Technical Supervision Report of HMIS District: Kondagaon ...rltrird.cg.gov.in/pdf/ROHFW/field...

Technical Supervision Report of HMIS

Date of Visit: 13 to 17 th May 2013

District: Kondagaon

Selection of Health facility

CHC PHC HSC

Makdi Dahikonga, Anantpur Badekanera,Tortanga

Pharsasgaon Badedonger Alor

Kaskal Bhaigaon Nayanar

GENERAL OBSERVATION

District Kondagaon HMIS:

All the discrepancies and inadvertently mentioned data items observed in the visited field

institutes were discussed with CMO and DDO.The team has visited district Hospital Kondagaon

and reviewed the data of last year. The morbidity and mortality pattern was verified from

medical record section. There is discipancies in the data elements of HMIS reports during April

2012 to March 2013.

.Area wise (MCH reports were prepared by BE from blocks and complied at District under ASO

and DSO. The coordination of the facility wise and area wise reporting is lacking at district level

and DSO and ASO should be utilized in HMIS in the data verification and analysis at district

level.

CHC Makadi:

The reports of April 2012 to March 2013 were analyzed. The reports are forwarded to

Next level and various indicators discrepancies were noted by district. Till date data

discrepancies were in process of correction at block data center.

Data of CHC showing many items like JSY, Sterilizations i.e temporary and permanent

and many others are wrongly mentioned after verification from primary register AT CHC

Primary registers at CHC not available but data items were enters. There is need to

prepare properly primary registers for accurate and valid information.

HMIS data as well as MCTS registers were not supervised by the sectors supervisors or

Rural Medical Assistant (RMA) and medical Officers.

Data entry operators were trained in the HMIS but pheriapherial health workers and

RMA training not conducted properly. The HMIS data quality can be improve by giving

proper training of the PHC and HSC staff.

MCTS registers data items were entered into state specific software but job charts were

not printed in time and distributed into the pheriapherial health staff. The knowledge and

understanding of DEO and BPM about some of the important data items of HMIS format

are not up to the mark.

The coordination is totally lacking between the HMIS staff and supervisor/BE at block

level. The HMIS reports should be discussed in the monthly meeting and feedback should be

given to peripheral staff regarding HMIS. The supervisor/BE may also be trained in HMIS, so

that their services can also be utilized for the validation at grass roots level.

CHC Pharasgaon




HMIS data as well as MCTS registers were not supervised by the sectors supervisors or

BE



proper training of the PHC and HSC staff.

MCTS registers data items were entered into state specific software but job charts were

not printed in time and distributed into the pheriapherial health staff.

CHC Kaskal




HMIS data as well as MCTS registers were not supervised by the sectors supervisors and

many important data items were not filled on MCTs register. The job charts were not

prepared and they data entry operators needs training on it.



proper training to staff.

Field verifications:

1) Printed register available at HSC i.e. Jaccha Baccha Register (State specific). The eligible

couple register are available in all surveyed HSC except Badekanera and Tortanga HSC.

2) Double reporting pregnancy and Delivery registration was noted at Nayanar HSC

3) Out of 20 permanent sterilization clients, 12 were traced and interviewed in the field area.

No fake cases on the record among traced clients. Two male clients were found failure

after permanent sterilization. They are not aware of the compensation of failure.

4) 20 oral pills clients were selected from 4 HSCs, of which 9 were traced in field. 4 clients

were fake on available record. Cause of fake reporting in the selected HSC is due to target

given from blocks and they are not completed within prescribed period. HMIS reports

were also showing series of numbers from APRIL 2012 to March 2013. All cases were not

listed and fake reported to HMIS.

5) 20 IUD users were contacted out of 14 selected. 10 clients were fake cases on record.

HMIS report having more number of clients.

6) 21 condom users were selected for verification, 10 were visited in the field. Out of visited

clients, six were fake clients. All cases reported to HIMS are fake.

PHCs (Dahikonga, Anantpur,Badedonger and Bhaigaon)

Poor Knowledge of RMAs on data elements of HMIS formats specially ANC

registration, duplication of registration noted in all surveyed PHCs.

There is no proper validation and cross checking by Medical officer/RMA, before

sending the HIMS forms to block.

HMIS discrepancies were found in the reviewed formats, many items were inadvertently

mentioned. The primary registers are not properly maintained in OPD and IPD. The

summaries are not properly recorded on the primary registers so that there are chances of

over and under reporting of the data items. The feedbacks regarding the HMIS were not

shared with Block.

