 - - -
c. Staff nurse 57 6 6 6 6
13. No. and % Staff trained in RTI/ STI
a. ANM - 4 4 4 2
b. LHV - 2 2 2 1 nos.
c. Staff nurse - 4 4 4 2
d. Lab Technician - 2 2 2 -
14. No. and % Staff trained in IMNCI
a. ANM 455
b. LHV
c. AWW 1791
d. Staff nurse
15. No. and % of staff nurses trained in
Facility Based Newborn Care
16. No. and % of ASHAs trained in Home
Based Newborn Care
17. No. and % Staff trained in IUD insertion
a. ANM 29 30 30 30 30
DHUBRI/DHAP/2010-11 74
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
b. LHV 9 - - - -
c. Staff nurse 17 10 10 10 10
18. No. and % of staff trained in ARSH
a. ANM
b. LHV
c. Staff nurse
d. Programme Managers
19. No. and % of state and district
program managers trained on IMEP
20. No. and % of health personnel who
have taken Contraceptive Updates
Maternal Health
21. % of ANC registrations in 3 ANC
Checkup
49.68%
(Upto
Jan’10
report of
HMIS)
10% 15% 15% 20%
22. % of 24 hrs PHCs conducting
minimum of 10 deliveries/month
14 nos.
PHC
23. No. and % of health facilities providing RTI/STI services
a. SDHs Nil
b. CHCs Nil
c. PHCs Nil
24. No. and % of health facilities providing Safe Abortion services (including MVA/ EVA and medical
abortion)
a. DHs
40 nos
MVA kit
b. SDHs
c. CHCs
d. PHCs
25. No. and % of planned Monthly Village
Health and Nutrition Days held (even if
budgeted under NRHM Part B)
12070
(86%)
(Monthly
Report upto
Jan’10)
25% 25% 25% 25%
DHUBRI/DHAP/2010-11 75
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
Child Health
26. No. of districts where IMNCI logistics
are supplied regularly
27. No. and % of health facilities with at
least one provider trained in Facility
Based Newborn Care
Family Planning
28. No. and % of health facilities providing Female Sterilization services
a. DHs 7.24% (upto
Jan’10)
b. SDHs 0
c. CHCs 0
d. PHCs 0
29. No. and % of health facilities providing Male Sterilization services
a. DHs 0
b. SDHs 0
c. CHCs 0
d. PHCs 10.6% (upto
Jan’10)
30. No. and % of health facilities providing IUD insertion services
a. CHCs 19.82%
(upto
Jan’10)
5900 nos. of Beneciciary
b. PHCs
c. Sub centres
31. No. of accredited private institutions providing:
a. Female sterilisation services
b. Male sterilisation services
c. IUD insertion services
32. % of districts with Quality Assurance
Committees (QACs)
33. % of district QACs having quarterly
meetings
DHUBRI/DHAP/2010-11 76
RCH INTERMEDIATE INDICATORS
CURRENT
STATUS a
(year,
source)
TARGET (cumulative) b
10–11 (quarter-wise) 11-12
Q1 Q2 Q3 Q4
34. % of planned Female Sterilisation
camps held in the quarter Nil 12 12 12 12
35. % of planned NSV camps held in the
quarter 4 21 21 21 21
Adolescent Reproductive and Sexual Health
36. % of ANC registrations in first
trimester of pregnancy for women <
19 years of age
37. No. and % of health facilities providing ARSH services
a. FRUs
b. CHCs
6 4
c. PHCs
38. No. and % of health facilities with at
least one provider trained in ARSH
Innovations/PPP/NGO
39. No. of districts covered under MNGO
scheme
40. No. of MNGO proposals under
implementation (received funding for
planned activities)
1 nos.
MNGO
Monitoring and Evaluation
41. % of districts reporting on the new
MIES format on time
yes
BCC/ IEC
42. No. and % of districts with
decentralised BCC/IEC strategy/
plans
Yes
DHUBRI/DHAP/2010-11 77
CHAPTER - 6
GOALS, OBJECTIVE, STRATEGY AND
ACTIVITIES UNDER DIFFERENT
COMPONENTS OF NRHM
DHUBRI/DHAP/2010-11 78
National Rural Health Mission
Recognizing the importance of Health in the process of economic and social development
and improving the quality of life of our citizens, the Government of India has resolved to launch
the National Rural Health Mission to carry out necessary architectural correction in the basic
health care delivery system. The Mission adopts a synergistic approach by relating health to
determinants of good health viz. segments of nutrition, sanitation, hygiene and safe drinking
water. It also aims at mainstreaming the Indian systems of medicine to facilitate health care. The
Plan of Action includes increasing public expenditure on health, reducing regional imbalance in
health infrastructure, pooling resources, integration of organizational structures, programmes of
health manpower, decentralization and district management of health programmes, community
participation and ownership of assets, induction of management and financial personnel into
district health system, and operationalizing community health centers into functional hospitals
meeting Indian Public Health Standards in each Block of the Country.
The Goal of the Mission is to improve the availability of and access to quality health care
by people, especially for those residing in rural areas, the poor, women and children.
The National Rural Health Mission (2005-12) seeks to provide effective healthcare to rural
population throughout the country with special focus on 18 states, which have weak public health
indicators and/or weak infrastructure. It also seeks to reduce the Maternal Mortality Rate (MMR) in
the country from 407 to 100 per 1,00,000 live births, Infant Mortality Rate (IMR) from 60 to 30 per
1000 live births and the Total Fertility Rate (TFR) from 3.0 to 2.1 within the 7 year period of the
Mission.
These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh,
Jharkhand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland,
Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh.
6.1 Goals of the Mission: � Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio(MMR)
� Universal access to public health services such as women’s health, child health, water,
sanitation & hygiene, immunization and nutrition
� Prevention and control of communicable and non-communicable diseases, including
locally endemic diseases
� Access to integrated comprehensive primary health care
� Population stabilization, gender and demographic balance
� Revitalize local health traditions and mainstream AYUSH
� Promotion of healthy life styles
DHUBRI/DHAP/2010-11 79
The overall objectives is to increase coverage and quality of services as envisaged under
the National Rural Health Mission is to bring about outcomes in the Millennium Development
Goals, the National Population Policy, National Health Policy, minimizing the regional variations in
the areas of maternal and child health, communicable diseases and primary health and the health
sector strategies.
Thus the broad objectives are as follows:
� To improve the accessibility of poor and un reached groups to curative, preventive,
promotive and rehabilitative health services
� To reduce maternal and child mortality, and the burden of communicable, non
communicable and nutrition-related diseases and disorders
� To ensure quality at all levels of health and medical care services
� To maintain excellence in education and research in medicine and all allied professions
(including management)
In order to achieve the above broad objectives there is a need further focus on the following objectives:
� Ensure that the whole population has access to a range of evidence based and
affordable health promotion and prevention services
� Promote appropriate health seeking behaviour by all citizens
� Ensure universal equity of access to simple curative and emergency services
� Ensure that quality primary Health Care remains pre-eminent as the central strategic
health priority for the district
� Ensure that the health systems necessary to provide such services, which are
accountable to clients and are effective, are developed and strengthened in line with
international best practices
� Actively engage in partnerships with PRI, civil society groups, NGOs, the private sectors
and other development partners
DHUBRI/DHAP/2010-11 80
6.2 Outcomes of the Mission � Infant Mortality Rate reduced to 30/1000 live births � Maternal Mortality Ratio reduced to 100/100,000 � Total Fertility Rate Reduced to 2.1 � Malaria Mortality Reduction Rate- 50% upto 2010, additional 10% by 2012 � Kala Azar Mortality Reduction Rate – 100% by 2010 and sustaining elimination until 2012 � Filaria/Microfilaria Reduction Rate: 70% by 2010, 80% by 2012 and elimination by 2015 � Dengue Mortality Reduction Rate: 50% by 2010 and sustaining at that level until 2012 � Japanese Encephalitis Mortality Reduction Rate: 50% by 2010 and sustaining at that level
until 2012 � Cataract Operation: increasing to 46 lakhs per year until 2012 � Leprosy Prevalence Rate: reduce from 1.8/10,000 in 2005 to less than 1/10,000 thereafter � Tuberculosis DOTS Services: Maintain 85% cure rate through entire Mission period � Upgrading Community Health Centres to Indian Public Health Standards � Increase utilization of First Referral Units from less than 20% to 75% � Engaging female Accredited Social Health Activits (ASHA)
Community level � Availability of trained Community level worker at village level, with a drug kit for generic
ailments � Health Day at Anganwadi level on a fixed day/month for provision of immunization, ANC
and PNC checkups and services related to mother & child health care, including nutrition � Availability of generic drugs for common ailments at Sub Centre and hospital level � Good hospital care through assured availability of doctors, drugs and quality services at
PHC/CHC level � Improved access to Universal Immunization through induction of Auto Disabled Syringes,
alternate vaccine delivery and improved mobilization services under the programme � Improved facilities for institutional delivery through provision of referral, transport, escort
and improved hospital care subsidised under the Janani Suraksha Yojana (JSY) for the Below Poverty Line families.
� Availability of assured health care at reduced financial risk through pilots of Community Health Insurance under the Mission
� Provision of household toilets � Improved outreach services through mobile medical unit
6.3 Mission Targets to be achieved � IMR reduced to 30/1000 live births by 2012 � MMR reduced to 100/100,000 live births by 1012 � TFR reduced to 2.1 by 2012 � Malaria Mortality Reduction Rate- 50% up to 2010, additional 10% by 2012 � Cataract operations-increasing to 46 lakhs until 2012 � Leprosy Prevalence Rate- reduce from 1.8 per 10,000 in 2005 to less than 1 per 10,000
thereafter � Tuberculosis DOTS series- maintain 85% cure rate through entire Mission period and also
sustain planned case detection rate. � Upgrading all Community Health Centres to Indian Public Health Standards. � Increase utilization of First Referral Units from bed occupancy by referred cases of less
than 20% to over 75% � Engaging female Accredited Social Health Activists (ASHA) in every village.
DHUBRI/DHAP/2010-11 81
6.4 PART A: RCH PROGRAMME 6.4.1 : MATERNAL HEALTH
Goal: To reduce maternal mortality rate from 480 (SRS 04-06) to less than 350 by 2010-11.
O-1. To increase the 3 ANC from 21.9% (DLHS-3) and 49.68% (HMIS report up Jan’10) to
70% by 2010-11 and also to reduce the proportion of pregnant women with anemia.
Strategies:
S-1. Early registration of Pregnancy
Proposed Activities
a. Training of 1726 nos of ASHA on early detection and registration of Pregnancy in the Sub
Centre area.
b. Identification of Pregnant Women and registration will be ensured by ASHA as early as
possible taking help of urine examination for Pregnancy test by using of NISHYA KIT.
c. Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456
nos. of ANM
d. Village Health & Nutrition Day in 1500 villages of the District will be used as a platform for
motivating and mobilizing the women for early registration of pregnancy.
e. The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for
pregnant women where a pregnant woman after her first registration receives a hand book
on nutrional food and MCH card. On her 2nd checkup, a cheque of Rs. 500/- is given as
monetory support for nutrional food and on her 3rd checkup, another cheque of Rs. 500/- is
given and a voucher for referral transport.
S-2. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.
Proposed Activities:
a. It will be ensured that all the existing 246 Sub-Centres will be procured requisite
equipments from the SC untited fund and it wil be equipped with BP instruments,
weighting mahine and examination table.
b. Regular supply of IFA tablet, TT injection and Hb Kit wil be ensured in all 246 Sc & 41
Health Institutions. (SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)
c. In all the SC it will mandatory that ANM will perform regular checkup of BP, weight and Hb
test of all the registrated pregnant women and will keep a upto date record in the MCH
register and tickler chart for follow up with the help of ASHA
DHUBRI/DHAP/2010-11 82
d. Re Orientation Training of 456 nos. of ANM Block PHCwise in a batch of 30 on physical
examination of pregnant women, Hb estimation and record keeping.
e. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs
already taken up for construction during 2007-08, again another 45 SCs have been
approved for new construction during 08-09 & 09-10 @ Rs. 7.5 lakhs and during current
year 32 nos of SC will be proposed for construction for increase provision of quality
antenatal care during 2010-11. (Annexure -A)
f. The sanctioned vacant posts of ANM will be filled up through regular appointment by the
State Govt. Total sanctioned post vacant under Addl CM & HO(FW) establishment =87
and JDHS establish=11
g. As per the report there are total 376 nos.of ANM in the district in the SC. The total
requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore
during 2010-11 atleast 50 ANM’s may be posted.
S.3. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas.
Proposed Activities:
a. The uncovered and inaccessible areas under South Salmara, Gazarikandi, Raniganj and
Dharmasala BPHC (Total No of Char Village=124, & Char Population=1,39,801) have
been identified where there is no other Health facilities to provide ANC coverage regularly.
A total 26 nos. of Sub Center is proposed for @ Rs. 7.5 lakhs in the identified permanent
Char areas to increase provision of quality antenatal care.
b. The contractual ANM may be posted under NRHM @ 2 ANMs per SC. Therefore total
requirent will be 52 nos.
c. Logistic supply will also be regularized
d. Special camp to be organized to cover uncovered inaccessible areas by mobile medical
team & Boat Clinic.
S-4. To increase awareness amongst the mothers and communities about the need of
ANC.
Proposed Activities:
Communication strategies like street play, FGD, awareness meeting will be done laying
emphasis on marriage after 18 years, first child after 20 years, need of ANC, birth preparedness
and importance of hospital delivery to increase awareness amongst the mothers and communities
about the need of ANC and exclusive breast feeding.
DHUBRI/DHAP/2010-11 83
O-2.: To strengthen the basic obstetric care (institutional deliveries) from 30.3% (Coverage
Evaluation Survey, RRC-NE) to 50% by 2010-11
Strategies:
S-1. Increasing the access through facility strengthening.
Proposed Activities:
a. To strengthen the institutional delivery, the district has upgraded and taken up to 3 no.s
BPHC , 1 nos. CHC, 1 nos. Maternity Centre, 6 nos. MPHC, 4 nos. SHC and 11 nos. SD to
24x7 hr delivery services during 05-06 to 09-10, Out of which the construction work has
completed in 18 nos. Health Institutions and providing 24x7 hr delivery services and the
construction work is going on in 8 nos. of health institutions.
b. Again during 2009-10, fund has been received for 3 nos. Health Institutions for upgradtion
of 24x7 hr delivery services with maternity wards and the construction work is in process.
c. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light,
10 nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup
Generator set including other logistics for 24x7 hr delivery services for quality services.
The institutionwise detailed requirement is enclosed herewith as Annexure B
d. Contractual engagement of 2 MO (MBBS), 3 MO (Ayur) and 55 GNM will be done in 24x7
PHCs deficient in manpower. The institutionwise detailed requirement is enclosed
herewith as Annexure C
e. The repairing and renovation of PHC Quarter of Jhowdanga SD, Bherbhangi SD,
Dumardaha MPHC, Moterjhar SD & Kachokhana SD will be taken up during 2010-11 so
as to ensure that MO stays in Quarters.
f. During 10-11, 15 nos. SC has been proposed for taking up the Institutional Delivery at
Folimari, Islamari, Barunitara, Simlabari, Silairpar, Gharialdanga, Ranpagli, Jhaskal III
Borkanda, Kazaikata Pt-V, Rakhalpat, South Raipur, Paglahat, Fekamari and Baghapara
SC. As per facility survey the gaps interms of infrasture and equipments/furniture have to
be full filled during 2010-11.
g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has already trainined on Skilled Birth
Attendent (SBA) at Civil Hospital, Dhubri till Nov, 2009-10, During 2010-11, another 24
nos. of GNM, and 12 nos. of ANM will be trained on SBA on priority basis to improve the
quality of services.
DHUBRI/DHAP/2010-11 84
S-2. Delivery by Trained Birth Attendant
Proposed Activities:
Even after implementation of JSY, there are pregnant women who cant reached Health Facilities
for Institutional Delivery, these are the women from far flanged char areas/ riverine island even
after creating awareness through ASHA and various IEC activities, the District is unable to bring
these women specially from Char area where a sub-centre cannot be constructed not transport
could be made available
Hence it is proposed in these difficult areas, women such as DHAI who any how is conducting
delivery will be trained and provided with Disposable delivery Kit. , So that at least clean delivery
practices could be ensured in these areas. An amount of Rs. 100 is proposed for DHAI as
incentive for conducting delivery. Total budget is as follows-
Estimated PW
Incentive Total Budget
50% of 46935 100 23,46,750.00
S-3. Social mobilization for institutional deliveries (Janani Suraksha Yojana)
Proposed Activities:
a. The district will continue with Janani Suraksha Yojana, wherein all the pregnant woman will
be given incentives for institutional deliveries till Nov, 09, the JSY beneficiaries in the District
are 10485, out of 11366 Institution deliveries.
The payment structure will be in line to GoI guidelines, which is as follows:
Location Rural Amount (in Rs.) Urban Amount (in Rs.)
Institutional Delivery 1400 1000
Home Delivery 500 500
ASHA (only for ID) 600 -
b. For the Year 2010-11, the total Pregnant Women estimated are 46935, this year the district
proposed to increase the institution delivery from existing level to least 50%. Thefore based
on this a detail calculation has been worked out for JSy beneficiaries and shown as below -
JSY CALCULATION FOR 2010-11 (Rs. In lakhs)
Dis
tric
t
Po
pu
lati
on
Cen
su
s 2
001
Pro
jecte
d P
op
ula
tio
n
2010(G
row
th R
ate
1.6
)
Liv
e B
irth
PW
Pro
jecte
d I
D (
50%
) 2010-1
1
Pro
jecte
d u
rban
ID
(13%
) 2010
Pro
jecte
d r
ura
l ID
(87%
) 2010
JS
Y b
en
efi
t u
rban
ID
@R
s.1
000 (
in lakh
s)
JS
Y b
en
efi
t (I
D)
Ru
ral @
Rs.1
400 (
in l
akh
s)
AS
HA
@R
s.6
00 f
or
rura
l ID
(in
lakh
s)
AS
HA
@R
s.2
00 f
or
urb
an
ID
(in
lakh
s)
JS
Y f
or
Ho
me d
eli
very
@R
s.5
00 (
in l
akh
s)
To
tal
JS
Y f
un
d p
rop
osed
(in
lakh
s)
Dhubri 1637344 1923153 47310 52041 26020 3383 22638 33.83 316.93 135.83 6.77 130.10 623.45
DHUBRI/DHAP/2010-11 85
c. The ASHA accompanying the pregnant woman for hospital delivery will also be given
monetary incentive under this Scheme as per GoI guidelines.
d. For developing the practice of institutional delivery age bar and order of pregnancy will
not consider any more.
S-4. Referral of obstetric emergencies
Proposed Activities:
a. Village to Health facilities
Most of the parts of the district is backward and covered by char area and most of the
Pregnant women donot come to health facilties for delivery because of of non availitbility of
transportation facility from village to health institution. In these areas the means of
communication are bullock carts, hand pull carts, private vehicles and boats which are
available on hire. So the district proposed for providing transportation facility to the
pregnant women from village to Health Institution including char areas.
The Projected Institutional Delivery for 2010-11 is 18744, In these backward, referral
transport money will be provided to Prgenant women (expected Pregnant women living in
this backward area =7497 (40% of ID) and Char areas 3748(20% of ID) coming for
Institutional Delivery under following categories
Distance Referal Money (in Rs.) Expected PW Estimated Budget
Less than 5 KM Rs. 60/- 1874 1.12 lakh
5 to 10 KM Rs. 100/- 1874 1.87 lakh
Above 10 KM Rs. 250/- 3749 9.37 lakh
Hiring of Boat in Char area Rs. 350/- 3749 9.37 lakh
Total 21.73 lakh
b. Health Institution to Health Institution
The Pregnant women and Sick New Born requiring referral to higher institutions will be
transported from one Health Institutions to another using ambulance available in the health
facility.
Sl No Detail Unit Total (Rs. In Lakh)
1 PoL for 30 nos. Ambulance Rs. 4000/- pm per
ambulance 14.40 lakh
DHUBRI/DHAP/2010-11 86
O-3. To Strengthen the Comprehensive Obstetric Care
Strategies:
S-1. To improve the comprehensive EmOC in the CHCs and FRU.
Proposed Activities:
a. Construction of CHC to IPHS Standard has been completed for Chapor, Mankachar
Halakura and Gauripur CHC in Dhubri district and required manpower will be provided
during 2010-11 as per IPHS for comprehensive EmOC.
b. It will also be ensured to fill up all gaps in terms of logistics and equipments during 2010-
11 for operationalizing these health facilities
c. 2 nos. of Specialist in each discipline of O&G, Pae, Anae, Surgeon, and Radiologist
etc will be reqcruited on contract basis for atleast 2 nos. IPHS institution i.e Halakura and
Mankachar CHC.
d. 4 nos. MBBS doctors will be trained at SIHFW for EmOC to make 4 nos. of CHC functional
for comprehensive EmOC.
O-4. Strategy: Increasing coverage of post partum care from 14.8% (DLHS3) to 35% by
2010-11
S-1: Ensure post partum care at Village level by ASHA/AWW/ANM
Proposed Activities:
a. The AWW/ANM/AHSA of 246 SCs of Dhubri district will pay 3 post partum visit (1st within 2
days, 2nd within 14 days and 3rd within 42 days) in respetive sub-centre areas and the activity
will monitor by BPM/BAM/Asstt BPM.
b. During Village Health and Nutrition Day, the mothers will be motivated on essential newborn
care, early and exclusive breast-feeding and adopting family planning practices by
ASHA/ANM
S-2: Ensure post partum care at PHCs and Higher Health Institution
Proposed Activities:
a. It will ensure that the mother stays for 48 hrs after delivery in the Health Institutions so that
necessary care can be taken if any complication arises and maternal mortality can be
reduced.
b. During their stay they will be counseled about essitential New Born care, Early & Exclusive
Breast feeding and Adopting Family Planning practices.
DHUBRI/DHAP/2010-11 87
O-5. To improve safe abortion facilities and reduce unsafe abortion
S-1. Increase the access to safe abortion in Govt. facilities.
Proposed Activities:
a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will be provided with requisite Kits to provide
safe MTP.
b. 40 MVA kit reveied by the District will supplied to all the above health centers (2 each for
DH/CHC/PHC/SHC/MPHC) after training
c. 15 nos. of Doctors from PHC/CHC/SHC will be trained in phased manner at District Civil
Hospital, Dhubri for MTP
d. Proper maintenance of records will be ensured.
O-6: To promote RTI/STI Facilities
S-1: Operatonalize services for diagnosis & Treatment at CHC/DH
Proposed Activities:
a. District Civil Hospital and CHC will be strengthened to provide facilities for diagnosis and
treatment of RTI/STI. The PHC however will focus on syndromic approach and drugs will be
provided for the same. However, complicated cases will be referred to higher institutions.
b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of Dhubri District
c. The Laboratory in the DHs, and CHCs will be provided with requisite logistics (drugs and kits)
twice a year.
S-2 Capacity building ANM/SN and Medical Officer & Lab Tech for managing RTI/STI
Proposed Activities:
ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & Lab Tech (6) will be trained in the
SIHFW, Guwahati in phase manner.
S-3. Promote communication activities for prevention and early care seeking for RTI/STI.
Proposed Activities:
a. Communication activities will be developed laying emphasis on symptoms of RTI, STI, and
facilities available in the block area of diagnosis & treatment. The activity is budgeted
under BCC/ IEC.
DHUBRI/DHAP/2010-11 88
6.4.2 : CHILD HEALTH
Indicator Status
IMR (SRS, 2008) 64 per 1000 live birth
Goal (Overall) 30 per 1000 live birth
Goal (Annual) < 58 per 1000 live birth by 2010-11
Situation Analysis
District : Dhubri
Indicators DLHS - 3 DLHS - 2
Child feeding practices (Children under 3 years)
Children breastfed within one hour of birth (%) 70.0 -
Children (age 6 months above) exclusively breastfed (%)
38.1 -
Children (6-24 months) who received solid or semisolid food and still being breastfed (%).
97.7 -
Treatment of childhood diseases (children under 3 years based on last two surviving children)
Children with Diarrhoea in the last two weeks who received ORS (%)
39.1 49.0
Children with Diarrhoea in the last two weeks who were given treatment (%)
61.2 71.0
Children with acute respiratory infection/fever in the last two weeks who were given treatment (%)
62.4 -
Children had check-up within 24 hours after delivery (based on last live birth)(%)
15.7 -
Children had check-up within 10 days after delivery (based on last live birth) (%)
15.3 -
DHUBRI/DHAP/2010-11 89
Goal: To reduce Infant mortality rate from 64 (SRS, 2008) to less than 58 by 2010-11.
O-1. Objectives: To improve new born care by 2010-11
S-1 ; Implementing Integrated Management of Neonatal & Childhood Illeness
To standardize case management of sick newborns and children under IMNCI.
a. To focus on the most common causes of mortality.
b. Nutrition assessment and counseling for all sick infants and children.
c. Care of Newborns and Young Infants (infants under 2 months) including keeping the child
warm; initiation of breastfeeding immediately after birth and counseling for exclusive
breastfeeding and non-use of pre lacteal feeds; cord, skin and eye care; recognition of
illness in newborn and management and/or referral; immunization and home visits in the
postnatal period.
d. Care of Infants (2 months to 5 years) including management of diarrhoea, acute
respiratory infections (pneumonia) malaria, measles, acute ear infection, malnutrition and
anemia; recognition of illness and at risk conditions and management/referral; prevention
and management of Iron and Vitamin A deficiency; counseling on feeding for all children
below 2 years; counseling on feeding for malnourished children between 2 to 5 years and
immunization.
Proposed Activities
a. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPO has completed the ToT on
IMNCI at SIHFW, Guwahati
b. The district will organize 8 days training on IMNCI for 1791 nos. of AWW workers and 455
nos. of ANM in batchwise (24 partcipant per batch) as per training plan and providing
IMNCI Kits and followup.
S-2: Strengthening of the Govt facilities to provide newborn care.
Proposed Activities :
a. During 2008-09, fund has been received @ Rs.4.2 lakhs for establishment of 4 Bedded Neonatal Stabilization Unit at Dharmasal BPHC, Golokganj BPHC, Raniganj BPHC, Gazarikandi BPHC, Chapor CHC, Gauripur CHC, Halakura CHC, Agomani CHC, Mankachar CHC, 20 Bedded MC, Sapatgram SHC and Bilashipara SHC and the work is in progress.
b. Again during 2009-10, fund has been received @ Rs.4.2 lakhs for establishment of 4 Bedded Neonatal Stabilization Unit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC, Tamarhat MPHC and Lakhiganj SD and the work is in process.
c. During 2010-11, the Neonatal Stabilization Unit of Dhubri districts have to make functional by providing logistics and manpower.
DHUBRI/DHAP/2010-11 90
S-3. Capacity building of Doctors and Nurses on Basic Neo Natal Resuscitation training
Proposed Activites :
a. The District TOT on Basic Neonatal Resuscitation technique has completed for 24 nos.
Medical Officer, 2 nos. Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at Dhubri
b. Block level training of 48 nos of Doctors and 74 nos. of GNM’s of 24 x 7 PHC’s will be
done on Basic Neo Natal Resuscitation techique batchwise (30 nos. participant per
batch) as per training plan.
O-2. Promote early breast feeding and exclusive breast feeding till 6 months and above from 38.1% (DLHS 3) to 50% by 2010-11
Strategies:
S-1. To increase awareness amongst mothers on benefits of breast-feeding upto 6 months and need of complementary feeding from 6 month onwards.
Proposed Activities:
a. IEC/BCC activities will be developed laying emphasis on early feeding of
colostrums, exclusive breast-feeding of 6 months and importance and preparation
of complementary feeding from 6 months onwards.
b. Village Health and Sanitation Committees, SHG may also be involved for
motivating pregnant women and lactating mothers to promote exclusive breast
feeding
c. ASHA will counsel the mothers on the importance of exclusive breastfeeding and
complementory feeding.
d. During VHND, pregnant women and lactating mothers are to be motivated for
exclusive breast feeding.
O3. Objectives: To increase awareness of Diarrhea and ARI from 61.2% (DLHS 3) to 70%
and increase the use of ORS from 39.1% (DLHS3) to 50% by 2010-11 and treatment
of ARI
S-1. To raise awareness amongst mothers and communities on diarrhea ARI.
Proposed Activities:
BCC/ IEC activities will be developed laying emphasis on use of HAF, continuing breast-
feeding, solid feeds, ORS usage, and identification of danger signs of diarrhea and ARI. (To be
included under BCC/ IEC).
DHUBRI/DHAP/2010-11 91
S-2. Making ORS and zinc tablets available in remote/rural/tribal areas and difficult to
reach areas through depot holders.
Proposed Activities:
a. The refresher training of ASHA and AWW will be done on usage of ORS and Zinc tablets.
b. ASHA/AWW will made depot holder for distributing ORS packates. The ASHA kit and SC
Kit-A have ORS packats. The supply of AHSA Kit and SC Kit-A twince in a year will be
ensured. The AWW will also be provided ORS packats.
c. Performance of the depot holders and replenishment of the stock shall be reviewed by the
PHC MOs/ BPM quarterly and arrangement for readily available stock of ORS to the depot
holders shall be ensured from the BPHC
S-3. Strengthen facilities at PHC, CHC, SDH and DH.
Proposed Activities:
a. Fund @ Rs. 25000/- has been received for establishment of 13 nos ORT corner in DH,
PHCs, CHCs, SDH and SHCs of Dhubri District. Out of which fund has been utilized for
establishment of 10 nos of ORT Corner in the District.
b. During 2010-11, the remaining fund has to be utilized for establishment of ORT coner in
different identified Health institutions of the district.
c. The health facilities will be provided with required drugs and kits
S-4. Promote referral services of severe cases of ARI and diarrhoea.
Proposed Activities:
a. The VHND will be used as platform to bring awareness amongs the mothers and
communities about warning signs of diarrhoea and ARI.
b. The health functionaries will be given reorientation training for detection of ARI and
Diarrhoea cases requiring referral.
O-4. : To reduce prevalence of anemia (6-35 months)
S-1. To prevent and treat anemia in children.
Proposed Activities:
a. The pregnant women and mothers will be counseled by ASHA/AWW/ANM about
importance of exclusive breast-feeding upto 6 months, importance of complementary
feeding from 6 months onwards and preparation of iron rich food.
b. Regular supply of IFA (s) tablets will be ensured to treat anemia.
DHUBRI/DHAP/2010-11 92
c. Children below 6 months to 60 months will be given 20 mg. elemental iron and 100 gm of folic
acid in liquid formulation.
d. Under School Health Programme weekly distribution of IFA tablets to Girls and Six monthly
distribution of Albendazole for de-worming by the the Nodal School Teacher. The School
teacher will ensure that the girls will consume IFA tablets infront of her.
e. It will be ensure that each school should have one fix day for IFA distribution with minimum
absenteeism.
O-5-: To reduce the prevalence of underweight among children under 3 years of age.
S-1. To work closely with ICDS functionaries to reduce malnutrition.
Proposed Activities:
a. Emphasis will be laid to reduce malnutrition amongst the children (3 – 6 years) by working with
ICDS functionaries and augmenting the mid day meal programme
O-6-: To reduce Vitamin A deficiency.
S-1. To prevent and treat Vitamin-A deficiency and de-worming campaign among
children .
Proposed Activities:
a. Vit-A will be made available in all the institutions till the Sub-Centre level and administration of
Vitamin-A upto 5 years of age will be ensured.
b. VHND held every month in the village will also be used as a platform for Vit-A administration.
c. In 2010-11, 2 rounds of Vitamin –A week campaign alongwith de-worming March, 2010 and
Sept, 2011.
DHUBRI/DHAP/2010-11 93
6.4.3 : FAMILY PLANNING
Goal : To reduce TFR from 2.7 to less than 2.4 by 2010-11
O1- Objective: To meet the unmet need of contraception from 37.2% (DLHS3) to 28% and increase Contraceptive prevalence rate 23.6% (DLHS3) to 45% by 2010-11
S1. To raise awareness amongst the couples and communities about the advantage of
contraceptives and small family.
Proposed Activities:
a. Communication messages will be printed about importance of FP and availablity of FP
services alongwith incentive offered and distibuted to ASHA/ANM/AWW (Details in IEC/BCC plan)
b. IEC materials will be dirtributed to the community by ASHA/AWW/ANM in VHND alongwith Family Planning counseling for eligible couple for adopting family planning methods.
c. During Home visit on Moday and Thursday ANM & ASHA will update eligible couple register and motivate the couple to adopt FP methods as per choice of the couple
d. BCC/IEC activities will be done with help of AWW, ASHA, Woman’s SHGs, FNGOs as per need of the locality to raise awareness amongst the couples and communities about the advantage of contraceptives and small family.
e. During Health Day disadvantages of early marriage (too early, too many and too frequently) are to be explained especially to adolescent girls with the help of opinion and religious leaders of the village.
h. One separate room will be allotted where ANM/GM will conduct counseling session’s alongwith distribution of contraceptive/IEC materials etc. in District Hospital, CHCs and BPHCs, MPHCs. SHCs, SDs during OPD hours.
S2. Increase the number of service delivery points.
Proposed Activities:
a. ASHA will act as a depot holder for Condom, Oral Pill and E-Pill and regular replenishment of the contraceptives on exhaustion is to be ensured during 2010-11.
b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9 nos. of LHV has completed the TOT on inerstion of Copper-T 380A at Dhubri.
c. Training of 30 MO/ 120 ANM/ 40 GNM on IUD Insertion will be done as per training Plan
during 2010-11. d. The IUCD Kit received during 2009-10 alredy distributed where training imparted another
100 nos of IUCD kit will be required during 2010-11. e. On Tuesday and Friday of every week Family planning services including IUD Insertion
(after training of 120 nos ANM in Govt.Building) are to be provided in all the Govt. Building Sub Center of the District under the supervision of LHV/Doctor will be ensured. Family planning counseling will also be done alongwith.
f. Fixed day family IUD insertuion along with family planning counseling will be ensured at
DH/FRU/CHC/BPHC/PHC.
DHUBRI/DHAP/2010-11 94
g. The women will be provided Rs. 20/- as per GoI guidline under RCH progrogramme for
each IUD insertion, Budget under RCH flexipool.
No. of Expected Beneficiary Amount (in Rs.) Total Budget
5900 20/- 1.18 Lakh Budget under RCH
Flexipool
S3. Improve the service delivery to provide quality female sterilization.
Proposed Activities:
a. The District Hospital, CHC/FRU will be equipped with requisite infrastructure and logistics are to
be provided Laparoscopic sterilization. (Annexure E)
b. Fixed day sterilization (Lap. Camp) in the facilities twice in every week in the District Hospitals
and once in Chapor CHC/FRUs will be ensured.
c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCs and 1 SDCH by camp approach will
be ensured.
c. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will be provided with OT table and Boyles
Appeartus for Laprascopic Sterilization.
d. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will provided with Co2 Gas Cylinder for
Laprascopic sterilization.
e. Training of 4nos. Medical Officers, 4nos. of OT boys on Co2 gas technique as per training Plan.
f. Medical Termination of Pregnancy, MTP will be ensured at DH/CHC/FRU/BPMC/MPHC/SHC
after imparting training to 15 MOs and after providing MVA Kits received during 09-10
g. PPS will be ensured at District Hospital, Chapor FRU and Gauripur CHC where PPS surgeon &
Mini Lap Kits available.
h. The beneficiaries will be given incentive for Female sterilization as per GoI guidline.
No. of Expected Beneficiares Compensation Amount Total Budget
9800 1000.00 98.0 Lakh
Budget for Organizing Laprascopic Camp
Details Rate Total Amount
Laprascopic camp at 8 nos. Health Institutions 17000x8x6 8.16 Lakh
DHUBRI/DHAP/2010-11 95
S4. Encouraging Post partum Sterilisation scheme.
Proposed Activities:
a. JSY Beneficiaries are to be motivated for accepting Post Partum Sterilization and refer the acceptor to FRU/CHC/DH where PPS can be done at every level.
b. The JSY beneficiary adopting female sterilsation will get compensation money of Rs.
600.00. Moreover the scheme also provides for Rs. 150.00 motivation fee for ASHA and AWW respectively.
O 2 : To increase the male sterilization from the existing level of 10.6% (HMIS report upto
Jan’10) to 20% by 2010-11.
S1- To raise awareness among the community regarding Non Scalpel Vasectomy.
Proposed Activities:
a. One day District level workshop will be organized by the Addl CM & HO (FW)
incordination with District Administration. Zila Parishad (PRI) members, DIPRO,
Teachers, Opinion leaders, Social activist, NGO of NYK etc.to sensitize them on the
importance and promotion of NSV.
b. Similar workshop will be organize at Block PHC Level involving chaired by BDO for
teachers, Openion leaders, religious leaers, PRI members etc to sensitize them on on
the importance and promotion of NSV.
c. IEC material like Hand bill, Brochure, Leaf lets etc on NSV will be developed
d. BPHC wise outdoor publicity material on NSV like Hoarding, Bill Board, Flex Banner etc
will be install in Public gathering areas
S2- To improve the service delivery to provide Non Scalpel Vasectomy
Proposed Activities:
a. At the BPHC level one NSV camps cum training for MOs will be organized registering at
least 20 acceptors of NSV. One trainer from the Medical College or two trainers from
District will attend the workshop. This camp will be organizded in each 7 Block PHCs of
Dhubri District monthly. In the workshop MOs from PHC wil be trained.
b. The train MO of the Block and Master trainer of the District will attend to perform NSV
sterilization in each Block and compensation money will be paid as per GoI guidelines.
Budget for Organizing NSV Camp
Details Rate Total Amount
NSV camp cum training at 7 Block PHCs monthly 15000x7x12 12.60 Lakh
DHUBRI/DHAP/2010-11 96
Budget for Compensation Package
No. of Expected Beneficiares Compensation Amount Total Amount
2000 1500.00 30.00 Lakh
6.4.4 : ADOLESCENT HEALTH
Objective:
O1. To introduce a comprehensive health initiative for adolescent.
O2. To ensure the reproductive health and nutrition needs are met.
O3. To reduce prevalence of anemia in adolescents.
Strategies:
1. School Health Programme (Details under Intersectoral Convergence)
2. Adolcent Clinic in the Health Institutions
Proposed Activities:
a. Fund has been received for establishment of Adolescent Health Clinic in 10 nos. of
BPHCs/CHCs of Dhubri district and Out of which 6 nos. of Adolcent Health Clinic has
been established.
b. During 2010-11, the remaining 4 nos. of Adolescent Health Clinic has to be established
and to make functional already established Adolcent Health Clinic in true sense.
c. IEC & BCC activities will be developed laying emphasis on normal physiology,
menstrual hygiene, use of CC, OC, EC, unwanted pregnancy, safe abortion, child
marriage, various risk of teenage pregnancy etc.
d. Identification of adolescent groups and numbers of organized and drop out sectors
through school health programmes and at the village level during regular home visit by
ANMs by maintaining a register.
e. Counseling sessions will be held at regular intervals at fixed sites for both adolescent
boys and girls separately. Counseling will be provided on the health days.
f. Alolescents will be supplemented with 30 mg elemental iron and 250 mcg folic acid per
day for 100 days in a year
g. Special counseling and on the spot provision of IFA tablets to adolescent girls in order
to prevent anaemia.
h. District will arrange training of School teachers on the basic knowledge of adolescent
health.
DHUBRI/DHAP/2010-11 97
6.4.5 URBAN RCH
Urban population comprises of 12.16 % of the entire population of District. There are limited
health care facilities for poor section of people or the urban slum dwellers.
Goal: To improve the Health status of urban poor community by provision of quality
integrated primary health care services.
Objectives:
• Integrated and sustainable system for primary health care service delivery with focus on urban
poor/slums.
• Outreach services to be delivered at community level.
• Referral services for the risk cases.
• To create demand for services in slum population.
Strategies
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Proposed Activities:
During 2009-10, the District has started the Urban Health Centre, Rail Gumti area covering
30,000 population of the District and is providing following services.
• OPD services, 4 hrs in the morning and 2hrs in the evening
• Provding services like counseling services basic laboratory services, collection and
reporting of vital events and IDSP and services for non Communicable diseases.
• It will conduct health camps in the areas under the UHC to generate awareness in the
community.
a. During 2010-11, 2 nos of Urban Health Center is to be established in the urban slums of
Dhubri namely, at 1) Bahdur Tari, 2) Dabry
c. During 2010-11 the Urban Health Centers have to make functional by providing manpower and
logistics.
Budget under UHCBudget under UHCBudget under UHCBudget under UHC Unit cost of 1 Urban Health Unit cost of 1 Urban Health Unit cost of 1 Urban Health Unit cost of 1 Urban Health Centre =Centre =Centre =Centre = Rs. 9Rs. 9Rs. 9Rs. 9, 82,000.00, 82,000.00, 82,000.00, 82,000.00 per Yearper Yearper Yearper Year Total fund proposed for Total fund proposed for Total fund proposed for Total fund proposed for 3333 nos. UHC during 2010nos. UHC during 2010nos. UHC during 2010nos. UHC during 2010----11 = 11 = 11 = 11 = 3333x9x9x9x9, 82,000.00, 82,000.00, 82,000.00, 82,000.00= Rs. = Rs. = Rs. = Rs. 22229,9,9,9,46464646,0000,0000,0000,0000.00.00.00.00
DHUBRI/DHAP/2010-11 98
6.4.6 6.4.6 6.4.6 6.4.6 VULNERABLE GROUP
The uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC and
Dharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identified
which do not have any Health Care facilities.
The Centre for North East Studies & Policy Research(C-NES) had signed a MoU with the
National Rural Health Mission of the Government of Assam in February 2008 to extend health
services to the people of char/sapories in ten districts of Assam including Dhubri district. The
focus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natal
care (PNC), health checkups, awareness, and Water and sanitation in association partnership
with NRHM, Assam, and District Health Society of Dhubri.
The C-NES team in Dhubri comprise of one District Programme Officer, Two Doctors,
Three nurses, one laboratory technician, one pharmacist, three Community Workers and four boat
crew members.
Objective: To Provide Primary Health care for inaccessible Char people
S-1: Promoting Boat Clinic for char areas of DDhhuubbrrii,, DDiissttrriicctt Proposed Activities:
a. Antenatal Care services by Boat Clinic
b. Postnatal care services by Boat Clinic
c. Family Planning services
d. Routine Immunization
e. Curative care
f. Basic Laboratory Services.
DHUBRI/DHAP/2010-11 99
The tentative annual action plan has been proposed keeping in view the immunization
schedule as well antenatal check up providing minimum three checkup & two doses of TT for
every pregnant women. A tentative plan of boat clinic camp is given below.
Quarter Month Nos. of camp days
Target Char
Target
Char population(Approx)
Infant (Approx)
Pregnant woman(Approx)
1st April 2010 to June 2010
48 (16 days per month)
16 Different char
20399 504 596
2nd July 2010 to September 2010
48 (16 days per month)
16 Different char
17628 434 507
3rd October 2010 to December 2010
48 (16 days per month)
16 Different char
Same population of quarter 1st
Same population of quarter 1st
Same population of quarter 1st
4th January 2011 to March 2011
48 (16 days per month)
16 Different char
Same population of quarter 2nd
Same population of quarter 2nd
Same population of quarter 2nd
Total 12 months 192 camps
32 different char
38027 938 1103
Details of char targeted for the year 2010-2011 SL. NO.
