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Tour Report

Tour Report. District Baran (23-27 Oct, 2013) Lalit Kumar Tripathi Consultant-Trai ning. Places/Blocks Visited. Major Findings.

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Tour Report

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  1. Tour Report District Baran (23-27 Oct, 2013) Lalit Kumar Tripathi Consultant-Training

  2. Places/Blocks Visited

  3. Major Findings • Branding Tender: Institutional branding (L1, L2 and L3) tender is still pending. Although CMHO and DAM committed in meeting organized under the chairpersonship of PD-NRHM in 07 Oct, 2013 to complete it before 25th Oct 2013 • Training Tender: Same with training tenders (Residence and Food) • Branding on 108/JE/MMV: Branding not done till the date although it is part of PIP conditionality

  4. MMU & MMVs • MMU-2 (Chabada and Kishanganj) • MMV-3 (Shahbaad, Chhipabarod and Atru). • Non-functional Equipments- X-ray machine, Portable ECG (CHC Kelwada) , AC, Glucometre Generator • Recommendations- • State may revisit /check each MMU/ MMV camp plan. Branding is still pending on MMVs • State may try to club camp day with MCHN session or fix day approach may also adopt. • MMU/MMVs may also used as contraceptive depot.

  5. 104- Janani Express Branding still pending on JE

  6. Contd….. Cleaning Tenders: District office transferred the amount to Block office but tender is still pending. Matter was discussed with DPM/MOI/c but not a single facility accountant was available although posted and not on leave. Recommendation- Finance section should guide for all types of tenders.

  7. PHC - Bhanwargarh Issues of Labour Room Rusted labor table used in Labour Room CHC-Atru

  8. Issues of Labour Room • Mekthantosh were not available or in very bad conditions. • Dirty bad sheet • No proper cleaning PHC Bhanwargarh

  9. Institutional deliveries

  10. Contd….. Under Reporting in PCT software- Entries in PCTS are under reported. Discussed with DPM and DNO they ensured but the matter is pending since long time. Recommendation: Accountants and Asha Supervisors must be posted at delivery points and this should be done in defined time.

  11. Contd….. Delivery Points must be equipped with SBA trained staffs – Many SBA trained staffs are posted at non-delivery points . State office has sent two letters to district – vide no-3379 dated 31/07/2013 and 5799 dated 04/10/2013 for deploying SBA staff only to delivery points. Recommendation: SBA trained staffs should be posted at only delivery points, and this may be a regular part of DHS agenda DPM requested to replace some delivery points, as already identified delivery points are underutilized.

  12. Contd….. MCHN day- Immunization is ongoing, ANM was giving Immunization to pregnant women, child. Due list- Due list was available with Asha-Sahoyogini ILR- Temperature log-book was maintaining in almost all facilities. Kalewa Scheme- Food is given by ICDS. Payments – JSY payments and Shubh laxmi payments are given on time.

  13. Complaint Box Complaint Box found but not operational

  14. Contd….. • Doctors/Contractual Staffs: Staff posts are vacant. • FRUs: Many FRUs are not functional due to un-availability of Trained MOs (EmOC and LSAS). Only Kelwada functioning as FRU. Recommendation: Staffs should de deployed as per sanctioned post. DPM is sending nomination for EmOC and LSAS training as per requirement.

  15. Contd….. Establishment of 104 call centre: • Call centre established at DH with two desktops and one staffs. • Landline phone is not working since 3-4 months • 4 JE is off road out of 8 JE in the district. • No GPRS on JE Recommendation- Call centre staff may be used in some other programme like PCTS entry in DH as she is having less work.

  16. JE Performance

  17. Bio Medical Waste • CTF connectivity in CHCs but only one CHCs having log-book or register. (Copy) • Pollution board certification is under process • Dustbin Buckets are not available or not with the colored plastic bag.

  18. Bio medical Waste Dump Bio medical Waste in open at PHC-koyala

  19. Bio medical Waste CHC Atru

  20. WIFS Programme Schools:- • Visited three Govt Secondary Schools (Koyala, Mandola (found red strips tablets) and Nareda (not received). • Koyala Secondary School sending monthly report to BEO (Copy). • De-worming was done in all schools. AWCs- • WIFS tablets were available in AWC (Miyada).

  21. Contd…..

  22. Child Health • NBSU: Established in Kelwada but not function- due to non availability of Pediatrician and nursing staff • In Anta- will established in a one month – work is in progress • 5 Radiant warmers found packed in store at Kishanganj CHC.

  23. Contd….. Malnutrition Treatment Corner (MTC) • MTCs functional in Atru, Kelwada and Kishanganj • Asha-Sahayogini motivational amount is not paid to Asha-Sahayogini. • Records editing /duplication in Atru MTC

  24. Contd….. Radiant warmer dumped in store at Kishanganj CHC

  25. Family Welfare • Family welfare camp plan made, but till date not started even at a single facility. • OCP and Emergency Pills were not available at almost all facilities.

  26. Good practices • C- section and CAC (MTP) was performing by CHCs-Kelwada (C-Section-43 and CAC-14) • Dr. Ravi Goyel (MO) of Kelwada providing one dress to each female child. • Since Nerada-SC have very good building, premises and two SBA trained staff posted who used to conduct 15-20 per month 3-4 months back, so this SC may be developed as delivery point.

  27. Contd….. Cleaning work after OPD timing at Kelwada-CHC

  28. Thank You….

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