Supervisor use to enter 'NIL' instead ZERO/BLANK where the data should be filled as

ZERO/BLANK. Staff was unaware of actual meaning of zero/blank.

Staff revealed that they are not getting any feedback from the Block as well as from the

district level regarding reported issues and queries. They are not getting any information or

feedback regarding HMIS validation errors. The authority seems to be interested only in

submission of HMIS forms before 20th of each month. The officials in the visited Health

facilities need to be trained in HMIS.

HSC OBSERVATION

1) Printed register (HIMS) available in all surveyed HSCs.

2) Cross checking of the filled formats was done by immediate authority.

3) No feedback available as per HMIS from CHC/District.

Surveyed Blocks

Not matched with primary registers available

Inadvertently mentioned items

Bade

Rajpur

Keshk

al

Kondaga

on

Mak

di

Pharasga

on

1.1 Total number of pregnant women

Registered for ANC

2634 2029 5054 2820 2323

1.1.1 Number of pregnant women

registered within first trimester

809 680 1635 652 1128

1.2 Number of Pregnant women

registered under JSY

2603 1988 4943 2557 2294

1.3 Number of pregnant women received

3 ANC check ups during pregnancy

2033 1477 3344 2102 1566

1.4.1 Number of pregnant women given

TT1 during current pregnancy

1193 1091 2984 1781 1173

1.4.2 Number of pregnant women given

TT2 or Booster during current

pregnancy

1642 1771 3575 2207 1802

1.5 Total number of pregnant women

given 100 IFA tablets

1870 1432 4050 1970 1552

1.6.1 Number of new cases of Hypertension

(BP>140/90) detected in Pregnant

women at the institution

49 4 237 72 61

1.6.2 Number of Eclampsia cases managed

during delivery

1 0 23 0 1

1.7.1 Number of Pregnant women with

anaemia i.e. Hb level<11 (tested

cases)

277 323 898 343 513

1.7.2 Number of Pregnant women having

severe anaemia (Hb<7) treated at

institution

18 0 55 12 0

2.1.1.

a

Number of deliveries conducted at

Home and attended by trained

SBA(i.e. Doctor or Nurse or ANM)

312 180 1160 755 481

2.1.1.

b

Number of deliveries conducted at

Home and attended by non trained

SBA (i.e. trained TBA or Relatives

etc.)

128 450 706 132 479

2.1.1.

c

Total number of deliveries conducted

at Home and attended by trained or

non-trained SBA (i.e. sum of 2.1.1.a

and 2.1.1.b)

440 630 1866 887 960

2.1.2 Number of newborns visited within

24 hours of delivery for deliveries

conducted at home

393 476 1570 853 769

2.1.3 Number of mothers paid JSY

incentive for deliveries conducted at

home

33 107 271 420 139

2.2 Deliveries conducted at Public

Institutions

1106 1060 1773 1085 908

2.2.1 Number of women discharged under

48 hours of delivery conducted at

Public Institutions

165 408 1315 1073 576

2.2.2.

a

Number of mothers paid JSY

Incentive for deliveries conducted at

Public Institutions

1022 1049 1630 1075 882

2.2.2.

b

Number of ASHAs paid JSY

Incentive for deliveries conducted at

Public Institutions

892 755 1217 1075 585

2.2.2.

c

Number of cases of deliveries

conducted at Public Institutions

where JSY incentive was paid to

ANMs or AWWs [only for High

Performing States (HPS)]

8 70 121 9 45

3.1.1 Number of Caesarean (C-Section)

deliveries performed at PHCs

(Primary Health Centre)

0 0 0 0 0


deliveries performed at CHCs

(Community Health Centre)

0 0 0 0


deliveries performed at SDHs (Sub-

divisional Hospital) or DHs (District

Hospital)

46

3.2 Number of Caesarean (C-Section)

deliveries performed at Private

facilities

4.1.1.

a

Number of male live births 748 864 1823 1022 933

4.1.1.

b

Number of female live births 764 791 1836 907 909

4.1.1.

c

Total number of male and female live

births (4.1.1.a and 4.1.1.b)

1512 1655 3659 1929 1842

4.1.2 Number of still births 44 40 112 43 38

4.1.3 Number of Abortions (spontaneous or

induced)