Name of Char/ River Island
Name of PHC Population
Target
Infant for RI
ANC (Pregnant Woman)
PNC
1 Majer Char NC South Salmara 1950 48 57 57
2 Hatirchar Gajarikandi 1300 32 28 28
3 Moslabari South Salmara 1150 28 34 34
4 Katiaralga South Salmara 1450 36 42 42
5 Majerchar Chalakura South Salmara 2100 52 61 61
6 Char Bhasani Aironjongla
Dharmasala 1510 37 44 44
7 Majerchar Pt-I South Salmara 1250 31 37 37 8 Bamundanga South Salmara 1450 36 42 42
9 Bylarchar Dharmasala 1250 31 37 37
10 Boldiaralga NC Dharmasala 1120 28 33 33
11 Dangirchar-Bagmara Dharmasala 1050 26 31 31
12 PoyestiMajercharPt-X South Salmara 1150 28 34 34
13 MohorircharBerabhana South Salmara 950 24 28 28
14 AironjonglaPtI(Namapara)
Dharmasala 1100 27 32 32
15 Kalaikhowa South Salmara 1200 30 35 35
16 Piazbari South Salmara 850 21 25 25
DHUBRI/DHAP/2010-11 100
17 Sutlamari South Salmara 1100 27 32 32
18 Porarchar South Salmara 926 23 27 27
19 Poraporirchar Dharmasala 1150 28 34 34
20 NatinerAlga South Salmara 925 23 27 27 21 Dhedaimari South Salmara 1350 33 40 40
22 Ayermari South Salmara 1369 34 40 40
23 ChalakuraRiverblock South Salmara 1080 27 32 32
24 Bhasanirchar-Pt-II Dharmasala 1143 28 33 33
25 BoldiarAlga West South Salmara 1050 26 31 31 26 Kadamtola South Salmara 1020 25 30 30
27 Kaziarchar South Salmara 825 20 24 24
28 Mahamayarchar South Salmara 1225 30 36 36
29 Riverblock No.10 South Salmara 860 21 25 25
30 Haddirchar South Salmara 1040 26 30 30 31 Sialmari South Salmara 1025 25 30 30
32 Aminerchar South Salmara 1109 27 32 32
Total 38027 938 1103 1103
Details of char targeted in 1st & 3rd quarter
SL. NO.
Name of Char/ River Island
Name of PHC Population
Target
Infant for RI
ANC (Pregnant Woman)
PNC
1 Majer Char NC South Salmara 1950 48 57 57
2 Moslabari South Salmara 1150 28 34 34
3 Katiaralga South Salmara 1450 36 42 42
4 Majerchar Chalakura South Salmara 2100 52 61 61 5 Char Bhasani
Aironjongla Dharmasala 1510 37 44 44
6 Bamundanga South Salmara 1450 36 42 42
7 Bylarchar Dharmasala 1250 31 37 37 8 Dangirchar-Bagmara Dharmasala 1050 26 31 31
9 MohorircharBerabhana South Salmara 950 24 28 28 10 AironjonglaPtI(Namap
ara) Dharmasala 1100 27 32 32
11 Kalaikhowa South Salmara 1200 30 35 35
12 Poraporirchar Dharmasala 1150 28 34 34
13 ChalakuraRiverblock South Salmara 1080 27 32 32
14 Riverblock No.10 South Salmara 860 21 25 25
15 Haddirchar South Salmara 1040 26 30 30
16 Aminerchar South Salmara 1109 27 32 32
Total 20399 504 596 596
DHUBRI/DHAP/2010-11 101
Details of char targeted in 2nd & 4th quarter
SL. NO.
Name of Char/ River Island
Name of PHC Population
Target
Infant for RI
ANC (Pregnant Woman)
PNC
1 Hatirchar Gajarikandi 1300 32 28 28
2 Majerchar Pt-I South Salmara 1250 31 37 37
3 Boldiaralga NC Dharmasala 1120 28 33 33
4 PoyestiMajercharPt-X South Salmara 1150 28 34 34
5 Piazbari South Salmara 850 21 25 25
6 Sutlamari South Salmara 1100 27 32 32
7 Porarchar South Salmara 926 23 27 27
8 NatinerAlga South Salmara 925 23 27 27
9 Dhedaimari South Salmara 1350 33 40 40
10 Ayermari South Salmara 1369 34 40 40
11 Bhasanirchar-Pt-II Dharmasala 1143 28 33 33 12 BoldiarAlga West South Salmara 1050 26 31 31
13 Kadamtola South Salmara 1020 25 30 30 14 Kaziarchar South Salmara 825 20 24 24
15 Mahamayarchar South Salmara 1225 30 36 36
16 Sialmari South Salmara 1025 25 30 30 Total 17628 434 507 507
DHUBRI/DHAP/2010-11 102
6.4.7 PUBLIC PRIVATE PARTNERSHIP (PPP).
In Dhubri district there are 3 nos of Tea Garden namely Choibari Tea Estate, Chapor Tea
Estate and Krishna Kali Tea Estate covering around 22,800 Population. During 2008-09 Choibari
Tea Estate Hospital has been identified and selected for Public Private Partnership.The facility
sarvey of Choibari Tea Estate has been completed and MOU has also signed accordingly. During
2009-10, Krishnakoli Tea Estate has been identied an selected for PPP. The facility survey and
MMU will be signed shortly.
The hospitals under PPP will mainly focus on RCH II activities like promoting JSY,
Institutional delivery, new born care services, sterilization programmes, counselling on adolescent
health etc. The targeted population will mainly be the mother and child, which will result in bringing
down the MMR and IMR.
Detials Budget as follows –
Sl No Detail Total
1 Manpower Rs. 4,80,000.00
2 Operation cost @30,000/- pm Rs. 3,60,000.00
3 Referral transport Rs. 60,000.00
4 Ambulance Rs. 5,50,000.00
5 Repair & Renovation Rs. 50,000.00
6 Drugs will be provided by the District Rs. 0.00
Total for one hospital Rs. 15,00,000.00
During 20010-11, the total fund proposed for 2 nos. PPP Hospital = Rs. 30,00,000.00`
DHUBRI/DHAP/2010-11 103
Comprehensive Training Plan of Dhubri District for the 2010-11
Sl No
Type of Training Current Status Category of partcipant
Duration No
Batch Venue
Maternal Health
1 SBA
40 Batch (GNM=17 LHV=10, ANM=53)
GNM=24 ANM=12
3 weeks 12 Dhubri Civil Hospital
2 EmOC 1 MO MO MBBS=4 nos 16
weeks 1
Guwahati Medical College
3 RTI/STI MO=12 Lab Tech=3 GNM=4
MO MBBS=10 nos Lab Tech =6 nos GNM=14 nos. ANM = 14 nos
2 days 10 Guwahati Medical College
Child Health
4 IMNCI MO=13 Nursing Staff=3 CDPO=2
ANM=456 AWW=1791
8 days 93 District HQ
5 NRT
MO=24 Sister Tutor=2 SN=2 LHV=4
MO=48 GNM=74
2 days 4 District HQ
Family Planning
6 IUCD (CopperT380A)
MO=13 GNM=17 ANM=29 LHV=9
MO=30 ANM=120 GNM=40
5 days 19 District HQ
7 MTP including MVA Specialist(O&G)=6 MO=15 15 days 3 District Civil Hospital
8 Mini Lap MO=2 OT=2
MO=1 OT=1
12 days 1 Dubri Civil Hospital
9 Laprascopic Sterlization MO=6 - - - -
10 NSV MO=2 MO=4 1 At camp Site
11 Co2 Gas Technique - MO=4 OT=4
1
Guwahati Medical College/SIHFW, Guwahati
Immunization
12 Refresher training on Immunization ANM=406 LHV=6
ANM=456 GNM=50 LHV=17
2 days 17-18 At District HQ
13 Vaccine Handler Training Cold Chain Handler=64
Cold Chain Handler=64
1 days 2 At District HQ
14 Blcok Level data Handler training Data Handler=28 Data Handler=28 1 days 1 At District HQ
15 Micro Planing -
ANM=456 AHSA facilitator=176 ASHA=1726
1 days 78 At District HQ
NVBDCP
16
NVBDCP
Medical Officers =4
Medical Officers =100
As per Training Plan of
NVBDCP
17 Laboratory Technicians (reorientation)=0
Laboratory Technicians (reorientation)=48
18 Health Supervisors (M)=0
Health Supervisors (M)=58
19 Health Supervisors (F)=0
Health Supervisors (F)=7
20 Health Workers (F)=0
Health Workers (F)=348
DHUBRI/DHAP/2010-11 104
Sl No
Type of Training Current Status Category of partcipant
Duration No
Batch Venue
21
ASHAs=70 ASHAs=992
22 Community Volunteers other than ASHA=0
Community Volunteers other than ASHA=200
23
Others specify: MPW (Contractual & Spray Workers=21
Others specify: MPW (Contractual & Spray Workers=12
RNTCP
24 Training of MOs 100 MO=50
As per Training Plan of RNTCP
25 Training of LTs of DMCs- 17 LT=8
26 Training of Comm Volunteers 275 Volunter=100
27 Re- training of MOs - MO=50
28 Re- Training of LTs of DMCs 17 LT=25
29 Re-training of Pvt Practitioners 20 MO(Pvt)=20
30 TB/HIV Training of MOs - MO=50
31 TB/HIV Training of STLS, LTs , MPWs, MPHS, Nursing Staff, Community Volunteers etc
- STLS, MPW, Nursing staff, Volunter=50
NLEP
32 4 days training of newly appointed MO’s (rural & urban) 30 nos
- MO=30 4 days
As per Training Plan of NLEP
33 3 days training of newly appointed Health Supervisor 30 nos.
- Health Supvisor=30
3 days
34 3 days training of newly appointed Health Worker (M) 30 nos
- Health Worker (M) =30
3 days
35 3 days training of newly appointed Health Worker (F) 30 nos
- Health Worker (F) =30
3 days
36 2 days training of newly appointed MO’s 30 nos
- New MO= 30 2 days
37 5 days training of newly appointed Lab. Technician 15 nos.
- Lab Tech = 15 5 days
NBCP
38 Training of Manpower for Skill Upgradation
- School Teacher = 100ANM/Health Workers=600
1 days As per Training Plan of NBCP
IDSP
39 3 days training for MO( newly inducted officers ) for a batch of 20 trainees.
- MO= 40 3 days 2 At DSU
40 2 days training for Health Workers for a batch of 20 trainees
- Health Workers=400
2 days 20 Block PHCs
41 3 days training for Laboratory Technicians/ Microscopist for a batch of 20 trainees
- Lab Tech=40 3 days 2 At District Civil Hospital
NRHM Additionaities
42 Sensitization workshop to Medical officers(Newly Appointed)
- MO (New)=37 2 days 1 At District HQ
43 Sensitization workshop to PRIs - PRI member=196 1 days 4 At District HQ
44 Capacity Building workshop for BPMU
- BPMU = 33 2 days 1 At District HQ
DHUBRI/DHAP/2010-11 105
6.5 PART B: NRHM ADDITIONALITIES
Village Level activity:
O-1: Efective implementation of NRHM Programme at village levl.
S-1: Strengthening Village Health and Sanitation Committees (VHSC).
Proposed Activities
a. For the development of the villages of Dhubri district wherever there is an ASHA Village
Health & Sanitation Committee has been formed as per NRHM guideline. In Dhubri district
1310 nos of VHSC has formed and open bank account and out of which 1300 nos of
VHSC has received an amount of Rs.10,000 as Untied Grant.
b. During 2010-11, additional 380 nos of VHSC has to be formed in the left out villages of the
district where additional ASHA has been selected and have to open the bank account for
Untited Grant
c. Capacity building of the 1690 VHSC members is proposed during 2010-11 through
MNGO/NGO including importance and preparation of Village Health Plan.
d. During 2010-11, the Village Health Action Plan of each VHSC will be ensured.
e. The VHSC will be responsible for the overall health of the village. It will take into
consideration of the problems of the community and the health and nutrition care providers
and suggest mechanism to solve it
f. The committee will monitor all the health activities that are conducted in the village such as
Village Health & Nutrition Day, Mothers Meeting etc.
g. VHSC along with the ANM will be responsible to conduct household survey in the village.
h. It will discuss every maternal or neonatal death that occurs in their village, analyze it and
suggest necessary action to prevent such deaths. Get these deaths registered in the
Panchayat.
i. During emergency like flood or any epidemic the committee will utilize the fund for the
relief camps or supplies such as in case of flood it can supply Halogen tablet for
purification of water, ORS, Bleaching powder etc.
DHUBRI/DHAP/2010-11 106
S-2: Observing Village Health & Nutrition Day
Proposed Activities
a. During 2010-11, Observation of VHND will be ensured every month in each villages of
Dhubri District by ASHA/AWW/ANM in the Awganwadi Centre where services like ANC, PNC,
Immunization by ANM and Health Education and awareness will be provided by
ASHA/AWW/BEE/LHV/ANM etc.
b. Procurement of Examination table, BP Instrument, Weighing machine etc will be ensured in
the newly formed VHSCs out of VHSC fund for successful observation of VHND.
c. Involvement of VHSCs members will be ensured during 2010-11 in each VHND.
d. The Contigency fund of Rs. 100 for observing VHND will be provided out of VHSC fund.
S-3: Organizing Health Melas.
Proposed Activities:
a. 3 nos. of Health Melas has been organized during 2009-10 with objective to provide an easy
to accesss platform for health services for all segments of population of the District. During
this Health Melas extensive IEC on Malaria, Family Planning, TB, Blindness, AIDS,
Leprosy, Water & Sanitation etc. was done.
b. During 2010-11, similar Health Mela will be organized in Malaria prone area of the District.
c. Rs 5 lakhs for is proposed for organzing Health Mela during 2010-11.
O-2 : To Provide support to ASHAs of Dhubri District
S-1 . Selection, Training and support to ASHAs
Proposed Activities:
a. The selection and training of 1340 nos of ASHAs of Dhubri has completed 5th Module
Training.
b. The selection of Additional 380 nos of ASHA has also completed in the left out villages of
the District.
c. During 2010-11, 1st, (Induction Training), 2nd, 3rd, 4th & 5th Module training of 380 nos
ASHAs will be ensured. (No fund is proposed as fund already received)
d. Also refresher training is to be imparted to 1340 nos. of ASHAs who have completed 4th
module training for 12 days in a year
e. 380 nos of Radio Set, Umbrella and Bag is proposed during 2010-11 for 380 nos of
additional ASHA.
DHUBRI/DHAP/2010-11 107
S-2 : Providig ASHA Drug Kits
Proposed Activities:
a. Durig 2010-11, 1726 nos of ASHA Drug Kits is proposed for 1726 nos. of ASHA of Dhubri
District
b. Proper utilization of Drug Kit will be enusred during 2010-11 under the supervision of ANM and
Sectoral MO.
S-3 : ASHA Facilitator
Proposed Activities:
a. During 2009-10, 176 nos. of ASHA Supervisor has been selected for 7 BPHC of Dhubri District
ie. 1 supervisor for 10 ASHAs to handhold and monitor the ASHA activities.
b. During 2010-11, these facilitators has to be trained on ASHA programme under NRHM and
also on field level monitoring to be done so that they have an overview of various on going
programmes under NRHM. The proposed training will be conducted through District ToT ASHA
Facilitator.
c. Honorarium including TA/DA of ASHA facilitator will be provided as per norms.
Budget
Details Unit (No) Rate (in Rs.) Total (in Lakh)
Honorarium including TA/DA of ASHA facilitator
176 3500.00 73.92 lakh
S-4: Incentive to ASHAs for Full Immunization
Proposed Activities:
a. The District will continue for providing incetive of Rs. 250/- to ASHAs for each fully immunized
child as this increases the full immunization coverage rate of the District as the ASHAs after BCG
will keep a track of the infants in her village as she is from the same village and will accompany
the mother to the sub-centre to vaccinate the infant.This will also help the ANM in
tracking/vaccinate the infants as there are instances where the ANM fails to vaccinate the infant
as mothers are not willing or forgotten about the date of Immunization of their child but with the
help of ASHAsi it will be easier for the ANM to conveience the mothers and also kepeping a track
of the Infants.
Budget proposed for the same as follows –
Details Unit (No) Rate (in Rs.) Total (in Lakh)
Incentive to 1726 ASHA
Infant Target=44617
80% of target Infants will be immunized=35693 and out
of which 60% will be mobilze by ASHA
250.00 66.92 lakh
DHUBRI/DHAP/2010-11 108
O-3 : To strengthen the Health Institutions in terms of physical infrastructure and manpower.
S-1. Providing Untited and Annual Maintenance fund to SC, PHC, CHC, SDCH
Proposed Activities:
a. As part of the National Rural Health Mission, it is proposed to provide each Health
Institutions ie. SC, PHC, CHC, SDCH will be provided with Unitied and Annual
Maintenance Fund. Th Untited funds will be utlize for the following purposes-
� Minor repair, whitewash of the hospital building
� Display of logo of NRHM
� Cleanliness & maintenance of toilets.
� Water supply etc. consumables of the hospital like gloves, regents, disinfectants etc.
In addition an Annual Maintenance Fund is proposed for Govt. Building Sub-Centre, PHCs,
CHCs and SDCH and the fund will be utilized for the following purposes-
� Facelift of the hospital building
� Minor repairing whereever required with approval pf the management committee.
� Hospital consumables like gloves, regents, disinfectants. Chemicals for laboratory etc.
� The society engaged 1 (one) sweeper @ Rs 1000.00 for the cleanliness of labour room and hospital premises.
� Maintenance of running water supply and toilets.
� Maintenance of the generator and its POL.
b. During 2010-11, it will be ensured that each health Institutions will have the clear action plan for utilizing the Unitied and Annual Maintenance Fund
Budget
A. Untited Fund
`Sl No
Health facility Target Unit Cost Total
(Rs. In Lakh)
1 SC 246 10000 24.60
2 PHC
(5BPHC+4SHC+11 MPHC+11SD+1 MC)
32 25000 8.00
3 CHC 6 50000 30.00
4 SDCH 1 50000 0.50
Total 63.10 Lakh
DHUBRI/DHAP/2010-11 109
B. Annual Maintenance Fund
`Sl No
Health facility Target Unit Cost Total
(Rs. In Lakh)
1 SC (Govt Building) 120 10000 12.00
2 PHC
(5BPHC+4SHC+11 MPHC+11SD+1 MC) 32 50000 16.00
3 CHC 6 100000 6.00
4 SDCH 1 100000 1.00
Total 35.00 Lakh
S-2. Strengthening Rogi Kalyan Fund/Hospital Mamangement Committee
Proposed Activities:
a. The Rogi Kalyan Samitee/Hospital Management Committees has been formed in District Hospital, SDCH, 5 BPHCs, 6 CHCs, 4 SHCs, 11 MPHCs, 11 SDs, 1 Maternity Cnetre, with an objectives to have facility based planning and community involvement and ownership of the Health facilties by the respective RKS Committee/HMC
b. During 2010-11, It is proposed to provide RKS fund to all the Health Institutions as detail below
Budget
Rogi Kalyan Samittee Fund
`Sl No
Health facility Target Unit Cost Total
(Rs. In Lakh)
1 DH 1 500000 5.00
2 SDCH 1 100000 1.00
3 CHC 6 100000 6.00
4 PHC
(5BPHC+4SHC+11 MPHC+11SD+1 MC)
32 100000 32.00
Total 44.00
c. During 2010-11, all the RKS are to be registered under Societies Act.
d. During 2010-11, it will be ensured that each health Institutions will have the clear action
plan for utilizing the RKS Fund
e. For the assessment of the RKS fund utilization by DH/SDCH/PHC/CHC/SHC/SD
during 2009-10 an evaluation (Audit) will be done in the year 2010-11
DHUBRI/DHAP/2010-11 110
S-3. Strengthening physical infrastructure of SCs/PHCs/CHCs,
Proposed Activities (Sub-Centre)
a. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs
already taken up for construction during 2007-08, another 45 SCs have been approved during
2008-09 & 09-10 for construction @ Rs. 7.5 lakhs and 32 nos. new SC will be proposed for
construction for increase provision of quality antenatal care during 2010-11. (Annexure -A)
b. During 2010-11, Upgradtion of Paglahat SC and Nayeralga SC to PHC is proposed
Proposed Activities (PHCs)
a. During 2006-07 and 08-09, Construction of Doctors (1 unit) and Nurse Quarter (3 unit) has
been taken up in Golokganj PHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,
Bogribari SD and Dhepdhepi MPHC and construction has been completed in all institution.
b. During 2010-11 Construction of Doctors (1 unit) and Nurse Quarter (3 unit) has to be
taken up at Hatsingimari SDCH, Sadullabari SHC and Kachokhana SD @ Rs.28.80 lakhs.
c. During 2010-11, the following health institution has to be taken up for Quarter repairing
JhowdangaSD, Bherbhangi SD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC
@10.00 lakhs per institution.
d. During 2010-11, the following health institutions have been taken up for construction of
Boundary wall (Goat proof fencing) at Hatsingimari Sub-Divisional Civil Hospital,
Dharmasala BPHC, Tumni CHC, Bherbhangi SD and Kachokhana SD.
S-4. Providing Additional manpower at SCs/PHCs/CHCs/ SDCH
Proposed Activities (Sub-Centre)
a. As per the report there are total 376 nos.of ANM in the district in the SC. The total
requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore
during 2010-11 atleast 50 ANM’s may be posted.
b. The contractual ANM may be posted under NRHM @ 2 ANMs in 26 nos of SC constructed
in Permanent Chars of Dhubri District. Total requirement is 52 ANM.
Proposed Activities (PHCs)
a. Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur) will be done in 24x7 PHCs deficient in manpower. The institutionwise detailed requirement is as follows-
SL NAME OF THE HEALTH INSTITUTION Type of Institution MO (MBBS) AYUR
1 Tamahat MPHC 24 x7 PHCs 1 0
2 Moterjhar SD 24 x7 PHCs 0 1
5 Dumardaha MPHC 24 x7 PHCs 0 1
6 BATERHAT SD 24 x7 PHCs 1 0
8 Jhowdanga SD 24 x7 PHCs 0 1
Total 2 3
DHUBRI/DHAP/2010-11 111
Proposed Activities ( For CHCs & SDCH)
a. Specialist Doctors on contract basis to be placed at 2 nos. IPHS institutions and SDCH
Hatsingimari as follows –
Name of Health Institution
Category of speciailst Total
O&G Paedratic Anaesthesist Surgeon
Mankachar CHC 1 1 1 1 4
Halakura CHC 1 1 1 1 4
SDCH (Hatsingimari) 1 1 1 1 4
Total 12
Proposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)
a. At Present, thereare 122 nos. of GNM have been posted at various Health Institutions
of Dhubri District, Out of which 53 nos. are Reqular GNM and 69 nos. are Contractual
GNM. To make the Health facility functional as IPHS norms, 192 nos. GNM is proposed
during 2010-11. Requirement of Institutionwise as follows-
Sl No
Health Institutions No. of Health Institutions
Present status of
GNM
No. of GNM reuired (as per IPHS)
Gap Total
reuirement
1 CHC 4 26 9 10 10
2 BPHC 4 10 3 2 2
3
24x7 PHCs (inlucding Health Institution under construction)
25 22 3 53 53
4 SDCH 1 1 9 8 8
Total 59 73 73
S-5: Strengthening the District Hospitals by improving the physical infrastructure.
Proposed Activities:
During 2008-09, Construction of 200 bedded Civil Hospital under NRHM has been taken up and
the progress of work till Nov, 09 is around 60 %. Total project cost is Rs.7.14 Cr and after
completion necessary logistics will have to be supplied during 2010-11
S-6: Strengthening the Nursing Schools by improving the physical infrastructure.
Proposed Activities:
Construction of RCC GNM School cum Hostel Building for 100 nursing students at Dhubri Civil
Hospital is in progress (42%). Total project cost is 2 Cr. So, no fund proposed in the current year.
DHUBRI/DHAP/2010-11 112
S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:
Proposed Activities:
a. 37 nos ambulances were already supplied by Govt., NRHM and MLA fund to 28 nos of different
medicinal institutions of Dhubri District. (Annexure C)
b. During 2010-11, new ambulance for Dumardaha MPHC is proposed @ Rs.5 Lakhs.
O-4: To strengthen the health institutions in terms of necessary materials support in terms of equipments and drugs.
S-1: Ensure proper functioning of the health centres by providing necessary equipments and drugs.
Proposed Activities : (Supply of Drugs)
a. As per the IPHS norms the District propose to supply the Drugs for all the Health Instution as
mentioned below
Sl No Health Institutions No. of Health Institutions
1 SC 246
2 BPHC/MPHC/SHC/SD/MC 32
3 CHC 6
4 SDCH 1
5 Civil Hospital 1
6 Urban Health Centre 1
7 PPP Hospital 2
8 MMU 1
9 Boat Clinic 1
Proposed Activities : (Supply of Equipments)
a. As per facility survey there is a requirement of 21 nos. labour table, 21 nos. of Stand light, 10
nos. Radiant warmer, 13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup Generator set
including other logistics for 24x7 hr delivery services for quality services. The institutionwise
detailed requirement is enclosed herewith as Annexure B
b. The IUCD Kit received during 2009-10 alredy distributed where training imparted another 100 nos of IUCD kit will be required during 2010-11.
O-5: To ensure effective implementation of the programme at the block level
S-1: Strengthening the block for effective implementation of the programme
Proposed Activities : Support to district and Block level Resource Groups.
At the district level, DPMU already exists. At the Block level Block Programme Manager,
Block Accounts manager and Assist. Block Programme has also appointed during 2007-08 and
2008-09.
DHUBRI/DHAP/2010-11 113
During 2010-11, to support the Block Programme Management Unit the following
manpower is proposed as follows-
SL No NAME OF POST UNDER NRHM NAME OF HEALTH INSTITUTION WHERE VACANT
1
PHC ACCTT.
Futkibari SD
2 Gauripur CHC
3 Dhubri Health & maternity Centre
4 Tamarhat MPHC
1
LAB TECH
Golakganj BPHC
2 Tamarthat MPHC
3 Dharmasala BPHC
4 Moterjhar SD
O-6: To provide supportive measures to the districts for performance analysis and for
preparation of health action plans.
S-1: Strengthening the planning activities.
Propsoed Activities:
a. Resource mapping in every village done by Village Health & Sanitation Committee will help
to assess the need of the community. Therefore, by undertaking household and facility
survey, the actual need of the community can be assessed which is also the essential
requirements for developing District Health/Block Health Action Plans-annual &
perspective.
b. Orientation of VHSC of each BPHC.
O-7: To provide health care services to the unserved, underserved and remote areas.
S 1.: Support to Mobile Medical Units (MMU)
Proposed Activities:
a. With the objective to take health care to the door step of the public in the rural far flung areas,
especially in under served areas, the district has received the Mobile Medical Unit with
specialized facilities like USG, X-ray etc and will continue the service.
b. During 2009-10, training of GNM, Pharmacist, Radiographer and lab Tech. of MMU is
proposed for skill upgradation.
c. For Implmenting the Mobile Medicla Unit, Total fund proposed 21.66 lakh for 2010-11 for
recurring expenditure of MMU, Dhubri. Details budget enclosed.
DHUBRI/DHAP/2010-11 114
d.
1. Recurring Costs:
a. Manpower…………………………………… Rs12.36lakhs/ annum
i. Medical Officer 2 Nos.
General Practitioner -2 nos.
(Rs 20,000.00 X 2 =Rs.40, 000.00/month)
ii. GMN 2 Nos. (Rs. 7000.00 X 2= Rs.14,000.00/month)
iii. Radiographer-1 no. (Rs 8,000.00/month)
iv. Pharmacist-1 no. (Rs. 8000.00/month)
v. Laboratory Technician-1no. (Rs. 8000.00/month)
vi. 4th Grade cum handyman-2 nos.
(Rs. 5000.00 X 2= Rs 10,000.00)
vii. Driver-3 nos. Rs. 5000.00 X 3= Rs.15,000.00
(Total: Rs. 103,000.00 per month X 12 = Rs 12, 36,000.00 per year)
b. Medicines………………… Rs. 5 lakhs / annum
c. Training of manpower… Rs. 30,000.00 /annum
d. Maintenance & repair of vehicle… Rs. 2 lakhs /annum
e. POL Rs. 2 lakhs /annum
Grand Total Recurring Fund Required For Medical Mobile Unit, Dhubri is. Rs.21.66 lakhs.
S-2: Promoting Boat Clinic in char areas of DDhhuubbrrii ddiissttrriicctt..
a. The uncovered and inaccessible areas under South Salmara PHC, Gazarikandi PHC and
Dharmasala PHC (Total No of Char Village=50, & Char Population=69,945) has been identified
which do not have any Health Care facilities.
The Centre for North East Studies & Policy Research(C-NES) had signed a MoU with the
National Rural Health Mission of the Government of Assam in February 2008 to extend health
services to the people of char/Chapories in five districts of Assam including Dhubri district. The
focus of the boat clinic initiative is Routine immunization, Ante natal care (ANC), and Post natal
care (PNC), health checkups, awareness, and Water and sanitation in association partnership
with NRHM, Assam, and District Health Society of Dhubri.
Proposed Activities:
a. Antenatal Care services by Boat Clinic
b. Postnatal care services by Boat Clinic
c. Family Planning services
d. Routine Immunization
e. Curative care
f. Basic Laboratory Services.
DHUBRI/DHAP/2010-11 115
The tentative annual action plan has been proposed keeping in view the immunization
schedule as well antenatal check up providing minimum three checkup & two doses of TT for
every pregnant women. A tentative plan of boat clinic camp is given below.
Quarter Month Nos. of camp days
Target Char
Target
Char population(Approx)
Infant (Approx)
Pregnant woman(Approx)
1st April 2010 to June 2010
48 (16 days per month)
16 Different char
20399 504 596
2nd July 2010 to September 2010
48 (16 days per month)
16 Different char
17628 434 507
3rd October 2010 to December 2010
48 (16 days per month)
16 Different char
Same population of quarter 1st
Same population of quarter 1st
Same population of quarter 1st
4th January 2011 to March 2011
48 (16 days per month)
16 Different char
Same population of quarter 2nd
Same population of quarter 2nd
Same population of quarter 2nd
Total 12 months 192 camps
32 different char
38027 938 1103
b. During 2009-10, a Speed Boat Ambulance has been received from Zilla Parishad
Dhubri. In order to make functional of the speed boat ambulance and to extend health
services to the people of char/Chapories in the districts. The following manpower including PoL is
proposed during 2010-11
Sl No Detail Numbers Unit Cost Total Amount
1 Doctor 1 30,000.00 3,60,000.00
2 GNM 1 7000.00 84,000.00
3 ANM 2 5000.00 1,20,000.00
4 Lab Tech 1 8000.00 96,000.00
5 Pharmacist 1 7000.00 84,000.00
6 Pilot/Driver 1 5000.00 60,000.00
7 Handiman 2 3000.00 72,000.00
8 Pol & Maintenance
1,00,000.00 per month
12,00,000.00
Total 20,76,000.00
DHUBRI/DHAP/2010-11 116
O-8: Skill up gradation/Capacity Building at all levels.
S-1: Train and enhance capacity BPMU, PRIs & Medical offcers
S-2 : Stregthening Infrastructure of District Training Hall
Proposed AAccttiivviittiieess::
a. In order to organize the different trainings for the officials/health workers under the establishment of JDHS, Addl CM & HO(FW), Dhubri, it is required to repair and renovate the existence Training Hall, during 2010-11. A total Rs. 300000.00 lakh is proposed for carrying out the same activity.
b. In order to implement the NRHM programme successfully, it is required to organize sentitization workshops on NRHM for the PRIs (ZP Member-28, GP President=168) and the medical offcers (37) and capacity building workshop for BPMU (BPM-7, BAM-9 & Assist.BPM-17)
c. Sensitization workshop to Medical officers(Newly Appointed):
A total of 37 medical officers newly appointed will be sensitized in 2010-11. Per batch 37 MOs will be there. There will be 2 days workshop. Altogether there will be 1 batches. Therefore budget is as follows:
• DA @ Rs 200.00 for 2 days for 37 participants= Rs 14,800.000
• TA @ Rs 500.00 for 37 participants= Rs 18,500.00
• Honorarium to trainers @ Rs 200.00 for 3 trainers for 2 days
= Rs 1200.00.
• Tea, Snacks etc @ Rs.100.00 for 37 participants for 2 days= Rs 7400.00
Total= Rs 14800.00+ 18500.00+1200.00+7400.00 = Rs 41,900.00.
Therefore total = Rs 41,900.00
d. Sensitization workshop to PRIs:
A total of 196 PRIs (ZP Member-28, GP President=168) will be sensitized in 2010-11. A total of 4 batch PRIs will be sensitized. Per batch 50 PRIs will be there. There will be 1 days workshop.. Therefore budget for 1 batch is as follows:
• DA @ Rs 125.00 for 1 days for 50 participants= Rs 6250.00
• TA @ Rs 300.00 for 50 participants= Rs 15,000.00
• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 1 days
= Rs 600.00.
• Tea, Snacks etc @ Rs.100.00 for 50 participants for 1 days= Rs 5000.00
Total= Rs 6250.00+ 15,000.00+600.00+5000.00 = Rs 26,850.00.
Therefore total = Rs 26,850
Therfore total Budget for 4 batch= 1,07,400.00
e. Capacity Building workshop for BPMU:
A total of 33 BPMU (BPM-7, BAM-9 & Assist.BPM-17) will be sensitized in 2010-11 in 1 batch. There will be 2 days workshop.. Therefore budget is as follows:
• DA @ Rs 125.00 for 2 days for 33 participants= Rs 8,250.00
• TA @ Rs 200.00 for 33 participants= Rs 6,600.00
• Honorarium to trainers @ Rs 200.00 for 3 trainers per batch for 2 days
= Rs 1200.00.
• Tea, Snacks etc @ Rs.100.00 for 33 participants for 2 days= Rs 6,600.00
Total= Rs 8,250.00+ 6600.00+1200.00+6600.00 = Rs 22,650.00.
Therefore total = Rs 22,650.00
DHUBRI/DHAP/2010-11 117
IEC/BCC Strategy
Objectives:
1. To refute the myths and misunderstandings prevalent in the society
2. To create a demand for various health services being provided under NRHM .
3. Bringing about a behavioural change among individuals and community at a large.
Proposed Activities:
A.) Setting up and development of IEC/BCC unit at the district level:
1. One District Media Expert under NRHM is already placed at District, one District Extension
& Media Officer and two nos of Dy Ext & Media officer is placed under Addl. CM & HO
(FW), Dhubri
2. One Digital Video Camera, one still camera with Tripod is already available at District.
3. One Public Addressing System set; LCD Projector with Screen is available at District.
4. One laptop may be provided to the IEC/BCC cell of the district in Q1, which may cost
around Rs. 35,000/-.
5. One LCD projector may be provided to each BPHC @Rs.50,000 X 7 nos of BPHC in Q2
6. One Grade IV staff may be deputed from regular set up to the IEC/BCC cell for assist the day-to-day activity.
B). Meeting Manpower requirements at District level
1. At Present no further manpower is required at District in IEC/BCC Cell.
C). Formative research/situational analysis/baseline study to identify focus areas
1. To find out the perception of the villagers and to do a study on the level of Knowledge of
Family Planning, Immunization and Institutional Delivery an independent agency will be
engaged.
2. In the first two-quarter they will visit the Char areas of Dhubri only. They will assist by
ASHA and AWW.
3. Students of M. Phil & Phd will be encouraged to do research on the health status of tea
garden population and finding will be used to prepare specific plan.
4. The process will be continued up to Q4 and total Budget requirement for per quarter is Rs.
15,000 X 7 nos BOHC X per quarter.
D). Develop IEC/BCC Strategy : Streamline objectives/identify Communication tools/identify
media mix as per target audience/frame monitoring evaluation indicators Identify external
agency/Advertising agency for the task (if needed)
DHUBRI/DHAP/2010-11 118
1. A comprehensive IEC/BCC action plan will be prepared in the Q2.
E). Media Mix : Develop a strategic media mix as per the target population and issues
(Child Health, Maternal Health/Family Planning)
a). Interpersonal Communications 1. On every Wednesday a Counselling session will be organised at 4 nos of FRUs and 7 nos
of PHCs by BEE & LHV for the mother and eligible couple.
2. ICTC will be intimated and engaged in the counselling session.
3. ASHA, ANM, & AWWs will be instructed to do IPC whenever they do home visited.
4. Group Discussion will be organized by BEE, LHV, HE, they will get @ Rs.300/- for per GD
X 5 GD in a month X 12 months
5. The GD will be organized at village level, SC level, AWW centre wise
6. Instruction will be given to VHSC to conduct community meetings out of their own funds.
7. Workshop at Block level will be organized, one workshop will be organised in each
quarter, @Rs.5000 X 7 nos BPHC X per Quarter
b). Community Media:
1. A audio cassette will be developed using folk tune on JSY, FP, immunization, ID etc and
will be broadcast through slow moving vehicle, cost @ Rs1000/- X 52 Weeks X 7 nos
BPHC
2. Street Play on Malaria, Immunization, JSY, FP etc will be organized in village area in per
months, @Rs. 3000 per Street Play X 12 months X 7 nos BPHC
3. During Health Mela IEC exhibition and Drama will be organized. Cost will be Rs. 25,000/-
4. BPHC wise rally will be organized to make sensitise. One rally in each BPHC in each
Quarter will be organised. Cost @ 2500 X 4 quarter X 7 BPHC
c). Outdoor Media :
1. Street Banner on JSY, Immunization, family planning, ASHA, malaria etc will be developed
centrally and installed in the prominent places. In each quarter 1000 nos of Street banner
will prepared. @ Rs 150 X 1000 nos X 4Q.
2. For popularised the NRHM schemes among the general people IEC message will be
displayed in the backside of the Buses. Cost @ Rs. 250 X 100 buses, will be done in Q2
3. During Q1 and Q3 Information Boards on Family Planning will be developed and installed
in SC wise. Per SC will be provided 2 nos of Information Boards. Cost @ Rs 2000 X 246
nos of SC centre X 2nos of Information Board.
4. During Q2, Hoarding on JSY, ASHA, Immunization, ANC, PNC etc will installed in BPHC
wise. 5 nos of Hoarding will be provided in each BPHC. Cost @ Rs, 10,000 X 5 nos of
Hoarding X 7 nos of BPHC
DHUBRI/DHAP/2010-11 119
d). Print materials:
1. Pamphlets on health related issues would be developed for ASHA, AWW and PRI
members; the same will be distributed during VHND. In per quarter 20000 copies will be
brought out. Cost of per pamphlets will be Rs. 1 /-
2. In every quarter poster on related subject will be developed and distributed to BPHC.
Quantity required 8000 per quarter and cost would be Rs.5/- per copy.
3. Newsletter will be published in each quarter, which will highlight all the major achievement
of NRHM and other National Programme. 4000 copies will be published and will be
distributed to ASHA, AWW PRI etc. Cost @ Rs. 25 X 4000 copies.
4. In the Q3 annual report will be published which will reselect the whole activity of the
financial year. Cost @ Rs. 25 X 4000 copies will be distributed to all concern departments,
officials.
5. A table calendar will be prepared which will contained IEC message and distributed to all
Govt & Private office. The activity will be done in Q3 and 300 nos will be brought out. Cost
@ Rs. 50 X 300 nos.
F) BCC implementation Components :
Capacity Building and training of manpower Designate responsibilities as per task/identify
coordinator and design activity chart
1. A District level Workshop on BCC capacity building will be organized for BPM, BEE, HE,
LHV during Q1, appox cost of the workshop will be Rs. 10,000/-
Special Training on BCC will be organized at BPHC level for ASHA facilitator and ANMs. The
training will be organized round the year in all four quarters in phase wise. Cost for per Training
will be Rs. 5000/-. In each BPHC 4 nos of training will be organized.
DHUBRI/DHAP/2010-11 120
Budget under IEC/BCC Plan
Annexure-III
Sl. No
Detailed Activities Quarterly Budget Allocations
Remarks Q1 Q2 Q3 Q4
1 Setting up and development of IEC/BCC unit at the district level (Procurement of Laptop)
35000 350000 0 0
Details activities may be seen at
IEC/BCC Strategy for RCH,
Sl No. A
2 Meeting Manpower requirements at District level 0 0 0 0
3 Formative research/situational analysis/baseline study to identify focus areas
105000 105000 105000 105000
Details activities may be seen
IEC/BCC Strategy for
RCH,Sl No. C
4
Develop IEC/BCC Strategy Streamline objectives/identify Communication tools/identify media mix as per target audience/frame monitoring evaluation indicators Identify external agency/Advertising agency for the task (if needed) 0 0 0 0
5
Media Mix Develop a strategic media mix as per the target population and issues( Child Health, Maternal Health/Family Planning) 0 0 0 0
a). Interpersonal Communications 0 0 0 0
Details activities may
be seen IEC/BCC
Strategy for Sl No. E (a)
I Counselling at FRUs, PHCs etc 0 0 0 0
ii One to one interaction by ASHAs/ANMs/AWWs 0 0 0 0
iii
Group discussions at Village/Block /Panchayat level ( by BEE, HE, LHV) 148500 148500 148500 148500
iv Community Meetings ( Will be conducted by VHSC) 0 0 0 0
v Workshops at Panchayath/ Block District level 35000 35000 35000 35000
b). Community Media 0 0 0 0
Details activities may
be seen at Annexure III, Sl
No. E (b)
I Folk arts ( preparation of Audio Cassette & miking) 91000 91000 91000 91000
ii Street plays ( Rs.3000 X 12 months X 7 BPHC) 63000 63000 63000 63000
iii Health Melas 25000 0 0 0
iv Rallies 17500 17500 17500 17500
v Social Mobilisation Programmes 0 0 0 0
c). Outdoor Media 0 0 0 0 Details activities may
be seen IEC/BCC
Strategy for Sl
I Banners 150000 150000 150000 150000
ii Bus Boards 0 25000 0 0
iii Bulletin Boards ( information Boards 2 nos for per SC wise) 492000 0 492000 0
DHUBRI/DHAP/2010-11 121
iv Sign ages (Hoardings 5 nos for per BPHC) 0 350000 0 0
No. E (c)
d). Television Spots 0 0 0 0
e). Radio Programmes 0 0 0 0
f). Newspaper advertisements 0 0 0 0
g). Print materials 0 0 0 0
Details activities may
be seen IEC/BCC
Strategy for RCH,Sl No. E
(d)
I Pamphlets @ Rs.1/- X 20,000 X 4Q 20000 20000 20000 20000
ii Poster @ Rs.5 X 8000 X 4Q 40000 40000 40000 40000
iii Flip Charts 0 0 0 0
iv Newsletter @ Rs.25 X 4000 X 4Q 100000 100000 100000 100000
v Annual Report @ Rs. 25 X 4000 0 0 100000 0
vi Flash cards 0 0 0 0
vii Calendars and danglers@ Rs 50 X 300 nos 0 0 15000 0
BCC implementation Components 0 0 0 0
6
Capacity Building and training of manpower Designate responsibilities as per task/identify coordinator and design activity chart
0 0 0 0
Details activities may
be seen IEC/BCC
Strategy for RCH,, Sl No.F
I Capacity building of Staff 10000 0 0 0
ii Internal Workshops 0 0 0 0
iii Specialised training for Staff members 35000 35000 35000 35000
7 Monitoring and evaluation Midterm monitoring Evaluation of the Programme 0 0 0 0
Total Quarterly Budget 1367000 1530000 1412000 805000
Total BCC/IEC Budget 51,14,000/-
DHUBRI/DHAP/2010-11 122
6.6. PART C: UNIVERSAL IMMUNIZATION
PROGRAMME (UIP)
Situational Analysis Of Immunization Programme
Current Situation of implementation of Immunization Programme
District Profile
Total Population (2001) 16,34,589 As per Census 2001
Projected Population (2010) 19,07,814
Rural (%) 88.3% As per Census 2001
Urban (%) 11.7 As per Census 2001
Infant Mortality Rate (IMR) 64/1000 SRS 2008
Below Poverty Line (BPL) (%) 36.09% NFHS-3
Crude Birth Rate ( CBR) 26.9
Infants/Year (2010) 44261
Pregnancies /Year 52656
Sub-Divisions 3
District 1
Blocks 14
Gram Panchayat 172
Villages 1359
Towns/Urban Areas 3
DHUBRI/DHAP/2010-11 123
INFRASTRUCTURE AND STAFFING LEVELS:
Health Staff
Position Sanctioned
Posts
In Position Proposed
Addition
Trained In
Last 3 Years
Medical Officer 139
80 59 80
LHV
(Female Multi-
Purpose Health
Supervisor)
17 15 To be trained
for 2 days re-
orientation
Male Multi –purpose
Health Supervisor
54 47 7 47
ANM
(Female
Multipurpose Health
worker)
F.W. – 267
Med - 62
F.W.-180 F.W. – 87 267
(F.W &
Contractual)
Male Multipurpose
Health worker
203 161 42
Contractual ANM 230
Contractual GNM 69
Dedicated Immunization staffs
Position Sanctioned Post In position Proposed
addition
Trained In last 3
Years
Dist.
