THITmMATfH P H C (MNMHospital)
Item
- Title
- THITmMATfH P H C (MNMHospital)
- extracted text
-
CPHE
THITmMATfH P H C (MNMHospital)
Rim by
VIVEKANANDA FOUNDATION
“Vidya” 54, Paramahamsa Road
Yadavagiri, Mysore, Karnataka, India
ANNUAL REPORT
1998-99
71
THITHJMATHI PHC (MNMHospM)
Run by
VIV K K A NANI) A K() IJ N D A'I' ION
Vivekananda Foundation is a Federation of Voluntary Organistations and individuals
committed to the cause of the development of poor and marginalised section of the society.
These organisations have been working in various sectors of social service such as Tribal
Development, Rehabilitation of Blind and Orphans, Mental Health, Rural Health and
Education, Vocational Training and Community Organisation. This federation is inspired
and guided by the ideals of tlic Ramakrishna Mission.
Ohiectlves;
<3
0
To establish a network or organisations and individuals who have started service
activities inspired by the ideals of Swami Vivekananda.
Shaiing, helping and exchanging ideas amongst the member organisations and
individuals.
To promote, assist and take up activities for the integrated development of the people
with special emphasis on the marginalised and the poor in the areas of Health,
Education, Vocation Training and the like for their development
To promote, assist and guide individuals and voluntary organisations inspired by the
ideals of Swami VivekaiiLanda, who seek help from the foundation.
'Hie handing over of a PHC (Primary Health Ccn ; at Thithimathi in Coorg District is a
landmark beginning ol die Foundation. It eloquently speaks of die need to decentralize
health services and hand them over to voluntary sector and tiie decision of the Government
to tliis effect has been taken in this backdrop. Ihc Primary Health Centre &t Thitiumathi
and its associated sub-ccntres in the Tribal area had remained neglected and almost stopped
functioning.
The formal take-over ceremony of the PHC took place on the 17th June 1996 in the
presence of Hon’blc Health Minister of the Government of Karnataka, the monks of the
Ramakrishna Mission and many dignitaries like Mr M N Chittiyappa of BCK Group.
Vivekananda Foundation soon after taking over the PHC at Thithimathi immediately set to
improvise the infrastructure - repair of buildings, drinking water facilities, electricity etc.
Vivekananda Foundation has spent Rs.6 lakhs for the renovation of PHC building and staff
quarters. This has been possible with the generous donations from BCK Group.
I
I
The PHC at Thithimalhi stalled functioning soon. 'Hie Medical and Paramedical staff
were given the ncccasary orientation training at the Vivekananda Youth Movement H.D.
l\.<;to), a mender oigani.'intion ot the Vivekananda foundation. Dr. Balaaubramanxyain and
Dr. II Sudarshan have been regularly monitoring the PilC. The health programmes were
specially designed to reach the interior villages.
With, the earnest effort of BCK Group an ambulance has been donated to the Vivekananda
Foundation by Jan Klan gal Samstha. The ambulance services have been a great bocn io
the Tribal population in the interiors of the forest.
I
1
rI
Progress Report
1998-99
1. MCH anti Family Welfare (RCH Programme):
SLx Tribal ANMs specially trained to work in tribal areas have been in-charge of the subcentres. I hey have provided Antenatal care to all the pregnant mothers - Registered them
before 12 weeks and checked Blood Pressure, examined urine for Albumin and sugar,
blood for IIb% and gave fetanus Toxide Injections to all of them. They also conducted
deliveries and piovidcd 1 ost-natal care. Iron-folic acid tablets (IFA) -prophylactic and
therapeutic doses were providctl to all pregnant women.
'X
CNA Approach - nic ANMs made a survey of their population and prepared Actios}
idans for 1999 - 2000 based on the needs of the community.
atul IJiprovcopic xurpcriefi were done ix'riodicaily at the IT IC with the help
ol qualified Suigcuiis, not t;nly loi the 1’1 IC population but ahio to the neighbouring PIICb.
Tlie Operation Theater is well equipped and good quality services are provided. Lady
Medical Officer has been conducting deliveries at PHC in a well maintained Labour room
and the Ir^diluttenal Deliveries have increased considerably compared to previous years.
2, Immunisation;
l(X)'’o immunisation has been provided to all the pregnant women and all the children have
been immunised for BCG, DP T, Polio and Measles. Cold Chain is maintained well with
the help of IL Refrigerator and Deej) Freezers.
jiJfoYVPltoO
VvulniLof Endemic dlsmcs (INatfeonal Health Pre^ranunes ):
? 01. Malaria Eradication Programme.
02. Tuberculosis Control Programme.
03. Family Welfare Programme.
04. Leprosy Elimination Programme.
0j. Mental Health and Epilepsy Control Programme.
06. Blindness Control Programme.
07. Cancer Control Programme.
08. School Health Programme.
09. Aids Control Programme.
10. STD Control Programme.
11. Water and Sanitation Programme.
12. Goiter Control Programme.
1 >. 1 diarrhea C’ontiol J’j ogrammo.
14. Diabejlcs Control Programme.
15. Filana
Fihm Control Programme.
Progiamme.
16. Guinea Worm Elimination Programme.
(Note ; Detailed report is enclosed)
4. Curative services;
I he cuiiilivT/ £m-i vit ro uit available- nl !‘H< ’ (hioughoul (he yem and emergency medical
services were provided 24-hours a day. Periodically, specialists also provided their- services
to the PHC. Qualified Surgeons and Ob &G specialists are visiting the PHC regularly and
providing Specialist services.
