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Barmer visit Tour Report (23-27 Oct, 2013). Kshitij Gaurang CO(CH) Medical, Health & F.W. Services. GOOD PRACTICES . Branding : Branding has been done in all Health Facilities. Funds: Fund are distributed up to Sub-center level. And 43% expenditure has been done at district level.
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Barmer visit Tour Report (23-27 Oct, 2013) KshitijGaurang CO(CH) Medical, Health & F.W. Services
GOOD PRACTICES • Branding :Branding has been done in all Health Facilities. • Funds: Fund are distributed up to Sub-center level. And 43% expenditure has been done at district level. • ASHA Module 6&7 :Most of the ASHA trained in Module 6 & 7 • MCHN Day : MCHN held as per micro-plan. ASHA Mobilized the beneficiaries. • JSY and ShubhLaxmi : JSY payments and Shubhlaxmi payments are given promptly. • Food: Hot food given to delivered Mother.
Contd…. • Cold Chain:- Cold Chain Maintained properly and temperature recorded every day. • MMU : 2 MMU and 6 MMV are functional. • Regular Visit of MMU/MMV Total 1781 camp conducted and 38712 Patients treated.
Issues and Gap • ANC :Hemoglobin and Urine Checked in Lab but not mentioned in ANC Register. • There are huge gap of ANC registration , ANC before 12 Weeks and Full ANC. • BCG Vaccine is not available in Some places. • NBCC: Radiant warmer, Other equipment and Pediatrician are available but NBCC are not functional in Pachpadra and chohtan because Paedtirician is not interested. • Under utilization of 108 and Janani Express due to geographical conditions.
Contd… • Cleaning Tenders: District office transferred the amount to Block office but tender is still pending. • Guide line for cleanlines is not clear to lower level. • PCTS Data :Due to only 1 BPM out of 8 sanctioned posts and no DNO data is under reported in PCTS and not checked before uploading. • An Orientation training should be done for all DEOs.
Contd... • Grievance Redressal System: Grievance Redressal System is not established in district. • Bio-Medical Waste: - Most of the health institute applied or renewed registration in pollution control board. • CTF connectivity's: Most of the health institute not connected to CTF’s so when pits are full with Bio medical waste they burn it.
Contd… • ASHA : ASHA Payment only done on (ASHA Monthly Meeting, MCHN and institutional delivery) • Payment for VHSC, HBPNC, Infant death and follow-up of discharge children from SNCU/MTC still pending, because of lack of information about guidelines. • Regular Meeting of VHSC has not been done. • United and Corpus Fund is used but AMG fund is not used properly.
Contd.. • MMU/MMV :- due to technical problem X-ray Machine not functional. • Medicine is not received through MNDY as per information of DPC budget is not allotted for it. • MMU generator not functional. • Weighing Machine for Adult not found in MMV.
Cont.. • WIFS Programme: Visited three Govt Secondary Schools. (In Two school red WIFS tablets were available and in one school WIFS tablets and reporting formats were not received). Monitoring with Education department required. • Shifting of NBCC from non functional delivery point to functional non-delivery point.