Immunization
Officer
1 1 Trained
District
Statistical
investigator
2 2
Cold Chain
Mechanic
1 1 To be trained
Non CFC
Driver (UIP
Vehicle)
1 1 1
Public Health Infrastructure Building Sanctioned Functioning With Functional
Cold Chain
Equipment
Proposed
Expansion (No.
of Facilities)
Sub-centre 246 246 0 5
PHC/MPHC/SHC/SD 16 13 11 2
PHC
Block PHC 7 7 7 3
CHC 6 5 5 0
DHUBRI/DHAP/2010-11 124
COLD CHAIN STATUS OF DHUBRI DISTRICT
Sl No.
Name of the Location/PHC of the
Cold Chain
Sl.No.
Name of the Cold Chain Point
No. of Cold
Chain Point
Solar Remarks
1 Dist Head Quarter 1 Dist. F.W.Bureau 2
2 Dist Ware House 5
2 Dhubri Urban Unit 1 Civil Hospital 2
2 Urban Unit, Dhubri 1
3 Dharmasala BPHC
1 Dharmasala PHC 3
Kazigaon SD & Tipkai MPHC is now under BTAD area and from
B.S.F. Hospital is now
withdrawn
2 Gauripur CHC 1
4 Golakganj BPHC
1 Golakganj PHC 3 1 Rupsi is now
in BTAD area,Tamarhat is included to Dhubri District
from BTAD and from Kedar is
withdrawn
2 Dhepdhepi 1
3 Dumurdaha 1
4 Kachakhana 1
5 Moterjhar (Newly installed)
1
6 Berbhangi (Newly installed)
1
7 Tamarhat 1
5 Halakura BPHC
1 Halakura PHC 1
2 Agomoni CHC 1
3 Satrasal SD 1
4 Baterhat SD 1
6 Raniganj BPHC
1 Raniganj PHC 1
2 Bilasipara 2
3 Lakhiganj 1
4 Sapatgram 1
5 Bagribari 1
7 Chapar BPHC
1 Chapar PHC 2
2 Bahalpur 1
3 Salkocha 1
4 Rangamati 1
8 Gazarikandi BPHC
1 Gazarikandi PHC 2 1
(But not working)
2 Sukchar 1
3 Mankachar 1
4 Hatsigimari ( Newly installed)
1
5 Kalapani (Newly installed)
1
9 S Salmara BPHC 1 South Salmara PHC 1
Total Cold Chain Point (In 32 Locations)
45
DHUBRI/DHAP/2010-11 125
Additional Requirement Of Cold Chain Equipment, 2010-11.
Cold Storage Point Total Number
Proposed Expansion
Proposed Replacement
ILR Storage Point 32
6 2
Total Deep Freezer 5
6 2
Solar Refrigerator 1
1 5
Sl No. Item
Stock
(Functional)
as on 31st
De'09
Requirement
2009-10 2010-11 2011-12
1 Cold Chain Equipments
a) WIC 1
b) WIF 1
c) ILR 38 8
d) DF 29 8
e) Cold Boxes 48 25
f) Vaccine Carrier 2352 150 150
g) Ice Pack 18726 5000 3500 3500
h) Vaccine Van 1 1
ILR Required :-
1. B.S.F. Hospital - 1 No.(Replacement) 2. Raniganj PHC - 1 No. (Replacement) 3. Kalapani - 1 No. 4. Sadullabari - 1 No. 5. D.F.W.B. - 1 No. 6. Chapor PHC - 1 No 7. Moterjahr MPHC - 1 No 8. Halakuara PHC - 1 No
Deep Freezer :-
1. Dhepdhepi S.D. - 1 No. 2. Dumurdaha S.D. - 1 No. 3. Tamarhat PHC - 1 No. (Replacement) 4. B.S.F. Hospiital - 1 No. 5. Kalapani S.D. - 1 No. 6. Sadullabari S.D. - 1 No. 7. Halakura PHC - 1 No. 8. D.F.W.B. - 1 No.(300 lts Replacement)
DHUBRI/DHAP/2010-11 126
U.I.P. Related Training conducted during 09-10:
Position Numbers
(Trained up to Dec’09) D.I.O. (Mid Level Manager) 1
M.O.s
LHVs 6
ANMs 406
Cold Chain handler 64
Data Handler 28
Recent Performance
Name of
the PHC
Yearly Target
(2008-09)
Yearly Target
(2009-10)
BCG Coverage
(in numbers)
OPV-1st Dose
Coverage
(in numbers)
OPV-3rd Dose
Coverage
(in numbers)
DPT-1st Dose
Coverage
(in numbers)
DPT-3rd Dose
Coverage
(in numbers)
Inf PW Inf PW
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
Dharmasala 5860 6972 5860 6972 6111 4328 6385 4298 5320 4378 6385 4298 5320 4378
Golakganj 5857 6968 7117 7826 5464 3822 5708 3667 4966 3469 5708 3667 4966 3469
Halakura 4390 4878 4481 5079 3497 2257 3726 2339 3797 2539 3726 2339 3797 2539
Raniganj 6803 8093 7539 7590 8973 3982 8992 4209 7230 4135 8992 4209 7230 4135
Chapor 3216 3823 2606 3100 3218 1989 3162 2760 2750 2143 3162 2760 2750 2143
S.Salmara 7717 9181 7717 9181 7979 5335 8417 5396 6277 4571 8417 5396 6277 4571
Gazarikandi 6957 8277 7079 8421 7555 4758 8380 4356 7322 4235 8380 4356 7322 4235
Dhubri
Urban 1679 1992 1679 1992 1359 695 1386 721 908 524 1386 721 908 524
Boat Clinic 486 446 519 514 298 353 519 514 298 353
Total 42479 50184 44078 50161 44642 27612 46675 28260 38868 26347 46675 28260
3886
8
2634
7
Name of
the PHC
Hep-B
Birth
Dose
Coverage
(in
numbers)
Hep-B
1st Dose
Coverage
(in
numbers)
Hep-B
3rd Dose
Coverage
(in
numbers)
Measles
Coverage
(in numbers)
TT2 + Booster
Coverage
(in numbers)
JE
Routine
Vit-A 1st Dose
Coverage
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
20
08
-09
20
09
-10
Dharmasala 0 0 0 0 0 0 4763 4346 5110 4735 0 0 2662 3990
Golakganj 0 0 0 0 0 0 4087 3301 5601 4073 0 0 3466 3178
Halakura 0 0 0 0 0 0 3282 2393 3378 2582 0 0 2858 2329
DHUBRI/DHAP/2010-11 127
Raniganj 0 0 0 0 0 0 5684 3525 7599 5019 0 0 3534 2087
Chapor 0 0 0 0 0 0 2144 2018 2490 2050 0 0 975 1526
S.Salmara 0 0 0 0 0 0 6250 4391 6993 5903 0 0 2591 3751
Gazarikandi 0 0 0 0 0 0 6083 3875 7092 5562 0 0 2967 3958
Dhubri
Urban 0 0 0 0 0 0 852 476 2028 1704 0 0 704 476
Boat Clinic 0 0 0 0 0 0 354 223 162 187 0 0 0 59
Total 0 0 0 0 0 0 33499 24548 40453 31815 0 0 19757 21354
Vaccine preventable Diseases:
Name of
the PHC
Diptheria Whooping
Cough
Neonatal
Tetanus
Tetanus
(Other) Measles Polio AES
Ca
se
De
ath
Ca
se
De
ath
Ca
se
De
ath
Ca
se
De
ath
Ca
se
De
ath
Ca
se
De
ath
Ca
se
De
ath
Dharmasala 0 0 0 0 0 0 0 0 90 0 0 0 0 0
Golakganj 0 0 0 0 0 0 0 0 0 0 0 0 0
Halakura 0 0 0 0 0 0 0 0 60 0 0 0 0 0
Raniganj 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chapor 0 0 0 0 0 0 0 0 0 0 0 0 0 0
S.Salmara 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gazarikandi 0 0 0 0 0 0 0 0 37 0 0 0 0 0
Dhubri
Urban 0 0 0 0 2 0 1 0 13 0 0 0 0 0
Boat Clinic 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 2 0 1 0 200 0 0 0 0 0
DHUBRI/DHAP/2010-11 128
Objective
The Overall goal is to measure to increase immunization coverage rtes. Based on review of
past performance, assessment of critical bottlenecks and planned activities
Immunization Coverage Targets:
INDICATORS Current 2009-10
(upto Jan’10)
Planned 2010-11
BCG coverage (%) 70.05% 90%
DPT-1 coverage (%) 71.59% 90%
DPT-3 coverage (%) 64.13% 90%
Measles coverage (%) 61.82% 90%
Vit- A coverage (%2+ doses) 42.55% 60%
Dropout rate BCG-Measles(%) 11.75% -
Children fully vaccinated by 12
months of age (%) from HMIS
report
53.49% 70%
Key performance indicatrs:
INDICATORS Current 2009-10 Planned 2010-11
% Blocks with routine
immunization micro plan
available
100 100
Key performance indicators:
INDICATORS Current 2009-10
(upto Nov’09)
Planned 2010-11
ANM having received refresher
training in Immunization
within the last 3 years (%)
90% 100%
DIO having participated in
mid-level managers (MLM)
training within the last 3
years(%)
- 1
DHUBRI/DHAP/2010-11 129
ACTION PLAN ON UIP PART –C , ASSAM,2010-11 :-
As per guidelines laid down, outline action points for implementing delivery scheme at State /
Block level, justifying state or State specific deviation from the establishment norms.
Total Projected Population : 1907814 Pregnant Woman target : 52656 Infant Target : 44261 Vaccination Sites : 17288 Sub Centres : 246 Villages : 1359 ANM/MPHW : 180 Addl. ANM : 230 1-2 Years Children = 43880 (2.30% of the projected population) 5 years Children = 46169 (2.42% of the projected population)
PROPOSED MONTHLY ACTION PLAN FOR ROUTINE IMMUNIZATION : 2010-11
Name of
Block PHC
No
. O
f B
lock
M.O
.
No
.of
S.C
.
No
. O
f
Inst
itu
tio
n
No
. O
f S
ect
or
M.O
.
No
. O
f C
old
Ch
ain
Po
int
No
. o
f B
EE
No
. o
f LH
V
No
. O
f Se
ssio
n
Pla
nn
ed
No
. o
f
Un
de
rse
rve
d
Se
ssio
n
Po
pu
lati
on
Yearly Target
P.W
.
0-1
yr I
nfa
nt
South
Salmara 1 47 6 4 1 1 0 2796 372 290537 8019 6740
Gazarikandi 1 44 3 7 3 1 1 2640 276 303650 8381 7045
Raniganj 1 48 7 7 9 1 3 3012 156 329098 9083 7635
Dharmasala 1 34 3 3 4 1 2 2532 240 327505 9039 7598
Golakganj 1 34 7 7 8 1 1 2388 24 271660 7498 6303
Halakura 1 22 4 4 4 1 2 1548 96 173330 4784 4021
Chapar 1 17 4 4 3 1 4 1500 132 138461 3822 3212
Dhubri
Urban 1 1 1 1 756 96 73572 2031 1707
Total 8 246 34 37 33 8 13 17172 1392 1907814 52656 44261
DHUBRI/DHAP/2010-11 130
Requirement of Vaccine and Syringe during the year 2010-11
Name of
Block PHC
Requirement of Vaccine Dose Requirement of Syringe Immunization
Card T.T. B.C.G. D.P.T. O.P.V. Measles 0.1 ml 0.5 ml 5 ml
South
Salmara 24056 10111 40443 40443 10111 10111 74610 8481 8019
Gazarikandi 25142 10567 42268 42268 10567 10567 77977 7989 8381
Raniganj 27249 11453 45810 45810 11453 11453 84512 9075 9083
Dharmasala 27117 11397 45589 45589 11397 11397 84103 7656 9039
Golakganj 22493 9454 37815 37815 9454 9454 69762 7170 7498
Halakura 14352 6032 24128 24128 6032 6032 44511 4668 4784
Chapar 11465 4818 19274 19274 4818 4818 35557 4533 3822
Dhubri
Urban 6092 2560 10241 10241 2560 2560 18893 2292 2031
Total 157967 66392 265568 265568 66392 66392 489927 51864 52656
Proposed Activity:
Service Delivery Improvement:-
a. Mobilization of Children by ASHA : For every 1431 sites we have got one ASHA per site.
Invitation card (IPC Slip) to be printed and distributed to ASHA . Missed/Dropout children are
to be mobilize or Invited by ASHA to reduce the drop Out. The District will continue for
providing incetive of Rs. 250/- to ASHAs for each fully immunized child as this increases the
full immunization coverage rate of the District as the ASHAs after BCG will keep a track of the
infants in her village as she is from the same village and will accompany the mother to the
sub-centre to vaccinate the infant.This will also help the ANM in tracking/vaccinate the infants
as there are instances where the ANM fails to vaccinate the infant as mothers are not willing
or forgotten about the date of Immunization of their child but with the help of ASHAsi it will be
easier for the ANM to conveience the mothers and also kepeping a track of the Infants.
b. Hard to Reach area/Unreached Area : 116 nos of sites per month has been identified as
difficult to reach areas/Char areas/Urban Slums. For Holding the sessions in Underserved
and Slum areas ANM will be deputed and Rs. 300/- will be paid as honorarium and Rs. 50/-
as contingency to ANM for holding the session.
c. Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccine distribution plans are
prepared to distributes vaccine from Dist. to 8 PHC by maintaining proper cold chain.
Dist. To PHC :: As per vaccine distribution route map, Vaccine will distribute from Dist. To 8
PHC level cold chain pt. by insulated vaccine Van covering 3 PHCs per trip for one month
quota. Per trip POL cost of Rs. 800/-, DA of driver is Rs. 90/-, loading/unloading of Vacc. And
syringes is Rs. 100/- and maintenance of Vehicle Rs. 800/- PM is planned.
DHUBRI/DHAP/2010-11 131
d. ALTERNATE DELIVERY OF VACCINE :
For 1431 normal sites Alternate arrangement is planned for vaccine delivery so that ANM can
attend the session site in time. In 2009-10, 85% sites were covered, but in next year it will be
arranged for 100% Rs. 50/- per normal site.
In underserved slum area /Char area of 116 nos. it is planned to provide Rs. 100/- per site for
alternate vaccine carrying.
e. Cold Chain Maintenance
Proper Functioning of Cold Chain Equipments (ILR/Deep Frezer/Col-Box/vaccine
carrier etc.) and maintain temperature record of ILD/DF (daily twice), stock of vaccine
and syringes at District and PHC level will be ensure during 2010-11. It will also be
ensured that the quality of vaccine by maintaining proper Cold Chain System at
storage and transportation.
f. Computer Assistant under DIO: One Computer Assistant @ Rs.10,000 PM is provided to
assist DIO in keeping up to data record on immunization and submit the performance report
on physical and financial as per HIMS/UIP format.
g. Supervision and Monitoring : :
Rs.4,200/-PM is provided to utilize for POL expenses on supervision and monitoring purpose
by Addl. CM&HO (FW)/ DIO to ensure satisfactory performance of immunization programme
covering all sites.
At Block PHC leve I.c of BPHC will look after the Immunization Programme and supervise the
activity. In addition Sector MO, BEE, LHV will supervise the activity.
h. TRAININGS :
(i) 2 Days Training for ANM, LHV & GNM
To improve the quality services of Immunization 2 days refresher training of Health
workers (ANMs, LHV, GNM etc) along site visits related to immunization will be organized.
The batch size should be 25-30 persons in each batch. Priority will be given to those ANMs
who have hired drop out rates.
456 ANM/ 50 GNM/ 17 LHV will be trained during 2010-11.
ii) Vaccine Handlers Training :: One day cold chain handlers training will be organized for
64 nos of Vaccine Handlers against 32 Cold Chain storage during 2010-11 by District cold
chain officers and DIO in a batch of 15-20 trainees. At PHC level Contractual Pharmacist will
be involved for computerized record keeping of Vaccine stock position.
iii) Block level Data Handlers Training : For streamlining the reporting system of
immunization ,the team of block level data handlers to be trained on reporting system at Dist.
H.Q. by D.I.O , DDM, and S.I. The participants will be BEE, BPM, LHV and BAM.
DHUBRI/DHAP/2010-11 132
iv) Training on Micro Planning :: Block level Meeting/Training will be organized for all sub
centres for all ANM, AWW, ASHA, ASHA Facilitator for finalization of Sub centre micro plan.
i. Conduct Regular Monthly District and PHC Level Review Meetings:
To identify sub center/ institutions lagging behind in performance and therby to take remedial
measure, to avail opportunity for on site training and to solve the problems, to solve the
problems identified by the participants and to provide feed back monthly review meeting will
be ensured at District and Block Level.
j. Injection Safty : Red Bag, Black Bag, Hub Cutter, Twine bucket, Injection pits etc will be
ensured during 2010-11 for ensuring Injection safty.
DHUBRI/DHAP/2010-11 133
Budget under UIP
Service Delivery Norms
Expenditure & Ahievement
Remarks
2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) 2010-11
Exp
en
dit
ure
Exp
en
dit
ure
Exp
en
dit
ure
Exp
en
dit
ure
Ach
iev
em
en
t
Exp
en
dit
ure
Ach
iev
em
en
t
Funds
requirement Target
Mobility support
for Supervision
Supervisory visits
by District level
officers for
monitoring and
supervision of RI
at Rs.50,000 per
district for
Districtlevel officers
(this includes POL
and Maintenance)
per year
12600 25162 74400 29457
No. of
Sessions
Supervised
11938
No. of Sessions
Supervised
120000
No. of Sessions
Supervised
384 256 408
Cold Chain
maintenance
Rs.500 per PHC/CHC
per year District
Rs.10000 per year
0 36433 1530 25466
% funds
used 51400 % funds used
98400 % funds used
99% 52%
Focus on slum &
underserved
areas in urban
areas
Hiring an ANM
@rs.300/ session for
four
sessions/month/slum
of 10000 population
and Rs.200/- per
68600 171500
No. of
Sessions
with hired
vaccinators
0
No. of Sessions
with hired
vaccinators
134400
No. of Sessions
with hired
vaccinators
DHUBRI/DHAP/2010-11 134
month as
contingency per slum
of i.e total expense
of Rs. 1400/- per
month per slum of
10000 population
490 0 96
Mobilization of
Children through
ASHA/mobilizers
Rs.150/session (for
District) 284000 939400
No. of
Sessions
with ASHA 0
No. of Sessions
with ASHA 2813400
No. of Sessions
with ASHA
9394 18756 18756
Alternate
Vaccine Delivery
Geographically Hard
to reach areas
(session site>30 k.m.
from vaccine delivery
point, river crossing
etc) @rs. 100 per RI
Session
0 0 0
No. of
Sessions
with AVD
0 No. of Sessions
with AVD 385200
No. of Sessions
with AVD
Hilly terrain @Rs.100
per RI session 3852
For RI session in
other areas @ Rs.50
per session
215800 490000 15624 1046600 16104 937800 18756
Support for
Computer
Assistant for RI
Reporting (with
annual
increment of
10% w.e.f. from
2010-11)
District @ Rs. 8000-
10000 p.m.
No. of C.A.
in position
No. of C.A. in
position
No. of C.A. in
position
84000 Yes 77000 Yes 120000 Yes
DHUBRI/DHAP/2010-11 135
Printing and
dissemination of
immunization
cards, tally
sheets,
monitoring
forms etc
Rs. 5 per beneficiary 0 0 0 0 250805
50161
benefici
aries
Review
Meetings
Quaterly Review &
feedback meeting for
exclusive for RI at
District level with
one Block Mos, ICDS
CDPO and other
Shakeholders@ Rs
100/- per participant
for meeting
expences (launch,
Organizational
expences)
0 0 0
No of
persons
trained.
No of persons
trained.
60000
No of persons
trained.
Quaterly review
meeting exclusive for
RI at Block level @ Rs
50/- pp as
honorariam for
ASHAs (travel) and Rs
25 pp at the disposal
of MO-I/C for
meeting expences
(refresments,
stationary and misc.
expences)
147600
DHUBRI/DHAP/2010-11 136
Trainings:
District Level
orientation
training for 2
days ANM, Multi
Purpose Health
Worker (Male),
LHV, Health
Assistant
(Male/Female),
Nurse Midwives,
BEEs & other
specialist (as per
RCH norms)
As per revised norms
for trainings under
RCH
161723
No of
persons
trained 344678
No of persons
trained
601301
No of persons
trained
267 412 523
Three days
training of
Medical Officer
on RI using
revised MO
traing module
As per revised norms
for trainings under
RCH
No of
person
trained
No of person
trained
No of person
trained
one day
refresher
training of
District RI
Computer
Assistants on
RIMs/HMIS and
Immunization
formats under
NRHM
As per revised norms
for trainings under
RCH
DHUBRI/DHAP/2010-11 137
One day Cold
Chain handlers
traing for block
level cold chain
handlers by state
and District cold
chain officers
and DIO for a
batch of 15-20
trainees and
three trainers.
As per revised norms
for trainings under
RCH
0 10870 0 9040 30 40585 No of person
trained120 31100
No of person
trained60
One day training
of block level
data handler by
DIO and Dist
Cold Chain
officer to train
about the
reporting
formats of
Immunization
and NRHM
As per revised norms
for trainings under
RCH
No of
person
trained
18500
No of person
trained
28
18450
No of person
trained
30
Microplanning to
develop sub-
center and PHC
microplans using
bottom up
planning with
participation of
ANM, ASHA,
at Rs 100/- per SC
(meeting at
bolcklevel, logistic)
24600
% of
SC/PHC/CHC/Dist
have updated
microplan this
year
100%
24600
% of
SC/PHC/CHC/Dist
have updated
microplan this
year
DHUBRI/DHAP/2010-11 138
AWW For consolidation of
microplan at
PHC/CHC level @ Rs
1000/- block & dist
level @ 2000/- per
dist.
9345 8000 0 8613 13000 24000
POL for vaccine
delivery from
dist. To
PHC/CHCs
Rs 100,000/dist/year 20724 50573 15757 45134
% of fund
used 77509
% of fund used
201600
% of fund used
73% 38%
Consumables for
computer
including
provision for
internet access
for RIMs
At Rs 400/-
/month/dist 4800
Injection Safety % funds
used % funds used % funds used
Red/Black/Plastic
bags etc at Rs 2/bag/session 37512
Bleach/Hypo
chlorite solution
at Rs 500/
PHC/CHC/year 4800
Twine bucket at Rs
400/PHC/CHC/year 3200
DHUBRI/DHAP/2010-11 139
Any District
Specific Need
with Justification
( please provide
a separate write-
up on objective,
stretegy,
expected output
and outcomes,
basis for cost
estimates etc.
10% of total amount
of approved PIP
% funds
used % funds used % funds used
Total 42669 131038 660087 1964333 1705810 6018968
DHUBRI/DHAP/2010-11 140
6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMME
6.7.1 National Vector Borne Disease Control Programme (NNVVBBDDCCPP))
GOAL: To reduce morbidity and mortality due to malaria
OBJECTIVE
a. To bring down API from 4.27 to 2
b. To bring down PF% from 65.12% to 30%
Strategies:
1. Early detection and prompt treatment
2. Case management & referral
3. Integrated Vector control
4. BCC & Social Mobilization
5. Intersectoral Convergence
6. Capacity building (Training)
7. Monitoring & Evaluation
DISTRICT PROFILE � THE DISTRICT IS SITUATED IN THE WESTERN CORNER OF THE STATE OF ASSAM BETWEEN
LATITUDE 25˚ 28' AND 26˚01'NORTH AND LONGITUDE 89˚59' AND 90˚28' EAST.
� IT IS SITUATED 35 METER ABOVE THE SEA LEVEL.
� IT HAS A TOTAL GEOGRAPHICAL AREA OF 2838 SQ.KMS.
� IT IS BORDER BY KOKRAJHAR DISTRICT ON THE NORTH, MEGHALAYA AND BANGLADESH IN
SOUTH BOGAIGAON AND GOALPARA DISTRICT IN THE EAST AND WEST BENGAL AND
BANGLADESH IN THE WEST.
� RIVER BRAHMAPUTRA FLOWS THROUGH THIS DISTRICT AND BESIDE THE DISTRICT INTO TWO
PARTS VIZ SOUTH BANK AND NORTH BANK.
� BILASIPARA, SOUTH SALMARA-MANKACHAR AND DHUBRI ARE THREE SUB-DIVISION OF THE
DISTRICT WITH H.Q. AT DHUBRI.
� THE CLIMATE OF THE DISTRICT IS MAINLY HUMID. THUNDER STORMS OCCUR DURING THE PERIOD
FROM MARCH TO MAY AND MAY TO OCTOBER IS CONSIDERED AS FLOOD SEASON.
Vital Statistics of the Distict at a Glance General:
1. Population - :: 17,28,860 (as per NVBDCP 2009 census)
2. Tea estate population - :: 9,581 No.s
3. BPL population - :: 11,71,392(as per 2001 census)
DHUBRI/DHAP/2010-11 141
4. Schedule caste - :: 63208(4.8%) (as per 2001 census)
5. Schedule tribe - :: 10223 (as per 2007 NVBDCP census)
Administrative details
1. Area - :: 2797.78 sq.km.
2. Sub-division - :: 3 nos
2. Development Block - :: 12 nos.
3 Village - :: 1302
4. Panchayat - :: 162 nos
5. Municipality - :: 1
6. Town - :: 3
7. ICDS - :: 12
8. Tea garden - :: 3
Border area
1. Development block - :: 6(Agomani,Golakganj, Dharmasala,South Salmara, Fekamari,Mankachar)
2. Village - :: 462
Health care Delivery Infrastructure Government
1. Civil Hospital - :: 1
2. Sub-Divisional Hospital - :; 2
3. Chest Hospital - :: 1
4. 20 Bedded Maternity Hospital - :: 1
5. Block PHC - :: 7
6. CHC - :: 6
7. Mini PHC - :: 10
8. SHC - :: 6
9. State Dispensary - :: 14
10. FRU - :: 2
11. ESI Hospital - :: 1
12. Police Hospital - :: 1
13. Railway Hospital - :: 1
14. Malaria Clinic - :: 28
15. Sub-centre - :: 246
Private
1. Tea Garden Hospital - :: 1
DHUBRI/DHAP/2010-11 142
Status of Health facilities
S. No Health facility No
1 District Hospital 1
2 Block PHC 7
3 Add PHC/ Mini PHC 10
4 Sub centre 246
5 Villages 1302
6 FTD 106
7 ASHA 1397
8 Rapid response team formed (yes/no) Yes
Human Resource
S. No Health facility Sanctioned In Place Trained
1 DMO (Full Time) 1 1 Yes
2 AMO 1 1 No
3 MO 178 130 30
4 Lab Technician 35 35 33
5 Lab Technician (contractual)*
13 13 13
6 Health Supervisors (M) 78 70 12
7 Health Supervisors (F) 21 8 1
8 MPW (M) 194 182 182
9 MPW (M) (contractual)# 10 9 9
10 MPW (F) 324 400 52
11 Malaria Technical Supervisor (contractual)*
1 1 Yes
12 ASHA 1397 1397 407
PHC wise epidemiological information 2005 to 2008
PHC Name
Year Population BSC/B
SE ABER
Total Malaria Cases
Pf. Cases
API SPR SFR Deaths due to malaria
Dharmasala
2005 359107 21440 5.97 48 44 0.13 0.22 0.2 Nil
2006 368050 30762 8.35 467 432 1.26 1.51 1.4 2
2007 370801 27426 7.39 281 238 0.75 1.02 0.86 6
2008 339070 18181 5.36 76 65 0.22 0.41 0.35 Nil
Halakura
2005 132916 11947 8.98 18 12 0.13 0.15 0.1 Nil
2006 134892 14429 10.6 39 32 0.28 0.27 0.22 Nil
2007 138420 12585 9.09 18 16 0.13 0.14 0.12 Nil
2008 147552 13203 8.94 13 12 0.08 0.09 0.09 Nil
Golokganj
2005 231367 13009 5.62 22 19 0.09 0.16 0.14 Nil
2006 229638 18668 8.12 68 41 0.29 0.36 0.21 Nil
2007 231698 16065 6.93 66 36 0.28 0.41 0.22 1
DHUBRI/DHAP/2010-11 143
2008 261312 16468 6.30 34 20 0.13 0.20 0.12 Nil
Raniganj
2005 314238 11083 3.52 107 70 0.34 0.96 0.63 Nil
2006 318167 16050 5.04 106 28 0.33 0.66 0.17 2
2007 322311 13108 4.06 98 67 0.30 0.74 0.51 5 2008 318221 17590 5.52 113 92 0.35 0.64 0.52 Nil
Chapar
2005 126952 8733 6.87 108 95 0.85 1.23 1.08 Nil
2006 127953 15630 12.2 498 405 3.89 3.18 2.59 1
2007 130173 12709 9.76 248 217 1.90 1.95 1.70 3
2008 130560 14436 11.05 65 35 0.49 0.45 0.24 Nil
South Salmar
a
2005 238562 68854 2.87 47 47 0.19 0.68 0.68 Nil
2006 243875 8881 3.64 85 71 0.34 0.95 0.79 Nil
2007 257390 10811 3.93 110 95 0.42 1.01 0.87 3
2008 247233 13133 5.31 127 124 0.51 0.96 0.94 Nil
Gazarikandi
2005 264066 21248 8.04 716 708 2.71 3.36 3.33 Nil
2006 267783 26413 9.79 1169 1122
4.36 4.42 4.24 1
2007 274790 29011 10.55 1154 1121
4.19 3.97 3.86 Nil
2008 285746 31323 10.96 983 965 3.44 3.13 3.08 Nil
TOTAL
2005 1667208 94314 5.65 1066 995 0.63 1.13 1.05 Nil
2006 1692358 130833 7.73 2432 2131
1.43 1.85 1.62 6
2007 1725283 121712 7.05 1975 1770
1.14 0.11 1.47 18
2008 1728860 124334 7.18 1411 1313
0.81 1.13 1.05 Nil
Sub-centre wise epidemiological information 2007-2008
PHC Name
Sub-Centre Name
Year Population BSC/BSE ABER Total Malaria cases
Pf cases
API SPR SFR Death due to malaria
Dh
arm
as
ala
PH
C
Dhubri Town AA1
2007 28495 287 1.00 0 0 0 0 0 0
2008 28495 456 1.60 0 0 0 0 0 0
Dhubri Town AA2
2007 17373 193 1.11 0 0 0 0 0 0
2008 17373 454 2.61 0 0 0 0 0 0
Aironjongla 2007 4590 203 4.42 3 3 0.65 1.47 1.47 0
2008 4590 455 9.91 1 1 0.21 0.21 0.21 0
Charbhasani 2007 4700 200 4.25 0 0 0 0 0 0
2008 4700 452 9.61 0 0 0 0 0 0
Bidyapara Bhatigaon
2007 4905 200 4.07 0 0 0 0 0 0
2008 4905 454 9.25 1 1 0.20 0.22 0.22 0
Bidyapara-I 2007 4875 3850 78.97 76 66 15.5 1.97 1.71 1
2008 5075 1972 38.91 10 10 1.97 0.50 0.50 0
Madhusoulmari-I
2007 14550 3780 25.97 70 60 4.81 1.85 1.58 0
2008 14650 675 4.60 2 2 0.13 0.29 0.29 0
Tiamari-II 2007 10996 2220 20.18 52 42 4.72 2.34 1.89 0
DHUBRI/DHAP/2010-11 144
2008 10996 380 3.45 2 2 0.18 0.52 0.52 0
Patamari 2007 5220 20 0.38 0 0 0 0 0 0
2008 5320 232 4.36 0 0 0 0 0 0
Bhogdahar 2007 5402 18 0.33 0 0 0 0 0 0
2008 5902 238 4.03 0 0 0 0 0 0
Reserverchar 2007 4910 9 0.18 0 0 0 0 0 0
2008 5010 235 4.69 0 0 0 0 0 0
Kachuarkhash 2007 6120 1215 19.85 8 7 1.30 0.65 0.57 1
2008 6320 670 10.60 2 2 0.31 0.29 0.29
0
Dh
arm
asa
la P
HC
Durahati 2007 5108 848 4.33 4 4 0.78 0.47 0.47 0
2008 5416 680 12.55 0 0 0 0 0 0
Singimari-II 2007 4896 704 14.37 3 3 0.61 0.42 0.42 0
2008 5010 675 13.47 0 0 0 0 0 0
Tistarpar 2007 4698 650 13.83 3 3 0.63 0.46 0.46 0
2008 4898 670 13.67 0 0 0 0 0 0
Adabari 2007 15530 1556 10.01 6 5 0.38 0.38 0.32 0
2008 15830 380 2.40 2 2 0.12 0.52 0.52 0
Gaspara 2007 7126 62 0.87 3 2 0.42 4.83 3.22 0
2008 7650 375 4.90 2 2 0.26 0.53 0.53 0
Dubirpar 2007 6311 38 0.60 2 1 0.31 5.26 2.63 0
2008 6512 360 5.52 1 1 0.15 0.27 0.27 0
Binnachara 2007 6180 12 0.19 0 0 0 0 0 0
2008 6518 355 5.44 1 1 0.15 0.28 0.28 0
Silghagri 2007 4135 250 6.04 1 0 0.24 0.40 0 0
2008 4515 270 5.98 1 1 0.22 0.37 0.37 0
Howrarpar 2007 3717 262 7.04 0 0 0 0 0 0
2008 4018 280 5.91 1 1 0.24 0.41 0.41 0
Motirchar 2007 3592 291 8.10 0 0 0 0 0 0
2008 4092 242 5.91 1 1 0.24 0.41 0.41 0
Soulmari 2007 5320 170 3.19 0 0 0 0 0 0
2008 5620 245 4.35 0 0 0 0 0 0
Pyestirpar 2007 5812 198 3.40 0 0 0 0 0
2008 6012 252 4.19 1 1 0.16 0.39 0.39 0
Kacharihat 2007 6358 200 3.14 2 0 0.31 1.00 0 0
2008 6658 252 3.78 1 1 0.15 0.39 0.39 0
Gouripur Town AC1
2007 14898 2771 18.59 12 11 0.82 0.43 0.39 0
2008 15098 700 4.63 4 4 0.26 0.57 0.57 0
Dh
arm
a
sala
PH
C Gauripur Town
AC2
2007 11955 760 6.35 4 4 0.35 0.52 0.52 1
2008 12055 680 5.64 3 3 0.24 0.44 0.44 0
Silairpar 2007 3298 305 9.24 1 1 0.31 0.32 0.32 0
DHUBRI/DHAP/2010-11 145
2008 4028 140 5.95 2 2 0.49 0.83 0.83 0
Darchuka 2007 4490 195 4.34 1 1 0.22 0.51 0.51 0
2008 2020 100 4.95 0 0 0 0 0 0
Baladmara 2007 4297 200 4.65 2 2 0.46 1.00 1.00 0
2008 5097 245 4.80 2 2 0.39 0.81 0.81 0
Nawarchar 2007 4399 98 2.22 0 0 0 0 0 0
2008 5038 242 4.80 1 1 0.19 0.41 0.41 0
Falimari 2007 16898 407 2.40 0 0 0 0 0 0
2008 16998 680 4.0 1 1 0.05 0.14 0.14 0
Dhubri Town AD1
2007 17299 311 1.79 0 0 0 0 0 0
2008 17398 675 3.88 0 0 0 0 0 0
Dhubri Town AD2
2007 20930 283 1.35 0 0 0 0 0 0
2008 21030 272 1.29 0 0 0 0 0 0
Geramari-IV 2007 5319 520 9.77 1 1 0.18 0.19 0.19 0
2008 5619 262 4.66 1 1 0.17 0.38 0.39 0
Jhaleralga 2007 5380 409 7.60 0 0 0 0 0 0
2008 5680 255 4.48 0 0 0 0 0 0
Alomganj 2007 8530 180 2.11 3 3 0.35 1.66 1.66 1
2008 8730 362 4.14 1 1 0.11 0.27 0.27 0
Rangamati 2007 7038 180 2.55 0 0 0 0 0 0
2008 7538 360 4.77 2 2 0.26 0.55 0.55 0
Madaikhali 2007 5060 322 6.36 0 0 0 0 0 0
2008 5560 375 4.94 1 1 0.17 0.36 0.36 0
Ghageralga 2007 4619 280 6.06 0 0 0 0 0 0
2008 5019 258 5.14 1 1 0.19 0.38 0.38 0
Boraibari
2007 5779 300 5.19 0 0 0 0 0
2008 6012 255 4.24 1 1 0.16 0.39 0.39 0
Ha
laku
ra P
HC
Kherbari-III 2007 4561 370 8.11 1 0 0.21 0.27 0 0
2008 4572 556 12.16 0 0 0 0 0 0
Pokalagi 2007 5152 402 7.87 0 0 0 0 0 0
2008 5156 560 10.84 0 0 0 0 0 0
Atgharitari 2007 3781 350 9.25 0 0 0 0 0 0
2008 3791 550 14.50 0 0 0 0 0 0
Gharialdanga 2007 4809 360 7.48 0 0 0 0 0 0
2008 4821 575 11.92 0 0 0 0 0 0
Chagolia 2007 10783 571 5.29 0 0 0 0 0 0
2008 10793 698 6.46 0 0 0 0 0 0
Koimari 2007 6168 566 9.17 1 1 0.16 0.17 0.17 0
2008 6168 550 8.91 0 0 0 0 0 0
DHUBRI/DHAP/2010-11 146
Kathaltoli 2007 5884 506 8.59 1 1 0.16 0.19 0.19 0
2008 5884 556 9.44 1 1 0.16 0.17 0.17 0
Bidyardabri-I 2007 12293 1338 10.88 2 1 0.16 0.14 0.07 0
2008 12293 542 4.40 3 3 0.24 0.55 0.55 0
Kherbari-I 2007 3337 159 4.76 0 0 0 0 0 0
2008 3337 232 6.95 0 0 0 0 0 0
Pokalagi-II 2007 3687 150 4.06 0 0 0 0 0 0
2008 3687 225 6.10 0 0 0 0 0 0
Hala
ku
ra P
HC
Basirkuti 2007 3491 100 2.86 0 0 0 0 0 0
2008 3491 202 5.78 0 0 0 0 0 0
Kaldoba-III 2007 20833 2724 10.88 4 2 0.19 0.14 0.07 0
2008 20833 3181 15.26 0 0 0 0 0 0
Jhaskal 2007 5476 624 11.39 2 2 0.36 0.32 0.32 0
2008 5476 546 9.97 0 0 0 0 0 0
Pabarchara 2007 5162 614 11.89 2 2 0.38 0.32 0.32 0
2008 5162 540 16.46 3 2 0.58 0.55 0.37 0
Talli-II 2007 5597 634 11.32 1 1 0.17 0.15 0.15 0
2008 5597 552 9.86 2 2 0.35 0.36 0.36 0
Moisa-II 2007 5595 624 11.15 1 1 0.17 0.16 0.16 0
2008 5594 546 9.75 3 3 0.53 0.54 0.54 0
Bhamundanga 2007 7468 427 5.71 0 0 0 0 0 0
2008 7468 445 5.95 0 0 0 0 0 0
Kherbari-IV 2007 8855 452 5.10 1 1 0.11 0.22 0.22 0
2008 8855 438 4.92 0 0 0 0 0 0
Rangpagli 2007 6298 402 4.38 1 1 0.15 0.24 0.24 0
2008 6298 452 7.17 1 1 0.15 0.22 0.22 0
Lohajani 2007 4791 575 12.00 1 1 0.20 0.17 0.17 0
2008 4791 587 12.25 0 0 0 0 0 0
Simlabari 2007 4400 572 13.00 0 0 0 0 0 0
2008 4400 570 12.95 0 0 0 0 0 0
PHC Name
Sub-Centre Name
Year Population BSC/BSE ABER Total
Malaria cases
Pf cases
API SPR SFR Death due to malaria
Go
lok
gan
j P
HC
Golokganj BA1
2007 21030 3336 15.14 26 12 1.18 0.77 0.35 0
2008 21934 3174 14.47 5 3 0.22 0.15 0.09 0
Ratiadaha 2007 4021 238 5.91 0 0 0 0 0 0
2008 4021 215 5.34 0 0 0 0 0 0
Kanori 2007 3516 215 6.11 0 0 0 0 0 0
2008 3516 238 6.76 0 0 0 0 0 0
Bishkhowa 2007 3783 208 5.49 0 0 0 0 0 0
DHUBRI/DHAP/2010-11 147
2008 3783 195 5.15 0 0 0 0 0 0
Bishkhowa-IV
2007 3550 220 6.20 0 0 0 0 0 0
2008 3550 226 6.36 0 0 0 0 0 0
Gaikhowa 2007 3358 215 6.40 1 1 0.29 0.46 0.46 0
2008 3303 313 9.47 3 2 0.90 0.95 0.60 0
Majerchar 2007 2861 180 6.29 0 0 0 0 0 1
2008 2811 227 8.07 1 1 0.35 0.44 0.44 0
Rakhalpath 2007 3549 205 5.77 0 0 0 0 0 0
2008 3499 285 8.16 0 0 0 0 0 0
Sonahat 2007 3511 200 5.69 0 0 0 0 0 0
2008 3411 125 3.66 0 0 0 0 0 0
Berbhangi BA4
2007 14558 946 6.08 3 2 0.19 0.31 0.21 0
2008 13743 1112 8.09 2 2 0.14 0.17 0.17 0
Pratapganj 2007 15135 1675 10.38 1 0 0.06 0.05 0 0
2008 16049 1569 9.77 2 0 0.12 0.12 0 0
Bisandoi 2007 8642 485 5.48 0 0 0 0 0 0
2008 8807 721 8.18 5 2 0.56 0.69 0.41 0
Go
lokg
an
j P
HC
B.N. Chariali 2007 8559 482 5.56 0 0 0 0 0 0
2008 8559 636 7.43 1 1 0.11 0.15 0.15 0
Dafarpur 2007 9147 605 6.61 0 0 0 0 0 0
2008 9095 753 8.27 2 2 0.21 0.26 0.26 0
Baro Charaikhola
