Key findings District Nagaur October 23-27, 2013 National Rural Health Mission
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Transcript of Key findings District Nagaur October 23-27, 2013 National Rural Health Mission
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Key findings Key findings District Nagaur District Nagaur
October 23-27, 2013 October 23-27, 2013 National Rural Health Mission National Rural Health Mission
Consultant -plan
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Health facilities Visited Health facilities Visited S.NO Type of
facility NO. of facility
Name of facility
1 CHC 4 Khinwsar, Maulasar, Basni, and Nimbijhodha
2 PHC 7 Deh, Karod, Alay, Roll, Dangawas, Padukala, Lampoli
3 Sub-center 5 SC-Ahmadpura, SC shinodh, SC-Ratong, SC-begsar, SC-badana
4 School visit 4 Rajkiya uch madyamic vidhyalaya Bakrod, Butati, Roll, padukala
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District observation District observation District had functional labour rooms but the
quality of care was found variables ,privacy ,absence of separate toilet in PHCs Deh, Bakrod and lampoli
Awarness lacking about programs among community and befeneficiary. few pregnant /mothers interviewed had made own arrangement to the deliveries.
Some PHCs don’t have separate JSY ward. Infection prevention practices appeared
poor at labour and JSY ward. Community ownership found at CHC basni
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48hrs stay after delivery not practiced at most PHCs Padukala, deh and bakrod.
Grievance redressal box not established at facilities
As regards WIFS scheme, low level of awareness are found among the ASHAs about roll out the program.
In 2 Govt school giving IFA tablet out of 4 visited and no awareness about program.
Utilization of funds low at PHC and sub-centre.District vigilance and monitoring committee
established but not any meeting held.Most visited sub-centers listed in delivery point
but don’t have any delivery in last three months.
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Pharmacists were not available at most health facilities. Drug stores were being handled by male nurse
Payment of JSSY and sublakhmi yojna in time but sublakhmi yojana payment along with JSY payment at time of discharge.
Infection prevention practice appeared to be poor at labour room and JSY wards.
Rational deployment of available staff for optimum utilization need to be worked out on case load basis.
Only MMV deployed in the districts , all MMVs are functional and done 930 camps. Strickering was done
Out of 24 only 15 Ambulance 108 are functional, stickering work was not done but in process
ASHA Payment chart related to all programs was prepared by district
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Branding at CHC khinsar
Branding at Subcenter Ahmendpura
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Cleanliness issue at CHC maulasar
Garbage bin under patient’s bed
Cleanliness issue at toilet
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JSY at PHC ALAYI very clean but no bed in JSY ward
Cleanliness condition at Labour Room PHC ALYAI
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Findings at CHCsFindings at CHCs
Radiant warmer and weighing machine not available at labour room khinwasar, maulasar hot food was being given as per schedule expect PHC Roll Branding was done in all CHCs/PHCs/SubcentersInfection prevention practices appeared to be poor at labour and JSY ward except Basni CHCIn Basni CHC, sitting seats provided by local community and cleanliness was good.
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No Functional OT found at facility
Grievance redressal box not established at
facilities
Low utilization of funds at khinwasar, maulasar
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infection prevention practices appeared to be poor at labour and JSY ward. Alay, Lampoli and Roll PHC
48 hrs stay not practices in most PHCs, padukala, Alay and bakrod and lampoli
PHC has two room at lampoli only one doctor and one ANM placed
No Bank A/C at PHC lampoli, only ANM has account beneficiaries were refer to other PHC for JSSY payments . Average 10 deliveries per month in PHC Lampoli.
No management for Bio medical waste at lampoli. MO are not aware about utilization of available funds Labour table was soiled with blood in all visited PHCs Low utilization of funds at facility
National Rural Health Mission
Findings at PHC Findings at PHC
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Findings at Sub-center Findings at Sub-center
No facility at the sub center although there is SBA trained ANM at ahmedpura, ratong and begsar
Running water is a major problem in all sub-centers
There is no toilet facility nor electricity at ahmedpura .
Labor room is found unhygienicOnly shinodh ANM stay in nightThere is no mattress on labor table,No delivery in last two months in ahmedpura,
ratong. There is leakeage at roof of sub-centre budilding
ahmedpura and brick wall Low utilization of funds
National Rural Health Mission
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Thanks