36 13 79 20 113

4.2.1 Number of Newborns weighed at 1479 1642 3410 1894 1729

birth

4.2.2 Number of Newborns having weight

less than 2.5 kg

132 81 649 193 191

4.3 Number of Newborns breast fed

within 1 hour

1479 1651 3239 1887 1755

5.1.1 Number of cases of pregnant women

with Obstetric Complications and

attended at PHCs

1 0 0 0 0



attended at CHCs

11 0 0 0



attended at SDHs or DHs

109



attended at Public facilities i.e. PHC,

CHC, SDH, DH and other State

owned public institutions (sum of

items from 5.1.1 to 5.1.4)

12 0 109 0 0

5.3.1 Number of cases of complicated

pregnancies treated with IV

antibiotics

6 0 105 0 0


pregnancies treated with IV

Antihypertensive/Magsulph injection

0 0 0 0 0


pregnancies treated with IV Oxytocis

6 0 101 0 0


pregnancies treated with Blood

Transfusion

0 0 79 0 0

6.1 Women getting post partum check-up

within 48 hours after delivery

1434 1374 2618 1805 1391

6.2 Women getting a post partum check

up between 48 hours and 14 days

after delivery

987 988 1214 1316 1249

6.3 PNC maternal complications

attended

27 3 2 18 98

7.1.1 Number of MTPs conducted at Public

Institutions up to 12 weeks of

pregnancy

0 0 8 0 1

7.1.2 Number of MTPs conducted at Public

Institutions for more than 12 weeks of

pregnancy

0 0 1 0 0

7.1.3 Total number of MTPs conducted at

Public Institutions (sum of items 7.1.1

and 7.1.2)

0 0 9 0 1

7.2 Number of MTPs conducted at

Private Facilities

0 0 0 0 0

8.2 Number of suspected RTI/STI cases

for whom wet mount test was

conducted

0 0 4 0 0

9.1.1.

a

Number of NSV (No Scalpel

Vasectomy) or Conventional

Vasectomy conducted at PHCs

24 2 156 0 0

9.1.1.

b

Number of NSV or Conventional

Vasectomy conducted at CHCs

117 79 4 74

9.1.1.

c

Number of NSV or Conventional

Vasectomy conducted at SDHs or

DHs

0

9.1.1.

e

Total Number of NSV or

Conventional Vasectomy conducted

at Public facilities i.e. PHC, CHC,

SDH, DH and other State owned

public institutions (sum of items from

9.1.1.a to 9.1.1.d)

141 81 156 4 74

9.1.2 Number of NSV or Conventional

Vasectomy conducted at Private

facilities

9.2.1.

a

Number of Laparoscopic

sterilizations conducted at PHCs

0 0 762 0 0

9.2.1.

b

Number of Laparoscopic

sterilizations conducted at CHCs

208 307 0 440

9.2.1.

e

Total Number of Laparoscopic

sterilizations conducted at Public

facilities i.e. PHC, CHC, SDH, DH

and other State owned public

institutions (sum of items from 9.2.1.a

to 9.2.1.d)

208 307 762 0 440

9.2.2 Number of Laparoscopic

sterilizations conducted at Private

facilities

9.3.1.

a

Number of Mini-lap sterilizations

conducted at PHCs

0 0 8 0 0

9.3.1.

b


conducted at CHCs

0 0 0 0

9.3.1.

c


conducted at SDHs or DHs

3

9.3.2 Number of Mini-lap sterilizations

conducted at Private facilities

9.4.1.

a

Number of Post-Partum sterilizations

conducted at PHCs

0 1 2 0 5

9.4.1.

b


conducted at CHCs

0 0 0 0

9.4.1.

c


conducted at SDHs or DHs

2

9.4.1.

e

Total Number of Post-Partum

sterilizations conducted at Public

facilities i.e. PHC, CHC, SDH, DH

and other State owned public

institutions (sum of items from 9.4.1.a

to 9.4.1.d)

0 1 4 0 5

9.5.1.

a

Number of IUD Insertions conducted

at SCs

357 125 915 505 272

9.5.1.

b


at PHCs

3 23 55 0 5

9.5.1.

c


at CHCs

14 15 1 7

9.5.1.

d


at SDHs or DHs

0

9.5.1.