2007 7502 580 7.64 0 0 0 0 0 0
2008 7541 530 7.02 1 1 0.13 0.18 0.18 0
South Raipur 2007 4621 425 9.19 1 0 0.21 0.23 0 0
2008 4601 518 11.25 7 5 1.52 1.35 0.96 0
Dhepdhapi 2007 5041 438 8.68 0 0 0 0 0 0
2008 5021 823 16.39 0 0 0 0 0 0
Batuatoli 2007 4255 400 9.40 0 0 0 0 0 0
2008 4254 222 5.21 3 1 0.70 1.35 0.45 0
Sukatikhata 2007 4689 38 0.81 0 0 0 0 0 0
2008 4688 137 2.92 0 0 0 0 0 0
Lalkura 2007 5685 40 0.70 0 0 0 0 0 0
2008 5665 119 2.10 0 0 0 0 0 0
Dumardaha 2007 4997 296 5.92 1 0 0.20 0.33 0 0
2008 4947 310 6.26 0 0 0 0 0 0
Balajan 2007 4888 278 5.68 1 1 0.20 0.35 0.35 0
2008 4830 226 4.67 0 0 0 0 0 0
Sahebganj 2007 5083 316 6.21 1 1 0.19 0.31 0.31 0
2008 4033 319 7.90 0 0 0 0 0 0
Khudimari 2007 6035 327 5.16 3 0 0.47 0.91 0 0
DHUBRI/DHAP/2010-11 148
2008 6315 417 6.60 0 0 0 0 0 0
Chapghar 2007 7051 327 4.57 0 0 0 0 0 0
2008 7122 375 5.26 0 0 0 0 0 0
Hariharkuti 2007 5440 325 5.76 0 0 0 0 0 0
2008 5620 301 5.35 0 0 0 0 0 0
Go
lokg
an
j P
HC
Uttar Gadadhar
2007 11998 991 7.31 0 0 0 0 0 0
2008 12882 730 5.66 0 0 0 0 0 0
Bhatipatla 2007 5413 181 3.34 0 0 0 0 0 0
2008 3583 274 5.09 0 0 0 0 0 0
Paglahat 2007 5306 178 3.35 2 1 0.38 1.12 0.56 0
2008 5276 103 1.95 0 0 0 0 0 0
Ujanpatla 2007 4592 263 5.72 0 0 0 0 0 0
2008 4540 337 7.42 5 2 1.10 1.48 0.59 0
Madhyapatla 2007 3890 258 5.72 0 0 0 0 0 0
2008 3838 285 7.42 3 3 0.78 1.05 1.05 0
Tamarhat 2007 0 0 0 0 0 0 0 0 0
2008 18658 79 0.42 0 0 0 0 0 0
Kamandanga 2007 0 0 0 0 0 0 0 0 0
2008 8090 0 0 0 0 0 0 0 0
Pokalagi 2007 0 0 0 0 0 0 0 0 0
2008 5538 57 1.02 0 0 0 0 0 0
Chotoguma 2007 0 0 0 0 0 0 0 0 0
2008 5553 61 1.09 0 0 0 0 0 0
Kaimmati 2007 0 0 0 0 0 0 0 0 0
2008 3711 38 1.20 0 0 0 0 0 0
Bainnaguri 2007 0 0 0 0 0 0 0 0 0
2008 900 49 5.44 0 0 0 0 0 0
PHC Name
Sub-Centre Name
Year Population BSC/BSE ABER Total Malaria cases
Pf cases
API SPR SFR Death due to malaria
Ch
ap
ar
PH
C
Chapar Town
2007 15030 5070 33.73 84 72 5.58 1.65 1.42 0
2008 15127 5106 33.75 20 16 1.32 0.39 0.31 0
Ariarjhar 2007 3803 804 21.14 20 19 5.25 2.48 2.36 0
2008 3120 630 20.19 6 5 1.92 0.95 0.79 0
Falimari 2007 6148 329 5.35 2 2 0.32 0.60 0.60 0
2008 6098 374 6.13 3 2 0.49 0.97 0.53 0
Baterdal 2007 4773 320 6.70 2 2 0.41 0.62 0.62 0
2008 4723 250 5.29 0 0 0 0 0 0
Barnitara 2007 4799 340 7.08 2 2 0.42 0.59 0.59 2
2008 4754 165 3.47 0 0 0 0 0 0
Dhirghat 2007 6083 130 2.13 1 1 0.16 0.76 0.76 0
DHUBRI/DHAP/2010-11 149
2008 5883 290 4.92 1 0 0.16 0.34 0 0
Soulmari 2007 5579 104 1.86 0 0 0 0 0 0
2008 5179 150 2.89 0 0 0 0 0 0
Simlabari 2007 5053 100 1.97 0 0 0 0 0 0
2008 4853 165 3.19 0 0 0 0 0 0
Islamari Bazar
2007 13335 4218 31.63 181 156 13.57 4.29 3.69 1
2008 13279 3681 27.72 25 10 1.88 0.67 0.27 0
Kaljani 2007 3995 200 5.00 1 1 0.25 0.50 0.50 0
2008 2900 94 3.24 0 0 0 0 0 0
Noonmati 2007 8580 92 1.07 1 1 0.11 0.20 0.20 0
2008 8883 497 5.59 1 1 0.11 0.20 0.20 0
Santospur 2007 6435 260 4.04 0 0 0 0 0 0
2008 6406 290 4.52 0 0 0 0 0 0
Ch
ap
ar
PH
C
Haridol 2007 3952 0 0 0 0 0 0 0 0
2008 3902 132 3.31 1 1 0.25 0.75 0.75 0
Jalikura 2007 4082 270 6.61 2 2 0.48 0.74 0.74 0
2008 3982 245 6.15 0 0 0 0 0 0
Bahalpur 2007 4628 310 6.69 3 3 0.64 0.96 0.96 0
2008 4528 660 14.57 3 1 0.66 0.45 0.15 0
Hardemara 2007 4295 260 6.05 1 1 0.23 0.38 0.38 0
2008 4280 255 5.95 0 0 0 0 0 0
Kursamari 2007 6827 810 11.86 5 5 0.73 0.61 0.61 0
2008 6727 640 9.51 2 2 0.29 0.31 0.31 0
Champabati 2007 6988 820 11.74 6 5 0.85 0.73 0.60 0
2008 6955 707 10.16 2 1 0.28 0.28 0.14 0
PHC Name
Sub-Centre Name
Year Population BSC/BSE ABER Total Malaria cases
Pf cases
API SPR SFR Death due to malaria
Ra
nig
an
j P
HC
Fasatpur Panbari
2007 2221 38 1.71 1 0 0.45 2.63 0 0
2008 1973 93 4.7 0 0 0 0 0 0
Chowtara 2007 2762 30 1.08 0 0 0 0 0 0
2008 2005 101 4.90 0 0 0 0 0 0
Ambari 2007 3088 46 1.48 0 0 0 0 0 0
2008 2086 94 4.50 0 0 0 0 0 0
Piyazbari 2007 3260 20 0.61 1 1 0.30 5.00 5.00 1
2008 1856 88 4.70 2 2 1.0 2.2 1.13 0
Pub Sadhubhasa
2007 3826 38 1.21 0 0 0 0 0 0
2008 1945 91 4.60 0 0 0 0 0 0
Bagribari 2007 11141 803 7.20 10 10 0.89 1.24 1.24 0
2008 11996 710 5.90 2 2 0.10 0.20 0.14 0
DHUBRI/DHAP/2010-11 150
Pathakata 2007 9399 49 4.25 3 1 0.31 0.75 0.25 0
2008 7949 409 5.10 2 2 0.20 0.48 0.48 0
Barogirair 2007 3210 38 1.18 0 0 0 0 0 0
2008 7225 102 1.40 0 0 0 0 0 0
Jogirmahal (Chotogirair)
2007 2878 30 1.04 0 0 0 0 0 0
2008 9225 168 1.80 0 0 0 0 0 0
Gutipara 2007 3781 46 1.21 0 0 0 0 0 1
2008 4104 48 1.10 0 0 0 0 0 0
Murabari 2007 3230 30 0.92 0 0 0 0 0 0
2008 3946 40 1.0 0 0 0 0 0 0
Borkanda 2007 9183 60 0.65 0 0 0 0 0 0
2008 5679 117 2.0 0 0 0 0 0 0
Ran
igan
j P
HC
Tamakubari 2007 7908 25 0.31 0 0 0 0 0 0
2008 6800 0 0 0 0 0 0 0 0
Andamari 2007 3602 46 1.27 0 0 0 0 0 0
2008 3937 120 3.0 0 0 0 0 0 0
Kalairchar 2007 3718 38 1.02 0 0 0 0 0 0
2008 4021 127 3.10 0 0 0 0 0 0
Choudhurychar 2007 4389 30 0.68 1 0 0.22 3.33 0 0
2008 3853 131 3.30 0 0 0 0 0 0
Jharnarchar 2007 8002 38 0.47 0 0 0 0 0 0
2008 3415 318 3.70 0 0 0 0 0 0
Nayeralga 2007 12590 570 4.52 1 1 0.07 0.17 0.17 1
2008 14102 528 3.70 4 4 0.20 0.70 0.70 0
Pub Nayeralga 2007 12370 509 4.11 0 0 0 0 0 0
2008 12603 377 2.90 0 0 0 0 0 0
Thakuraralga 2007 6893 228 3.30 0 0 0 0 0 0
2008 6776 278 4.10 3 3 0.40 1.0 1.0 0
Mayarchar 2007 6357 220 3.46 0 0 0 0 0 0
2008 6554 249 3.70 0 0 0 0 0 0
Buchirchar 2007 4153 240 4.77 0 0 0 0 0 0
2008 5436 237 4.30 0 0 0 0 0 0
Kazaikata 2007 6241 256 4.10 0 0 0 0 0 0
2008 5540 228 4.10 0 0 0 0 0 0
Kazaikata-IV 2007 4969 235 4.72 0 0 0 0 0 0
2008 5333 201 3.70 0 0 0 0 0 0
Raniganj 2007 12350 1202 9.73 26 23 2.10 2.16 1.91 0
2008 6623 1228 81.5 15 13 2.26 1.20 1.0 0
Lutapara 2007 6624 0 0 0 0 0 0 0 0
2008 6624 394 5.90 7 5 1.0 1.7 1.20 0
DHUBRI/DHAP/2010-11 151
Ran
igan
j P
HC
Koimari
2007 14350 759 5.28 13 13 0.90 1.71 1.71 0
2008 14392 521 8.10 8 6 1.20 1.50 1.10 0
Futkibari 2007 12153 296 2.43 3 3 0.24 1.01 1.01 0
2008 12205 1479 12.10 11 10 0.90 0.70 0.70 0
Khudigaon 2007 4305 38 0.88 0 0 0 0 0 0
2008 11005 304 2.70 0 0 0 0 0 0
Dhemdhama 2007 6024 95 1.57 0 0 0 0 0 0
2008 6119 369 6.0 0 0 0 0 0 0
Bilasipara 2007 19072 2534 13.28 16 6 0.83 0.63 0.23 1
2008 19791 2426 12.20 11 11 0.50 0.40 0.40 0
Hatipota 2007 3021 145 4.79 0 0 0 0 0 0
2008 6807 213 3.01 0 0 0 0 0 0
Masaneralga 2007 2819 140 4.96 0 0 0 0 0 0
2008 7307 197 2.60 0 0 0 0 0 0
Hawdertari 2007 1726 98 5.67 0 0 0 0 0 0
2008 1900 84 4.40 0 0 0 0 0 0
Gobordhanpara 2007 2473 93 3.76 0 0 0 0 0 0
2008 1865 75 4.0 0 0 0 0 0 0
Sutapara 2007 2127 80 3.76 0 0 0 0 0 0
2008 2003 95 4.70 0 0 0 0 0 0
Kalipara 2007 1748 90 5.14 0 0 0 0 0 0
2008 1795 104 5.70 0 0 0 0 0 0
Kachuagaon 2007 1667 106 6.35 0 0 0 0 0 0
2008 1902 104 5.40 0 0 0 0 0 0
Bhoterkanda 2007 1514 96 6.34 0 0 0 0 0 0
2008 1936 77 3.90 0 0 0 0 0 0
Maspara 2007 6820 441 6.46 0 0 0 0 0 0
2008 4510 267 5.90 0 0 0 0 0 0
Ran
igan
j P
HC
Sagunmari 2007 6704 440 4.56 0 0 0 0 0 0
2008 4630 284 6.0 0 0 0 0 0 0
Rokakhata 2007 7004 440 6.28 0 0 0 0 0 0
2008 3803 384 4.30 0 0 0 0 0 0
Kathulipara 2007 4126 406 9.84 0 0 0 0 0 0
2008 3990 294 3.20 0 0 0 0 0 0
Sechapani 2007 4919 76 1.54 4 0 0.81 5.26 0 0
2008 4393 162 3.60 6 2 1.30 3.70 1.20 0
Dhanpur 2007 4242 84 1.98 2 2 0.47 2.38 2.38 0
2008 4721 147 3.40 6 4 1.20 4.0 2.72 0
Pukhuripara 2007 4471 68 1.52 4 0 0.89 5.88 0 0
2008 4896 175 3.50 3 3 0.60 1.70 1.70 0
DHUBRI/DHAP/2010-11 152
Ayshakuti 2007 4023 88 2.18 3 0 0.74 3.4 0 0
2008 4429 200 4.50 0 0 0 0 0 0
Sapatgram 2007 9061 298 3.28 8 6 0.88 2.68 2.01 0
2008 9486 382 4.0 6 4 0.60 1.50 1.0 0
Kadamtola 2007 3695 84 2.27 2 0 0.54 2.38 0 0
2008 4019 230 5.70 2 1 0.40 0.80 0.40 0
Rabantari 2007 4493 68 1.51 0 0 0 0 0 0
2008 5548 41 0.70 2 2 0.30 0.80 0.80 0
Suripara 2007 4012 66 1.64 0 0 0 0 0 0
2008 4335 44 1.0 0 0 0 0 0 0
Ga
za
rik
an
di
PH
C
Kakripara 2007 7116 776 10.90 58 55 8.15 7.47 7.08 0
2008 9744 1196 12.2 64 64 6.5 5.4 5.4 0
Jhagrarchar 2007 6289 322 5.12 11 11 1.74 3.41 3.41 0
2008 4675 330 7.0 16 16 3.4 4.8 4.8 0
Dakergram 2007 6076 256 4.21 10 8 1.64 3.90 3.12 0
2008 4959 324 6.50 27 27 5.4 8.3 8.3 0
Thakuranbari 2007 6890 633 9.18 40 38 5.80 6.31 6.0 0
2008 8435 506 5.9 26 25 3.0 5.1 4.9 0
Mankachar 2007 7157 2880 40.24 27 27 3.77 0.93 0.93 0
2008 10946 3378 30.8 35 35 3.1 1.0 1.0 0
Sonarpara 2007 7284 641 8.80 18 17 2.47 2.80 2.65 0
2008 6937 733 10.5 27 26 3.8 3.6 3.5 0
Barmanpara 2007 7164 297 4.14 6 6 0.83 2.02 2.02 0
2008 4203 385 9.1 4 4 0.90 1.0 1.0 0
Jordanga 2007 5264 542 10.29 14 14 2.65 2.58 2.58 0
2008 4563 451 9.8 26 26 5.6 5.7 5.7 0
Kuchnimara 2007 5481 422 7.69 17 17 3.10 4.02 4.02 0
2008 6404 415 6.4 20 20 3.10 4.80 4.80 0
Jhaudanga 2007 5809 1085 18.67 29 28 4.99 2.67 2.58 0
2008 7336 1491 20.30 38 38 5.1 2.5 2.5 0
Pubergram 2007 5753 449 7.80 6 6 1.04 1.33 1.33 0
2008 5044 502 9.9 16 16 3.17 3.18 3.18 0
Jhalorchar 2007 7199 586 8.14 38 35 5.0 6.14 5.97 0
2008 6406 516 8.10 21 21 3.2 4.0 4.0 0
Gaza
rikan
di
PH
C
Diarabazar 2007 7141 912 12.77 45 42 6.3 4.93 4.6 0
2008 6947 1193 17.10 26 26 3.70 2.10 2.10 0
Kukurmara 2007 3960 616 15.55 56 55 14.14 9.09 8.89 0
2008 4592 544 11.80 33 33 7.10 6.0 6.0 0
Dharakoba 2007 3907 325 8.31 18 15 4.60 5.53 4.61 0
DHUBRI/DHAP/2010-11 153
2008 3754 529 41.0 23 22 6.10 4.30 4.10 0
Bhurakata 2007 3896 693 17.78 22 22 5.64 3.17 3.17 0
2008 6211 509 8.10 22 22 3.50 4.30 4.30 0
Pipulbari 2007 4288 161 3.75 21 21 4.89 13.0 13.0 0
2008 3847 315 8.10 14 13 3.60 4.40 4.10 0
Gazarikandi 2007 7385 4491 60.18 122 106 16.51 2.71 2.36 0
2008 9315 6111 65.60 125 115 13.30 2.0 1.8 0
Purandiara 2007 7339 1819 24.78 79 75 10.76 4.34 4.12 0
2008 6990 1506 20.5 73 72 10.40 4.80 4.70 0
Fekamari 2007 10239 312 3.04 47 45 4.59 15.06 13.46 0
2008 17930 588 3.20 15 15 0.80 2.50 2.50 0
Manullahpara 2007 9987 174 1.74 16 13 1.60 9.19 7.47 0
2008 7820 202 2.50 4 4 0.50 1.90 1.90 0
Bamunpara 2007 10006 217 2.16 21 20 2.09 9.67 9.32 0
2008 4635 367 7.90 32 30 6.90 8.70 8.10 0
Fulerchar 2007 12521 498 3.97 20 20 1.59 4.01 4.01 0
2008 9425 572 6.0 9 9 0.90 1.50 1.50 0
Bangirchar 2007 11982 434 3.06 18 18 1.50 4.14 4.14 0
2008 6175 244 3.90 3 3 0.40 1.20 1.20 0
Sukhchar 2007 3907 2283 58.43 28 28 7.16 1.22 1.22 0
2008 3542 417 11.70 17 17 4.70 4.0 4.0 0
Bamuneralga 2007 3884 203 5.22 37 37 9.52 18.22 18.22 0
2008 5393 499 9.20 21 20 3.80 4.20 4.0 0
Berabhanga 2007 3861 485 12.56 51 51 13.20 10.50 10.50 0
2008 5077 429 8.40 29 29 5.70 6.70 6.70 0
Molakhowa 2007 3831 350 9.13 63 60 16.44 18.0 17.14 0
2008 3637 475 13.0 29 29 7.90 6.10 6.10 0
Gokulpur 2007 3909 169 4.32 29 29 7.41 17.10 17.10 0
2008 6393 473 7.30 28 28 4.30 5.90 5.90 0
Firingirchar 2007 3755 29 0.77 4 4 1.06 13.70 13.70 0
2008 3532 189 5.30 9 9 2.50 4.70 4.70 0
Kanaimara 2007 1908 352 18.44 13 1 6.81 3.69 0.28 0
2008 2963 338 11.40 11 10 3.70 3.20 2.90 0
Kokradanga 2007 1861 168 9.02 9 9 4.83 5.35 5.35 0
2008 3546 137 3.80 0 0 0 0 0 0
Boreralga 2007 1939 198 10.21 2 2 1.03 1.01 1.01 0
2008 6526 56 0.80 0 0 0 0 0 0
Bheramara 2007 1856 37 1.99 3 3 1.61 8.10 8.10 0
2008 3400 32 0.9 1 1 0.20 3.10 3.10 0
Khopatia 2007 3248 472 14.53 18 18 5.54 3.81 3.81 0
DHUBRI/DHAP/2010-11 154
2008 6107 528 8.60 29 29 4.7 5.4 5.4 0
K.K. M Para 2007 3315 128 3.86 1 1 0.3 0.78 0.78 0
2008 5951 80 1.30 6 6 1.0 7.5 7.5 0
Hazirhat 2007 3270 71 2.17 2 2 0.61 2.81 2.81 0
2008 5415 25 0.40 3 3 0.5 12.0 12.0 0
Takimari 2007 3343 0 0 0 0 0 0 0 0
2008 5663 0 0 0 0 0 0 0 0
Charbatbari 2007 3065 220 7.17 5 5 1.63 2.27 2.27 0
2008 5232 215 4.10 1 1 0.10 0.40 0.40 0
Tapalpara 2007 4245 51 1.20 3 3 0.70 5.88 5.88 0
2008 4701 214 4.50 1 1 0.20 0.4 0.4 0
Pankata 2007 4082 40 0.97 5 5 2.44 12.0 12.0 0
2008 2185 232 10.60 6 6 3.0 2.5 2.50 0
Baghapara 2007 7803 255 3.26 24 24 3.07 9.41 9.41 0
2008 6658 518 7.70 6 6 0.90 1.10 1.10 0
Borkona 2007 7467 176 2.35 19 18 2.54 10.7 10.2 0
2008 10032 342 3.40 19 19 1.80 5.50 5.50 0
Sadullahbari 2007 10395 735 7.07 18 18 1.73 2.44 2.44 0
2008 10206 1203 11.70 23 23 2.20 1.90 1.90 0
Bengervita 2007 9998 262 2.62 8 8 0.80 3.05 3.05 0
2008 7064 364 5.10 11 11 1.50 3.0 3.0 0
Tangaon 2007 4505 228 5.06 11 10 2.44 4.82 4.82 0
2008 5307 240 4.50 17 17 3.20 7.10 7.10 0
Pipulbari Bazar
2007 4380 270 6.16 14 13 3.19 5.18 4.81 0
2008 4857 250 5.10 15 15 3.10 6.10 6.10 0
Jewali 2007 4632 271 5.85 24 24 5.18 8.85 8.85 0
2008 3630 275 7.50 10 10 2.70 3.60 3.60 0
So
uth
Salm
ara
PH
C
Madertari 2007 7204 950 13.18 14 10 1.94 1.47 1.05 0
2008 6334 932 14.70 8 8 1.26 0.85 0.85 0
Choto Nisampur 2007 6372 905 14.20 7 5 1.09 0.77 0.55 0
2008 5602 385 6.87 0 0 0 0 0 0
Gossaindubi 2007 8027 250 3.11 1 1 0.12 0.4 0.4 0
2008 5140 152 2.95 1 1 0.19 0.65 0.65 0
Majerchar Chalakura
2007 7014 186 2.65 1 1 0.12 0.4 0.4 1
2008 6736 170 2.52 0 0 0 0 0 0
Chirakuti 2007 5563 76 1.36 0 0 0 0 0 0
2008 6706 250 3.72 2 2 0.29 0.80 0.80 0
Nayaparwa 2007 5830 87 1.49 0 0 0 0 0 0
2008 4673 194 4.15 0 0 0 0 0 0
DHUBRI/DHAP/2010-11 155
Feskamari 2007 5046 65 1.28 0 0 0 0 0 0
2008 5484 205 3.73 0 0 0 0 0 0
Jamdarhat 2007 5013 300 5.98 0 0 0 0 0 0
2008 3530 239 6.71 1 1 0.28 0.42 0.42 0
Falimari 2007 4219 268 6.35 0 0 0 0 0 0
2008 5212 233 4.47 0 0 0 0 0 0
Satsia 2007 4507 310 6.87 0 0 0 0 0 0
2008 6634 257 3.87 1 1 1.15 0.38 0.38 0
Jaruarchar 2007 11370 285 2.50 0 0 0 0 0 0
2008 10885 303 5.53 0 0 0 0 0 0
Padmaralga-I 2007 3548 125 3.52 0 0 0 0 0 0
2008 6976 105 1.50 0 0 0 0 0 0
So
uth
Salm
ara
PH
C
Padmaralga-II 2007 3819 117 3.06 0 0 0 0 0 0
2008 5723 184 3.21 0 0 0 0 0 0
Payestidimatola 2007 3799 131 3.44 0 0 0 0 0 0
2008 6671 98 1.46 0 0 0 0 0 0
Riverblock-III 2007 3520 118 3.35 0 0 0 0 0 0
2008 4689 302 6.30 0 0 0 0 0 0
Baladmara 2007 13277 1090 8.20 0 0 0 0 0 0
2008 7412 712 9.60 0 0 0 0 0 0
Airkata 2007 4517 205 4.53 0 0 0 0 0 0
2008 5054 214 4.23 0 0 0 0 0 0
Riverchala 2007 3793 200 5.27 0 0 0 0 0 0
2008 4126 195 4.72 0 0 0 0 0 0
Kushbari 2007 3911 252 6.44 0 0 0 0 0 0
2008 5287 227 4.29 0 0 0 0 0 0
Sundarpara 2007 3360 202 6.01 0 0 0 0 0 0
2008 4278 136 3.17 0 0 0 0 0 0
Salkata 2007 4158 250 6.01 1 1 0.24 0.40 0.40 0
2008 8999 325 3.61 0 0 0 0 0 0
Borkalia (Chatla bilpara)
2007 4119 265 6.43 0 0 0 0 0 1
2008 6509 250 4.62 0 0 0 0 0 0
Namaserchow 2007 4625 275 5.94 0 0 0 0 0 0
2008 7074 196 2.77 0 0 0 0 0 0
Radhuramchala 2007 3593 215 5.98 0 0 0 0 0 0
2008 8208 250 3.04 0 0 0 0 0 0
Ambari 2007 5680 243 4.27 0 0 0 0 0 0
2008 3747 105 2.80 0 0 0 0 0 0
Ravatari
2007 6014 263 4.37 0 0 0 0 0 0
2008 6962 311 4.46 0 0 0 0 0 0
DHUBRI/DHAP/2010-11 156
Bauskata
2007 5502 225 4.08 0 0 0 0 0 0
2008 5360 264 4.92 0 0 0 0 0 0
Dhenerkuti 2007 6254 892 14.26 26 18 4.15 2.91 2.69 0
2008 8891 209 2.35 5 5 0.56 2.39 2.39 0
S. Salmara Bazar 2007 7358 893 12.13 44 24 5.97 4.92 2.68 0
2008 4590 899 19.50 19 19 4.13 2.11 2.11 0
Simlakandi 2007 4848 83 1.71 3 1 0.61 3.61 1.30 0
2008 5637 897 15.90 21 21 3.72 2.34 2.34 0
Tumni Dawakandi
2007 4780 82 1.71 3 1 0.62 3.65 2.43 0
2008 5764 107 1.85 7 7 1.21 6.54 6.54 0
Bhalukkandi 2007 4798 166 3.45 4 2 0.83 2.40 1.20 1
2008 5439 252 0.20 11 11 2.02 4.36 4.36 0
Patakata 2007 4008 57 1.42 0 0 0 0 0 0
2008 5393 138 2.55 5 5 0.92 3.62 6.62
Satdubi 2007 3550 42 1.18 0 0 0 0 0 0
2008 4424 122 2.75 1 1 0.22 0.81 0.81 0
Katdanga 2007 4180 59 1.41 0 0 0 0 0 0
2008 6856 97 1.41 2 2 0.29 2.06 2.06 0
Monirchar 2007 4365 62 1.42 0 0 0 0 0 0
2008 5764 205 3.55 17 17 2.94 8.29 8.29 0
Muthakhowa-I 2007 3605 10 0.27 0 0 0 0 0 0
2008 4916 102 2.07 0 0 0 0 0 0
Muthakhowa-II 2007 3550 8 0.22 0 0 0 0 0 0
2008 5604 106 1.89 0 0 0 0 0 0
Katiaralga 2007 3677 10 0.27 0 0 0 0 0 0
2008 6647 89 1.30 0 0 0 0 0 0
Natineralga 2007 6067 275 4.53 0 0 0 0 0 0
2008 5142 402 7.81 0 0 0 0 0 0
Golaperalga 2007 5562 250 4.49 0 0 0 0 0 0
2008 7726 325 4.20 0 0 0 0 0 0
Muhurirchar 2007 5625 256 4.50 0 0 0 0 0 0
2008 4406 82 1.86 0 0 0 0 0 0
Fakirganj 2007 0 0 0 0 0 0 0 0 0
2008 4278 446 10.40 0 0 0 0 0 0
Salapara 2007 0 0 0 0 0 0 0 0 0
2008 3151 122 3.87 0 0 0 0 0 0
Chalbandharchar 2007 0 0 0 0 0 0 0 0 0
2008 3631 270 7.43 0 0 0 0 0 0
Choudhury Char 2007 0 0 0 0 0 0 0 0 0
2008 6482 108 1.66 0 0 0 0 0 0
DHUBRI/DHAP/2010-11 157
MONTH-WISE EPIDEMIOLOGICAL REPORT FOR THE YEAR 2009 Population of the district :: 17,28,860 No.s
Month BSC/
BSE
No. of
Total
positive
No.
of Pf
No.
of PV SPR SFR MBER
RT
Given
Death (if
any)
January 5532 36 33 3 0.65 0.60 0.32 36 Nil
February 6621 46 40 6 0.69 0.60 0.38 46 Nil
March 8074 59 51 8 0.73 0.63 0.47 59 Nil
April 8726 130 125 5 1.49 1.43 0.50 130 Nil
May 12605 262 251 11 2.08 1.99 0.73 262 1
June 19903 314 304 10 1.58 1.53 1.15 314 2
July 23831 294 282 12 1.23 1.18 1.38 294 Nil
August 14061 121 118 3 0.86 0.84 0.81 121 1
September 10865 86 82 4 0.79 0.75 0.62 76 Nil
October 13478 105 100 5 0.77 0.74 0.77 105 Nil
SURVEILLANCE Active :- Active surveillance done by 103 numbers of surveillance worker . For proper surveillance each sub centre is to be manned by MPW(M).
Total sub-centre = 246 Existing SW = 103 No.s NMA = 17 Vaccinator = 43 BCG Tech. = 6 Health Asstt. = 10 MPW =10 Total =189 No.s
We need additional 57 (Fifty seven) MPW (M). Surveillance worker already mobilized to the priority areas for proper active surveillance .
Supervision of surveillance activity
Village Level /Sub-Centre Level PHC Level District Level
S.I M.I./ S.M.I. C.M & H.O ( CD ) / DMO /
AMO / MTS
DHUBRI/DHAP/2010-11 158
Passive Surveillance
Passive surveillance done by ASHA , FTD , and ANM in this Sub-centre .
Total 1397 number of ASHA have already been selected and they will be trained on
Malaria .
Training Programme of ASHA on Malaria.
Total No. of ASHA
Total ASHA trained
on Malaria
Training Session
Date Venue Resource person
Supervision
1397 407 16 Batch ( 50
no.s participants
in each batch )
Within
April/20
10
PHC
Headquarter
s
CM & HO(CD)
/DMO.
From
State Hq.
Officer.
• 407 no. ASHA of the priority villages already trained.
High Risk Areas:
S. No Name of PHC High risk Sub centre (no)
High risk Village (no)
High risk Population (no)
Tribal Population (no)
1 Dharmasala
6 21 46,297 Nil
2. Raniganj
7 47 51,881 Nil
3 Chapar
6 55 52,242 5,240
4 South Salmara
8 31 42,836 Nil
5 Gazarikandi
45 236 2,85,746 5,580
District Total 72 390 4,79,002 10,820
Classify the areas as per following API ranges
Outbreak: Yes/ no if yes; Yes.
• No of outbreaks : 1
• Area affected : Fakirganj area under South Salmara PHC.
• Period of outbreak: 23-05-09 TO 29-06-09.
• No of deaths reported during outbreak : 3 (Three) no.s.
S. No API PHCs (No) Sub centre
(No) Villages
(No) Population @ Village (No)
% population of District
1 <1 7 178 950 12,79,013 73.99
2 1 – 2 7 30 142 2,25,302 13.02
3 2 – 5 3 27 150 1,52,434 8.81
4 5 – 10 1 9 47 55,806 3.22
5 > 10 1 2 13 16,305 0.94
Total 7 246 1302 17,28,860
DHUBRI/DHAP/2010-11 159
• Reasons for outbreak : Lack of regular surveillance, migration of people to neighboring State Meghalaya where Malaria is endemic.
• Containment measures taken : Mass survey, DDT Spray, Bed-Net impregnation, Health Check-up & awareness Camps done in the effected Areas.
RD Kits (for use in pf endemic sub-centre from where reports of blood slide not received within 24hrs.)
(i) Planning for distribution of Rapid Diagnostic Kits during 2010-11
S. No
PHC Name
Sub centre in inaccessible areas
(No)
Villages in inaccessibl
e areas (No)
Population at Villages
in inaccessible areas (No)
Blood Collection in inaccessible areas (as per ABER) No.
RDTs to be distributed in 2010-11
1 Dharmasala 8 28 36,774 2,308 2,400
2 Golokganj 7 34 55,280 1,014 1,100
3 Raniganj 10 48 71,525 2,553 2,600
4 S. Salmara 14 54 90,404 2,059 2,100
Total 39 164 2,53,483 7,934 8,200
(ii) Requirement of Rapid Diagnostic Kits based on epidemiological data of 2008 for 2011-12 in the District.
S. No.
Details Sub
centre (no)
Village (no)
Total Population
Tribal Population
Slide Collection
(as per ABER)
1 Total areas with high Pf % 38 210 2,21,036 Nil 4929
2 Of the above prioritized (inaccessible areas) to be equipped with RDT during the year
39 164 2,53,983 Nil 7934
TOTAL 12863
3 No of RDTs Required for 2010-11
Inaccessible areas + High Pf % areas=13,000 No.s For Institutional use = 7,000 ASHA use = 10,000 Total = 30,000
DHUBRI/DHAP/2010-11 160
Areas for supply of ACT
A. Planning for distribution of ACT in the District 2010-11
S. No.
Name of PHC Nos Total
Population
Pf cases reported in
previous year
ACT Blisters
AS Tabs
SP Tabs
1 Dharmasala 3,39,070 65
2 Halakura 1,47,552 12
3 Golokganj 2,61,312 20
4 Raniganj 3,18,221 92
5 Chapar 1,30,560 35
6 South Salmara 2,47,233 124
7 Gazarikandi 2,85,746 965
TOTAL 17,29,694 1313 1298 6943 1735
Requirement of ACT for distribution 2011-2012
S. No.
Name of PHC Total
Population
Pf cases reported in previous year
ACT Blisters for adults
AS Tabs for
children
SP Tabs for
children Adults Children
1 Dharmasala 3,39,070 39 26
2 Halakura 1,47,552 7 5
3 Golokganj 2,61,312 12 8 4 Raniganj 3,18,221 56 36
5 Chapar 1,30,560 21 14
6 South Salmara 2,47,233 75 49
7 Gazarikandi 2,85,746 579 386
TOTAL 17,29,694 789 524 1298 6943 1735
Bed nets
Planning for distribution of Bednets
S. No.
PHC Name
Eligible Sub centre
(nos.)
Eligible
villages (no)
Eligible
Populatio
n
Tribal population
Total Household
s (no)
No of Househ
olds with at least 2 effectivebednets (no)
No of House Hold to
be impregnated
Total Bednet required (no)
Total distributed
during (2009-10)
(no)
Total Planned to be distributed in
2010-11 (no
Total planned
to be treated
A B C D D=C X 2
E
ITNs LLINs H
ITN LLIN F G
1 Dharmasala
2 Halakura
3 Golokganj
4 Raniganj
DHUBRI/DHAP/2010-11 161
5 Chapar
6 South Salmara
7 Gazarikandi
Total=7 72 390 17 10820 3234
55
50909 116897 233794 0 1990
0
20000 30000 167806
MICRO ACTION PLAN 2010
Identification of Village according to GIS Data in the District on Priority Basis Name of PHC
Total No. of Sub-Centre
Priority –I API>5 & PF 50%
Priority-II API>5 & PF>30% -50%
Priority-III API>3 to <5 & PF <50%
Priority-IV API>3 to <5 & PF>30% to 50%
No. of S/C involved
No. of Vill.
No. of Popu.
No. of S/C involved
No. of Vill.
No. of Popu.
No. of S/C involved
No. of Vill.
No. of Popu.
No. of S/C involved
No. of Vill.
No. of Popu.
Dharmasala 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil
Halakura 22 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil
Golokganj 34 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil
Raniganj 48 Nil Nil Nil Nil Nil Nil Nil Nil Nil 2 15 15015
Chapar 17 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil
S. Salmara 46 Nil Nil Nil Nil Nil Nil 2 9 10,227 2 8 11203
Gazarikandi 45 11 57 64,602 Nil Nil Nil 18 103 1,02,617 3 18 17368
Total 246 11 57 64,602 Nil Nil Nil 20 112 1,12,844 7 41 43590
Total Village Total Population Sub center Priority-I 57 64,602 11 Priority-II Nil Nil Nil Priority-III 112 1,12,844 20 Priority-IV 41 43,590 7 Total 210 2,21,074 38
(Planning for IRS)
S. No
Name of PHCs
Selected for IRS
Sub centre
selected (no)
Village selected (no)
Total Population selected
Tribal
Population
Spray squads required
(no) (*)
Trainings batches of spray squads
(no) (*)
Equipment
required
(no)
Requirement of DDT
P.I P. II
1 Gazarikandi 11 57 64602 Nil Nil 3 2
SUPERVISION OF SPRAY WORK FOR THE YEAR 2010
Sl No
Name of PHC
No. of Sub-centre selected Priority basis.
No. of Village Selected Priority basis
Date of spray Supervisor at S.C. & Village
Supervisor at PHC
Supervisor at District
1st round
2nd round
1 Gazarikandi 11 57 15.2.10 15.5.10 SW,SI(M) MI,SMI i/c PHC
AMO,DMO, CM&HO(CD),Jt.DHS
DHUBRI/DHAP/2010-11 162
TRAINING OF SUPERVISORS AND SPRAY SQUARDS, 2010.
Sl
No
Name of
PHC
No. of
MPW &
Other
supervisor
staffs
No. of
spray
squads
Total
No. of
Man
power
Training
sessions Date Venue
Resource
persons
1 Gazarikandi 11 3 X 6 =
18 29 1
1st week of
February”10
PHC
H.Q.
CM&HO(CD)
& DMO/AMO
ROAD MAP OF DDT DUMPING 2010.
From District
To PHC No.of km
From PHC To Sub-Centre
Dhub
ri
Gazarikandi 110 Gajarikandi to 11 No.
of S/C
1. Kakripara S/C, 2. Dakergram, 3. Jordanga
4. Jhawdanga , 5. Kukurmara, 6. Dharakoba,
7. Gazarikandi, 8. Puran diara, 9. Bamunpara
10. Berabhanga, 11. Molakhowa
** IEC ACTIVITY FOR SENSITIZATION AND MOBILIZATION OF COMMUNITY FOR SPRAY OPERATION :-
1) Awareness meeting to be organized with involvement of local NGO, ASHA, AWW,
local prominent bodies, teachers, SHG and miking to be done well before two days of
spray operation.
2) Prior information regarding DDT Spray Operation in the community to be given by
ASHA in this village Health Day, SFW, SW, SI, ANM, community volunteers PRI.
** Time of Reporting of 1st round DDT spray
After 15 days of completion of DDT spray operation.
** Analysis of 1st round DDT Spray
Analysis done by Joint Director of Health Services/ CM & HO ( CD) / DMO/ I/C PHC.
DHUBRI/DHAP/2010-11 163
Innovations
Commodity Requirement
Item
Previous year’s
utilization (no)
Requirement forcurrent year
(no)
Balance Available
(no)
Net requirement (2-3)
1 2 3 4
Insecticide For IRS (Kg) 45,923 Kgs 9690 Kgs 27,679 Kgs Nil
Insecticide For ITMN (Lts) 4843 Lts 4200 Lts Nil 4,200 Lts
ITNs 30,300 50,000 Nil 50,000
Chloroquine (No.) 10,75,000 15,00,000 17,000 14,83,000
Primaquine 2.5 (No.) 41,400 50,000 8,000 42,000
Primaquine 7.5 (No.) 1,36,200 1,80,000 11,500 1,68,500
ACT ( Artesunate +SP) Blister (No.) 400 2,000 50 1,950
Artesunate tabs (No.) 7,800 6,943 1,704 5,239
S+P Combination (No.) 3,600 1,735 100 1,635
Quinine Injection (No.) 1,770 900 Nil 900
Quinine Sulphate (No.) 32,200 10,000 1,000 9,000
Arteether Inj (No.) 1,188 78 274 Nil
RDK (No.) 41,050 30,000 375 29,625
Micro Slides (No.) 1,41,200 1,50,000 850 1,49,150
Pumps (No.) 16 No.s 6 16 Nil
S. No. Innovations Describe details & Procedure adopted
1
Patient referral e.g. Like use of NRHM/ RKS flexi funds for transport of severe cases
Fund provided by District Health Society to the PHC for referral of Severe Malaria Cases.
2 Transportation of slides E g. Use of Public transport system
Nil
3 NGO/ CBO involvement Refer to PPP guidelines on www.nvbdcp.gov.in
Nil
4
Community mobilization eg. Mobilizing using street plays, puppet plays, self help groups
Street plays on Malaria from NRHM side.
DHUBRI/DHAP/2010-11 164
Training:
S. No
Trainings Training during
2009-10 Proposed
during 2010-11
Estimated
Cost (Rs)
1 Medical specialists at District Hospital Nil
2 Medical Officers 4 100 1,60,000.00
3 Laboratory Technicians (induction) Nil
4 Laboratory Technicians (reorientation) Nil 48 80,000.00
5 Health Supervisors (M) Nil 58
1,05,000.00 6 Health Supervisors (F) Nil 7
7 Health Workers (M) Nil
8 Health Workers (F) Nil 348
9 ASHAz 70 992 2,90,000.00
10 Community Volunteers other than
ASHA Nil 200 40,000.00
11 Others specify: MPW (Contractual &
Spray Workers 21 (9+12) 12 10,000.00
Total 6,85,000.00
BCC/ IEC:
S. No Activities Unit Cost
(Rs)
IEC during
2009-10 (No)
Proposed during 2010-11 Estimated Cost (Rs)
A. Print Media
1 Posters 10.00 15,000 1,50,000.00
2 Hoardings 20,000.00 40 8,00,000.00
3 Newspaper advertisement
1,000.00 10 10,000.00
B. Community level
6 Health camps 1500.00 50 70 1,40,000.00
7 Village level awareness camps for IRS/ ITBN
500.00 700 3,50,000.00
8 Others (specify) Street Plays,
2,000.00 10 20,000.00
Local advertisement. 1,000.00 10 10,000.00
Total 14,70,000.00
DHUBRI/DHAP/2010-11 165
PPP involvement
Do a SWOT analysis of the district as below.
BUDGET & ESTIMATE ITEM ACTIVITY Amount Rs.
Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00
Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00
DDT Dumping (Road & Boat) 50,000.00
Fogging Fogging Operation in 5 town areas 1,00,000.00
ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00
Protective Equipments for spray
Purchase of hand gloves, Goggles, Apron, mask for 3 Spray Squads
5,000.00
Training M.O, Lab-Tech, Health Supervisors, Health workers, ASHA, Spray workers and spray Super visors
6,85,000.00
BCC / IEC 14,70,000.00
M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12 = DMO. @ Rs. 10,000/ p.m X 12 = AMO/ MI Hq. @ Rs.5000/ p.m X12 = MI PHC @Rs.1000/ p.m X12X7 PHC =
1,20.000.00 1,20,000.00 60,000.00 84,000.00
Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7 PHC X 12 Stationary Article for Office use Telephone Bill @ Rs.1000/ p.m X 12 Collection of Anti-Malarial Drugs and Equipments from State H.Q
33,600.00 60,000.00 12,000.00 60,000.00
Total 74,69,840.00
Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty Nine Thousand Eight Hundred Forty Only only
Schemes Previous year 2009-10 (no)
Planned in Current year 2010-11(no)
Cost
Scheme I EDPT 2 (Malaria Health Checkup
Camp) 10 15,000.00 Scheme II Microscopy & treatment
Scheme III Hospital based treatment - - -
Scheme IV ITBN 2 50 25,000.00
Scheme V Larvivorous Fish - - -
Total 4 60 40,000.00
Strengths � In position manpower of NVBDCP � DDT Spray for vector control. � Govt. supply Bed-Net to endemic
villages. � Community owned & Govt. supplied
Bed-Net impregnation. � Anti-Malarial drugs and equipments. � Use of RDK for EDPT.
Actions to be Taken :- � Rational utilization.
Weakness � Shortage of manpower. � Shortage of accessories.
� Filling up vacant posts. � Vehicle to be sanctioned & required
accessories to be supplied.
Opportunities � Involvement of ASHA, AWW selected MNGO from NRHM, PRI, other local NGO and SHG.
� Regular communication with these groups.
�
Threats � Migration of people to and from Meghalaya
� Char area and inaccessible area.
� Mobile teams and Boat Clinic to cover these areas.
166
6.7.2 REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)
Objectives:
1. To achieve and maintain a cure rate of at least 85% among newly detected infectious
(new sputum smear positive) cases, and
2. To achieve and maintain detection of at least 70% of such cases in the population
ANNUAL PLAN FOR PROGRAMME PERFORMANCE & BUDGET FOR THE YEAR
1ST APRIL 2010 TO 31ST MARCH 2011
This action plan and budget have been approved by the DTCS. Signature of the DTO__________ _______
Name_ Dr. Jogodindu Bikash Roy, Designation – DTO, Dhubri
Section-A – General Information about the District
1 Population (in lakh) please give projected population 2010 1850508
2 Urban population 224196
3 Tribal population -
4 Hilly population -
5 Any other known groups of special population for specific interventions (e.g. nomadic, migrant, industrial workers, urban slums)
-
(These population statistics may be obtained from Census data /District Statistical Office)
Does the district have a DTC - Yes
ORGANIZATION OF SERVICES IN THE DISTRICT:
S. No. Name of the TU Population (in Lakhs)
Please indicate if the TU is- No. of MCs
Govt NGO Govt NGO Private
1 Dhubri DTC TU 444379 � - � - -
2 Gauripur TU 524644 � - � - -
3 Bilasipara TU 459441 � - � - -
4 Gazarikandi TU 422044 � - � - -
DISTRICT 1850508 - - - - -
167
RNTCP performance indicators: Important: Please give the performance for the last 4 quarters i.e. July -2008 to June-2009.
