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Sikar District Tour (23-27,Oct 2013)

Sikar District Tour (23-27,Oct 2013). Poonam Shrivastava Co. Yashoda /HBNC Room No. 212, DMHS J aipur. District Information 8 Blocks DH-1, CHC-31, PHC-101, SC-649. Fund utilization at all levels . ASHA Component. Only 19% funds are utilized till Sept. 13 under ASHA Incentive

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Sikar District Tour (23-27,Oct 2013)

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  1. Sikar District Tour (23-27,Oct 2013) PoonamShrivastava Co. Yashoda /HBNC Room No. 212, DMHS Jaipur

  2. District Information8 Blocks DH-1, CHC-31, PHC-101, SC-649

  3. Fund utilization at all levels

  4. ASHA Component • Only 19% funds are utilized till Sept. 13 under ASHA Incentive • Rs 300 incentive for ANC is not given to ASHA • Incentive for complete immunization Rs. 100 and booster dose Rs. 50 is not given to ASHAs • Incentive under child health 250 for HBNC,150 for follow up of discharge SNCU/MTC children, Rs 50 infant death information, 100+200 MTC referral+ transport are also not given to ASHAs. • Also there was a considerable gap between JSY beneficiary payment and ASHA incentive for ID • DAC could not provide block wise and activity wise targets achievement and incentive payment status. • 6&7 module ASHA trainings were organized at blocks and will complete all trainings till November. • Mobility support for PHC supervisors is not utilized

  5. Findings during visits • Only one DP PHC Shishu did not had SBA trained staff at LR . CHC palsana had 5 staff trained in SBA. • NBCC all delivery points other than SC has required equipment but equipment were not clean staff is not trained in NSSK. • NBSU at CHC fatehpur was locked CHC incharge said additional staff is required for round the clock services in NBSU. • Radiant warmers are supplied to DPs but not installed • Cold chain maintenance issues no wooden platforms at some institutions ILR/DF were directly plugged in without stablizer, opv was found in DF at rural institutes, temperature record did not show any fluctuation equipment were not defrost funds like AMG /Corpus grant may be utilized for rectification of electric fitting and minor repair or renovation in cold chain. • BCG vaccine was not found at some places. • CTF agreement done at most of CHCs and some PHCs but CTF agency did not render frequent services.

  6. Findings under JSSK,shubhlakshmi,ANC • Payment and services(transport, hot food, drugs,lab test) under JSSK programme was quit appropriate . • Payment under shubhlakshmi yojana were given to all female birth. • Most of institution/health worker hesitate to report sever anemia in pregnant women. • Their was a considerable difference in ANC registration and complete ANC • Funds required for upgraded and New sanctioned institutions 33 PHCs,14 CHCs,113 SCs. • MTC at Srimadhopur CHC was not functional inspite of trained nursing staff due to un availability of required equipment. • CHC Srimadhopur ANC record is not maintained in prescribed ANC register

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