f

Total Number of IUD Insertions

conducted at Public facilities i.e. SC,

PHC, CHC, SDH, DH and other State

owned public institutions

374 163 970 506 284

9.5.2 Number of IUD Insertions conducted

at Private facilities

9.06 Number of IUD removals 359 313 682 626 124

9.07 Number of Oral Pills cycles

distributed

8257 6590 19062 5878 8208

9.08 Number of Condom pieces

distributed

75104 76546 127835 5623

0

52008

9.09 Number of Centchroman (weekly)

pills given

0 0 0 0 8

9.1 Family Planning 30 118 6 23 0

9.11.1

.a

Number of cases of complications

following male sterilization

4 0 1 0 0

9.11.1

.b

Number of cases of complications

following female sterilization

0 0 23 4 0

9.11.2

.a

Number of failures following male

sterilization

0 0 0 0 0

9.11.2

.b

Number of failures following female

sterilization

0 0 3 0 0

9.11.3

.a

Number of deaths following male

sterilization

0 0 0 0 0

9.11.3

.b

Number of deaths following female

sterilization

0 0 0 0 0

9.12 Number of Institutions having NSV

trained doctors

14 16 16 6 13

10.1.0

1

Number of Infants (0 to 11 months

old)received BCG immunisation

1512 1655 3653 1935 1838

10.2.3 Number of Infants (more than 16

months old) received Measles,

Mumps, Rubella (MMR) Vaccination

0 0 0 0 0

10.3.1

.a

Total number of male children (12 to

23 months old) fully immunised

(BCG+DPT123+OPV123+Measles)

during the month

228 29 1041 982 293

10.3.1

.b

Total number of female children (12

to 23 months old) fully immunised


during the month

232 46 1136 974 317

10.3.1

.c

Total number of children (12 to 23

months old) fully immunised


during the month (sum of items

10.3.1.a and 10.3.1.b)

460 75 2177 1956 610

10.3.2 Number of children (more than 5

years old) given DT5

1134 1705 2872 1939 1005


years old) given TT10

3248 1801 3703 2555 2226


years old) given TT16

3288 1512 2963 1997 1827

10.3.5

.a

Number of cases of Abscess reported

following immunisation [Adverse

Event Following Immunisation

(AEFI)]

3 0 68 6 189

10.3.5

.c

Number of cases of other

complications reported following

immunisation [Adverse Event

Following Immunisation (AEFI)]

0 0 10 11 95

10.4.1 Number of Immunisation sessions

planned to be held during the month

1613 1866 3739 1702 2018


held during the month

1546 1766 2087 1431 1778


held during the month where ASHAs

were present

1499 1551 1503 1347 1583

11.1.1 Number of children (9 months to 5

years old) administered 1st dose of

Vitamin A (Dose-1)

985 1077 2310 1290 1058


years old) were administered 5th dose

of Vitamin A (Dose-5)

302 78 1413 615 187


years old) administered 9th dose of

Vitamin A (Dose-9)

211 84 1162 396 120

12.6 Number of cases of Measles reported

in children below 5 years of age

40 0 129 15 32

12.7 Number of cases of Diarrhoea and

Dehydration reported in children

below 5 years of age

837 117 1495 742 580

12.8 Number of cases of Malaria reported

in children below 5 years of age

111 1 1001 159 152

12.9 Number of children below 5 years of

age admitted with Respiratory

Infections

5 0 254 997 10

13.1 Number of Patients operated for

cataract

72 8 93 0 68

13.2 Number of Intraocular Lens(IOL)

implantations

72 8 93 0 4

13.3 Number of School children detected

with Refractive errors

105 0 65 0 0

13.4 Number of children provided free

glasses

0 0 11 0 0

13.5 Number of eyes collected through eye

donation

0 0 0 0 0

13.6 Number of eyes utilised for corneal

transplant

0 0 0 0 0

14.01 Number of CHC or SDH or DH

functioning as First Referral units

(FRUs)

6 9 6

14.02 Number of PHCs functioning 24X7

with atleast 3 Staff Nurses

6 17 2 1 11

14.03 Number of Anganwadi centres

reported to have conducted VHNDs

1321 1795 2956 1676 2363

14.10.

1.a

Number of male patients admitted

(Inpatients) during the month

117 198 841 171 245

516 1060 2282 192 893

14.10.

1.b

Number of female patients

(Inpatients) admitted during the

month

143 296 955 179 302

582 1459 2741 648 1299

14.10.

1.c

Total number of patients admitted

(Inpatients) during the month (sum of

items 14.10.1.a and 14.10.1.b)

260 494 1796 350 547

1098 2519 5023 840 2192

14.10.

2.a

Number of death cases of Inpatient

males

2 13 54 0 27

14.10.

2.b

Number of death cases of Inpatient

females

1 5 33 0 20

14.10.

2.c

Number of cases of death of

Inpatients (sum of items 14.10.2.a and

14.10.2.b)

3 18 87 0 47

14.11 In-Patient Head Count at midnight 3 0 116 19 30

14.12.