TB Unit
Total number of patients put on treatment
Annualized total case
detection rate (per lakh pop)
No of new smear positive
cases put on treatment
Annualized New smear positive case detection rate
(per lakh p op)
Cure rate for cases detected in the last 4 corresponding
quarters
Plan for the next year
Proportion of TB
patients tested for
HIV Annualized NSP CDR
Cure rate
(85%)
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
3Q-08
4Q-08
1Q-09
2Q-09
Dhubr
i DTC TU
275
175
149
196
74
47
71
94
92
37
53
58
67
27
69
75
86.5
86.8
86.5
86.5
70% or more
85%
Figure not available
at present
Gauripur
TU
-
156
135
172
- 61
59
76
- 58
46
69
- 62
48
72
- - - - 70% or more
85%
Bilasipara TU
134
133
107
154
50
49
47
68
61
60
53
74
61
60
63
88
87.8
87.7
86
91 70%
or more
85%
Gazarikandi
TU
173
91
104
96
60
31
47
44
55
29
31
42
52
27
38
52
78.2
89.2
88.3
85.2
70% or more
85%
Section B – List Priority areas for achieving the objectives planned:
S.No. Priority areas Activity planned under each priority area
1 ACMS
- Increased Meeting, Street Play, Interaction Meeting,
Sensitization. - Increased Publicity Materials. - Increased Wall Paintings Bus Board etc.
2 Training / Re-Training Particularly MOs, Dot Providers & LTs.
3 Supervision Increased Boat hiring.
4 Contractual staffs Particularly LTs 4 nos.
5 Coordination With NRHM in respect of ACMS, Supervision, Dot decentralization, Finance and Sputum collection centres
6 NGO Involvement NGO involvement in selected areas by small NGOs under new NGO
scheme.
7. TB-HIV Coordination As per Action Plan.
168
Section C – Plan for Performance and Expenditure under each head:
Civil Works
Activity No. required as per the norms in the district
No. actually present in the district
No. planned for this year
Pl provide justification if an increase is planned (use separate sheet if required)
Estimated Expenditure on the activity
Quarter in which the planned activity expected to be completed
(a) (b) (c) (d) (e) (f)
DTC 1 1 0 - - -
TUs 4 4 0 - - -
DMC 20 20 1 Out of the 20 DMCs one DMC is performing poor. So it is planned that works of the DMC should be shifted to the near by sub-divisional hospital which has been functioning recently and with much OPD attendance.
30000
3rd Quarter-
2010
Maintenance of Civil
works
A separate sheet enclosed herewith in details ( last page)
30700
All Quarter during the financial year –
2010-11.
Total 60700 -
Civil Works under NRHM Additionalties
Sl.
No. Item Numbers required.
Health Centres
involved
1 Treatment (DOTS) Room
One sitting room for
patients to take treatment
under DOTS.
For 45 PHIs ( Health Centres).
Proposal for 20 DMCs during
the financial year 2010-11
Rs.50000X20= 1000000
2 Observation room ( for observation & work by
DOT Providers)
One room attached to
treatment room & one
window to observe
For 45 PHIs ( Health Centres).
Proposal for 20 DMCs during
the financial year 2010-11
Rs.50000X20= 1000000
3 Laboratory Room at Sukchar
DMC to be constructed with
laboratory outlet connection
and a pit for waste matter
disposal from the laboratory
and Dot centre
It is specially needed for
Sukchar DMC.
Rs. 50000
4 Renovation of DTC building
-
For DTc Office Rs.20000
169
a) One partition wall with one door & one window.
b) Tiles fitting in DTO’s room, Laboratory &
Computer room.
At DTC Rs. 100000
Total Rs. 2170000
Laboratory Materials
Activity Amount permissible as per the norms in the district
Amount actually spent in the last 4 quarters
Procurement planned during the current financial year (in Rupees)
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ Remarks for (d)
(a) (b) (c) (d) (e)
Purchase of Lab Materials
396825 207090 180000 400000 As per norms
Honorarium
Activity
Amount permissible as per the norms in the district
Amount actually spent in the last 4 quarters
Expenditure (in Rs)
planned for current financial year
Estimated Expenditure for the next financial year for
which plan is being submitted
(Rs.)
Justification/ Remarks for (d)
(a) (b) (c) (d) (e)
Honorarium for DOT providers (both tribal and non tribal districts)
226000
103250 200000 300000
More expenditure planned for current financial year due to outstanding expenditures.
Honorarium for DOT providers of Cat IV patients
- - - -
-
Honorarium under NRHM Additionalties
• As seen in the column (c) above there is a need of Rs. 200000 for current financial year, but at present we have only Rs.50000. So it is requested that a sum of Rs. 150000 may be granted for this head from NRHM flexi pool for disposal of outstanding bills.
Total requirement Rs. 150000.
170
RNTCP-Dhubri District Annual Action Plan Format Advocacy, Communication and Social Mobilization (ACSM) for RNTCP
– 2010-11
1) Information on previous year’s Annual Action Plan
a) Budget proposed in last Annual Action Plan: 321800
b) Amount released by the state: 166730
c) Amount Spent by the district- 104310 ( Last 4 Quarter)
2) Permissible budget as per norm : 196500
3) Budget for next financial year for the district as per action plan detailed below: 299000
A. CHALLENGE 1 – LOW ACDR, NSP-CDR, LOW SUSPECT EXAMINED.
I – Advocacy Activities.
Program
Challenges
to be
tackled by
ACSM
during the
WHY
ACSM
Objective
For WHOM
Target
Audience
WHAT
ACSM Activities
When
Time Frame
By
WHO
M
Monitoring and
Evaluation
Budg
et for
the
finan
cial
year
Year 2010-
11
Activities Materials/Me
dia Required.
Q1 Q2 Q3 Q4 Output Outcome
Low
ACDR,
NSP-CDR,
Low
Suspect
Examined
� Gaini
ng
admin
istrative
suppo
rt for
increa
se referr
al
from
OPD.
� from DC,
Jt.DHS
etc.
Regular
monthly
meetings
Power point
Presentation
3 3 3 3 DTO/W
HO
Consult
ant
Meeting/Mi
nutes
� Increase
referr
al of chest
supm
tomat
ic
� Increase
ACD
R &
NSP-
CDR
No
cost
� Involve
ment of
Educatio
n Deptt. ,
Social
Welfare Deptt
� Sensiti
zation
� Briefi
ng
Meeting. � Factsh
eets.
� Power Point
presentation.
� Booklet. � Brouchers. � Factsheets. � Success Stories.
1 1 1 1 DTO,M
OTCs,
STS/ST
LS
� Report
s
� Photog
raph
� Mutual
Agreement
Cost
of
meeti
ngs –
500 X
12=
6000
� Private
Practition
ers
1 1 1 1 Cost
of
comm
unication
materi
als
20000
� Tradition
al Healers,
Pharmacy
Owners.
1 1 1 1
� World
TB Day
1
-
-
- 40000
II. Communication Activities Program
Challenges
to be
tackled by
ACSM
during the
WHY
ACSM
Objective
For WHOM
Target
Audience
WHAT
ACSM Activities
When
Time Frame
By
WHO
M
Monitoring and
Evaluation
Budget
for the
financi
al year Year
2010-11 Activities
Materials/
Media
Required.
Q1 Q2 Q3 Q4 Output Outcome
Low
ACDR,
NSP-CDR,
Low
Suspect
Examined
To inform
communiti
es and care
providers
about the
DOT services
for early
detection.
�General
public.
�Publicity
through
cable
TV.
�Cable
Channels 1 1 1 1
DTO,
MTO
Cs
Vouchers �MIncr
ease in
Case
Referral
�KAP
Study after
one
year.
2000X4
=
8000
�Schools.
�School Health
Programme
�Flip
Chart.
�Brouchers
.
�Factsheet.
�Posters.
4 4 4 4
MOT
Cs,
STS/S
TLS,
Local
PHI
�Minutes
�Photograph
�Office
Register
�1000
X16=
16000
�For
Filip
Chart
171
I/c,
Head Maste
r of
the
Schoo
l.
etc.
15000
�Care Providers
�Patient
Provider
Interactionn Meeting.
24 24 24 24
I/c of
the
PHI,
Dot
Provider
and
STLS.
�Minutes �Office
Register
200X96
=19200
, say
20000
Awareness General
Public
General Public,
Schools
Wall painting
Walls of
Health
Institutions
20 20 20 20 DTO
Photograph,
Office Record
400X80
=
32000
Street
Play/Dramma
Script and
Man power
of
professional groups.
1 1 1 1 DTO,
CF,
STS/STLS
DTO
4000X4
=16000
Bus Board
(inside)
On hiring
basis 10 10 10
10 200X40
=8000
Postering in
Auto Rickswas
On hiring
basis 10 10 10 10 DTO
250X40
=10000
Drum Beating
in Rural
Markets
On contract
basis 4 4 4 4
DTO,
OTCs
, CF 500X20
=10000
III. Social Mobilization
Program
Challenges
to be
tackled by
ACSM
during the
WHY
ACSM
Objective
For WHOM
Target
Audience
WHAT
ACSM Activities
When
Time Frame
By
WHO
M
Monitoring and
Evaluation
Budget
for the
financi
al year Year
2010-11 Activities
Materials/Me
dia Required. Q1 Q2 Q3 Q4 Output
Outco
me
Low
ACDR,
NSP-CDR,
Low
Suspect
Examined
�General
awareness in
public
�Increase
Rate of self reporting
�To create
a sense of intrigration
General
Community,
Patients and
Dot Providers etc.
Community
Level Meetings
Flip Charts,
Posters,
Broachers,
Handbills.
36 36 36 36
DTO,
MOTC
s, CF,
I/c MO PHC,
STS/ST
LS
Minutes,
Photograph
, Office
Records
�Increa
in self
reportin
g of
cases. �KEP
study
after
one
year.
�Other analysis
and
Motnito
ring
500
X144=
72000
�Exhibition,
Melas,
Posters,
Banners
1 1 1 1 2000X4
=8000
�World TB
day
Already given. 1 - - - Alread
y given.
School
Children
�Quiz
Competition &
Short
Sensitization
Meeting.
�Prize
Materials
�Printing
Materials(IEC) �Quiz
Materials.
2 2 2 2 1000X8
=8000
Local Small
NGO Groups
�Sensitization
and
Onteraction
Meeting
�Leaflets
�Posters
�Brokers etc.
4 4 4 4 500X16
=8000
�For
Printing material
s 10000
Grand Total 299000
172
Comments, if any:-
i) Due to constant low ACDR-NSP-CDR and Low Case Referrals stress has been given for
increase of this crtteria.
ii) It is presume that ACMS Activities for the above will also boost the other criteria’s like
lowering of default rates etc.
Prepared by:- i. Dr. J.B. Roy, DTO, Dhubri
Sign. of DTO, Dhubri
ii. Sri Patal Ch. Paul, Accountant, RNTCP, Dhubri .
iii. Sri Biswajit Mazumder, DEO Dhubri.
Equipment Maintenance:
Item No. actually present in the district
Amount actually spent in the last 4 quarters
Amount Proposed
for Maintenance
during current
financial yr.
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ Remarks for (d)
(a) (b) (c) (d) (e)
Office Equipment
(Maintenance includes computer software and hardware upgrades, repairs of photocopier, fax, OHP etc)
One each of Computer, Photocopier
and OHP
5900 25000 50000 Ageing of the equipments need frequent maintenance.
Binocular Microscopes ( RNTCP) 21 State TB Cell
- 90000 Accurate cost can be ascertain from State TB Cell.
140000
Training:
Activity No. in the district
No. already trained in RNTCP
No. planned to be trained in RNTCP during each quarter of next FY
(c)
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ remarks
Q1 Q2 Q3 Q4
(a) (b) (d) (e) (f)
Training of MOs 150 100 25 - 25 - 90000 90000 As ACDR, NSP-CDR and case referral is low so intensive
training, re-training has been planned
Training of LTs of DMCs-
Govt + Non Govt
25
17 8 - - - 14000 14000
Training of MPWs - - - - - - - -
173
Training of MPHS, pharmacists,
nursing staff, BEO etc
- -
- - - -
-
-
Training of Comm Volunteers - 275 25 25 25 25 - 60000
Training of Pvt Practitioners - - - - - - - -
Other trainings #
- - - - - - - -
Re- training of MOs - - 25 - 25 - - 23000
Re- Training of LTs of DMCs 25 17 25 - - - - 14000
Re- Training of MPWs - - - - - - - -
Re- Training of MPHS - - - - - - - -
Re- Training of Pharmacists - - - - - - - -
Re- Training of nursing staff, BEO
- - - - - - - -
Re- Training of CVs - - - - - - - -
Re-training of Pvt Practitioners 20 20 - 20 - - - 20000
TB/HIV Training of MOs 150 - - 25 - 25 - 42000
TB/HIV Training of STLS, LTs , MPWs, MPHS, Nursing Staff, Community Volunteers etc
-
-
- 25 - 25 -
30000
TB/HIV Training of STS - - - - - - -
Training of MOs and Para medicals in DOTS Plus for management of MDR TB
Provision for Update Training at Various Levels(key staff & MO-PHIs)
Any Other Training Activity( Key staff & MO-PHIs)
Total :Rs. 293000 # Please specify --
Vehicle Maintenance:
Type of Vehicle Number permissible as per the norms in the district
Number actually present
Amount spent on POL and Maintenance in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
Justification/ remarks
174
(Rs.)
(a) (b) (c) (d) (e) (f)
Four Wheelers 1 1 196500 100000 300000
1. Supervision intensified.
2. Ageing of the vehicle need frequent repairing / parts replacement etc.
Two Wheelers 4 4
Vehicle Hiring:
Hiring of Four Wheeler
Number permissible as per the norms in the district
Number actually present
Amount spent in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted (Rs.)
Justification/ remarks
(a) (b) (c) (d) (e) (f)
For DTO 1 1
68000
200000
320000
Slightly more fund is required due to boat hiring and vehicle hiring in South Bank bi DTO.
For MO-TC 4 4
320000
175
NGO/ PP Support: (New schemes w.e.f. 01-10-2008)
Activity No. of currently involved in RNTCP in the district
Additional enrolment planned for this year
Amount spent in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ remarks
(a) (b) (c) (d) (e) (f)
ACSM Scheme: TB advocacy, communication, and social mobilization
Nil 4 Nil Nil 37500
Four NGOs in separate areas covering 1 laqc population each. The areas are having low case detection problem.
SC Scheme: Sputum Collection Centre/s
Nil 3 Nil Nil 180000
Three identified health institution are stuffed with patients, but difficult in communication.
Transport Scheme: Sputum Pick-Up and Transport Service
Nil 5 Nil Nil 24000
Three identified health institution are stuffed with patients, but difficult in communication.
DMC Scheme: Designated Microscopy Cum Treatment Centre (A & B)
Nil Nil Nil Nil Nil -
LT Scheme: Strengthening RNTCP diagnostic services
Nil 2 Nil Nil 100000
Two DMCs are having no post of LT, suffering sue to shortage of LT.
Culture and DST Scheme: Providing Quality Assured Culture and Drug Susceptibility Testing Services
Nil
Nil
Nil
Nil
Nil
-
Adherence scheme: Promoting treatment adherence
Nil 3 Nil Nil 60000.
Some areas are identified as high default areas despite regular supervision.
Slum Scheme: Improving TB control in Urban Slums
Nil 1 Nil Nil 50000
District headquarter has many slum areas & high rate of incidence & prevalence of
176
TB
Tuberculosis Unit Model Nil
Nil Nil Nil Nil -
TB-HIV Scheme: Delivering TB-HIV interventions to high HIV Risk groups (HRGs)
Nil
Nil Nil Nil Nil
-
TOTAL 451500
Miscellaneous:
Activity* Amount permissible as per the norms in the district
Amount spent in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ remarks
(a) (b) (c) (d) (e)
TA/DA
360750
257000
150000
400000
- Stationeries / The expenditure which does not fall in any other heads of account
400000 -
* Please mention the main activities proposed to be met out through this head
Miscellaneous under NRHM additionalities
Item No. requires Budget in Rs.
Plastic Handled Chairs for patients to sit at the 45 PHI DOT Centres. 6 chairs for each PHI DOT Centre
45X6=270 270XRs.500=135000
Water Filter for patients at the 45 PHI DOT Centres 45X1+5 extra=50
50XRs.500=25000
Weight Machine for patients at the 45 PHI DOT Centres 45X1+5 extra=50
50XRs.500=25000
Steel Almirah 7 ft. height for each of the 45 PHI DOT Centre 45X1=45 45X8000=360000
One Steel Table (non secretariat) for each of the 45 PHI DOT Centre 45X1=45 45XRs.2000=90000
One Steel rack for each of the 45 PHI DOT Centre 45X1=45 45XRs.1000=45000
One Iron safe for keeping cash amounts, used and unused check books and other very important documents – only for DTC, Dhubri office.
1 20000
Total Rs. 700000
177
Contractual Services:
Activity No. required as per the norms in the district
No. actually present in the district
No. planned to be additionally hired during this year
Amount spent in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ remarks
(a) (b) (c) (d) (e)
As per
norms.
Medical Officer-DTC
Not to be filled - -
1365000
640000
1285000
STS 4 4 -
STLS 4 4 -
TBHV 1 1 -
DEO 1 1 -
Accountant – part time
1 1 -
Contractual LT 2 4
Driver 1 1 -
Printing:
Activity Amount permissible as per the norms in the district
Amount spent in the previous 4 quarters
Expenditure (in Rs) planned for current financial year
Estimated Expenditure for the next financial year for which plan is being submitted
(Rs.)
Justification/ remarks
(a) (b) (c) (d) (e)
Printing*
Printing of Forms, Patients Cards etc.
360750 17000 60000 365000 As per population norms.
* Please specify items to be printed Research and Studies: Any Operational Research project planned (Yes) No. (Post Graduate grant for one research paper from each Medical College)
Estimated Budget (to be approved by STCS).___________________________________
178
Medical Colleges
Activity Amount permissible as per norms
Estimated Expenditure for the next financial year(Rs.)
Justification/ remarks
(a) (b) (c)
Contractual Staff:
� MO (In place: Yes/No) � STLS (In place: Yes/No) � LT (In place: Yes/No) � TBHV (In place: Yes/No)
- -
-
Research and Studies:
� Thesis of PG Student � Operations Research*
- -
-
-Travel Expenses for attending STF/ZTF meetings
- - -
IEC: Meetings and CME planned - - -
- - -
Procurement of Vehicles:
Equipment No. actually present in the district
No. planned for this year
Estimated Expenditure for the next financial year for which plan is being submitted (Rs.)
Justification/ remarks
(a) (b) (c) (d)
4-wheeler ** 1 - - -
2-wheeler 4 3 150000 3 motorcycles will cross 6 years in the first Qtr.-2010.
The motorcycles are requiring frequent major repairing.
** Only if authorized in writing by the Central TB Division
179
Procurement of Equipment:
Equipment No. actually present in the district
No. planned for this year
Estimated Expenditure for the next financial year for which plan is being submitted (Rs.)
Justification/ remarks
(a) (b) (c) (d)
Office Equipment (computer, modem, scanner, printer, UPS etc)
1 Computer
2 Printer
1 UPS
1 Modem
1 Scanner
1 TFT
Monitor
1 UPS
1 Scanner
10000
2500
3500
For upgradation and replacement of the existing system.
Any Other - One Generator Set.
50000
Due to frequent loadsheding District Society has already approved.
One LCD
projector
and its
accessories
and
Laptop
80000 The old projector is not working well and training programms are increasing day by day.
5 Digital
cameras
45000 IEC awareness demands more photographs with quality pictures.
One for each TU, One for DTO
Procurement of Equipment under NRHM Additionalities
Note :- From the above procurement of equipment section, the column for “Any other” is
sought from NRHM additionalities. So a total sum of Rs. 175000 has been requested in the NRHM Additionalities budget.
* Maintenance of Civil Work (Worksheet)
Activity No. required as per the norms in the district
No. actually present in the district
No. planned for this year
Pl provide justification if an increase is planned (use separate sheet if required)
Estimated Expenditure on the activity
Quarter in which the planned activity expected to be completed
(a) (b) (c) (d) (e) (f)
DMC - 20 - - 1000 X 20=21000 -
Drug Stores - 4 - - 1300X4=5200 -
DTC - 1 - - 4500 -
Total 30700 -
180
Section D: Summary of proposed budget for the district –
S.No. Category of Expenditure
Budget estimate for the coming FY 2010- 11
Budget sought from NRHM additionalities
2010-11
In Rs. (To be based on the planned activities and expenditure in
Section C) in. Rs.
1 Civil works 61000 2170000
2 Laboratory materials 400000
3 Honorarium 300000 150000
4 IEC/ Publicity 299000
5 Equipment maintenance 140000
6 Training 293000
7 Vehicle maintenance 300000
8 Vehicle hiring 320000
9 NGO/PP support 450000
10 Miscellaneous 400000 700000
11 Contractual services 1285000
12 Printing 365000
13 Research and studies 0
14 Medical Colleges 0
15 Procurement –vehicles 150000
16 Procurement – equipment 191000
175000
TOTAL 4954000 3195000 ** Only if authorized in writing by the Central TB Division
Grand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000
Please note :- if Rs,. 175000 is sanctioned from NRHM additionalities head- procurement of equipment, then this amount should be deducted from the procurement head of RNTCP budget which has been
shown as Rs. 191000.
181
6.7.3 N.L.E.P.
Introduction District Dhubri is situated in the Western Part of Assam. It is the boarder District of
Assam. It has 7 Block PHCs & having population of 18,43,113
Situation Analysis
As NELP has been integrated with GHC, drugs are available at
CH/PHC/CHC/SDs, MO’s are diagnosing cases who have come voluntarily & NLEP
staff is assisting GHC staff at every level as per need.
Now, NLEP also integrated with NRHM & involvement & ASHA’s to be
ensured for regular treatment. In addition, monitoring & supervision will become
more effective.
It is supposed that at each & every level, regular & repeated orientations of
staff (both NLEP & GHC) are needed to provide quality services.
As there are no survey activities, we have to initiate regular IEC activities in
the community to decreases stigma & discrimination & to increase awareness.
Strength :-
1. Trained District Nuclens staff.
2. Trained & motivated GHC staff.
3. Availability of Guidelines from State from time to time.
4. Availability of MDT.
5. Review & monitoring is being done regularly.
6. Fund stored be regular in time.
Weaknesses :-
1. NLEP & GHC staff at PHC/CHC/SHC/SD level are engaged more in other
activities.
2. Inadequate mobility at PHC level & as well as non-availability of TA/DA.
Opportunity :-
1. Integration of NLEP with GHC staff
2. Integration with NRHM leading to better monitoring & supervision.
3. Valuable support of RCS by the GMCH/AMCH & SMCH.
182
Threats :- 1. Involvement of leprosy staff in other programmes.
2. NLEP staff posted improperly.
3. Frequently transfer of staff.
4. Low priority to NLEP staff at all level.
5. Priority to other programme
Suggestion :- 1. Physical : The School Teacher of char areas (difficult area) to be trained in
leprosy to facilitate detection of leprosy cases.
2. Financial : Easy & regular fund flow for the time bound activities.
Performance under NLEP :
Indicator 2006-07 2007-08 2008-09 2009-2010
No. of new cases detected
(ANCDR)
32 47 51 37 up to Oct’09
No. of cases on record at
the yearend (PR)
76 73 70 87
No. of Gr.II disability
among non cases (%)
X Nil Gr-8
Gr-1
1
Treatment Completion
Rate
73% 55% 80% -
Re-construction Surgery
conducted
X X X X
(Cumulative number to be mentioned & rate/percentage to be given on bracket).
Infrastructure : District HQ :
District Nucleus Cell is in position & providing supervision & monitoring.
Man power of District Nucleus Cell are
1. Medical Officer-1
2. Non-Medical Supervisor-1
3. Non-Medical Assitant-1
4. Contractual Driver-1
183
Training Plan :
A. 4 days training of newly appointed MO’s (rural & urban) 30 nos.
Expenditures Details :
Stationary 30 x 50 = 1,500 /-
Total Cost
53,900 /- Lunch & Tea 35 x 100 x 4= 14,000 /-
TA & DA 30 x 300 x 4 = 36,000 /-
Trainer’s 2 x 300 x 4 = 2,400 /-
B. 3 days training of newly appointed Health Supervisor 30 nos.
Expenditures Details :
Stationary 30 x 50 = 1,500 /-
Total Cost
25,575 /- Lunch & Tea 35 x 75 x 3= 7,875 /-
TA & DA 30 x 160 x 3 = 14,400 /-
Trainer’s 2 x 300 x 3 = 1,800 /-
C. 3 days training of newly appointed Health Worker (M) 30 nos.
Expenditures Details :
Stationary 30 x 50 = 1,500 /-
Total Cost
21,975 /- Lunch & Tea 35 x 75 x 3= 7,875 /-
TA & DA 30 x 120 x 3 = 10,800 /-
Trainer’s 2 x 300 x 3 = 1,800 /-
D. 3 days training of newly appointed Health Worker (F) 30 nos.
Expenditures Details :
Stationary 30 x 50 = 1,500 /-
Total Cost
21,975 /- Lunch & Tea 35 x 75 x 3 = 7,875 /-
TA & DA 30 x 120 x 3 = 10,800 /-
Trainer’s 2 x 300 x 3 = 1,800 /-
E. 2 days training of newly appointed MO’s 30 nos.
Expenditures Details :
Stationary 30 x 50 = 1,500 /-
Total Cost
27,700 /- Lunch & Tea 35 x 100 x 2 = 7,000 /-
TA & DA 30 x 300 x 2 = 18,000 /-
Trainer’s 2 x 300 x 2 = 1,200 /-
F. 5 days training of newly appointed Lab. Technician 15 nos.
Expenditures Details :
Stationary 15 x 50 = 750 /-
Total Cost
18,375 /- Lunch & Tea 15 x 75 x 5 = 5,625 /-
TA & DA 15 x 120 x 5 = 9,000 /-
Trainer’s 2 x 300 x 5 = 3,000 /-
184
IEC Plan :
a. Inter Personal Workshop Communication @ 6,000 /- x 2 nos = 12,000 /-
Total Cost
1,25,000 /-
b. Folk Show @ 3,000 /- x 7 Nos = 21,000/- c. Wall painting @500/- x 50 Nos = 25,000 /- d. Advocacy meeting @500/- x 30 Nos = 15,000 /-
e. Publicity through TV, Radio, Newspaper etc = 10,000 /- f. Rallies @ 5,000/- x 1 No. = 5,000/- g. Health Mela @ 3,000/- X 50 Nos = 9,000/-
h. I.P.C. meeting @ 500/- x 50 Nos = 25,000/- i. Meeting with Zila Parisad @ 3,000/- x 1 No. = 3,000 /-
DPMR :
a. Procurement of M.C.R. @200/- x 120 Pairs = 24,000/-
Total Cost
79,000 /-
b. Patients welfare Blanket @300/- x 100 Nos = 30,000/-
c. For R.C.S. of BPL cases
incentive for 5 cases @ 25,000/-
each = 25,000 /-
Urban Leprosy Control : Nil
Leprosy colonies: Nil
Procurement Plan :
a. Purchase to be made as per drug list (guideline)
b. Need base purchase to be done.
c. Equipments - Not necessary.
d. Printing Register/Forms etc. to be printed as per need.
e. No such specific NGO is existing in the District.
Incentive for ASHA :
a. Number of ASHA trained & involved in NLEP – 1327 nos.
b. Number of Neno PB & MB cases likely to be detected during the year by
ASHA based on the trend of New case detection – 50 Nos.
NLEP Monitoring & Review Plan :
a. Review meeting has been conducted montly.
b. Monitoring & supervision works has been done regularly.
185
Vehicle operation & hiring:
2 (two) vehicles are operating
Office expenditure & consumable:
Stationeries & other Misc. Expenditure which does not fall in any other Head of
Acctt.
Format for submitting budget Proposal:
Sl.
No.
Activity Proposal Amount Proposed
1. Contractual Services 54,000 /-
District one Driver @ 4,500/-PM x 12 months
2. Services through ASHA/USHA 25,000 /-
Sensitization of ASHA/incentive to ASHA
3. Office expenses & consumables 40,000 /-
4. Capacity Building (Training)
4 days training of newly appointed MO (rural & urban
)
53,000 /-
3 days training of newly appointed Health worker &
Health Supervisor
69,525 /-
2 days refresher training og MO 27,700 /-
5 days training of newly appointed Lab. Technician 18,375 /-
5. Behaviours change communication (IEC) 1,25,000 /-
Mass media, outdoor media, Rural media & Advocacy
6. POL/Vehicle operation & hiring 80,000 /-
& vehicle at state level & vehicle at district level
7. DPMR 30,000 /-
12,500 /-
2,50,000 /- MCR footwear, Aids and appliances, welfare
allowances to BPL patients for RCS support to Govt.
Institution for RCS
8. Materials & supplies 52, 000 /-
Supportive drugs, Lab reagent & equipment & printing
forms.
9. Urban leprosy control Do not arises
Township, Medium cities-I, Medium cities-II & Mega
cities
10. NGO-SET scheme 50,000 /-
11. Supervision, Monitoring & Review 50,000 /-
Review Meeting & Travel expenses
Cash Assistance 6,000 /-
Total = 9,43,100 /-
186
6.7.4 N.P.C.B.
GGooaall :: RReedduuccee pprreevvaalleennccee ooff pprreevveennttaabbllee BBlliinnddnneessss
ACTION PLAN 2010-11
STRATEGY ACTIVITY Sub-Activity TIME PERIOD
Responsible Persons
Cataract Surgery
at base Hospital
Approach
Weekly Cataract
Eye Operation at
Civil Hospital,
Procurement of Drugs,
Sharp Instruments, IOL,
Consumables etc.
Arrangement of Beds etc.
Weekly
Two days
operation
Superintendent
D.O.S.
D.P.M.
Development of
Eye Operation
Facility at CHCs
Development of O.T.
Placement of Instruments
Deployment of Staffs
Fortnightly
Eye Camp
Jt.D.H.S.,
D.O.S. &
D.P.M.
Eye Screening and
Detection of Cataract
Cases at Sub-Canters
Intensive IEC
Activities and
Blindness Survey
Eye Screening at Sub-centers
by the PMOA on fixed day
every week
Inform the targeted Population by ASHA
through Health Day
April-March
20010-11
PMOA &
D.P.M.
Door to Door
Blindness Survey
Survey at 30nos
Villages/Towns
6000 houses
Apr-May-June
/ 2010
D.P.M.
D.O.S.
Development of Infra-
-structural facility for Vision Screening at
PHC/CHC where
Ophth. Asstt. posted
Development of
Vision Centres at
Mankachar CHC
S.Salmara CHC
Make Provision for Room in
consultation with the i/c M.O.
Procurement & Placement of
Equipments & Furnitures
April-May
2010
D.P.M.
Popularization of
School Eye Screening
Programme
Training & Vision
Screening at Schools
Orientation Training
of School Teachers
July
2010
D.P.M.
Screening & detection
of RE to the remote
area with Mobile
Vision Testing Van
May –Nov/10
Feb – Mar/11
D.P.M.
Distribution of free
Spectacles to the
School Children
Popularization of Eye Donation & Eye Care
Orientation Meeting
at all 7 BPHCs
Sensitization Meeting
With all M.O./ ANMs etc
Aug /2010 D.P.M.
Awarness Meeting &
Eye Screening Camps
at 14 Development
Blocks
IEC Activity & organisa
-tion of Eye Checkup
camps
Aug–Sept
2010
D.P.M.
187
Budget Under NPCB for 2010-11
STRATEGY ACTIVITY Sub-Activity Cost per Unit Total Cost
1. Cataract Surgery at base Hospital
Approach
Weekly Cataract
Eye Operation at
Civil Hospital @ 9 Oprn. Per day for 2
O.T. day for 45 weeks,
Procurement of Drugs,
Consumables, Sutures, etc.
@ Rs. 750/-
For 800 oprns.
6,00,000.00
Procurement of Sharp
Instruments etc.
Lump-sum 40,000.00
2. School Eye Screening Programme
Vision Screening at 100
Schools @ 200 students each
Training of 100 School
Teachers
Details
25,000.00
7% defective Refraction of 20000
Students i.e. 1400 students for confir
-matory camps
School Visit by PMOAs
With Vision Testing Van @ Rs.20/- each
for 1400 students
28,000.00
30% Refrective Error of 1400 Nos. i.e.
420 nos. students for distribu-
tion of Free Spectacles
@ 200/- each for
420 students
84,000.00
3. Procurement of
Equipmernts
Development of Eye
Operation Facility at
Dhubri Town Health Instt.
Development of O.T.
Placement of Instruments
Deployment of Staffs
Lump-sum
5,00,000.00
4. Development of
Vision Centre:
Development of Vision
Cerntre where O.A. posted
1. Mankachar CHC
2. South Salmara CHC
Make Provision for Room in
consultation with the in-
charge M.O.
Procurement & Placement of
Equipments & Furnitures
50,000/- each
1,00,000.00
5. Eye Screening and Detection of Cataract
Cases at Sub-Canters
IEC Activities
Printing of Forms, Blind
Register, Leaflets,
Stationeries
@ Rs.50/-each
For IEC and
15,000.00
Eye Screening at
Sub-centers by the
PMOA on fixed day
Every week
Organisation &
Contingencies
58,000.00 Rs. 200/- for Organization
Exp. of at 290
Health Instt. Door to Door
Blindness Survey
Survey at 30nos
Villages/Towns
6000 houses
15/- per house
90,000.00
6. Popularization of Eye Donation & Eye
Care
Orientation Meeting
at all 7 BPHCs
Sensitization Meeting
With all M.O.s/ BPMU/
BEEs/ ANMs
@ Rs. 3000/-
21,000.00
Awarness Meeting &
Eye Screening Camps
at 14 Development
Blocks
IEC Activity at 20 nos
Of Health Institutions
With Flaxo banners
@ Rs. 1,500/-
Each for 20
H.Institutions
30,000.00
7. MANAGEMENT OF District Health
Society
Salary Support of
District Health
Society
DPM=1
Dealing
Asstt.= 1
96,000/- 18,000/-
114,000.00
TA/DA of the Staff
Lump-sum
20,000.00
Maintenance of
Ophth. Equipments
Lump-sum
16,000.00
Contingency & Other
Activities
30,000.00
Total 17,71,000.00
188
6.7.5 INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
Proposed activities schedule for DSU/ IDSP/ Dhubri DHAP:: 2010 - 11
1. 3 days training for newly inducted Medical Officers on IDSP.
2. 2 days training for Health Workers.
3. 3 days training for Laboratory Technicians/ Microscopist at District Laboratory.
4. Weekly online transmission of S, P & L Forms.
5. Dissimilation of Early Warning Out Break Responses.
6. Supervision and Monitoring of Peripheral Surveillance Units.
7. Activities on International Health Regulation ( IHR ) Focal Point (daily basis online
reporting of H1N1 Influenza Status).
Working plan for above proposal:
Sl No Initiatives Number of batches to be trained Venue
I Qtr II Qtr III QTR IV QTR
1 3 days training for
MO( newly inducted
officers ) for a batch
of 20 trainees.
1 batch 1 batch
at DSU
2 2 days training for
Health Workers for a
batch of 20 trainees.
5
batches
5
batches
5
batches
5 batches Block PHC
Premises
3
3 days training for
Laboratory
Technicians/
Microscopist for a
batch of 20 trainees.
1 batch 1 batch at District
Laboratory.
4 Supervision and
Monitoring of
Peripheral
Surveillance Units
6 Nos of
visits at
PSU
6 Nos of
visits at
PSU
6 Nos of
visits at
PSU
6 Nos of
visits at
PSU
at PSU
189
INTEGRATED DISEASE SURVEILLANCE PROJECT.
BUDGET BREAK UP OF VARIOUS HEAD, DHUBRI DISTRICT.
( RS IN LAKHS )
Sub -
activity
Tasks Unit Cost No of
Units
2010-11 Remarks
1. Staff
Salary
1.1 Epidemiologists 30000
1.2 Microbiologists 20000
1.3 Entomologist 20000
1.4 Consultant ( Finance ) 14000
1.5 Consultant ( Training ) 28000
1.6 State Data Manager 14000
1.7 District Data Manager 13500 12 162000
1.8 Data Entry Operator 8500 12 102000
1.9 Accountant 9500 12 114000 already appointed &
working as per
Govt. guidelines the
said post may be
continued with
IDSP.
1.10 Administrative Assistant 7000 12 84000
Sub Total 462000
2.Training 2.1 Training of Hospital
Doctors
36500 2 73000
2.2 Training of Hospital
Pharmacist/ Nurses
15500 20 310000
2.3 Training of Laboratory
Technicians/
Microscopist
23500 2 47000
Sub Total 430000
3.
Operational
Cost
3.1 Mobility Support, 5800 12 69600
3.2 Office Expenses 5000 12 60000
3.3 ASHA incentives for
Outbreak reporting
100 120 12000
3.4 Collection and
transportation of samples
3000 12 36000
3.5 IDSP reports including
alerts
500 12 6000
3.6 Printing of IDSP Forms 2000 12 24000
3.7 Broadband Expenses 1000 12 12000
Sub Total 219600
4. New
Innovations
4.1 Review Meeting District
Committee
5000 2 10000
Grand Total 1121600
( Rupees eleven lakhs twenty one thousand six hundred only)
190
6.7.6 National tobacco Control Programme (NTCP)
National Tobacco Control Programme (NTCP) was launched in the year 2007-08 as pilot
programme in 18 districts covering 9 states of India and Assam is one of the Sate. At present the
programme is running in 42 districts covering 21 states of the country.
The Basic Objective of the NTCP:
1. To Build up Capacity of the District to effective implementation the Anti Tobacco Initiatives
2. Skill development of the Health and Social Workers
3. To take up appropriate IEC/BCC and mass awareness campaign
4. Introducing NTCP agendas in School Health Programme
5. To set up a regulatory mechanism to monitor
6. Implement the Anti Tobacco laws farmed by Government
7. To establish Tobacco Cessation Centres
8. To conduct Global Adult tobacco survey for surveillance
Proposed Activities:
1. District Tobacco Control Cell will be set up, one Psychologist and One Social Worker will
be appointed on the Contractual basis. All the activities will be carried under the
supervision of DPMU NRHM
2. Phase wise training will be conducted for BPM, BEE, HE & LHV and MNGO members.
3. Awareness cum sensitisation meeting with Civil Society group such as Women SHG,
NGOs, ULB’s and PRI’s, School teachers, health workers, law enforcers etc. IEC materials
will be developed.
4. Special Talk show on Anti Tobacco, awareness rally, quiz etc will be arranged with School
Health Progarmme.
5. For effective implementation of NTCP at grass root level frequent monitoring is required,
hence monitoring plan will be developed.
6. For enforcement of anti-tobacco law awareness regarding the following specification
provision will be increased:
a. Ban on Smoking in public in public places
b. Ban on sale of tobacco products to children bellow 18 years
c. Ban on direct/indirect advertisement promotion and sponsorship of tobacco
products
d. Ban on sale of tobacco products within 100 yards of the educational institutions
e. Mandatory depicition of Specified health warning on all tobacco products
f. Testing of tobacco products for tar and nicotine.
191
7. Under the supervision of the Psychologist and Social Worker a Tobacco Cessation
Centres will be established at Dhubri Civil Hospital, Dhubri.
8. For find out the actual status of the district Global l Adult tobacco survey will be conducted.
Proposed Budget for District Tobacco Control Programme (NTCP)
Sl.No Components Calculation (Rs) Total (Rs)
1 Salaries: I). Psychologist: Rs.10, 000/- per month ii). Social Worker: Rs. 8,000/- per month
10000 X 12 months 8000 X 12 months
216,000
2 Training 200,000 200,000
3 IEC Activity 200,000 200,000
4 School Activity 400,000 400,000
5 Monitoring of Tobacco Control Laws & Reporting
100,000 100,000
6 Contingency 100,000 100,000
Total 12,16,000/-
192
6.7.7 National Mental Health Programme
It is estimated that 6-7% of population suffers from mental disorders. Together these
disorders account for 12% of the global burden of diseases (GBD) and an analysis of trends
indicates this will increase to 15% by 2020 (World Health Report, 2001). Most of them (>90%)
remain un-treated. Poor awareness about symptoms of mental illness, myths & stigma related to
it, lack of knowledge on the treatment availability & potential benefits of seeking treatment are
important causes for the high treatment gap.
As present there 123 nof of district has been covered under District Metal Health
Programme.
Strategy:
1. Enhancing the capacity of the mental health infrastructure to serve a greater
number of Service seekers.
2. Improving the quality of services in custodial institutions and developing innovative
approaches in non-custodial settings.
3. Initiating research that would provide information on planning and implementing
appropriate services.
4. Manpower development.
Proposed Activities:
1. Enhancing the Capacity of the Mental Health Infrastructure
a. Increasing the number of mental institutions b. Increasing the service capacity of individual institutions c. Integrating mental health with general health
1. One district Counselling Centre will be established 2. Crisis Helpline will be set up 3. Regular Counselling session will be organized in Colleges, Work Place, necessary
arrangement will be made for stress management. 4. Thought DHMP it to be ensured that basic mental health services are being
provided at the community level. 5. Necessary support staff (Clinical Psychologist, PSWs, Psychiatric Nurses etc )will
be engaged on purely contractual basis. 6. Required medicines will be supplied to all health institutions. 7. IEC materials like handbook, Leaflets, Picture Chart etc will be developed. 8. Contingency for running the DMHP will be released to BPHC wise.
Total Budget proposed under Mental Health Programem during 2010-11 is Rs. 5,00,000.00
193
6.8 PART E: CONVERGENCE
Intersectoral Convergence
Intersectoral Convergence is a vital component of National Rural Health Mission. The main
aim of convergence is to facilitate integration of various services to meet simultaneously the
various felt needs in diversified areas of the targeted groups. One of the main objectives of
convergence is the coordinated delivery of some or all services in view of the complementarily of
their objectives.
Inter Sectoral Convergence with PHE:
Proposed Activities:
• A district level convergence Meeting with PHE department will be organized to streamline
the TSC (Total Sanitation Camping).
• After the district level meeting similar Block level meeting with block officials will be
organized at Block level.
• Under VHSC fund an amount of Rs. 3000/- is meant for construction of sanitary toilet. The
fund will be handed over to PHE department by respective VHSC for further course of
action.
• Flex Hoarding Board BPHC wise 10 nos will be developed and installed
• IEC materials like Poster, leaflets etc will be developed and distributed .
Inter Sectoral Convergence with Education Department:
Activity already done:
• District level convergence meeting held with SSA on 30th October 2009 at SSA office Dhubri and finalized the programme.
• Initially 100 nos of Schools were selected for the programme.
• Block level Convergence meeting with SSA officials has been organized and strategy is prepared.
• Now as per action plan School Health Awareness Programme in 100nos of School is going on successfully.
Proposed Activity:
• In the next financial year another 100 nos of School will be selected for School Health Programme.
• School Teacher of the Selected School will be trained in phase wise.
• Health Awareness video will be screen in all the selected schools.
• IEC materials life Picture Chart will be developed for School students.
• Quiz, Essay writing & Art computations etc will on Health related subject will be organized. Total Budget proposed under Convergence during 2010-11 is Rs. 2,00,000.00
194
Chapter – 7 HMIS & Monitoring and Evaluation
As per letter of MD, NRHM, Assam vide no. NRHM/MIS/DO/121/09-10/19833-59 dt. 13th
Nov’09, the District Health Socety, NRHM, Dhubri has designated the following officiares as
Nodal Monitoring and Evaluation Officer in addtiona to their noram responsibilities for
strengthening monitoring and evaluation activities and to serve single point of contact for all health
related M&E information. The following officer is as follows –
Present Designation New Designation
District Data Manager District Data manager and District Nodal M & E Officer
Block Programme Manager Block Programme Manager and Block Nodal M & E Officer
It has also ensured that District Programme Officers (RCH, RNTCP, NVBDCP, NLEP, UIP,
IDSP etc) should endorse a copy of the compiled data to the Nodal M&E Officer at each level i.e
District & Block level and should cooperate with newly designated Nodal M&E Officer at each
level for builing up the integrated health database.
Data Uploading in the Web Portal
District Nodal M&E officer is responsible for uploading regaular HMIs data in the HMIS
portal. All programme officers are cooperating with the District Nodal M&E Officer to upload data
correctly, completely and regularly.
Data quality
It has also ensured that the data before uploading in the HMIS webportal should be
verified properly.
Monitoring & Evaluation
Monitoring and Evaluation is the backbone of any programme. Monitoring may be done
for ongoing activities for effective implementation of any programme and the impact should be
assessed through proper evaluation of the activities initiated under NRHM .
To achieve the desired outcome it is mandatory to conduct review at all level; i.e. from
District level to Block level at regular intervals in a systemic manner. The required Mobility
Supports for the officers who will be entrusted with the job of monitoring and supervision would
also be under this component of the programme. As new reporting formats would be introduced,
it has been decided that all the officers and staff who will be involved in the programme would be
adequately trained and assigned so that there will be no communication gaps and the desired out
come would be reach at the District in due time.
195
Monitoring
1.
Impact evaluation will be conducted with the help of internal/external agencies as per the
need of the programme.
The main aim of NRHM is to provide accessible, affordable and quality health care to the
rura population to reduce Maternal Mortlity Rate(MMR), Infant Mortality Rate(IMR), Total
Fertality Rate(TFR) and minimize disease burden (viz- Gastroenterities/Malaria/TB etc). This will
be possible only when all Institutions from Sub-Centre upto District Hospital can be made
functional in true sense. Monitoring is the only way to know whether the institutions are functioning
or not and also to identify the gaps in Infrastructure, Manpower, Equipments, Instruments and
other Logistics. Monitoring can be done by four ways
1. Direct Observations using checklists (Different Checklist for different Institutions)
2. Reviewing and analyzing HMIS reports
3. Taking to the Community (interaction)
4. Conducting PHC level review meeting
DHS Secretariat (District Programme Management Support
Unit (DPMSU)
District Health Mission (DHM)
Block Health Committee
Hospital Management Society of Block PHC/CHC
Village Health Committee
At District Level
District Health Society (DHS)
Programme Committee for various health programmes
At Block Level
DISTRICT MONITORING TEAM
196
Approaches of Monitoring
1. Monitoring from District level
As per the letter of MD, NRHM, Assam vide no. NRHM/DOC/557/07-08/6685-6711 dated
26.6.08, A District Monitoring Team has been constituted with the following members : -
1. Joint Diretcor of Health Services cum Member Secretary, DHS, Dhubri
2. Addl CM & HO (FW), Dhubri
3. DIO, Dhubri
4. SDM & HO (HQ), Dhubri
5. DPM, DME, DAM, DDM, Dhubri
6. SDM & HO (PH)/JSY Nodal Officer, Dhubri
The Institution to be monitored by District team:- District Hospital, SDCH, FRU, CHC, 24x7
PHC, Block PHC and Cross monitoring of the institutions monitored by Block PHC
Sources of Information to be taken during monitoring: - Reports, OPD/Indoor Register,
Attendance Registers, Drugs Stock Regsiter and Other registers maintained by the concerned
institutions, FMR, Minutes of the meeting etc and Special tools like case studies/diary. Recorded
Observations, One-on-One Interview, Focus Group Discussion, Sample Survey Recording etc.
Through Monitoring we can
- Review Progress
- Identifying Problems in Planning and/or Implementation
- Make adjustments to make a difference.
The District Monitors will do monitoring and supervision as per allotted BPHC and as per
quarterly plan and submit the monitoring report to the Joint Director of Health Services cum
member secretary, DHS, Dhubri in 1st week of every month on the basis of Check list so that
remedial measures can be taken.
197
2. Monitoring from Block level
A block level monitoring team has also constituted to monitor vaious health programmes
under NRHM in their respective Blcok PHC area.
The Team consist of SDM& HO/In-Charge of BPHC, Sectoral MO, BPM, BAM, Asst BPM,
BEE etc.
During 2010-11, it will be ensured that the team will carry prescribe checklist of monitoring
and submit the detail report to the in-Charge of Block PHC with a copy to Dist. HQ. The copy of
the monitoring report will be send to each MPHC/SHC/SD/SC with feedback and suggestion for
improvement.
3. Monitoring Micro Plan
In order to stream line of monitoring system it will be ensured during 2010-11, that each
BPHC will prepare a micro monitoring plan and submit to the District and also stick to the
monitoring Micro Plan and submit report to the District HQ. It will be ensured that the District
monitoring team will do the monitoring and supervision as per quarterly micro monitoring plan as
enclosed herewith.
Quarterly Micro Monitoring Plan of District Monitoring Team
Sl No Designation
of Official
Jan’10 Feb’10 Mar’10
Name of Institution to be visited
Name of Institution to be visited
Name of Institution to be visited
1 JDHS, Dhubri
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
2 Addl. CM & HO (FW), Dhubri
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
3 DIO, Dhubri
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
4 SDM & HO (HQ), Dhubri
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
198
5 SDM & HO (PH), Dhubri
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
6 DPM/DDM, NRHM, Dhubri
Gauripur CHC, Geramari MPHC
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Bilasipara SHC, Sapatgram SHC, Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
7 DME/DAM, NRHM, Dhubri
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Bilasipara SHC, Sapatgram SHC, Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Gauripur CHC, Geramari MPHC
199
Sl No Designation
of Official
Apil’10 May10 June’10
Name of Institution to be visited
Name of Institution to be visited
Name of Institution to be visited
1 JDHS, Dhubri
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
2 Addl. CM & HO (FW), Dhubri
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
3 DIO, Dhubri
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
4 SDM & HO (HQ), Dhubri
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
5 SDM & HO (PH), Dhubri
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
6 DPM/DDM, NRHM, Dhubri
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Gauripur CHC, Geramari MPHC
7 DME/DAM, NRHM, Dhubri
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
200
Sl No Designation
of Official
July’10 Aug10 Sept’10
Name of Institution to be visited
Name of Institution to be visited
Name of Institution to be visited
1 JDHS, Dhubri Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
2 Addl. CM & HO (FW), Dhubri
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Gauripur CHC, Geramari MPHC
3 DIO, Dhubri
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
4 SDM & HO (HQ), Dhubri
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
5 SDM & HO (PH), Dhubri
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
6 DPM/DDM, NRHM, Dhubri
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
7 DME/DAM, NRHM, Dhubri
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
201
Sl No Designation
of Official
Oct’10 Nov’10 Dec10
Name of Institution to be visited
Name of Institution to be visited
Name of Institution to be visited
1 JDHS, Dhubri
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
2 Addl. CM & HO (FW), Dhubri
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
3 DIO, Dhubri
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
4 SDM & HO (HQ), Dhubri
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
5 SDM & HO (PH), Dhubri
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
Mankachar CHC, Sukchar MPHC, Sadullabari SHC, Kakripara SD, Jhawdanga SD
Gauripur CHC, Geramari MPHC
6 DPM/DDM, NRHM, Dhubri
Halakura CHC, Agmoni CHC, Satrasal MPHC, Boterhat SD
Gauripur CHC, Geramari MPHC
Jaruwa MPHC, Chirakuti MPHC, Fakirganj MPHC, Medartari SD
7 DME/DAM, NRHM, Dhubri
Bilasipara SHC,
Sapatgram SHC,
Santipur MPHC Lakhiganj SD, Futkibari SD, Bogribari SD
Dumurdaha MPHC, Dhepdhepi MPHC, Moterjhar MPHC, Bherbhangi SD, Kachokhana SD,
Chapor FRU, Salokocha SHC, Bahalpur SD, Champabati MPHC
4. Reports and Returns
It will be ensured during 2010-11 that DH/BPHC/CHC/PHC/Sc will submit the report as per
New HMIS format.
202
5. Review meetings
a.District Review Meeting :
It will be ensure that District Review meeting on 6th to 7th Day of the month after receiving HMIS report from all Block PHC/SDCH/DH. The DPM will collect all the minutes of BPHC Level review meeting and prepare asummary note. The agenda and agenda note will be prepared by DEMO/Dy. DEMO & DPM inconsultation with Addl. CM&HO(FW) and Joint DHS. All Program Officers of the District/ DMO/ All SDM& HO I/C BPHC/ Superintendent Civil Hospital & SDCH/ Medical Officers from MMU & Boat Clinic/ DIO/Addl. CM & HO(FW) / CM & HO (CD)/ Principal ANM/GNM School/ District Programme Manager/ District Accounts Manager/ District Media Expert/ District Data Manager/ i/c MO District Drugs Store/District Drugs Store Manager/ AE/Junior Engineer (Construction)/ District CommunityMobilizer/ Computer Assistant / Data Entry Operator cum Office Assistant, District Drugs Store,etc will attend the meeting.
The minutes of the meeting will be recorded by the person entrusted by Joint DHS. Minutes must be submitted to Mission Director, NRHM, Assam along with presentation of the report analysis and monthly reporting format for review meeting (Annexure I). The attendance registered is to be maintained regularly by obtaining signature Institution wise so that absentees can be identified to take necessary action. Routinely the following are the points of discussion:- 1. At the Onset of the meeting - The Chairperson (Joint DHS) will read out the minutes of the last review meeting along with the action taken report. He will also discuss the salient points of last District Health Society meeting 2. HMIS Report – DEMO/DPM will present analyzed HMIS Report and will announce the names of the reporting units from where reports were not received. Reporting month means from 1st day to last day of the month (i.e., 1st to 30th / 31st / 28th/ 29th) as the case may be. They will also point out the Reporting Units submitting incorrect HMIS Report, so that reports are received Timely, Regularly, & Correctly. Performance of all health institutions of the Districts must be analyzed for all health indicators including ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc. District will identify the low performing areas for various Programmes like ANC,Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc to find out the cause of low performance and action to be taken.High performing Block PHC/ Health Institutions should be appreciated at the meeting. Soft copy and hard copy of the presentation of report analysis should be submitted to Mission Director, NRHM, Assam along with the minutes and Monthly Reporting Format for Review Meetings (Annexure-I).
203
3. Internal Monitoring Report – Joint DHS will discuss Institution wise gaps identified during monitoring by the District Monitoring Team and Action Plan is to be prepared in the meeting itself to minimize the gaps. Monitoring Report should be submitted to Mission Director, NRHM, Assam. Commonly identified gaps in respect to performance are as follows :- Activities Target Performance during
the reporting month Cumulative since April
No. of PW receiving 3 ANC
No. of High risk PW/PW with Complication in Antenatal Period referred
No. of Institution Delivery conducted
No. of JSY Beneficiaries
No. of Health and Nutrition Day Organized
No. of fully Immunized Infants
No of ASHA incentive given for full immunization DPT 1 to DPT3
No. of Dropout Infants from DPT 1 to Measles
No. of Dropout Infants from
Contraceptive Distributed
a) Nirodh b) Oral Pill c) E Pill
No. of IUCD inserted
No. of Mini lap performed
No. of Laparoscopic Sterilization performed
No. of NSV performed
No. of MTP performed
204
4. Status of Medicine/Contraceptive/Logistic – District Drug Store Manager (NRHM) will present his/her monitoring report and will discuss how uninterrupted supply of Medicine/Contraceptive/Logistic to all the Institutions can be ensured. 5. Status of Manpower – Health Institution wise status of Manpower (Doctor/ GNM/ ANM/ Lab Tech/ Pharmacist / etc) will be reviewed in the review meeting and gap analysis with action taken proposed will be recorded in the minutes. 6. Fund utilization - DAM will present Institution wise utilization of Fund bearing in mind that there should not be any backlog for payment of JSY incentive to Mother & ASHA. Guideline for utilization of untied, maintenance and RKS Fund is to be discussed thoroughly. 7. Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to be invited to the meeting to present status of Civil Works in entire District. 8. Feed back from the participants - The participants need to express their problems in implementing activities under NRHM and also to share their success stories. 9. UIP - DIO will present the Routine Immunization Report PHC wise and will announce the name of the PHCs lagging behind in performance and action to be taken to improve the performance. He/She will also discuss about Immunization week/ Pulse Polio/ Cold Chain Status whenever it is necessary. 10. NVBDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - The Program Officer of the concern Program will present the performance report along with action taken report to improve the performance. 11. Discussion on implementation of DHAP (District Health Action Plan) - The DPM will highlight the quarterly activities to be performed by District as ear marked in the work plan of DHAP. 12. Status of in service training – DPM will collect the status of in service training imparted in the District at various sites of the District. At present the trainings are as follows :- Training Name Load Achievement Cumulative
(Since April)
SBA at District Hospital
IMNCI by a Nodal Officer
IUCD by Expert Master Trainer
Mini lap Training at District Hospital
Laparoscopic Sterilization Training at District Hospital
MTP Training at
205
District Hospital
3 days Routine Immunization Training by DIO/ Addl. CM & HO (FW)
Neonatal Restabilization Training
13. Functioning of District Hospital/SDCH/FRU/ 24 x 7 PHC – In charge of these Institution will present there Functional Status and Action Plan is to be prepared to minimize the gaps 14. Orientation Hour - All circulars, guidelines received from the State (MD, NRHM/ DHS/GoA) during the reporting month are to be discussed thoroughly by Chairman and responsibility is to be fixed for implementation. New Programmes introduced should also be discussed in the meeting. 15. Miscellaneous - Any other issues which are considered as important are to be discussedin the meeting. The District review meeting will have impact over implementation of NRHM only when follow up actions are taken by the Joint DHS & Addl. CM & HO(FW) & All Program Officers. b. Block Level Review Meeing :
The Block PHC Review meeting is to be organized monthly by all Block PHC on 2nd to 4th
Day of every month after receiving HMIS Report from SC/SD/MPHC/SHC/CHC/FRU. The agenda and agenda note will be prepared by BEE & BPM in consultation with MO i/c Block PHC. All Sr MO from each institution, BPM/ BAM/ BEE/ Computor/ HE/ LHV/ Store In charge/ ANM, Male worker, under the Block PHC will attend the meeting. One representative from District Level will also attend the meeting. The minutes of the meeting will be recorded by the person entrusted by (MO I/C Block PHC). Minutes must be submitted to Jt. DHS of the district with a copy mark to Mission Director, NRHM, Assam. The attendance registered is to be maintained regularly by obtaining signature Institution wise so that absentees can be identified to take necessary action. Routinely the following are the points of discussion:- 1) At the Onset of the meeting - The Chairperson ( MO I/C BPHC) will read out the minutes of the last review meeting along with the action taken report.
206
2) HMIS Report - BEE & BPM will present analyzed HMIS Report and will announce the names of the reporting units from where reports were not received. They will also point out the Health Institution submitting incorrect HMIS Report, so that reports are received Timely, Regularly, & Correctly. Performance of all health institutions (CHC/MPHC/SHC/SD/SC) under the jurisdiction of the Block PHC must be analyzed for all health indicators including ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc. BPHC will identify the low performing areas for various Programmes like ANC, Institutional Delivery, JSY, PNC, Immunization, Family Planning, VHND, Majoni, Mamoni, etc to find out the cause of low performance and action to be taken. High performing Block PHC/ Health Institutions should be appreciated at the meeting. 3) Internal Monitoring Report - MO I/C Block PHC will discuss Institution wise gaps identified during monitoring by Block & District Monitoring Team and Action Plan is to be prepare in the meeting itself to minimize the gaps. Commonly identified gaps in respect to performance are as follows :-
Activities Target Performance during the reporting month
Cumulative since April
No. of PW receiving 3 ANC
No. of High risk PW/PW with Complication in Antenatal Period referred
No. of Institution Delivery conducted
No. of JSY Beneficiaries
No. of Health and Nutrition Day Organized
No. of fully Immunized Infants
No of ASHA incentive given for full immunization DPT 1 to DPT3
No. of Dropout Infants from DPT 1 to Measles
No. of Dropout Infants from
Contraceptive Distributed d) Nirodh e) Oral Pill f) E Pill
No. of IUCD inserted
No. of Mini lap performed
No. of Laparoscopic Sterilization performed
No. of NSV performed
No. of MTP performed
207
4) Status of Medicine/Contraceptive/Logistic - The Pharmacist (NRHM) will present his/her monitoring report and will discuss how uninterrupted supply of Medicine/Contraceptive/Logistic to all the Institutions can be ensured. 5) Fund utilization - BAM will present Institution wise utilization of Fund bearing in mind that there should not be any backlog for payment of JSY incentive to Mother & ASHA. Guideline for utilization of untied, maintenance and RKS Fund is to be discussed thoroughly. 6) Civil work - Junior Engineer/ Asst. Engineer allotted for the District is also to be invited to the meeting to present status of Civil Works in entire Block PHC Area. 7) Feed back from the participants - The participants need to express their problems in implementing activities under NRHM and also to share their success stories. 8) UIP/NVDCP/RNTCP/NLEP/NBCP/IDSP/IDDCP - SMO other than In- charge Block PHC is to be given responsibilities to implement these National programmes. He/She will present the performance report of these program in the meeting. 9) Discussion on implementation of Block Health Action Plan - The BPM will highlight the quarterly activities to be performed by BPHC as ear marked in the work plan of BHAP. 10) Status of in service training – DPM will collect the status of in service training imparted in the District at various sites of the District. At present the trainings are as follows :-
Training Name
No of persons trained
Docotr GNM ANM LHV Others
(Pleasespecify
11) Orientation Hour - All circulars, guidelines received from the District during the reporting month are to be discussed thoroughly by Chairman and responsibility is to be fixed for implementation. New Programmes introduced must be discussed in the meeting.
Subject of orientation will depend upon the findings of monitoring. It may be regarding functioning of Sub-Centre/ 24x7 PHCs/ORT corner /Adolescent Clinic/ MMU/Boat Clinic/ Innovative Scheme. 12) Miscellaneous - Any other issues which are considered as important are to bediscussed in the meeting.
The Block PHC review meeting will have impact over implementation of NRHM only when follow up actions are taken by the MO I/C Block PHC.
208
6. Capacity Building on New HMIS format and Registers for Block Official
During 2010-11, One day capacity building workshop will be done at District Level to
BPM/BEE/LHV/UE/Computor etc on New HMIS format and Regsiters.
7. Internet connectivity at Blcok Level:
During 2010-11, 7 nos. Block PHC, 1 CHC, 1 DH and 1 MC will be ensured that
the establsiment of Internet connection at Block PHC so that the sub-district level data
can be uploaded to the Ministry Web Portal.. It will also help to establish better
communication between District and Block PHC and save time, money and energy spend
for communication and report submission.
8. Procurement of HW/SW and Other equipments. During 2010-11, As the electricity is available in Bherbhangi SD, (PHC Acct =1), Bogribari SD (PHC Acct Proposed=1) and Dhubri Health & Maternity Centre (PHC Acct Proposed=1), 3 nos. computers will be proposed for 2010-11 at Bherbhangi SD, BogribariSd and Dhubri Health & maternity Centre.
Budget Allocation Sl No
Major Head Minor Head Budget in Rs. Details Remarks
1
Stregtening of M&E/HMIS
Salaries of M&E, MIS & Data Entry Operator
- - Budgeted under RCH and NRHM additionalities
2 Mobility for M&E Officers 2460000
3 M&E studies - -
4 Procurment of HW/SW and
other Equipments
Hardware & Software Procurement
200000 -
5 Internet connectivity 100000 -
6 Annual maintenance 300000
7 Printing and Computer Stationary
150000
8
Operationalising HMIS at Sub-District Level
Review of Existance Register to make them compatibe with National HMIS
50000 -
9 Printing of New Resgiters/Forms
- -
10
Capacity Building on New HMIS format and Registers for Block Official
50000
Total 3310000
209
Chapter – 8 Work Plan
Sl.
No. WORK PLAN
1st
Qr
2nd
Qr
3rd
Qr
4th
Qr
Responsible
Person
A RCH PROGRAMME
MATERNAL HEALTH
A1
S-1. Early registration of Pregnancy
Jt.D
HS/A
dd
l. C
M &
HO
/DP
MU
/DIO
Proposed Activities:-
a.Training of 1726 nos of ASHA on early detection and registration of Pregnancy in the Sub Centre area.
b. Identification of Pregnant Women and registration will be ensured by ASHA as early as possible taking help of urine examination for Pregnancy test by using of NISHYA KIT.
c. Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456 nos. of ANM
d. Village Health & Nutrition Day in 1500 villages of the District will be used as a platform for motivating and mobilizing the women for early registration of pregnancy.
e. The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for pregnant women where a pregnant women after her first registration receives a hand book on nutrional food and MCH card. On her 2nd checkup, a cheque of Rs. 500/- is given as monetory support for nutrional food and on her 3rd checkup, another cheque of Rs. 500/- is given and a voucher for referral transport.
S-2. To provide quality antenatal care to all pregnant woman by increasing the access through existing Govt. facilities.
Proposed Activities:
a. It will be ensured that all the existing 246 Sub-
Centres will be procure requisite equipments from the SC untited fund and it wil be equipped BP instruments, weighting mahine and examination table.
210
b. Regular supply of IFA tablet, TT injection and Hb Kit
wil be ensured in all 246 Sc & 41 Health Inst (SD/MPHC/SHC/CHC/FRU/BPHC/UHC/SDCH/DH)
c. In all the SC it will mandatory that ANM will perform
regular checkup of BP, weight and Hb test of all the registrated pregnant women and will keep a upto date record in the MCH register and tickler chart for follow up with the help of ASHA
d. Re Orientation Training of 456 nos. of ANM Block
PHCwise in a batch of 30 on physical examination of pregnant women, Hb estimation and record keeping.
e. Out of 246 SC functioning in rented building & Govt. dilapidated building, 58 nos SCs already taken up for construction during 2007-08, another 20 new SCs has been approved during 09-10 @ Rs. 7.5 lakhs and 70 nos. new SC will be proposed for construction for increase provision of quality antenatal care. (Annexure -A)
f. The sanctioned vacant posts of ANM will be filled up through regular appointment by the State Govt. Total sanctioned post vacant under Addl CM & HO(FW) establishment =87 and JDHS establish=11
g. As per the report there are total 376 nos.of ANM in the district in the SC. The total requirement for the district @ 2 ANMs per SC (excluding outreach area) is 116. Therefore the total contractual ANMs for the year 2010-11 will be 116
S.3. To provide quality antenatal care to all pregnant woman in inaccessible and uncovered areas.
Proposed Activities:
a. The uncovered and inaccessible areas under South Salmara, Birsing Jurwa, Fekamri, Jamadarhat and Mankachar Development block (Total No of Char Village=325, & Char Population=4,35,063) has been identified to provide ANC coverage regularly. A total 50 nos. of out reach post will be constructed @ Rs. 0.75 lakhs in Char areas to increase provision of quality antenatal care. The Out reaches post are deigned for the flood prone and reverine areas as these can be relocated and dismantled as per the requirement of the environment.
211
b. The contractual ANM may be posted under NRHM @ 2 ANMs per Out reach post (in 325 outreach area- Char). Total requirement is 100 ANM.
c.Logistic supply will also be regularized
d. Special camp to be organized to cover uncovered inaccessible areas by mobile medical team & Boat Clinic.
S-4. To increase awareness amongst the mothers and communities about the need of ANC.
Proposed Activities:
Communication strategies like street play, FGD, awareness meeting will be done laying emphasis on marriage after 18 years, first child after 20 years, need of ANC, birth preparedness and importance of hospital delivery to increase awareness amongst the mothers and communities about the need of ANC and exclusive breast feeding.
S-1. Increasing the access through facility strengthening.
Proposed Activities:
a. To strengthen the institutional delivery, the district has
upgraded and taken up to 3 no.s BPHC , 1 nos. CHC, 1 nos.
Maternity Centre, 6 nos. MPHC, 4 nos. SHC and 11 nos. SD
to 24x7 hr delivery services during 05-06 to 09-10, Out of
which the construction work has completed in 18 nos.
Health Institutions and providing 24x7 hr delivery services
and the construction work is going on in 8 nos. of health
institutions.
b. Again during 2009-10, fund has been received for 3 nos.
Health Institutions for upgradtion of 24x7 hr delivery
services with maternity wards and are in process.
c. As per facility survey there is a requirement of 21 nos.
labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,
13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup
Generator set including other logistics for 24x7 hr delivery
services for quality services. The institutionwise detailed
requirement is enclosed herewith as Annexure B
d. Contractual engagement of 4 MO (MBBS), 4 MO (Ayur)
and 49 GNM will be done in 24x7 PHCs deficient in
manpower. The institutionwise detailed requirement is
enclosed herewith as Annexure C
212
e. The repairing and renovation of PHC Quarter of
Jhowdanga SD, Bherbhangi SD, Dumardaha MPHC,
Moterjhar SD & Kachokhana SD will be taken up during
2009-10 so as to ensure that MO stays in Quarters.
f. During 10-11, 15 nos. SC has been proposed for taking up
the Institutional Delivery at Folimari, Islamari, Barunitara,
Simlabari, Adabari, Silairpar, Gharialdanga, Ranpagli,
Borkanda, Chotogiraipar, Ratidaha, Rakhalpat, Kanuri,
Fekamari and Baghapara SC. As per facility survey the gaps
interms of infrastrucre and equipments/furniture have to be
full filled during 2010-11.
g. 57 nos. GNM. 10 nos. LHV and 53 nos. ANM has already
trainined on Skilled Birth Attendent (SBA) at Civil Hospital,
Dhubri till Nov, 2009-10 another 24 nos. of GNM, and 12
nos. of ANM will be trained on SBA on priority basis to
improve the quality of services.
S-3. Social mobilization for institutional deliveries (Janani
Suraksha Yojana)
Proposed Activities:
a. The district will continue with Janani Suraksha Yojana,
wherein all the pregnant woman will be given incentives for
institutional deliveries till Nov, 09, the JSY beneficiaries in
the District are 10485, out of 11366 Institution deliveries.
b. For the Year 2010-11, the total Pregnant Women
estimated are 52041, this year the district proposed to
increase the institution delivery from existing level to least
50%.
c. The ASHA accompanying the pregnant woman for hospital
delivery will also be given monetary incentive under this
Scheme as per GoI guidelines.
d. For developing the practice of institutional delivery age
bar and order of pregnancy will not consider any more.
S-4. Referral of obstetric emergencies
Proposed Activities:
213
a. Village to Health facilities
Most of the parts of the district is backward and covered by
char area and most of the Pregnant women donot come to
health facilties for delivery because of of non availitbility of
transportation facility from village to health institution. In
this areas the means of communication are bullock carts,
hand pull carts, private vehicles and boats which are
available on hire. So the district proposed for providing
transportation facility to the pregnant women from village
to Health Institution including char areas.
The Projected Institutional Delivery for 2010-11 is 26020, In
these backward, referral transport money will be provided
to Prgenant women (expected Pregnant women living in this
backward area =10408 and Char areas 5204) coming for
Institutional Delivery under following categories
b. Health Institution to Health Institution
The Pregnant women and Sick New Born requiring referral
to higher institutions will be transported from one Health
Institutions to another using ambulance available in the
health facility.
S-1. To improve the comprehensive EmOC in the CHCs and
FRU.
Proposed Activities:
a. Construction of CHC to IPHS Standard has been
completed for Chapor, Mankachar Halakura and Gauripur
CHC in Dhubri district and required manpower will be
provided during 2010-11 as per IPHS for comprehensive
EmOC.
b. It will also be ensured to fill up all gaps in terms of
logistics and equipments during 2010-11 for
operationalizing these health facilities
c. 4 nos. of Specialist in each discipline of O&G, Pae, Anae,
Surgeon, and Radlogist
etc will be reqcruited on contract basis for 4 nos. IPHS
institution
Multi skilling training- 4 nos. MO (MBBS) will be trainined at
GMC for Anesthesia &
4 nos. MBBS doctors will be trained at SIHFW for EmOC to
make 4 nos. of CHC functional for comprehensive EmOC.
d. Ensure post partum care at Village level by
ASHA/AWW/ANM
S-1: Ensure post partum care at Village level by
ASHA/AWW/ANM
Proposed Activities:
214
a. The AWW/ANM/AHSA of 246 SCs of Dhubri district will
pay 3 post partum visit (1st within 2 days, 2nd within 14
days and 3rd within 42 days) in respetive sub-centre areas
and the activity will monitor by BPM/BAM/Asstt BPM.
b. During Village Health and Nutrition Day, the mothers will
be motivated on essential newborn care, early and exclusive
breast-feeding and adopting family planning practices by
ASHA/ANM
S-2: Ensure post partum care at PHCs and Higher Health
Institution
Proposed Activities:
a. It will ensure that the mother stays for 48 hrs after
delivery in the Health Institutions so that necessary care can
be taken if any complication arises and maternal mortality
can be reduced.
b. During their stay they will be counseled about essitential
New Born care, Early & Exclusive Breast feeding and
Adopting Family Planning practices.
S-1. Increase the access to safe abortion in Govt. facilities.
Proposed Activities:
a. DH/5 CHC/6 BPHC/ 2 SHC/ 1 MPHC/ 1 MC will be
provided with requisite Kits to provide safe MTP.
b. 40 MVA kit reveied by the District will supplied to all the
above health centers (2 each for DH/CHC/PHC/SHC/MPHC)
after training
c. 15 nos. of Doctors from PHC/CHC/SHC will be trained in
phased manner at District Civil Hospital, Dhubri for MTP
d. Proper maintenance of records will be ensured.
S-1: Operatonalize services for diagnosis & Treatment at
CHC/DH
Proposed Activities:
a. District Civil Hospital and CHC will be strengthened to
provide facilities for diagnosis and treatment of RTI/STI. The
PHC however will focus on syndromic approach and drugs
will be provided for the same. However, complicated cases
will be referred to higher institutions.
b. RTI/STI Kit will be provided to DHs and 5 nos. of CHCs of
Dhubri District
c. The Laboratory in the DHs, and CHCs will be provided with
requisite logistics (drugs and kits) twice a year.
215
S-2 Capacity building ANM/SN and Medical Officer & Lab
Tech for managing RTI/STI
Proposed Activities:
a. ANMs (14)/ LHV(7), GNM (14) and Doctors (10) & Lab
Tech (6) will be trained in the SIHFW, Guwahati in phase
manner.
S-3. Promote communication activities for prevention and
early care seeking for RTI/STI
Proposed Activities:
a. Communication activities will be developed laying
emphasis on symptoms of RTI, STI, and facilities available in
the block area of diagnosis & treatment. The activity is
budgeted under BCC/ IEC.
6.4.2 : CHILD HEALTH A2
S-1 ; Implementing Integrated Management of Neonatal &
Childhood Illeness
Jt.D
HS/A
dd
l. C
M &
HO
/DP
MU
/DIO
/DM
E
Proposed Activities
a. 13 nos. Medical Officer, 3 nos. Nursing Staff and 2 CDPO
has completed the ToT on IMNCI at SIHFW, Guwahati
b. The district will organize 8 days training on IMNCI for
1791 nos. of AWW workers and 455 nos. of ANM in
batchwise (24 partcipant per batch) as per training plan and
providing IMNCI Kits and followup.
S-2: Strengthening of the Govt facilities to provide
newborn care.
Proposed Activities :
a. During 2008-09, fund has been received @ Rs.4.2 lakhs
for establishment of 4 Bedded Neonatal Stabilization Unit at
Dharmasal BPHC, Golokganj BPHC, Raniganj BPHC,
Gazarikandi BPHC, Chapor CHC, Gauripur CHC, Halakura
CHC, Agomani CHC, Mankachar CHC, 20 Bedded MC,
Sapatgram SHC and Bilashipara SHC and the work is in
progress.
b. Again during 2009-10, fund has been received @ Rs.4.2
lakhs for establishment of 4 Bedded Neonatal Stabilization
Unit at Salokcha SHC, Dhepdhep MPHC, Satrasal MPHC,
Tamarhat MPHC and Lakhiganj Sd and the work yet not
started
c. During 2010-11, the Neonatal Stabilization Unit of Dhubri
districts have to make functional by providing logistics and
manpower.
216
S-3. Capacity building of Doctors and Nurses on Basic Neo
Natal Resuscitation training
Proposed Activites :
a. The District TOT on Basic Neonatal Resuscitation
technique has completed for 24 nos. Medical Officer, 2 nos.
Sister Tutor, 2 nos Staff Nurse and 4 nos LHV at Dhubri
b. Block level training of 48 nos of Doctors and 74 nos. of
GNM’s of 24 x 7 PHC’s will be done on Basic Neo Natal
Resuscitation techique batchwise (30 nos. participant per
batch) as per training plan.
S-1. To increase awareness amongst mothers on benefits
of breast-feeding upto 6 months and need of
complementary feeding from 6 month onwards.
Proposed Activities:
a. IEC/BCC activities will be developed laying emphasis on
early feeding of colostrums, exclusive breast-feeding of 6
months and importance and preparation of complementary
feeding from 6 months onwards.
b. Village Health and Sanitation Committees, SHG may also
be involved for motivating pregnant women and lactating
mothers to promote exclusive breast feeding
c. ASHA will counsel the mothers on the importance of
exclusive breastfeeding and complementory feeding.
d. During VHND, pregnant women and lactating mothers are
to be motivated for exclusive breast feeding.
S-1. To raise awareness amongst mothers and
communities on diarrhea ARI.
Proposed Activities:
BCC/ IEC activities will be developed laying emphasis on use
of HAF, continuing breast-feeding, solid feeds, ORS usage,
and identification of danger signs of diarrhea and ARI. (To
be included under BCC/ IEC).
S-2. Making ORS and zinc tablets available in
remote/rural/tribal areas and difficult to reach areas
through depot holders.
Proposed Activities:
a. The refresher training of ASHA and AWW will be done on
usage of ORS and Zinc tablets.
b. ASHA/AWW will made depot holder for distributing ORS
packates. The ASHA kit and SC Kit-A have ORS packats. The
supply of AHSA Kit and SC Kit-A twince in a year will be
ensured. The AWW will also be provided ORS packats.
217
c. Performance of the depot holders and replenishment of
the stock shall be reviewed by the PHC MOs/ BPM quarterly
and arrangement for readily available stock of ORS to the
depot holders shall be ensured from the BPHC
S-3. Strengthen facilities at PHC, CHC, SDH and DH.
Proposed Activities:
a. Fund @ Rs. 25000/- has been received for establishment
of 13 nos ORT corner in DH, PHCs, CHCs, SDH and SHCs of
Dhubri District. Out of which fund has been utilized for
establishment of 10 nos of ORT Corner in the District.
b. During 2010-11, the remaining fund has to be utilized for
establishment of ORT coner in different identified Health
institutions of the district.
c. The health facilities will be provided with required drugs
and kits
S-4. Promote referral services of severe cases of ARI and
diarrhoea.
Proposed Activities:
a. The VHND will be used as platform to bring awareness
amongs the mothers and communities about warning signs
of diarrhoea and ARI.
b. The health functionaries will be given reorientation
training for detection of ARI and Diarrhoea cases requiring
referral.
S-1. To prevent and treat anemia in children.
Proposed Activities:
a. The pregnant women and mothers will be counseled by
ASHA/AWW/ANM about importance of exclusive breast-
feeding upto 6 months, importance of complementary
feeding from 6 months onwards and preparation of iron rich
food.
b. Regular supply of IFA (s) tablets will be ensured to treat
anemia.
c. Children below 6 months to 60 months will be given 20
mg. elemental iron and 100 gm of folic acid in liquid
formulation.
d. Under School Health Programme weekly distribution of
IFA tablets to Girls and Six monthly distribution of
Albendazole for de-worming by the the Nodal School
Teacher. The School teacher will ensure that the girls will
consume IFA tablets infront of her.
e. It will be ensure that each school should have one fix day
for IFA distribution with minimum absenteeism.
218
S-1. To work closely with ICDS functionaries to reduce
malnutrition.
Proposed Activities:
a. Emphasis will be laid to reduce malnutrition amongst the
children (3 – 6 years) by working with ICDS functionaries
and augmenting the mid day meal programme
S-1. To prevent and treat Vitamin-A deficiency and de-
worming campaign among children .
Proposed Activities:
a. Vit-A will be made available in all the institutions till the
Sub-Centre level and administration of Vitamin-A upto 5
years of age will be ensured.
b. VHND held every month in the village will also be used as
a platform for Vit-A administration.
c. In 2010-11, 2 rounds of Vitamin –A week campaign
alongwith de-worming May, 2010 and December, 2011.
FAMILY PLANNING
A3
S1. To raise awareness amongst the couples and
communities about the advantage of contraceptives and
small family.
Jt.D
HS
/Ad
dl.
CM
& H
O/D
PM
U/D
IO/D
ME
/FP
Co
rdin
ato
r
Proposed Activities:
a. Communication messages will be printed about
importance of FP and availablity of FP services alongwith
incentive offered and distibuted to ASHA/ANM/AWW
(Details in IEC/BCC plan)
b. IEC materials will be dirtributed to the community by
ASHA/AWW/ANM in VHND alongwith Family Planning
counseling for eligible couple for adopting family planning
methods.
c. During Home visit on Moday and Thursday ANM & ASHA
will update eligible couple register and motivate the couple
to adopt FP methods as per choice of the couple
d. BCC/IEC activities will be done with help of AWW, ASHA,
Woman’s SHGs, FNGOs as per need of the locality to raise
awareness amongst the couples and communities about the
advantage of contraceptives and small family.
e. During Health Day disadvantages of early marriage (too
early, too many and too frequently) are to be explained
especially to adolescent girls with the help of opinion and
religious leaders of the village.
219
f. One separate room will be allotted where ANM/GNM will
conduct counseling session’s alongwith distribution of
contraceptive/IEC materials etc. in District Hospital, CHCs
and BPHCs, MPHCs. SHCs, SDs during OPD hours.
S2. Increase the number of service delivery points.
Proposed Activities:
a. ASHA will act as a depot holder for Condom, Oral Pill and
E-Pill and regular replenishment of the contraceptives on
exhaustion is to be ensured during 2010-11.
b. 13 nos. of Doctor, 17 nos. of GNM, 29 nos. of ANM and 9
nos. of LHV has completed the TOT on inerstion of Copper-T
380A at Dhubri.
c. Training of 30 MO/ 120 ANM/ 40GNM on IUD Insertion
will be done as per training Plan during 2010-
11.(Annexure……..)
d. The IUCD Kit received during 2009-10 alredy distributed
where training imparted another 100 nos of IUCD kit will be
required during 2010-11.
e. On Tuesday and Friday of every week Family planning
services including IUD Insertion (after training of 120 nos
ANM in Govt.Building) are to be provided in all the Govt.
Building Sub Center of the District under the supervision of
LHV/Doctor will be ensured. Family planning counseling will
also be done alongwith.
f. Fixed day family IUD insertuion along with family planning
counseling will be ensured at DH/FRU/CHC/BPHC/PHC.
g. The women will be provided Rs. 20/- as per GoI guidline
under RCH progrogramme for each IUD insertion, Budget
under RCH flexipool.
S3. Improve the service delivery to provide quality female
sterilization.
Proposed Activities:
a. The District Hospital, CHC/FRU will be equipped with
requisite infrastructure and logistics are to be provided
Laparoscopic sterilization. (Annexure E)
b. Fixed day sterilization (Lap. Camp) in the facilities twice in
every week in the District Hospitals and once in Chapor
CHC/FRUs will be ensured.
c. Female sterilization in every 2 months in 4 CHCs, 3 BPHCs
and 1 SDCH by camp approach will be ensured.
220
d. 1nos. of SDCH, 4nos. of CHC and 3 nos. of BPHC will be
provided with OT table and Boyles Appeartus for
Laprascopic Sterilization.
e. DH/FRU/4nos. of CHC/1nos SDCH/3 BPHCs will provided
with Co2 Gas Cylinder for Laprascopic sterilization.
f. Training of 4nos. Medical Officers, 4nos. of OT boys on
Co2 gas technique as per training Plan.
g. Medical Termination of Pregnancy, MTP will be ensured
at DH/CHC/FRU/BPMC/MPHC/SHC after imparting training
to 15 MOs and after providing MVA Kits received during 09-
10
h. PPS will be ensured at District Hospital, Chapor FRU and
Gauripur CHC where PPS surgeon & Mini Lap Kits available.
i. The beneficiaries will be given incentive for Female
sterilization as per GoI guidline.
S4. Encouraging Post partum Sterilisation scheme.
Proposed Activities:
a. JSY Beneficiaries are to be motivated for accepting Post
Partum Sterilization and refer the acceptor to FRU/CHC/DH
where PPS can be done at every level.
b. The JSY beneficiary adopting female sterilsation will get
compensation money of Rs. 600.00. Moreover the scheme
also provides for Rs. 150.00 motivation fee for ASHA and
AWW respectively.
S1- To raise awareness among the community regarding
Non Scalpel Vasectomy.
Proposed Activities:
a. One day District level workshop will be organized by the
Addl CM & HO (FW) incordination with District
Administration. Zila Parishad (PRI) members, DIPRO,
Teachers, Opinion leaders, Social activist, NGO of NYK etc.to
sensitize them on the importance and promotion of NSV.
b. Similar workshop will be organize at Block PHC Level
involving chaired by BDO for teachers, Openion leaders,
religious leaers, PRI members etc to sensitize them on on
the importance and promotion of NSV.
c. IEC material like Hand bill, Brochure, Leaf lets etc on NSV
will be developed
d. BPHC wise outdoor publicity material on NSV like
Hoarding, Bill Board, Flex Banner etc will be install in Public
gathering areas
221
S2- To improve the service delivery to provide Non Scalpel
Vasectomy
Proposed Activities:
a. At the BPHC level one NSV camps cum training for MOs
will be organized registering at least 20 acceptors of NSV.
One trainer from the Medical College or two trainers from
District will attend the workshop. This camp will be
organizded in each 7 Block PHCs of Dhubri District monthly.
In the workshop MOs from PHC wil be trained.
b. The train MO of the Block and Master trainer of the
District will attend to perform NSV sterilization in each Block
and compensation money will be paid as per GoI guidelines.
6.4.4 : ADOLESCENT HEALTH A4
1. School Health Programme (Details under Intersectoral Convergence)
Jt.D
HS/
DP
MU
1. Adolcent Clinic in the Health Institutions
Proposed Activities:
a. Fund has been received for establishment of Adolescent
Health Clinic in 10 nos. of BPHCs/CHCs of Dhubri district and
Out of which 6 nos. of Adolcent Health Clinic has been
established.
b. During 2010-11, the remaining 4 nos. of Adolescent
Health Clinic has to be established and to make functional
already established Adolcent Health Clinic in true sense.
c. IEC & BCC activities will be developed laying emphasis on
normal physiology, menstrual hygiene, use of CC, OC, EC,
unwanted pregnancy, safe abortion, child marriage, various
risk of teenage pregnancy etc.
d. Identification of adolescent groups and numbers of
organized and drop out sectors through school health
programmes and at the village level during regular home
visit by ANMs by maintaining a register.
e. Counseling sessions will be held at regular intervals at
fixed sites for both adolescent boys and girls separately.
Counseling will be provided on the health days.
f. Alolescents will be supplemented with 30 mg elemental
iron and 250 mcg folic acid per day for 100 days in a year
222
g. Special counseling and on the spot provision of IFA tablets
to adolescent girls in order to prevent anaemia.
h. District will arrange training of School teachers on the
basic knowledge of adolescent health.
6.4.5 URBAN RCH
A5
S-1 Institution strengthening through creation of Urban Health Centres
JDH
S/S
DM
& H
O/U
rba
n H
ea
lth
Off
ice
r
Proposed Activities:
During 2009-10, the District has started the Urban Health
Centre, Rail Gumti area covering 30,000 population of the
District and is providing following services.
• OPD services, 4 hrs in the morning and 2hrs in the evening
• Provding services like counseling services basic laboratory
services, collection and reporting of vital events and IDSP
and services for non Communicable diseases.
• It will conduct health camps in the areas under the UHC to generate awareness in the community.
During 2010-11, 3 nos of Urban Health Center is to be
established in the urban slums of Dhubri namely, at 1)
Bahdur Tari, 2) Dabry and 3) Choto Harishaba.
During 2010-11 the Urban Health Centers have to make
functional by providing manpower and logistics.
6.4.6 VULNERABLE GROUP
A6
S-1: Promoting Boat Clinic for char areas of Dhubri, District
Proposed Activities: a. Antenatal Care services by Boat Clinic
In-C
ha
rge
of
Bo
at
Clin
ic/D
PM
U
b. Postnatal care services by Boat Clinic
c. Family Planning services
d. Routine Immunization
e. Curative care
f. Basic Laboratory Services.
B
NRHM Additionalities
S-1: Strengthening Village Health and Sanitation
Committees (VHSC).
Proposed Activities
223
a. For the development of the villages of Dhubri district
wherever there is an ASHA Village Health & Sanitation
Committee has been formed as per NRHM guideline. In
Dhubri district 1310 nos of VHSC has formed and open bank
account and out of which 1300 nos of VHSC has received an
amount of Rs.10,000 as Untied Grant.