1

OPD attendance (All) 39695 40045 76186 2455

0

52584

14.13.

1

Number of major operations carried

out using general or spinal

anaesthesia

170 1 120 1977 310

14.13.

2

Number of minor operations carried

out without anaesthesia or using local

anaesthesia

298 392 173 154 29

14.14.

a

Number of patients given AYUSH

treatment

1 7707 6882 128 587

14.14.

b

Number of patients on whom Dental

Procedure was conducted

0 1032 0 0 10

14.14.

c

Number of Adolescents counselled 0 0 0 3 32

15.1.1

.a

Number of Haemoglobin (Hb) tests

conducted

2644 2894 3292 1019 2016

15.1.1

.b

Out of the total number of Hb tests

conducted, number of cases having

Hb less than 7gm/dl

68 134 398 21 106

15.1.2

.a

Number of HIV tests conducted on

males

19 30 227 0 16

0 0 11 0 8

15.1.2

.b


Female-Non ANC (i.e. non pregnant

females)

202 90 120 0 0

0 0 5 0 0

15.1.2

.c


Female with ANC (i.e. pregnant

0 6 53 0 0

females)

0 0 4 0 0

15.1.2

.d

Total number of HIV tests conducted

(sum of items 15.1.2.a to 15.1.2.c)

221 126 400 0 16

0 0 20 0 8

15.2 Number of Widal tests conducted 1045 130 80 159 752

15.3.a Number of VDRL tests conducted on

males

1 0 401 2 2

15.3.

b

Number of VDRL tests conducted on

Female-Non ANC (i.e. non pregnant

females)

81 0 319 0 1

15.3.c Number of VDRL tests conducted on

Female with ANC (i.e. pregnant

females)

0 0 0 0 0

15.3.

d

Total number of VDRL tests

conducted (sum of items 15.3.a to

15.3.c)

82 0 720 2 3

15.4.1 Number of blood smears examined

for Malaria

7202 23487 14220 2534 2792

15.4.2 Out of blood smears examined for

malaria, number of blood smears

tested positive for Plasmodium Vivax

29 2419 3 0 30

15.4.3 Out of blood smears examined for

malaria, number of blood smears

tested positive for Plasmodium

Falciparum

583 591 615 151 153

17.1 Number of cases of Infant deaths

within 24 hrs of birth

3 6 9 9 4

17.3.5 Number of cases of Infant or Child

deaths between 1 month to 5 years of

age with the probable cause being

other than Pneumonia, Diarrhoea,

Fever related and Measles

3 9 12 8 7

2 4 4 5 3

5 13 16 13 10

17.4.1 Number of cases of Adolescent or

Adult deaths (age 6 years & above)

with the probable cause being

Diarrhoeal diseases

1 1

1 1




Tuberculosis

5 6 6 8

2 3 4

2 8 6 6 12



6 3 1


Respiratory diseases including

infections

1 2

7 3 2 1




Malaria

2

1 3 1

1

1 1 3 3



with the probable cause being other

Fever related

1 1

2 6 2 2 4

11 3 1

3 17 6 3 4




HIV/AIDS

1

1 1

1 2



with the probable cause being Heart

disease or related to Hypertension

4 1 6 1 7

3 6 8 1 8

7 7 14 2 15




Neurological disease including

strokes

1

1 1

1

2 1 1

17.4.9

(a)

Number of cases of Maternal deaths

(age 15-49 years) with the probable

cause being Abortion

1

1

17.4.9

(b)



cause being Obstructed or prolonged

labour

1

1

17.4.9

(c)



cause being Severe hypertesnion or

fits

1

1

17.4.9

(d)



cause being Bleeding

2

2

17.4.9

(e)



2

cause being High Fever 2

17.4.9

(f)



cause being other causes (excluding

abortion; obstructed or prolonged

labour; severe hypertension or fits;

4 4 9 4 4

4 4 9 4 4

17.4.1

0

Number of cases of Adolescent or



Trauma or Accidents or Burn cases

3 2 1 4

15 26 19 10 17

5 4 6 1

23 30 27 11 22

17.4.1

1



with the probable cause being suicide

1 1

15 24 18 12 15

3 7 2

19 31 18 15 15

17.4.1

2



with the probable cause being Animal

bites and stings

3 1 1

4 6 6 5 9

1 7 3

8 7 13 9 9

Technical Supervision Report of HMIS District: Kondagaon ...rltrird.cg.gov.in/pdf/ROHFW/field...

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