DP
MU
/SD
M &
HO
Sch
oo
l H
ealth/N
od
al O
ffic
er-
JS
Y/A
SH
A
b. During 2010-11, additional 380 nos of VHSC has to be
formed in the left out villages of the district where
additional ASHA has been selected and have to open the
bank account for Untited Grant
c. Capacity building of the 1690 VHSC members is proposed
during 2010-11 through MNGO/NGO including importance
and preparation of Village Health Plan.
d. During 2010-11, the Village Health Action Plan of each
VHSC will be ensured.
e. The VHSC will be responsible for the overall health of the
village. It will take into consideration of the problems of the
community and the health and nutrition care providers and
suggest mechanism to solve it
f. The committee will monitor all the health activities that
are conducted in the village such as Village Health &
Nutrition Day, Mothers Meeting etc.
g. VHSC along with the ANM will be responsible to conduct
household survey in the village.
h. It will discuss every maternal or neonatal death that
occurs in their village, analyze it and suggest necessary
action to prevent such deaths. Get these deaths registered
in the Panchayat.
i. During emergency like flood or any epidemic the
committee will utilize the fund for the relief camps or
supplies such as in case of flood it can supply Halogen tablet
for purification of water, ORS, Bleaching powder etc.
S-2: Observing Village Health & Nutrition Day
Proposed Activities
During 2010-11, Observation of VHND will be ensured every
month in each villages of Dhubri District by
ASHA/AWW/ANM in the Awganwadi Centre where services
like ANC, PNC, Immunization by ANM and Health Education
and awareness will be provided by
ASHA/AWW/BEE/LHV/ANM etc.
224
Procurement of Examination table, BP Instrument, Weighing
machine etc will be ensured in the newly formed VHSCs out
of VHSC fund for successful observation of VHND.
Involvement of VHSCs members will be ensured during
2010-11 in each VHND.
The Contigency fund of Rs. 100 for observing VHND will be
provided out of VHSC fund.
Organizing Health Melas.
Proposed Activities:
3 nos. of Health Melas has been organized during 2009-10
with objective to provide an easy to accesss platform for
health services for all segments of population of the District.
During this Health Melas extensive IEC on Malaria, Family
Planning, TB, Blindness, AIDS, Leprosy, Water & Sanitation
etc. was done.
During 2010-11, similar Health Mela will be organized in
Malaria prone area of the District.
Rs 5 lakhs for is proposed for organzing Health Mela during
2010-11.
S-1 . Selection, Training and support to ASHAs
Proposed Activities:
a. The selection and training of 1340 nos of ASHAs of Dhubri
has completed 5th Module Training.
b. The selection of Additional 380 nos of ASHA has also
completed in the left out villages of the District.
c. During 2010-11, 1st, (Induction Training), 2nd, 3rd, 4th &
5th Module training of 380 nos ASHAs will be ensured. (No
fund is proposed as fund already received)
d. Also refresher training is to be imparted to 1340 nos. of
ASHAs who have completed 4th module training
e. 380 nos of Radio Set, Umbrella and Bag is proposed
during 2010-11 for 380 nos of additional ASHA.
S-2 : Providig ASHA Drug Kits
Proposed Activities:
Durig 2010-11, 1726 nos of ASHA Drug Kits is proposed for
1726 nos. of ASHA of Dhubri District
Proper utilization of Drug Kit will be enusred during 2010-11
under the supervision of ANM and Sectoral MO.
S-3 : ASHA Facilitator
Proposed Activities:
225
During 2009-10, 176 nos. of ASHA Supervisor has been
selected for 7 BPHC of Dhubri District ie. 1 supervisor for 10
ASHAs to handhold and monitor the ASHA activities.
During 2010-11, these facilitators has to be trained on ASHA
programme under NRHM and also on field level monitoring
to be done so that they have an overview of various on
going programmes under NRHM. The proposed training will
be conducted through District ToT ASHA Facilitator.
Honorarium including TA/DA of ASHA facilitator will be
provided as per norms
S-4: Incentive to ASHAs for Full Immunization
Proposed Activities:
The District will continue for providing incetive of Rs. 250/-
to ASHAs for each fully immunized child as this increases the
full immunization coverage rate of the District as the ASHAs
after BCG will keep a track of the infants in her village as she
is from the same village and will accompany the mother to
the sub-centre to vaccinate the infant.This will also help the
ANM in tracking/vaccinate the infants as there are instances
where the ANM fails to vaccinate the infant as mothers are
not willing or forgotten about the date of Immunization of
their child but with the help of ASHAsi it will be easier for
the ANM to conveience the mothers and also kepeping a
track of the Infants.
S-1. Providing Untited and Annual Maintenance fund to SC,
PHC, CHC, SDCH
Proposed Activities:
a. As part of the National Rural Health Mission, it is
proposed to provide each Health Institutions ie. SC, PHC,
CHC, SDCH will be provided with Unitied and Annual
Maintenance Fund. Th Untited funds will be utlize for the
following purposes-
During 2010-11, it will be ensured that each health
Institutions will have the clear action plan for utilizing the
Unitied and Annual Maintenance Fund
S-2. Strengthening Rogi Kalyan Fund/Hospital
Mamangement Committee
Proposed Activities:
226
a. The Rogi Kalyan Samitee/Hospital Management
Committees has been formed in District Hospital, SDCH, 5
BPHCs, 6 CHCs, 4 SHCs, 11 MPHCs, 11 SDs, 1 Maternity
Cnetre, with an objectives to have facility based planning
and community involvement and ownership of the Health
facilties by the respective RKS Committee/HMC
b. During 2010-11, It is proposed to provide RKS fund to all
the Health Institutions
c. During 2010-11, all the RKS are to be registered under
Societies Act.
d. During 2010-11, it will be ensured that each health
Institutions will have the clear action plan for utilizing the
RKS Fund
e. For the assessment of the RKS fund utilization by
DH/SDCH/PHC/CHC/SHC/SD during 2009-10 an evaluation
(Audit) will be done in the year 2010-11
S-3. Strengthening physical infrastructure of
SCs/PHCs/CHCs,
Proposed Activities (Sub-Centre)
Out of 246 SC functioning in rented building & Govt.
dilapidated building, 58 nos SCs already taken up for
construction during 2007-08, another 20 new SCs has been
approved during 09-10 @ Rs. 7.5 lakhs and 30 nos. new SC
will be proposed for construction for increase provision of
quality antenatal care. (Annexure -A)
Proposed Activities (PHCs)
During 2006-07 and 08-09, Construction of Doctors (1 unit)
and Nurse Quarter (3 unit) has been taken up in Golokganj
PHC, Bilashipara SHC, Gauripur CHC, South Salmara CHC,
Bogribari SD and Dhepdhepi MPHC and construction has
been completed in all institution.
b. During 2010-11 Construction of Doctors (1 unit) and
Nurse Quarter (3 unit) has to be taken up at Sadullabari
SHC, Kachokhana @ Rs.28.80 lakhs
c. During 2010-11, the following health institution has to be
taken up for Quarter repairing JhowdangaSD, Bherbhangi
SD, Dumardaha MPHC, Moterjhar SD & Santipur MPHC
@10.00 lakhs per institution.
S-4. Providing Additional manpower at SCs/PHCs/CHCs/
SDCH
Proposed Activities (Sub-Centre)
227
As per the report there are total 376 nos.of ANM in the
district in the SC. The total requirement for the district @ 2
ANMs per SC (excluding outreach area) is 116. Therefore the
total contractual ANMs for the year 2010-11 will be 116
The contractual ANM may be posted under NRHM @ 2
ANMs per Out reach post (50 nos. out reach post under
South Salmara BPHC). Total requirement is 100 ANM.
Proposed Activities (PHCs)
Contractual engagement of 4 MO (MBBS) and 4 MO (Ayur)
will be done in 24x7 PHCs deficient in manpower.
Proposed Activities ( For CHCs & SDCH)
Specialist Doctors on contract basis to be placed at 4 nos.
IPHS institutions and SDCH Hatsingimari
Proposed Activities ( For GNM at BPHC/CHC/24x7 PHCs)
At Present, thereare 122 nos. of GNM have been posted at
various Health Institutions of Dhubri District, Out of which
53 nos. are Reqular GNM and 69 nos. are Contractual GNM.
To make the Health facility functional as IPHS norms, 192
nos. GNM is proposed during 2010-11.
S-5: Strengthening the District Hospitals by improving the
physical infrastructure.
Proposed Activities:
During 2008-09, Construction of 200 bedded Civil Hospital
under NRHM has been taken up and the progress of work
till Nov, 09 is around 60 %. Total project cost is Rs.7.14 Cr
and after completion necessary logistics will have to be
supplied during 2010-11
S-6: Strengthening the Nursing Schools by improving the
physical infrastructure.
Proposed Activities:
Construction of RCC GNM School cum Hostel Building for
100 nursing students at Dhubri Civil Hospital is in progress
(42%). Total project cost is 2 Cr. So, no fund proposed in the
current year.
S- 7.Ambulance for all PHC’s/CHCs/District Hospitals:
Proposed Activities:
During 2010-11, new ambulance for Dumardaha MPHC is
proposed @ Rs.5 Lakhs.
S-1: Ensure proper functioning of the health centres by
providing necessary equipments and drugs.
228
Proposed Activities : (Supply of Drugs)
As per the IPHS norms the District propose to supply the Drugs for all the Health Instution as mentioned below
SC
BPHC/MPHC/SHC/SD/MC
CHC
SDCH
Civil Hospital
Urban Health Centre
PPP Hospital
MMU
Boat Clinic
Proposed Activities : (Supply of Equipments)
As per facility survey there is a requirement of 21 nos.
labour table, 21 nos. of Stand light, 10 nos. Radiant warmer,
13 nos. Auto clave, 19 nos. Electric Sterilizer, 19 nos. backup
Generator set including other logistics for 24x7 hr delivery
services for quality services. The institutionwise detailed
requirement is enclosed herewith as Annexure B
The IUCD Kit received during 2009-10 alredy distributed
where training imparted another 100 nos of IUCD kit will be
required during 2010-11.
S-1: Strengthening the block for effective implementation
of the programme
Proposed Activities : Support to district and Block level
Resource Groups.
During 2010-11, to support the Block Programme
Management Unit the following manpower is proposed .
S-1: Strengthening the planning activities.
Propsoed Activities:
1. Resource mapping in every village done by Village Health
& Sanitation Committee will help to assess the need of the
community. Therefore, by undertaking household and
facility survey, the actual need of the community can be
assessed which is also the essential requirements for
developing District Health/Block Health Action Plans-annual
& perspective.
2. Orientation of VHSC of each BPHC.
S 1.: Support to Mobile Medical Units (MMU)
Proposed Activities:
229
a. With the objective to take health care to the door step of
the public in the rural far flung areas, especially in under
served areas, the district has received the Mobile Medical
Unit with specialized facilities like USG, X-ray etc and will
continue the service.
b. During 2009-10, training of GNM, Pharmacist,
Radiographer and lab Tech. of MMU is proposed for skill
upgradation.
c. For Implmenting the Mobile Medicla Unit, Total fund
proposed 21.66 lakh for 2010-11 for recurring expenditure
of MMU, Dhubri. Details budget enclosed.
S-2: Promoting Boat Clinic in char areas of Dhubri district.
Proposed Activities:
Antenatal Care services by Boat Clinic
Postnatal care services by Boat Clinic
Family Planning services
Routine Immunization
Curative care
Basic Laboratory Services.
S-1: Train and enhance capacity BPMU, PRIs & Medical
offcers
S-2 : Stregthening Infrastructure of of District Training Hall
Proposed Activities:
In order to organize the different trainings for the
officials/health workers under the establishment of JDHS,
Addl CM & HO(FW), Dhubri, it is required to repair and
renovate the existence Training Hall, during 2010-11. A total
Rs. 300000.00 lakh is proposed for carrying out the same
activity.
In order to implement the NRHM programme successfully, it
is required to organize sentitization workshops on NRHM for
the PRIs (ZP Member-28, GP President=168) and the
medical offcers (37) and capacity building workshop for
BPMU (BPM-7, BAM-9 & Assist.BPM-17)
IEC/BCC Strategy
Proposed Activities:
A.) Setting up and development of IEC/BCC unit at the
district level:
230
1. One District Media Expert under NRHM is already placed
at District, one District Extension & Media Officer and two
nos of Dy Ext & Media officer is placed under Addl. CM &
HO (FW), Dhubri
2. One Digital Video Camera, one still camera with Tripod is
already available at District.
3. One Public Addressing System set; LCD Projector with
Screen is available at District.
4. One laptop may be provided to the IEC/BCC cell of the
district in Q1, which may cost around Rs. 35,000/-.
5. One LCD projector may be provided to each BPHC
@Rs.50,000 X 7 nos of BPHC in Q2
6. One Grade IV staff may be deputed from regular set up to
the IEC/BCC cell for assist the day-to-day activity.
B). Meeting Manpower requirements at District level
1. At Present no further manpower is required at District in
IEC/BCC Cell.
C). Formative research/situational analysis/baseline study to
identify focus areas
1. To find out the perception of the villagers and to do a
study on the level of Knowledge of Family Planning,
Immunization and Institutional Delivery an independent
agency will be engaged.
2. In the first two-quarter they will visit the Char areas of
Dhubri only. They will assist by ASHA and AWW.
Students of M. Phil & Phd will be encouraged to do research
on the health status of tea garden population and finding
will be used to prepare specific plan.
4. The process will be continued up to Q4 and total Budget
requirement for per quarter is Rs. 15,000 X 7 nos BOHC X
per quarter.
Develop IEC/BCC Strategy : Streamline objectives/identify
Communication tools/identify media mix as per target
audience/frame monitoring evaluation indicators Identify
external agency/Advertising agency for the task (if needed)
231
Part C: UNIVERSAL IMMUNIZATION PROGRAMME (UIP)
Proposed Activity:
C
Service Delivery Improvement:-
JDH
S/A
dd
l CM
&H
O/D
PM
U/D
IO/S
DM
&H
O/B
PM
U
Mobilization of Children by ASHA : For every 1431 sites we
have got one ASHA per site. Invitation card (IPC Slip) to be
printed and distributed to ASHA . Missed/Dropout children
are to be mobilize or Invited by ASHA to reduce the drop
Out. The District will continue for providing incetive of Rs.
250/- to ASHAs for each fully immunized child as this
increases the full immunization coverage rate of the District
as the ASHAs after BCG will keep a track of the infants in her
village as she is from the same village and will accompany
the mother to the sub-centre to vaccinate the infant.This
will also help the ANM in tracking/vaccinate the infants as
there are instances where the ANM fails to vaccinate the
infant as mothers are not willing or forgotten about the
date of Immunization of their child but with the help of
ASHAsi it will be easier for the ANM to conveience the
mothers and also kepeping a track of the Infants.
Hard to Reach area/Unreached Area : 116 nos of sites per
month has been identified as difficult to reach areas/Char
areas/Urban Slums. For Holding the sessions in Underserved
and Slum areas ANM will be deputed and Rs. 300/- will be
paid as honorarium and Rs. 50/- as contingency to ANM for
holding the session.
Vaccine Delivery (State- Dist. To Cold Chain Pt.) :: Vaccine
distribution plans are prepared to distributes vaccine from
Dist. to 8 PHC by maintaining proper cold chain.
Dist. To PHC :: As per vaccine distribution route map,
Vaccine will distribute from Dist. To 8 PHC level cold chain
pt. by insulated vaccine Van covering 3 PHCs per trip for one
month quota. Per trip POL cost of Rs. 800/-, DA of driver is
Rs. 90/-, loading/unloading of Vacc. And syringes is Rs. 100/-
and maintenance of Vehicle Rs. 800/- PM is planned.
ALTERNATE DELIVERY OF VACCINE :
232
For 1431 normal sites Alternate arrangement is planned for
vaccine delivery so that ANM can attend the session site in
time. In 2009-10, 85% sites were covered, but in next year it
will be arranged for 100% Rs. 50/- per normal site.
In underserved slum area /Char area of 116 nos. it is
planned to provide Rs. 100/- per site for alternate vaccine
carrying.
Cold Chain Maintenance
Proper Functioning of Cold Chain Equipments (ILR/Deep
Frezer/Col-Box/vaccine carrier etc.) and maintain
temperature record of ILD/DF (daily twice), stock of vaccine
and syringes at District and PHC level will be ensure during
2010-11. It will also be ensured that the quality of vaccine
by maintaining proper Cold Chain System at storage and
transportation.
Computer Assistant under DIO: One Computer Assistant @
Rs.10,000 PM is provided to assist DIO in keeping up to data
record on immunization and submit the performance report
on physical and financial as per HIMS/UIP format.
Supervision and Monitoring : :
Rs.4,200/-PM is provided to utilize for POL expenses on
supervision and monitoring purpose by Addl. CM&HO (FW)/
DIO to ensure satisfactory performance of immunization
programme covering all sites.
At Block PHC leve I.c of BPHC will look after the
Immunization Programme and supervise the activity. In
addition Sector MO, BEE, LHV will supervise the activity.
TRAININGS :
(i) 2 Days Training for ANM, LHV & GNM
To improve the quality services of Immunization 2 days
refresher training of Health workers (ANMs, LHV, GNM etc)
along site visits related to immunization will be organized.
The batch size should be 25-30 persons in each batch.
Priority will be given to those ANMs who have hired drop
out rates.
456 ANM/ 50 GNM/ 17 LHV will be trained during 2010-11.
233
ii) Vaccine Handlers Training :: One day cold chain handlers
training will be organized for 64 nos of Vaccine Handlers
against 32 Cold Chain storage during 2010-11 by District
cold chain officers and DIO in a batch of 15-20 trainees. At
PHC level Contractual Pharmacist will be involved for
computerized record keeping of Vaccine stock position.
iii) Block level Data Handlers Training : For streamlining the
reporting system of immunization ,the team of block level
data handlers to be trained on reporting system at Dist. H.Q.
by D.I.O , DDM, and S.I. The participants will be BEE, BPM,
LHV and BAM.
iv) Training on Micro Planning :: Block level
Meeting/Training will be organized for all sub centres for all
ANM, AWW, ASHA, ASHA Facilitator for finalization of Sub
centre micro plan.
Conduct Regular Monthly District and PHC Level Review
Meetings:
To identify sub center/ institutions lagging behind in
performance and therby to take remedial measure, to avail
opportunity for on site training and to solve the problems,
to solve the problems identified by the participants and to
provide feed back monthly review meeting will be ensured
at District and Block Level.
Injection Safty : Red Bag, Black Bag, Hub Cutter, Twine
bucket, Injection pits etc will be ensured during 2010-11 for
ensuring Injection safty.
D 6.7. PART D: NATIONAL DISEASE CONTROL PROGRAMME
D1
NVBDCP
SURVEILLANCE
Active :- Active surveillance done by 103 numbers of
surveillance worker . For proper surveillance each sub
centre is to be manned by MPW(M).
JDH
S/D
MO
Passive Surveillance
Passive surveillance done by ASHA , FTD , and ANM in this
Sub-centre .
Training Programme of ASHA on Malaria.
RD Kits (for use in pf endemic sub-centre from where
reports of blood slide not received within 24hrs.)
234
(Planning for IRS)
TRAINING OF SUPERVISORS AND SPRAY SQUARDS, 2010.
D2
REVISED NATIONAL TUBERCULOSIS PROGRAMME (RNTCP)
Civil Works under NRHM Additionalties
JDH
S/D
TO
Treatment (DOTS) Room
One sitting room for
patients to take treatment under DOTS.
Observation room
( for observation & work by DOT Providers)
One room attached to treatment room & one window to
observe
Laboratory Room at Sukchar DMC to be constructed with
laboratory outlet connection and a pit for waste matter
disposal from the laboratory and Dot centre
Renovation of DTC building
a) One partition wall with one door & one window.
b) Tiles fitting in DTO’s room, Laboratory & Computer room.
Laboratory materials
Honorarium
IEC/ Publicity
Equipment maintenance
Training
Vehicle maintenance
Vehicle hiring
NGO/PP support
Miscellaneous
Contractual services
D3
N.L.E.P.
JDH
S/I
n-C
ha
rge
of
NLE
P/D
ME
Training Plan :
A. 4 days training of newly appointed MO’s (rural & urban)
30 nos.
B. 3 days training of newly appointed Health Supervisor 30
nos.
C. 3 days training of newly appointed Health Worker (M) 30
nos.
D. 3 days training of newly appointed Health Worker (F) 30
nos.
E. 2 days training of newly appointed MO’s 30 nos.
F. 5 days training of newly appointed Lab. Technician 15
nos.
235
IEC Plan :
DPMR :
Procurement Plan :
a. Purchase to be made as per drug list (guideline)
b. Need base purchase to be done.
c. Equipments - Not necessary.
d. Printing Register/Forms etc. to be printed as per need.
e. No such specific NGO is existing in the District.
D4
6.7.4 N.B.C.P.
JDH
S/D
PM
,NB
CP
/DM
E
Proposed Activities:
Weekly Cataract
Eye Operation at
Civil Hospital,
Development of
Eye Operation
Facility at CHCs
Intensive IEC
Activities and
Blindness Survey
Door to Door
Blindness Survey
Development of
Vision Centres at
Mankachar CHC
S.Salmara CHC
Training & Vision
Screening at Schools
Orientation Meeting
at all 7 BPHCs
Awarness Meeting &
Eye Screening Camps
at 14 Development
Blocks
D5
INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
JDH
S/D
SO
Proposed activities
1. 3 days training for newly inducted Medical Officers on
IDSP.
2. 2 days training for Health Workers.
3. 3 days training for Laboratory Technicians/ Microscopist
at District Laboratory.
4. Weekly online transmission of S, P & L Forms.
5. Dissimilation of Early Warning Out Break Responses.
236
6. Supervision and Monitoring of Peripheral Surveillance
Units.
7. Activities on International Health Regulation ( IHR ) Focal
Point (daily basis online reporting of H1N1 Influenza Status).
D6
National Mental Health Programme
JDH
S/D
PM
U
Proposed Activities:
1. Enhancing the Capacity of the Mental Health
Infrastructure
a. Increasing the number of mental institutions
b. Increasing the service capacity of individual institutions
c. Integrating mental health with general health
1. One district Counselling Centre will be established
2. Crisis Hipline will be set up
3. Regular Counselling session will be organized in Colleges,
Work Place, necessary arrangement will be made for stress
management.
4. Thought DHMP it to be ensured that basic mental health
services are being provided at the community level.
5. Necessary support staff (Clinical Psychologist, PSWs,
Psychiatric Nurses etc )will be engaged on purely
contractual basis.
6. Required medicines will be supplied to all health
institutions.
7. IEC materials like handbook, Leaflets, Picture Chart etc
will be developed.
8. Contingency for running the DMHP will be released to
BPHC wise.
D7
National tobacco Control Programme (NTCP) JD
HS/I
n-C
ha
rge
of
NT
CP
/DP
M/D
ME
Proposed Activities:
1. District Tobacco Control Cell will be set up, one
Psychologist and One Social Worker will be appointed on
the Contractual basis. All the activities will be carried under
the supervision of DPMU NRHM
2. Phase wise training will be conducted for BPM, BEE, HE &
LHV and MNGO members.
3. Awareness cum sensitisation meeting with Civil Society
group such as Women SHG, NGOs, ULB’s and PRI’s, School
teachers, health workers, law enforcers etc. IEC materials
will be developed.
4. Special Talk show on Anti Tobacco, awareness rally, quiz
etc will be arranged with School Health Progarmme.
237
5. For effective implementation of NTCP at grass root level
frequent monitoring is required, hence monitoring plan will
be developed.
6. For enforcement of anti-tobacco law awareness regarding
the following specification provision will be increased:
a. Ban on Smoking in public in public places
b. Ban on sale of tobacco products to children bellow 18
years
c. Ban on direct/indirect advertisement promotion and
sponsorship of tobacco products
d. Ban on sale of tobacco products within 100 yards of the
educational institutions
e. Mandatory depicition of Specified health warning on all
tobacco products
f. Testing of tobacco products for tar and nicotine.
7. Under the supervision of the Psychologist and Social
Worker a Tobacco Cessation Centres will be established at
Dhubri Civil Hospital, Dhubri.
8. For find out the actual status of the district Global l Adult
tobacco survey will be conducted.
E
Intersectoral Convergence
JDH
S/I
n-/
DP
M/D
ME
Proposed Activities:
• A district level convergence Meeting with PHE department
will be organized to streamline the TSC (Total Sanitation
Camping).
• After the district level meeting similar Block level meeting
with block officials will be organized at Block level.
• Under VHSC fund an amount of Rs. 3000/- is meant for
construction of sanitary toilet. The fund will be handed over
to PHE department by respective VHSC for further course of
action.
• Flex Hoarding Board BPHC wise 10 nos will be developed
and installed
• IEC materials like Poster, leaflets etc will be developed and
distributed .
Inter Sectoral Convergence with Education Department:
Proposed Activity:
• In the next financial year another 100 nos of School will be
selected for School Health Programme.
• School Teacher of the Selected School will be trained in
phase wise.
• Health Awareness video will be screen in all the selected
schools.
• IEC materials life Picture Chart will be developed for
School students.
• Quiz, Essay writing & Art computations etc will on Health
related subject will be organized.
238
Chapter – 9
Summary of Budget
Programme Amount( In Rs.Cr)
RCH-II Flexipool 32,345,665.23
NRHM Mission Flexipool 10,99,21,450.00
Immunization(UIP) 6,018,968.00
National Disease Control Programme 0.00
(i) NVBDCP 7,469,840.00
(ii) RNTCP 7,974,000.00
(iii) NPCB 1,771,000.00
(iv) NLEP 943,100.00
(v) IDSP 1,121,600.00
(vi) NTCP 1,216,000.00
(vii) NMHP 500,000.00
Total 16,92,81,623.23
239
A. BUDGET UNDER RCHII
S. No.
Budget Head
Fund proposed for
2010-11 (Rs. In lakhs)
Fund approved in
2009-10 (Rs. In lakhs)
(Fund Received)
Unspent balance as on
30.11.09 (Rs. In lakhs)
Expenditure likely to be made from 01.01.10. to
31.03.10. (Rs. In lakhs)
Fund utilized and will be utilized till
31.03.10 (Rs. In lakhs)against
fund approved in 2009-10
Expected balance on
01.04.10 (Rs. In lakhs) against fund approved in
2009-10
Actual Fund proposed for
2010-11 (Rs. In lakhs)
Remarks
1 Maternal Health 6,000,000.00
-
18,110,559.19
5,093,000.00
5,093,000.00
13,017,559.19
(7,017,559.19)
2 Child Health -
-
173,033.00
147,035.00
147,035.00
25,998.00
(25,998.00)
3 Family Planning
118,000.00
-
2,000,000.00
1,500,000.00 1,500,000.00
500,000.00
(382,000.00)
4 Adolescent Health
-
300,000.00
250,000.00 250,000.00
50,000.00
(50,000.00)
5 Urban Health
2,946,000.00
642,000.00
906,650.00
722,000.00 722,000.00
184,650.00
2,761,350.00
6 Vulnerable group and tribal RCH
12,000,000.00
-
-
-
-
-
12,000,000.00
7 Innovations / PPP / NGO
-
-
797,822.00
650,000.00 650,000.00
147,822.00
(147,822.00)
8 Institutional Strengthening/ HMIS
3,310,000.00
1,932,250.00
2,715,210.48
-
2,715,210.48
594,789.52
9 Infrastructure & HR / IMEP
19,980,000.00
14,052,048.00
11,967,598.00
11,967,598.00
2,084,450.00
(2,084,450.00)
10 Training 3,420,000.00
787,670.00
1,555,422.00
1,555,067.00
1,555,067.00
355.00
3,419,645.00
11 BCC / IEC 5,114,000.00
3,418,210.00
4,753,012.22
3,750,000.00
3,750,000.00
1,003,012.22
4,110,987.78
12 Procurement
-
-
- -
-
-
13 Dist.Prog.Management Unit
908,000.00
2,670,793.00
2,007,606.03
569,902.00
569,902.00
1,437,704.03
(529,704.03)
Total Base Flexipool
33,816,000.00
29,430,923.00
47,371,362.92
26,204,602.00
26,204,602.00
21,166,760.92
12,649,239.08
14 JSY
62,345,000.00
50,000,000.00
66,774,658.85
14,000,000.00 14,000,000.00
52,774,658.85
9,570,341.15
15 Sterilization compensation and camps
14,876,000.00
6,565,500.00
6,635,915.00
1,886,000.00
1,886,000.00
4,749,915.00
10,126,085.00
Total RCH Flexipool
111,037,000.00
85,996,423.00
120,781,936.77
42,090,602.00
42,090,602.00
78,691,334.77
32,345,665.23
240
B: BUDGET UNDER N.R.H.M ADDITIONALITIES:
Budget Format for NRHM Mission Flexible Pool Part B * and Part E
S.No. Initiative Number
Proposed
Rate
Proposed
Total
Amount
(in lakhs)
Remarks
A ASHAs
A1 Selection & Training of ASHA 380 0 0
fund
already
received
A2 ASHA Kit 1726 0 0
A3 ASHA Incentives 26770 250 6692500
A4 Others 0 0 0
TOTAL(A) 6692500
B Infrastructure related matters
B1 New Construction of DH 0 0 0
B2 Renovation / Upgradation of DH 0 0 0
B3 New Construction of CHCs 0 0 0
B4 Renovation / Upgradation of CHCs 0 0 0
B5 New Construction of CHCs 0 0 0
B6 New Construction of PHCs 0 0 0
B7 Construction of Doctors and Nurses Quarter 3 2880000 8640000
B8 New Construction of SCs 32 750000 24000000
B9 Upgradation of SC 2 2500000 5000000
B10 Construction of Boundary wall(Goat prrof
fencing) 5 1000000 5000000
B11 MMU 1 2166000
B12 Emergency & Referral Services 2173000
B13 Pol Money for Ambulance 1440000
B14 Repair/Renovation of Training Hall 1 300000
TOTAL(B) 48719000
C Human Resources related matters
C1 Contractual Specialists 12 30000 4320000
C2 Contractual Doctors 2 25000 600000
C3 Contractual Paramedical(Lab Tech) 4 7000 336000
C4 Contractual ANM 102 5000 6120000
C5 Contractual MO (Ayur) 3 15000 540000
C6 Contractual GNM 73 7000 6132000
TOTAL(C) 18048000
D Programme Management related matters
D1 State Programme Managemet 0 0 0
D2 Divisional PMSU 0 0 0
D3 Block PMSU 6 10000 720000
D4 District Health Action Plan 1 100000 100000
241
D5 Monitoring & Evaluation 3310000 3310000
D6 Others 0 0 0
TOTAL(D) 4130000
E Untied Funds, Annual Maintainence
Grants and RKS fundsrelated matters
E1 Rogi Kalyan Samiti-DH 1 500000 500000
E2 Rogi Kalyan Samiti-SDH 1 100000 100000
E3 Rogi Kalyan Samiti-CHC 6 100000 600000
E4 Rogi Kalyan Samiti-PHC/SDCH 33 100000 3300000
E5 Untied Fund for CHC 6 50000 300000
E6 Untied Fund for PHC 32 25000 800000
E7 Untied Fund for SC 246 10000 2460000
E8 Untied Fund for VHSC 1690 10000 16900000
E9 Annual Maintenance Grant-DH 0 0 0
E10 Annual Maintenance Grant-CHC 6 100000 600000
E11 Annual Maintenance Grant-BPHC 5 50000 250000
E12 Annual Maintenance Grant-SDCH 1 100000 100000
E13 Annual Maintenance Grant-PHC 27 50000 1350000
E14 Annual Maintenance Grant-SC(Govt) 120 10000 1200000
E15 Others 0 0 0
TOTAL(E) 28460000
F Training & Capacity Building related
matters
F1 Management Development Trainings 0 0 0
F2 Capacity Building/Orientation Workshops 171950
F3 Others 0 0 0
TOTAL(F) 171950
G Innovations (No approval without
details)
G1 Health Melas 1 500000 500000
G2 District Innovations 0 0 0
G3 Incentive Scheme 0 0 0
G4 PPP initiative 2 1500000 3000000
G5 Others 0 0 0
G6 Health Insurance scheme 0 0 0
G7 Others 0 0 0
TOTAL(G) 3500000
H Intersectoral Convergence (Part E) (No
approval without details)
H1 Ayush 0 0 0
H2 Intersectoral Convergence Related 200000 200000
H3 Others 0 0 0
TOTAL(H) 200000
Grand Total (A+B+C+D+E+F+G+H) 109921450
243
C: BUDGET UNDER IMMUNIZATION:
Service Delivery Norms
Expenditure & Ahievement
Remarks
2005-06 2006-07 2007-08 2008-09 2009-10 (till Nov'09) 2010-11
Exp
en
dit
ure
Exp
en
dit
ure
Exp
en
dit
ure
Exp
en
dit
ure
Ach
iev
em
en
t
Exp
en
dit
ure
Ach
iev
em
en
t
Funds
requirement Target
Mobility support
for Supervision
Supervisory visits
by District level
officers for
monitoring and
supervision of RI
at Rs.50,000 per
district for
Districtlevel officers
(this includes POL
and Maintenance)
per year
12600 25162 74400 29457
No. of
Sessions
Supervised
11938
No. of Sessions
Supervised
120000
No. of Sessions
Supervised
384 256 408
Cold Chain
maintenance
Rs.500 per PHC/CHC
per year District
Rs.10000 per year
0 36433 1530 25466
% funds
used 51400 % funds used
98400 % funds used
99% 52%
Focus on slum &
underserved
areas in urban
areas
Hiring an ANM
@rs.300/ session for
four
sessions/month/slum
of 10000 population
and Rs.200/- per
68600 171500
No. of
Sessions
with hired
vaccinators
0
No. of Sessions
with hired
vaccinators
134400
No. of Sessions
with hired
vaccinators
244
month as
contingency per slum
of i.e total expense
of Rs. 1400/- per
month per slum of
10000 population
490 0 96
Mobilization of
Children through
ASHA/mobilizers
Rs.150/session (for
District) 284000 939400
No. of
Sessions
with ASHA 0
No. of Sessions
with ASHA 2813400
No. of Sessions
with ASHA
9394 18756 18756
Alternate
Vaccine Delivery
Geographically Hard
to reach areas
(session site>30 k.m.
from vaccine delivery
point, river crossing
etc) @rs. 100 per RI
Session
0 0 0
No. of
Sessions
with AVD
0 No. of Sessions
with AVD 385200
No. of Sessions
with AVD
Hilly terrain @Rs.100
per RI session 3852
For RI session in
other areas @ Rs.50
per session
215800 490000 15624 1046600 16104 937800 18756
Support for
Computer
Assistant for RI
Reporting (with
annual
increment of
10% w.e.f. from
2010-11)
District @ Rs. 8000-
10000 p.m.
No. of C.A.
in position
No. of C.A. in
position
No. of C.A. in
position
84000 Yes 77000 Yes 120000 Yes
245
Printing and
dissemination of
immunization
cards, tally
sheets,
monitoring
forms etc
Rs. 5 per beneficiary 0 0 0 0 250805
50161
benefici
aries
Review
Meetings
Quaterly Review &
feedback meeting for
exclusive for RI at
District level with
one Block Mos, ICDS
CDPO and other
Shakeholders@ Rs
100/- per participant
for meeting
expences (launch,
Organizational
expences)
0 0 0
No of
persons
trained.
No of persons
trained.
60000
No of persons
trained.
Quaterly review
meeting exclusive for
RI at Block level @ Rs
50/- pp as
honorariam for
ASHAs (travel) and Rs
25 pp at the disposal
of MO-I/C for
meeting expences
(refresments,
stationary and misc.
expences)
147600
Trainings:
District Level
orientation
training for 2
As per revised norms
for trainings under
RCH
161723
No of
persons
trained
344678 No of persons
trained 601301
No of persons
trained
246
days ANM, Multi
Purpose Health
Worker (Male),
LHV, Health
Assistant
(Male/Female),
Nurse Midwives,
BEEs & other
specialist (as per
RCH norms)
267 412 523
Three days
training of
Medical Officer
on RI using
revised MO
traing module
As per revised norms
for trainings under
RCH
No of
person
trained
No of person
trained
No of person
trained
one day
refresher
training of
District RI
Computer
Assistants on
RIMs/HMIS and
Immunization
formats under
NRHM
As per revised norms
for trainings under
RCH
247
One day Cold
Chain handlers
traing for block
level cold chain
handlers by state
and District cold
chain officers
and DIO for a
batch of 15-20
trainees and
three trainers.
As per revised norms
for trainings under
RCH
0 10870 0 9040 30 40585 No of person
trained120 31100
No of person
trained60
One day training
of block level
data handler by
DIO and Dist
Cold Chain
officer to train
about the
reporting
formats of
Immunization
and NRHM
As per revised norms
for trainings under
RCH
No of
person
trained
18500
No of person
trained
28
18450
No of person
trained
30
Microplanning to
develop sub-
center and PHC
microplans using
bottom up
planning with
participation of
ANM, ASHA,
at Rs 100/- per SC
(meeting at
bolcklevel, logistic)
24600
% of
SC/PHC/CHC/Dist
have updated
microplan this
year
100%
24600
% of
SC/PHC/CHC/Dist
have updated
microplan this
year
248
AWW For consolidation of
microplan at
PHC/CHC level @ Rs
1000/- block & dist
level @ 2000/- per
dist.
9345 8000 0 8613 13000 24000
POL for vaccine
delivery from
dist. To
PHC/CHCs
Rs 100,000/dist/year 20724 50573 15757 45134
% of fund
used 77509
% of fund used
201600
% of fund used
73% 38%
Consumables for
computer
including
provision for
internet access
for RIMs
At Rs 400/-
/month/dist 4800
Injection Safety % funds
used % funds used % funds used
Red/Black/Plastic
bags etc at Rs 2/bag/session 37512
Bleach/Hypo
chlorite solution
at Rs 500/
PHC/CHC/year 4800
Twine bucket at Rs
400/PHC/CHC/year 3200
249
Any District
Specific Need
with Justification
( please provide
a separate write-
up on objective,
stretegy,
expected output
and outcomes,
basis for cost
estimates etc.
10% of total amount
of approved PIP
% funds
used % funds used % funds used
Total 42669 131038 660087 1964333 1705810 6018968
251
D1. BUDGET & ESTIMATE UNDER (NVBDCP)
ITEM ACTIVITY Amount Rs.
Surveillance 57 No.s MPW X @ Rs.6000.00/ p.m X12 41,04,000.00
Vector Control-IRS Wages for 2 rounds DDT Spray for 3 Squads 1,56,240.00
DDT Dumping (Road & Boat) 50,000.00
Fogging Fogging Operation in 5 town areas 1,00,000.00
ITBN 350 Camps X @ Rs.500/ X 2 Rounds 3,50,000.00 Protective Equipments for spray
Purchase of hand gloves, Goggles, Apron, mask for 3 Spray Squads
5,000.00
Training M.O, Lab-Tech, Health Supervisors, Health workers, ASHA, Spray workers and spray Super visors
6,85,000.00
BCC / IEC 14,70,000.00
M & E Jt. DHS/ CM& HO(CD) @ Rs. 10,000.00/ p.mX 12 = DMO. @ Rs. 10,000/ p.m X 12 = AMO/ MI Hq. @ Rs.5000/ p.m X12 = MI PHC @Rs.1000/ p.m X12X7 PHC =
1,20.000.00 1,20,000.00 60,000.00 84,000.00
Miscellaneous For cross checking of B/S @ Rs.400 per PHC X 7 PHC X 12 Stationary Article for Office use Telephone Bill @ Rs.1000/ p.m X 12 Collection of Anti-Malarial Drugs and Equipments from State H.Q
33,600.00 60,000.00 12,000.00 60,000.00
Total 74,69,840.00
Total Budget & Estimated Cost is Rupees Seventy Four Lakhs Sixty Nine Thousand Eight Hundred Forty Only only
252
D2: BUDGET UNDER RNTCP
S.No. Category of Expenditure
Budget estimate for the coming FY 2010- 11
Budget sought from NRHM additionalities
2010-11 In Rs.
(To be based on the planned activities and expenditure in
Section C) in. Rs.
1 Civil works 61000 2170000
2 Laboratory materials 400000
3 Honorarium 300000 150000
4 IEC/ Publicity 299000
5 Equipment maintenance 140000
6 Training 293000
7 Vehicle maintenance 300000
8 Vehicle hiring 320000
9 NGO/PP support 450000
10 Miscellaneous 400000 700000
11 Contractual services 1285000
12 Printing 365000
13 Research and studies 0
14 Medical Colleges 0
15 Procurement –vehicles 150000
16 Procurement – equipment 191000
175000
TOTAL 4954000 3195000 ** Only if authorized in writing by the Central TB Division
Grand Total :- Rs.( 4954000+3195000) - Rs.175000=Rs. 7974000
253
Budget Uner NPCB
STRATEGY ACTIVITY Sub-Activity Cost per Unit Total Cost
1. Cataract Surgery at base Hospital
Approach
Weekly Cataract
Eye Operation at
Civil Hospital @ 9
Oprn. Per day for 2
O.T. day for 45 weeks,
Procurement of Drugs,
Consumables, Sutures, etc.
@ Rs. 750/-
For 800 oprns.
6,00,000.00
Procurement of Sharp
Instruments etc.
Lump-sum 40,000.00
2. School Eye Screening Programme
Vision Screening at 100
Schools @ 200 students
each
Training of 100 School
Teachers
Details
25,000.00
7% defective Refraction of 20000
Students i.e. 1400 students for confir
-matory camps
School Visit by PMOAs
With Vision Testing Van @ Rs.20/- each for 1400 students
28,000.00
30% Refrective Error of 1400 Nos. i.e.
420 nos. students for distribu-
tion of Free Spectacles
@ 200/- each for
420 students
84,000.00
3. Procurement of
Equipmernts
Development of Eye
Operation Facility at
Dhubri Town Health Instt.
Development of O.T.
Placement of Instruments
Deployment of Staffs
Lump-sum
5,00,000.00
4. Development of
Vision Centre:
Development of Vision
Cerntre where O.A. posted
1. Mankachar CHC
2. South Salmara CHC
Make Provision for Room in
consultation with the in-
charge M.O.
Procurement & Placement of
Equipments & Furnitures
50,000/- each
1,00,000.00
5. Eye Screening and Detection of Cataract
Cases at Sub-Canters
IEC Activities
Printing of Forms, Blind
Register, Leaflets,
Stationeries
@ Rs.50/-each
For IEC and
15,000.00
Eye Screening at
Sub-centers by the
PMOA on fixed day
Every week
Organisation &
Contingencies
58,000.00 Rs. 200/- for
Organization
Exp. of at 290
Health Instt. Door to Door
Blindness Survey
Survey at 30nos
Villages/Towns
6000 houses
15/- per house
90,000.00
6. Popularization of Eye Donation & Eye
Care
Orientation Meeting
at all 7 BPHCs
Sensitization Meeting
With all M.O.s/ BPMU/
BEEs/ ANMs
@ Rs. 3000/-
21,000.00
Awarness Meeting &
Eye Screening Camps
at 14 Development
Blocks
IEC Activity at 20 nos
Of Health Institutions
With Flaxo banners
@ Rs. 1,500/-
Each for 20
H.Institutions
30,000.00
7. MANAGEMENT OF District Health
Society
Salary Support of
District Health
Society
DPM=1
Dealing
Asstt.= 1
96,000/- 18,000/-
114,000.00
TA/DA of the Staff
Lump-sum
20,000.00
Maintenance of
Ophth. Equipments
Lump-sum
16,000.00
Contingency & Other
Activities
30,000.00
Total 17,71,000.00
254
D4. Budget under NLEP
Sl.
No.
Activity Proposal Amount
Proposed
1. Contractual Services 54,000 /-
District one Driver @ 4,500/-PM x 12 months
2. Services through ASHA/USHA 25,000 /-
Sensitization of ASHA/incentive to ASHA
3. Office expenses & consumables 40,000 /-
4. Capacity Building (Training)
4 days training of newly appointed MO (rural &
urban )
53,000 /-
3 days training of newly appointed Health worker &
Health Supervisor
69,525 /-
2 days refresher training og MO 27,700 /-
5 days training of newly appointed Lab. Technician 18,375 /-
5. Behaviours change communication (IEC) 1,25,000 /-
Mass media, outdoor media, Rural media &
Advocacy
6. POL/Vehicle operation & hiring 80,000 /-
& vehicle at state level & vehicle at district level
7. DPMR 30,000 /-
12,500 /-
2,50,000 /- MCR footwear, Aids and appliances, welfare
allowances to BPL patients for RCS support to Govt.
Institution for RCS
8. Materials & supplies 52, 000 /-
Supportive drugs, Lab reagent & equipment &
printing forms.
9. Urban leprosy control Do not arises
Township, Medium cities-I, Medium cities-II &
Mega cities
10. NGO-SET scheme 50,000 /-
11. Supervision, Monitoring & Review 50,000 /-
Review Meeting & Travel expenses
Cash Assistance 6,000 /-
Total = 9,43,100 /-
255
D5. Budget Under IDSP
Sub -
activity
Tasks Unit
Cost
No of
Units
2010-11 Remarks
1. Staff
Salary
1.1 Epidemiologists 30000
1.2 Microbiologists 20000
1.3 Entomologist 20000
1.4 Consultant ( Finance ) 14000
1.5 Consultant ( Training ) 28000
1.6 State Data Manager 14000
1.7 District Data Manager 13500 12 162000
1.8 Data Entry Operator 8500 12 102000
1.9 Accountant 9500 12 114000 already
appointed &
working as per
Govt. guidelines
the said post
may be
continued with
IDSP.
1.10 Administrative
Assistant
7000 12 84000
Sub Total 462000
2.Training 2.1 Training of Hospital
Doctors
36500 2 73000
2.2 Training of Hospital
Pharmacist/ Nurses
15500 20 310000
2.3 Training of Laboratory
Technicians/
Microscopist
23500 2 47000
Sub Total 430000
3.
Operational
Cost
3.1 Mobility Support, 5800 12 69600
3.2 Office Expenses 5000 12 60000
3.3 ASHA incentives for
Outbreak reporting
100 120 12000
3.4 Collection and
transportation of
samples
3000 12 36000
3.5 IDSP reports including
alerts
500 12 6000
3.6 Printing of IDSP
Forms
2000 12 24000
3.7 Broadband Expenses 1000 12 12000
Sub Total 219600
4. New
Innovations
4.1 Review Meeting
District Committee
5000 2 10000
Grand Total 1121600
256
D6 : Budget under NTCP
Proposed Budget for District Tobacco Control Programme (NTCP)
Sl.No Components Calculation (Rs) Total (Rs)
1 Salaries: I). Psychologist: Rs.10, 000/- per month ii). Social Worker: Rs. 8,000/- per month
10000 X 12 months 8000 X 12 months
216,000
2 Training 200,000 200,000
3 IEC Activity 200,000 200,000
4 School Activity 400,000 400,000
5 Monitoring of Tobacco Control Laws & Reporting
100,000 100,000
6 Contingency 100,000 100,000
Total 12,16,000/-
257
E: Budegt Under Convergence
Sl. No Activity/ Sub-activity Physical
target Unit cost
Total amount (Rs.)
E.1 Convergence meeting 20
5000 1,00,000
Meeting with representative from PHE, Education Dept, Social Welfare dept, PRI members, vertical Health System RNTCP, NLEP, NVBDCP, DBCS etc
E.2 Convergence workshop 7
25000
1,75,000 2 days Workshop with
representative from PHE, Education Dept, Social Welfare dept, PRI members, vertical Health System RNTCP, NLEP, NVBDCP, DBCS etc
E.3 Dist. Level Training of members from other dept and vertical health system
4 7500 30,000
Grand Total 3,05,000/-
259
DETAIL BUDGET (ANNEXURE 3 e )
Sl Budget Head
Baseline /
Current Status (31st
Jan, 10)
Unit of Measure
Physical Target Rate Fund Proposed For 2010-11 (Rs. Lakhs)
Unspent
Balance on
31.03.10.
Fund
proposed (Rs.
Lakh)
Remarks
Q I Q II Q III
Q IV Total
Annual (Rs./ Unit)
Q I Q II Q III Q IV Total
Annual
1. MATERNAL
HEALTH
To increase the 3
ANC from 21.9%
(DLHS-3) and
41.05% (HMIS
report) to 60% by
2010-11 and also to
reduce the
proportion of
pregnant women
with anemia.
S1 Early registration of
pregnancy
Training of 1726 nos of ASHA on early detection
and registration of Pregnancy in the Sub Centre
area.
432 432 430 432 1726
Regular supply of Pregnancy Test Kit will be ensured to all 1726 nos. of ASHAs and 456 nos. of ANM
Detail in procurement
Village Health &
Nutrition Day will be used as a platform for
motivating and mobilizing the women for early registration of
pregnancy.
12068 5178 5178 5178 5178 20712 0 Fund avialbel in VHSC
260
The District under “Assam Bikash Yojana” has implemented “Mamoni”-Nutrional food for pregnant women where a pregnant woman after her first registration receives a hand book on nutrional food and MCH card. On her 2
nd
checkup, a cheque of Rs. 500/- is given as monetory support for nutrional food and on her 3
rd checkup,
another cheque of Rs. 500/- is given and a voucher for referral transport.
19948 8643 8643 8643 8643 34572 8.64 8.64 8.64 8.64 34.56 95.00 0
S2
Provide Quality
Ante Natal Care to all pregnant women
Re Orientation Training of 456 nos. of ANM Block PHCwise in a batch of 30 on physical examination of pregnant women, Hb estimation and record keeping
114 114 114 114 456
S3
To strengthen the basic obstetric care (institutional
deliveries) from 30.3% (Coverage Evaluation
Survey, RRC-NE) to 50% by 2010-11
261
Sub Centre
Micro Birth Planning by the
ANM for all the Pregnant women
26020 In Training
Plan
Referral of the complicated cases to the
higher
institutions
Equipments for 24x7 facilities
Labour Table
21nos.
Under Procurement
Shadow
less lamps 21 nos.
Under Procurement
5 KVA
generator 19 nos.
Under NRHM
PHC/CHC
Enganagement of contracutal doctots &
paramedics
5 under HR of NRHM Addl
Strengthening referral transport mechanism
in Referral Transport
SBA training of
the doctors & GNM
120 9 9 9 9 36 In training
Repair &
Renovation of doctors & nurses quarters
5 NRHM Addl.
S4
Delivery by
TBA in the difficult areas
262
Training of 1000 Dai
in Training
Procurement of
DDK Under NRHM
Incentive to Dai per delivery
23467
Rs. 100
per delivery
11.73 11.73 23.46 0.00 23.46
Home Delivery
S5 Janani Suraksha
Yojana
12283 6505 6505 6505 6505 26020 155.9 155.9 155.9 155.9 623.5 527.7 95.7
S6 Referral
Transport
Village to Health
Intitution (60%
of ID)
5.43 5.43 5.43 5.43 21.7 0.00 Under NRHM
POL for ambulance for transporting the women
3.60 3.60 3.60 3.60 14.4 0.00 Under NRHM
Objective: To
strengthen the basic obstetric care
(institutional deliveries) from 30.3% (Coverage
Evaluation Survey, RRC-NE) to 50% by 2010-11
Increasing the access through
facility strengthening
Labour room Upgradation with wards for 24 X 7 PHCs.
Budgeted under Infrastructure & HR
263
S1
To strengthen the Comprehensive
obstetric care FRU
OT Instruments & new born caer
instruments
OT & New born care corner repair & renovation
Back up power
(10 KVA)
Water Supply
repair
Blood Storage Facility
upgradation
Training of doctors on
CEmoC
4 under training
Training of
doctors on LSAS
Increasing coverage
of post partum care
from 14.8%
(DLHS3) to 35% by
2010-11
S1
Ensure post partum care by ASH/
AWW/ANM
IEC Material for
the mothers on PPC
under IEC/BCC
S2 Post partum care at Health facilities
264
Baby Kit for institutional delivery for
mothers staying up to 48 hrs
To increase awareness
among the community on Maternal & Perinatal
Death
Maternal & Perinatal Death Autopsy
To improve
safe abortion facilities.
S1
Increase safe abortion facilities in
Govt. Hospitals
15 Mos will be trained in MTP
15 under training
Procurement of MVA kit
S2
Access to safe
abortion in Pvt. Facilities
New Initiative by the districts
Project Palna (Dibrugarh & Dhemaji
SUB TOTAL OF MATERNAL
HEALTH
#### 173.54 185.27 185.27 717.62 527.74 189.88
265
2 CHILD HEALTH
To improve new born care by 2009-10
S1 IMNCI
Training of health workers of Dhubri districts
274 274 274 274 1096 under Training
Procurement of IMNCI Kit under Procurement
S2 Facility Based New Born Care
Training of MO under Training
S3 Setting up of SNCU in
districts
Setting up of SNCU in districts
S4 Setting up of Stabilization Centre
Stabilization centre for PHC
Under Infrastructure
&
procurement
Objectives: Promote early breast feeding and exclusive breast feeding till 6 months and above
from 38.1% (DLHS 3) to 50% by 2010-11
266
S1
Increases awareness amongst mothers about importance of exclusive
breast feeding and complementary feeding
Communication activities
(IEC/BCC)
Under
IEC/BCC
Health Institutions to be made Baby Friendly hospital
Under BCC
Objective: To increase the
percentage of 12 months of age fully immunized
children from 53.49% to
70% by 2010-11.
To strengthen the present
immunization system.
Details of immunization given under UIP component
Details under UIP
Objectives: To increase the use of ORS
S1
Making ORS and zinc tablets available in all the
districts as well as in remote/rural/tribal areas and difficult to reach areas through depot
holders.
S2 Referral of diarrhoea cases
Training of ASHA & AWW on ORS & Zinc as a depot holder
under IEC/BCC
267
Procurement of ORS packets & Zinc Tablets
IMNCI kit to be provided under Procurement
Referral of sick children with
diarrhoea
under referral
transport
All the govt. health facilities will be strengthened to
provide treatment of Diarrhoea. ORT Corner are created to rehydrate children
suffering from dehydration due to acute watery diarrhoea keeping the child for four hours and will be
made functional
Included in
IEC/BCC
Increase awareness of ARI and improve referral of ARI cases
S1 Reorientation treaining of ANMs
S2 Prompt referral
ANMs to be given refresher
training on ARI & diarrohea case detection and referral of these cases
Details in training plan
Prompt referral of ARI cases under referral transport
Reduce prevalance of anemia
268
To prevent and treat anemia
Counselling and communication activities
Included in IEC/BCC
Suplly of IFA(s) tablets
Reduce Vitamin A
deficiency
Prevent and treat Vit-A
deficiency in children
Vitamin A campaign
SUB TOTAL OF CHILD HEALTH
0.00 0.00 0.00 0.00
269
3 FAMILY PLANNING
To meet the unmet need
of contraception from 37.2% (DLHS3) to 28% and increase Contraceptive prevalence
rate 23.6% (DLHS3) to 45% by 2010-11
S1
To raise awareness
amongst the couples and
communities about the advantage of contraceptives and small
family.
Communication activities will be developed with help of AWW, ASHA, Woman’s
SHGs, male workers, CBOs & FNGOs as per need of the locality.
IEC/BCC
Family planning counseling will be ensured by ASHA & ANMs during home visits and
VHND and also at the sub center during visit of the women for immunization,
care of the children etc to meet the unmet need of contraception and also need of small family.
NRHM Addl
S2 Increase the number of service delivery points
ASHA and AWW will act as depot holders. All the depot
holders will be provided with wider basket of choice (OCP, ECP, and Nirodh).
Procurement plan
270
The ANMs will be trained for IUCD. Necessary logistics for IUCD insertion at SC level
will be supplied (IUD kit).
Training &
Procurement Plan
Incentive for IUCD 5900 Rs.20 0.3 0.3 0.3 0.3 1.2 0 1.2 Budgeted under RCH Flexi-pool
S3 Improve the service delivery to provide quality female sterilization.
15 Mos will be trained in MTP under training
Procurement of MVA kit Under
Procurement
Compensation package for female strilization in Govt.
2450 2450 2450 2450 9800 Rs.1000 24.5 24.5 24.5 24.5 98.00 0.00 98.00 Budgeted under RCH
Flexi-pool
Compensation package for female sterilization in pvt
hospitals
Budgeted under RCH
Flexi-pool
To increase the male sterilization from the existing level of 10.6% (HMIS report upto
Jan’10) to 20% by 2010-11.
S1 Raising awareness for NSV
Workshop at State Level
Workshop at District levek
S2 Improve service delivery for NSV
271
NSV camps cum training 21 21 21 21 84 Rs. 15000 3.15 3.15 3.15 3.15 12.6 0.00 12.6
Budgeted
under RCH
Flexi-pool
Compensation package for male sterilization in Govt.
500 500 500 500 2000 Rs.1500 7.5 7.5 7.5 7.5 30.00 0.00 30.00
Budgeted
under RCH
Flexi-pool
Compensation package for
male sterilization in pvt hospitals
Outreach camps in uncovered areas
S1 Sterilization camps in 11 high focus districts
Special sterlization camps for females for 3 months
S2 Sterilization camps in uncovered areas
Female Sterilization
Male Sterilization
Innovation under Family Planning:
Samidhri Babe Kisu Hamai
(Second Honeymoon Scheme
)in 10 districts
SUB TOTAL OF FAMILY
PLANNING 35.45 35.45 35.45 35.45 141.80 5.00 136.80
272
4 ADOLESCENT HEALTH
Introduce a comprehensive health plan for adolescent
To ensure reproductive
haelth and nutrition needs are met
S1 School health programme
Under
intersectoral convergence
S2 Outreach programmes for
out of school adolescents
S3 Adolescent Clinic in Health Institutions
Awareness generation activities related to
adolescent health. (under IEC/BCC).
under
IEC/BCC
T raining of counselors on ARSH
Incentive to the counselors
Outreach Health Programme for Adolescents for 1 district, viz. Morigaon, pilot basis through FNGO & Peer
Educator.
Low Cost Sanitary Napkins to adolescent females .
SUB TOTAL OF
ADOLESCENT HEALTH 0 0 0 0 0.00 0.00 0.00
273
5 URBAN RCH
To provided integrated and sustainable system for primary health care
service delivery with focus on urban poor/slums.
Increasing access to service delivery point
UHC - Railgumti, Dhubri 1 no 1
Urban Health Centres 2 no 1 1 2 7.37 7.37 7.37 7.37 29.46 1.84 27.62
Acrredited Urban Health
Workers
SUB TOTAL OF URBAN RCH 7.37 7.37 7.37 7.37 29.46 1.84 27.62
6 VULNERABLE GROUP & TRIBAL RCH
Health Camp for the refugees in two districts
Health camps in the flood affected areas of two districts ( Lakhimpur & Dhemaji)
Mobility support to ANMs working in char areas
Camps and procurement of inflatable boats in Karbianglong district
SUB TOTAL VULNERABLE GROUP AND TRIBAL RCH
0 0.00 0.00 0.00 0.00 0.00
274
7 INNOVATIONS/ PPP/ NGO/ PNDT/ QA
7 PPP
A-1
PPP with old Tea Garden 1 1
Under
NRHM Addl
PPP with new Tea Garden 1 1
Under
NRHM Addl
PPP with Charitable/Private Hospital
A-2
Chiranjivi Yojna (in 5 districts, viz..Kamrup, Jorhat, Dibrugarh, Barpeta
and Silchar)
7 NGO SCHEME
A-1
Release of 2nd installment
A-2
Release of 1st installment
Release of 2nd installment
Release of preparatory grant
External agency evaluation of 10
MNGOs
A-3
Quarterly review meetings
7 PNDT/GENDER ISSUE
A-1
Meetings
275
a State Supervisory Board meetings
b Meetings of the Multi Member State Appropriate Authority to be organized
c A State level 1 (one) Day Public
Seminar cum workshop
d District level Advisory Committee Meetings
A-2
Quarterly Reports (printing of the format to be done if required, so fund is required)
A-3
Contingency Fund
A-4
Mobility
7 QUALITY ASSURANCE
A-1
Quality Assurance in 6 districts
Development of software for QA
SUB TOTAL OF
INNOVATIONS/PPP/NGO/PNDT/QA 0.00 0.00 0.00 0.00 0.00 0.00 0.00
276
8 INSTITUTIONAL STRENGTHENING / HMIS
8 Strengthening of M&E Cell 8 8 6.15 6.15 6.15 6.15 24.6
8 M&E consultant(s) recruited and in position
1 No Included in DPMU
8 Provision of equipment at state and district levels
1.88 1.88 1.88 1.88 7.52
8 Operationalising the new MIES format
9
Printing of all MCH registers
incorporating new MIS formats
9 Printing of new formats
a) Monthly format for SC's and equivalent facilities (NRHM/HSC/3/M ). Bilangual
Format - English & Assamese
b) Monthly format for PHC's and equivalent facilities (NRHM/PHC/3/M )
c) Monthly format for CHC's and equivalent hospitals (NRHM/CHC/3/M )
d) Monthly format for Sub-District Hospitals and equivalent hospitals
(NRHM/SDH/3/M )
e) Monthly format for District Hospitals and equivalent
hospitals (NRHM/DH/3/M )
9 Training of staff
277
a) 2 days training on Reporting System and M&E for District Level Officers
b) 2 days training on Reporting System and M&E
for Block Level Officers
c) 1 day training on Reporting System and M&E at Block Level
0.13 0.13 0.13 0.13 0.50
9 Other M&E activities (please specify)
a) BPHC level- monthly Review Meeting
No 21 21 21 21 84 Rs.5,000.00 1.05 1.05 1.05 1.05 4.20 0.00 89.40
b) District Level Monthly
Review Meeting No 3 3 3 3 12 Rs.25,000.00 0.75 0.75 0.75 0.75 3.00 0.00 81.00
c) State Level Quarterly Review Meeting
SUB TOTAL OF INSTITUTIONAL
STRENGTHENING / HMIS
9.96 9.96 9.96 9.96 39.82 27.15 12.67
9 INFRASTRUCTURE AND
HR
9 INFECTION MANAGEMENT & ENVIRONMENT
PROTECTION
Training
CBWTF
BMW Consumables
278
9 Infrastructure
24 x 7 PHC Up-gradation & renovation of labour room and maternity wards for 24 X
7 PHC
FRU - OT & New born care corner repair & renovation for FRU
FRU - Blood Storage Facility
upgradation for FRU
SNCU - Upgradation & repair
SNCU- Manpower
Stabilization Unit - Tiling, reconstruction & wiring
Repair & Renovation of O/O
DHS
SUB TOTAL OF IMEP INFRASTRUCTURE AND HR
0 0 0 0.00 0.00 0.00
10 TRAINING
10.1.1
Carry out repairs/
renovations of the training institutions(LECTURE HALL 50+ HOSTEL 55 +
ELECTRICITY REPAIRING 36 + SUPPORT SERVICE 15)
10.1.2
Provide equipment and training aids to the training institutions (AV equipments
+ Library books)
10.1.3 Contractual staff recruited
and in position
279
10.1.4 Other activities (pl. specify) VEHICLES & CONTINGENCIES
10 Development of training
packages
10.2.1
Development/ translation and duplication of training materials (PRINTING OF
IMNCI CHARTS, MODULES & BOOKLETS ETC AND BCC, RTI/STI MODULES, ARSH MODULES, SBA MODULES)
10.2.2
Specialised training equipment (for skills trainings) provided (IMNCI trg aids & ZOE Model)
10.2.3 Other activities (pl. specify)
10.2.4 Monitoring of Training
programme
10.2.5 Regional Training Co-ordinating Unit
SUB TOTAL OF 10.1 TO 10.2.5
0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Maternal Health Training
10.3.1 Skilled Attendance at Birth / SBA
10.3.1.1 Setting up of SBA Training Centres
10.3.1.2 TOT for SBA
10.3.1.3 Training of Medical Officers in Management of Common
Obstetric Complications
10.3.1.4 Training of Staff Nurses in SBA
10.3.1.5 Training of ANMs / LHVs in SBA
280
10.3.2 EmOC Training
10.3.2.1 Setting up of EmOC Training Centres
10.3.2.2 TOT for EmOC
10.3.2.3 Training of Medical Officers in
EmOC
10.3.3 Life saving Anaesthesia
skills training
10.3.3.1 Setting up of Life saving Anaesthesia skills Training Centres
10.3.3.2 TOT for Anaesthesia skills training
10.3.3.3 Training of Medical Officers in life saving Anaesthesia skills
10.3.4 Safe abortion services training (including MVA/
EVA and Medical abortion)
10.3.4.1 TOT on safe abortion services
10.3.4.2 Training of Medical Officers in safe abortion
10.3.5. RTI / STI Training
10.3.5.1 TOT for RTI/STI training
10.3.5.2 Training of laboratory
technicians in RTI/STI
281
10.3.5.3 Training of Medical Officers in RTI/STI
10.3.5.4 Training of Staff Nurses in
RTI/STI
10.3.5.5 Training of ANMs / LHVs in RTI/STI
10.3.6 Orientation of Dai / TBAs on safe delivery
10.3.7 Other maternal health training (please specify)
10.3.7.1 District Orientation Trg. For
Mos
10.3.7.2 Integrated MCH Services
Orientation
State level ToT
Block level ToT
ANM
10.3.8 Multi Skilling of Medical Officers on Radiology
10.3.9 Multi Skilling of Medical Officers on Clinical Pathology
10 IMEP Training
10.4.1 TOT on IMEP
10.4.2
IMEP training for state and
district programme managers
10.4.3 IMEP training for medical
officers
SUB TOTAL OF MATERNAL HEALTH TRAINING
0.00 0.00 0.00 0.00 0.00 0.00 0.00
282
11 Child Health Training
10.5.1 IMNCI Training (pre-
service and in-service)
10.5.1.1 TOT on IMNCI (pre-
service and in-service)
10.5.1.2 IMNCI Training for Medical Officers
10.5.1.3 IMNCI Training for staff nurses
10.5.1.4 IMNCI Training for ANMs / LHVs
1096
ANMs/ AWWs (20
batches)
120 120 120 120 480 171370/batch 8.55 8.55 8.55 8.55 34.2
10.5.1.5 IMNCI Training for Anganwadi Workers
10.5.1.6 Multi Skilling Training of
Mos of FRUs & CHCs
10.5.1.7 SNCU TRAINING
SUB TOTAL OF CHILD HEALTH TRAINING
8.55 8.55 132.1 192.8 34.2 0 34.2
11 Family Planning Training
10.6.1 Laparoscopic Sterilisation Training
10.6.1.1 TOT on laparoscopic sterilisation
10.6.1.2
Laparoscopic sterilisation
training for medical officers
10.6.2 Minilap Training
283
10.6.2.1 TOT on Minilap
10.6.2.2 Minilap training for medical officers
10.6.3 Non-Scalpel Vasectomy (NSV) Training
10.6.3.1 TOT on NSV
10.6.3.2 NSV
10.6.4 IUD Insertion
10.6.4.1 TOT for IUD insertion
10.6.4.2 Training of Medical officers in IUD insertion (DTT Level)
10.6.4.3 Training of staff nurses in
IUD insertion
10.6.4.4 Training of ANMs / LHVs in IUD insertion
10.6.5 Contraceptive update/ISD
Training
10.6.6 Other family planning training (please specify)
SUB TOTAL OF FAMILY
PLANNING TRAINING 0 0 0 0 0 0.00 0.00
11
Adolescent Reproductive and Sexual Health/ARSH
Training
10.7.1 TOT for ARSH training
284
10.7.2 Orientation training of state and district programme managers
10.7.3 ARSH training for medical
officers
10.7.4 ARSH training for ANMs/LHVs
10.7.5 ARSH training for AWWs
10.7.6 Training of ASACS counselors
SUB TOTAL OF ARSH TRAINING
0 0 0 0 0 0 0.00
Other training
BCC Training for DTT
BCC Training for ASHA
SUB TOTAL OF OTHER TRAINING
0 0 0 0 0.00 0 0.00
SUB TOTAL OF TRAINING
8.55 8.55 132.12 192.79 34.20 0.00 34.20
11 BCC/IEC
11.1 Setting up and development of IEC/BCC unit at the district level (Procurement of Laptop)
35000 350000 0 0
11.2 Meeting Manpower requirements at District level
0 0 0 0
11.3 Formative research/situational analysis/baseline study to identify focus areas
105000 105000 105000 105000
285
11.4
Develop IEC/BCC Strategy Streamline objectives/identify Communication tools/identify media mix as per target audience/frame monitoring evaluation indicators Identify external agency/Advertising agency for the task (if needed)
0 0 0 0
11.5
Media Mix
Develop a strategic media mix as per the target population and issues( Child Health, Maternal Health/Family Planning)
0 0 0 0
11.6 a). Interpersonal Communications
11.7 Counselling at FRUs, PHCs etc 0 0 0 0
11.8 One to one interaction by
ASHAs/ANMs/AWWs
0 0 0 0
11.9
Group discussions at Village/Block
/Panchayat level ( by BEE, HE,
LHV)
148500 148500 148500 148500
11.10 Community Meetings ( Will be
conducted by VHSC)
0 0 0 0
11.11 Workshops at Panchayath/ Block
District level
35000 35000 35000 35000
11.12 b). Community Media
11.13 Folk arts ( preparation of Audio
Cassette & miking)
91000 91000 91000 91000
286
11.14 Street plays ( Rs.3000 X 12 months
X 7 BPHC)
63000 63000 63000 63000
11.15 Health Melas 25000 0 0 0
11.16 Rallies 17500 17500 17500 17500
11.17 Social Mobilisation Programmes 0 0 0 0
11.18 c). Outdoor Media
11.19 Banners 150000 150000 150000 150000
11.20 Bus Boards 0 25000 0 0
11.21 Bulletin Boards ( information Boards
2 nos for per SC wise)
492000 0 492000 0
11.22 Sign ages (Hoardings 5 nos for per
BPHC)
0 350000 0 0
11.23 d). Television Spots 0 0 0 0
11.24 e). Radio Programmes 0 0 0 0
11.25 f). Newspaper advertisements 0 0 0 0
11.26 g). Print materials 0 0 0 0
11.27 Pamphlets @ Rs.1/- X 20,000 X 4Q
20000 20000 20000 20000
11.28 Poster @ Rs.5 X 8000 X 4Q 40000 40000 40000 40000
11.29 Flip Charts 0 0 0 0
11.30 Newsletter @ Rs.25 X 4000 X 4Q 100000 100000 100000 100000
11.31 Annual Report @ Rs. 25 X 4000 0 0 100000 0
11.32 Flash cards 0 0 0 0
287
11.33 Calendars and danglers@ Rs 50 X
300 nos
0 0 15000 0
11.34 BCC implementation Components
11.35
Capacity Building and training of manpower Designate responsibilities as per task/identify coordinator and design activity chart
0 0 0 0
11.36 Capacity building of Staff 10000 0 0 0
11.37 Internal Workshops 0 0 0 0
11.38 Specialised training for Staff
members
35000 35000 35000 35000
11.39
Monitoring and evaluation
Midterm monitoring Evaluation of the Programme
0 0 0 0
SUB TOTAL OF BCC 11.1 TO 11.39
13.67 15.3 14.12 8.05 51.14 51.14
SUB TOTAL OF BCC/IEC
288
12 PROCUREMENT
Maternal Health
Partograph
ANC Card
24 x 7 PHC - Equipments for
24x7 facilities for Maternal Health
FRU - OT Instruments & new born caer instruments for
FRU
SNCU Equipments
Stabilization Centre - Bed
Stabilization Centre -
Equipments
Stabilization Centre -
Servo Satbilizer
Sub Total
Family Planning
289
IUD Insertion Kit
OCP
Nirodh
EC Pill
Laparoscopes with CO2/ Air Insuflation
Minilap kit
MVA kit
NSV kit
OT Table for Lap operation
2 nos. CO2 cylinder for 24 DH and 37 FRU
SUB TOTAL
Child Health
IMNCI Kits
Tab Albendazole
Vitamin A solution
Sub Total
SUB TOTAL OF PROCUREMENT
0.00 0.00 0.00
13 PROGRAMME MANAGEMENT
290
A-
1
State Programme
Management Unit (SPMU)
Salary of the SPMU 0.00
A-2
District Programme Management Unit (DPMU)
Salary of the DPMU 2.27 2.27 2.27 2.27 9.08 14.38 -5.3
A-
3
Strengthing of Financial
Management System
a Training in accounting procedures
b Annual Audit of the
Programme
c Concurrent Audit
c1 District Level
c2 State Level
c3 Regional Workshop
SUB TOTAL OF PROGRAMME MANAGEMENT
0.00 0.00 0.00 9.08 0.00 9.08
SUB TOTAL BASE FLEXI POOL
1023.12 561.73 461.39
A-
1 Janani Suraksha Yojana
Institutional Delivery
291
Rural
Urban
Home Delivery
SUB TOTAL OF JSY 0.00 0.00 0.00
A2
Family Planning compensation (male and
Female), Sterlization camps and Mega camps
0.00
GRAND TOTAL (RCH FLEXIPOOL)
1023.12 561.73 461.39
293
ANNEXURE
Annex-I
Status of FRU Operationalization
S.
NO District
Total No of FRUs
Planned till 2010
Target for
2009-10
*FRUs operationalized till
December, 2009
Dhubri 2 1
*Must fulfil GoI Minimum Criteria
Status of 24x7 PHCs
S.
NO
District Total No of 24x7
PHCs Planned till
2010
Target for 2009-
10
*24x7 PHCs
operationalized
till December,
2010
Dhubri 24 11 14
*Must fulfil GoI Minimum Criteria
Status of Anaesthesia Training
S.
N
O
State
No of
Medical
Colleges
conducting
LSAS
Training
No of
District
Hospitals
conductin
g LSAS
Training
Total No
of
MBBS
Doctors
to be
trained in
LSAS till
2010
Target
for
2009-
10
No
trained
till
Decem
ber
2009
No of trained MOs
posted at FRU till
December 2009
1
Status of EmOC Training
S.
NO
State No of
Medical
Colleges
conducting
EmOC
Training
No of
District
Hospitals
conducting
EmOC
Training
Total No
of MBBS
Doctors
to be
trained in
EmOC
till 2010
Target
for 2009-
10
No
trained
till
December
2009
No of
trained
MOs
posted at
FRUs till
December
2009
1 1 1 Nil
Status of SBA Training
S.
NO
State
No of
districts
conducting
SBA
Training
No of district
hospitals/training
institutes
practicing SBA
Protocols
particularly
Partograph
No of
Master
Trainers
trained
(Both
State and
Districts)
No of
SNs/ANMs/LHVs
to be trained till
2010
Target
for
2009-
10
No
trained
till
December
2009
1 GNM=24,
ANM=12
GNM=17
LHV=10
ANM=53
294
Status of MTP Training
S.
NO
State No of doctors planned to
be trained in
MA/MVA/EVA/ till 2010
No. trained
till
December
2009
No. of 24x7
PHCs
providing
safe
Abortion
Services
No. Of
DH/FRUs
providing
comprehensive
safe abortion
services
Dhubri MO=15 O&G=6 Nil 2
S.
NO
District. Budget allocated under MH
(excluding JSY 2009-10)
Budget
utilized
under MH
(excluding
JSY till
December
2009)
Budget
allocated
under JSY
2009-10
Budget
utilized under
JSY till
December
2009
Dhubri 6,000,000.00 5,093,000.00 5 Cr 2 cr 89 Lakhs
Table on Incentives
Name of
the
Scheme
Type of
Worker
Level of Facility
(CHCs/PHCs/Sub-
Centres)
Amount
of
Incentive
Performance
Expected
No of
worker
given
incentive
Quantifiable
Output
295
Annexure - B (Pt-I)
Additiional requirment of Equiptment/Instrument with present status of Dhubri District:-
Sl.No. Name of Health
Institutions
Radiant Warmer
Autoclave Resuciation
Kit Electric
Sterilizer
Oxygen Cylinder B
Type with Flow
Meter
Oxygen
Cylinder B Type
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
1 Dharmasala PHC
1
1 1
1
1
1
2 Raniganj PHC 1 1 1 1 1 1 1
3 Golakganj PHC 1 1 1 1 1 1 1
4 Gazarikandi PHC
1
1 0 1 1 1 1
5 Bilasipara SHC 1 1 0 1 1 3 3
6 Sapatgram SHC
1
1 1 1
1
1
7 Sadullabari SHC
1
1 1
1
1
1
8 Salkocha SHC 1 1 1 1 1 1
9 South Salmara CHC(Kowahagi)
0 1 0 1 0 1 1 1 1
10 Gauripur CHC 1 1 1 1 1 1 1
11 Halakura CHC 1 0 1 1 1 1 1 1
12 Agomoni CHC 1 0 1 1 1 1 1 1
13 Mankachar CHC
1
1 0 1 1 1 1
14 Geramari MPHC
0 1 0 1 0 1 1 1 1
15 Santipur MPHC 0 1 0 1 0 1 1 1 1
16 Jarua MPHC 0 1 0 1 0 1 1 1 1
17 Dumordaha MPHC
0 1 0 1 0 1 1 1 1
18 Tamarhat MPHC
1 1 1 1 1
1 1
19 Satrasal MPHC 1 1 1 1 1 1
20 Bagribari SD 0 1 0 1 0 1 1 1 1
21 Medortary SD 0 1 0 1 0 1 1 1 1
22 Futkibari SD 0 1 0 1 0 1 1 1 1
23 Berbhangi SD 0 1 0 1 0 1 1 1 1
24 Jhowdanga SD 0 1 0 1 0 1 1 1 1
25 20 Bedded Mat. Centre, Dhubri
1
1 1 1 1 1 1
26 Bahalpur SD 1 1 0 1 1 1 1
296
27 Boterhat SD 1 1 0 1 1 1 1
28 Kakripara SD 1 0 1 0 1 1 1 1
29 Dhepdhepi SD 1 1 1 1 1 1
30 Moterjhar SD 1 1 1 1 1 1
31 Kachokhana SD
1
1 1
1
1
1
32 Lakhiganj SD 1 1 1 1 1 1
Total 22 10 19 13 16 23 13 19 13 21 12 22
Sl.No. Name of Health
Institutions
Trolley, Humidifier,
Wrench
and Neonatal Mask &
Adult Mask
Foot
Step-Double
IV Dip Stand
Bed Side-Locker
Invalid
Wheel Chair
Instrument Trolley ( high
quality )
Patient trolley
with removable
top
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
1 Dharmasala PHC
1
1
2
6
1
1
1
2 Raniganj PHC 1 1 2 6 1 1 1
3 Golakganj PHC 1 4 4 1 1 1 1
4 Gazarikandi PHC
1 1 2 6 1 1 1
5 Bilasipara SHC 1 3 15 10 1 1 1
6 Sapatgram SHC
1
1
2
6
1
1
1
7 Sadullabari SHC
1
1
2
6
1
1
1
8 Salkocha SHC 1 1 2 6 1 1 1
9 South Salmara CHC(Kowahagi)
1 1 2 6 1 1 1
10 Gauripur CHC 1 1 2 5 1 1 1
11 Halakura CHC 1 1 10 20 1 1 1
12 Agomoni CHC 1 1 2 6 1 1 1
13 Mankachar CHC
1 1 2 6 1 1 1
14 Geramari MPHC
1 1 2 6 1 1 1
15 Santipur MPHC 1 1 2 6 1 1 1
16 Jarua MPHC 1 1 2 6 1 1 1
17 Dumordaha MPHC
1 1 2 6 1 1 1
18 Tamarhat MPHC
1 1 2 6 1 1 1
19 Satrasal MPHC 1 1 2 6 1 1 1
297
20 Bagribari SD 1 1 2 6 1 1 1
21 Medortary SD 1 1 2 6 1 1 1
22 Futkibari SD 1 1 2 6 1 1 1
23 Berbhangi SD 1 1 2 6 1 1 1
24 Jhowdanga SD 1 1 2 6 1 1 1
25 20 Bedded Mat. Centre, Dhubri
1 1 2 6 1 1 1
26 Bahalpur SD 1 1 2 6 1 1 1
27 Boterhat SD 1 1 2 6 1 1 1
28 Kakripara SD 1 1 2 6 1 1 1
29 Dhepdhepi SD 1 1 2 6 1 1 1
30 Moterjhar SD 1 1 2 6 1 1 1
31 Kachokhana SD
1
1
2
6
1
1
1
32 Lakhiganj SD 1 1 2 6 1 1 1
Total 9 23 17 20 53 34 90 114 10 22 10 22 10 22
Sl.No. Name of Health
Institutions
Instrument Cabinet
Labour Table with
foam mattress
Stand Light
Steel
Tray with lid
Toothed
Artery Forcep
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
1 Dharmasala PHC
1
1
1
2
1
2 Raniganj PHC 1 1 1 1 2 1
3 Golakganj PHC 1 1 1 2 1
4 Gazarikandi PHC
1 1 1 1 2 1
5 Bilasipara SHC 1 1 1 2 5
6 Sapatgram SHC
1
1
1
2
1
7 Sadullabari SHC
1
1
1
2
1
8 Salkocha SHC 1 1 1 2 1
9 South Salmara CHC(Kowahagi)
1 0 1 1 2 1
10 Gauripur CHC 1 1 1 1 2 1
11 Halakura CHC 1 1 1 1 2 1
12 Agomoni CHC 1 1 1 1 2 1
13 Mankachar CHC
1 1 1 1 2 1
298
14 Geramari MPHC
1 0 1 1 2 1
15 Santipur MPHC 1 0 1 1 2 1
16 Jarua MPHC 1 0 1 1 2 1
17 Dumordaha MPHC
1 0 1 1 2 1
18 Tamarhat MPHC
1 1 1 1 2 1
19 Satrasal MPHC 1 1 1 2 1
20 Bagribari SD 1 0 1 1 2 1
21 Medortary SD 1 0 1 1 2 1
22 Futkibari SD 1 1 1 1 2 4
23 Berbhangi SD 1 0 1 1 2 1
24 Jhowdanga SD 1 0 1 1 2 1
25 20 Bedded Mat. Centre, Dhubri
1 1 1 1 2 1
26 Bahalpur SD 1 0 1 1 2 1
27 Boterhat SD 1 1 1 1 2 1
28 Kakripara SD 1 0 1 1 2 1
29 Dhepdhepi SD 1 1 1 2 1
30 Moterjhar SD 1 1 1 2 1
31 Kachokhana SD
1
1
1
1
1
32 Lakhiganj SD 1 1 1 1 1
Total 10 22 21 21 11 21 20 42 20 19
Sl.No. Name of Health
Institutions
Bowls Needle Holder
Episiotomy Scissor
Dressing Drums
Tissue Forceps
Binocular Microscope
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
PS Add Req
1 Dharmasala PHC
1
1 2
2
2
2
1
2 Raniganj PHC 1 2 2 2 2 1
3 Golakganj PHC 1 2 1 1 2 2 1
4 Gazarikandi PHC
1 2 2 2
2 1
5 Bilasipara SHC 1 3 3 2 2 1
6 Sapatgram SHC
1
1
2
2
2
1
7 Sadullabari SHC
1
1
2
2
2
1
299
8 Salkocha SHC 1 1 2 2 2 1
9 South Salmara CHC(Kowahagi)
1 2 2 2 2 1
10 Gauripur CHC 1 1 1 1 1 2 1 1
11 Halakura CHC 1 2 2 2 2 1
12 Agomoni CHC 1 2 2 2 2 1
13 Mankachar CHC
1 2 2 2 2 1
14 Geramari MPHC
1 2 2 2 2 1
15 Santipur MPHC 1 2 2 2 2 1
16 Jarua MPHC 1 2 2 2 2 1
17 Dumordaha MPHC
1 2 2 2 2 1
18 Tamarhat MPHC
1 2 2 2
2 1
19 Satrasal MPHC 1 1 1 2 2 2 1
20 Bagribari SD 1 2 2 2 2 1
21 Medortary SD 1 2 2 2 2 1
22 Futkibari SD 1 2 1 1 1 1 1
23 Berbhangi SD 1 2 2 2 2 1
24 Jhowdanga SD 1 2 2 2 2 1
25 20 Bedded Mat. Centre, Dhubri
1 2 2 2
2 1
26 Bahalpur SD 1 2 2 2 2 1
27 Boterhat SD 1 2 2 2 2 1
28 Kakripara SD 1 2 2 2 2 1
29 Dhepdhepi SD 1 1 1 2 2 2 1
30 Moterjhar SD 1 1 1 2 2 2 1
31 Kachokhana SD
1
1 1 2
2
2
1
32 Lakhiganj SD 1 1 1 2 2 2 1
Total 9 23 15 48 24 41 39 24 22 40 12 20
301
DG Set Requirement Format for Dist. Hospital, SDCH, FRU, CHC, BPHC, 24X7 PHC
Annexure B
Pt-II
Name of the District: Dhubri
Sl.No Name of the
Health Institution
No. of Delivery
09-10(upto Sep'09)
Make of DG Set
Capacity of DG
Set
Dt. of Installation
Source of Supply
Whether covered under AMC (Y/N)
Present Status of the DG Set Present
Requirement if any
Remarkas
Working Need repair
beyond economic
repair
1 Dhubri Civil
Hospital 2223 Kirlosker
30 KV & 14 KV
NA Govt N Y 1 30 KV
2 Dhubri Health & Maternity Centre
143 NA 5 KW NA Govt. Supply N Y Y Within
economic repair
1
3 Halakura CHC 1064 NA NA NA NA NA 1 1st Phase distribuion
4 Agomoni CHC 348 Kirlosker 8 HP 27-2-09
Govt. supply under NRHM scheme along
with newly labour room
Y Y Y Y 1 Low HP
Generator needed
5 Boterhat SD 105 NA NA NA NA NA 1
6 Satrasala MPHC 61 NA NA NA NA NA 1
7 Golakganj PHC 631 USHA 5 KV NA Govt. Supply NO Y N
302
8 Kachokhana SD 76 NA NA NA NA NO 1
9 Dhepdhepi MPHC 37 NA NA NA NA NO 1
10 Moterjhar SD 97 NA NA NA NA NO 1
11 Tamahat PHC 363 NA NA NA NA NO 1 1st Phase distribuion
12 Raniganj PHC 68 Honda 2.5 KV NA NRHM RKS
Fund Y Y N
Recently Purchased
13 Bilasipara SHC 564 NA NA NA NA No 1 1st Phase distribuion
14 Sapatgram SHC 118 NA NA NA NA No 1
15 Lakhiganj SD 78 NA NA NA NA No 1
16 Futkibari SD 34 NA NA NA NA No 1
17 Chapor FRU 358 Kirlosker 10 KV NA Govt No Y N
18 Salkocha SHC 45 NA NA NA NA NA 1
303
19 Bahalpur SD 17 NA NA NA NA NA 1
20 Gazarikandi BPHC 797 USHA 5 KV 23.7.07 Govt NA Y 1 10 KV
21 Mankachar CHC 388 NA NA NA NA NA 1 1st Phase distribuion
22 Dharmasala BPHC 246 Birla 12 KV Oct, 2009 Govt Y Y N
23 Gauripur CHC 164 Kirlosker 2.5 KV May, 2006 Govt NA Y 1 5 KV (1st
Phase distribuion)
305
Instittionwise requirement of Contractual manpower Annexure-C
SL NAME OF THE HEALTH
INSTITUTION Type of Institution
MO
MBBS AYUR GNM
1 Tamahat MPHC 24 x7 PHCs 1 0 2
2 Moterjhar SD 24 x7 PHCs 0 1 1
3 Kachokhana SD 24 x7 PHCs 0 0 1
4 Dhepdhepi MPHC 24 x7 PHCs 0 0 1
5 Berbhangi SD 24 x7 PHCs 0 0 3
6 Dumardaha MPHC 24 x7 PHCs 0 1 3
7 BATERHAT SD 24 x7 PHCs 1 0 2
8 SATRASAL MPHC 24 x7 PHCs 0 0 2
9 Geramari MPHC 24 x7 PHCs 0 0 3
10 S.Salmara CHC(Tumni) 24 x7 PHCs 0 0 4
11 Medortari SD 24 x7 PHCs 0 0 3
12 Jarua MPHC 24 x7 PHCs 0 0 3
13 Jhowdanga SD 24 x7 PHCs 0 1 3
14 Kakripara SD 24 x7 PHCs 0 0 3
15 Sadullabari SHC 24 x7 PHCs 0 0 3
16 Lakhiganj SD 24 x7 PHCs 0 0 1
17 Futkibari SD 24 x7 PHCs 0 0 3
18 Bagribari SD 24 x7 PHCs 0 0 3
19 Santipur MPHC 24 x7 PHCs 0 0 3
20 Salkocha SHC 24 x7 PHCs 0 0 2
21 Champabati MPHC 24 x7 PHCs 0 0 0
Total 2 3 49