5. Health Education & School Health Programme:
This was carried out tluough individual contact, counseling, group discussion, audio
tapes, exhibitions and posters. Health checkup was conducted in various schools at
TliiLhimathi, Devarapura, Ncllikadu, Hebbale, Athur, Edcthore.
The causes and
prevention of deiseases such as TO, Leprosy, Malaria, were explained to the school
children. Along with that, personal hygiene, usage of iodised salt, importance of nutrition,
dental care were explained The Anganwadi and School teachers were also made aware of
(ho above inc Is.
6. Nutrition:
Nutrition is provided to under-5 children through Anganwadi in die PHC area under ICDS
scheme. PHC supervised the Nutritional Monitoring, health checkups, immunisation of
children and provided health and nutrition education.
7, Safe <kinkiin& water and stnut^tjon ;
PHC has taken up the responsibility of providing safe drinking water by chlorination of
over-head tanks, wells and also created awareness about sale drinking water, sanitation
and construction of sanitation latrine.
8. Provision of essentini drugs :
The PHC is committed to providing essential drugs and all the essential drugs are made
available al tlio PHC. Rational drug therapy is practiced in the PHC.
9, Community Participation:
7
ITe PI IC ensured the Equitable Distribution of Primary health services by ensuring
access ol health services to the poor and the marginalised especially SC and ST
communities by special efforts.
Participated in the Ciraina Eanchayut meetings at ihitlumathi and Devarapura.
Ullage Healih ('nninofleev (VJICx) have been set up and then© provide support in
■ various health activities tn alt the sub ccntrcs.
Mahila Sxvastha Sanghas were involved in all health programmes - motivation for
sterilisations, immunisations - and they participated in group discussions.
Local resoitrces have been mobilised for the elective functioning of the PHC.
10. The appropruiie health technology, like ORT, traditional medicine, are promoted in
the area and the health staff arc provided suitable training to do tliis. Eight distribution
centres were opened at the village-level lor distributing ORS packets lor treating diarrhoea
canes.
11. Efforts are being made to ensure Multi-sectorud approach for the integrated
development of the people by the convergence of various services at community level Health, Education, 1CDS, Panchayat Raj Institution, Public Engineering etc.
12. Effective Refferal xervic^s arc being provided from sub-ccntro to PHC, PMC to
Taluka & District Hospitals. Our ambulance is very useful in providing refferal services. In
addition specialist services are also made available at PHC.
l
t<j thv YMikHn
;
1. Training on “Community Participation” at B R Hills for 3 days.
2. B H E Orientation Training Programme from 19.11.98 to 01.12.98 at Mandya
Training Centre.
3. Medical Officers Orientation Training Ifrogrammc from 14.12.98 to 30.12.98 at
Mandya Training Centre.
4. Shod term training course on TB Control from 07.12.98 to 11.12.98 for the
Medical Officer, licld staff'at the National Institute of Tuberculosis.
5. Training on Mental health, Epilejysy and tuberculosis from 12.03.98 to 14.03.98
at B R Hills for field staff.
6. IT’A and CNA training, programme at Madikerc to the licld staff.
14. Unison with the (Government:
We had excellent co-operation and support at the Directorate and Secretariat level.
I lovvcvcr, wc had many difficulties and hardships at the District Health Office level due to
the mis-undendanding of the purpose of the collaboration of NGO and the Government in
providing Primary Health Care to the people. The formation of high power committee to
bring about the collaboration is a good step and we look forward io better partnership at
the District Ixvel.
h-
15. Constraints and,Problems:
1. The staff quarters need to be repaired. The gi ants for building repairs under IPP~9
project is yet to be sanctioned
2. Tlic non-availability of IF A and Vii 4 A’ drops.
3. The field staff are not being reimbursed by Z.P. the TA/DA for their various visits.
4. Frequent failure of electricity system affected the proper functioning and hence a
ntandby generator is required.
5. Endowment fund of the PHC is not being used lor providing diet f or patients.
6. Lack of co-operation from DHOs office.
16. FUNDING:
During the year 1998-99
ZP Gran!
: 7,90,840 (68%)
VF Contribution: 3,70,674 (32%)
(J-w *
THITHIMATHI, PHC.
VITAL STATISTICS
TlJUTHlMATlil PMC
1997
1993
UFA
1. Crude Birth Rate
16.3
16.2
23.0
21.0
2. Crude Death Rate
3.1
4.1
7.6
.9.0
3. Infant Mortality Rate
22.9
37.2
53.0
<60
4. Child Mortality Rate (0-4 Yrs)
14.2
11.6
23.5
<10
5. Under five Mortality Rate(0-5Yrs) :
18.5
8.6
87.3
10
6. Still Birth Rate
26.8
13.76
23.3
7. Perinatal Mortality Rate
31.2
27.14
65.1
8. Neo-natal Mortality Rate
4.6
18.6
44.7
9. Post natal Mortality Rate
18.3
18.6
22.1
10. Maternal Mortality Rate
4.5
*
4.37
<35
<2
I Jote: One maternal death of women who had come from outside the project
area at the time of delivery.
G
i
STATE
PROGRESS REPORT 1 $98-99
1997-98
(To)
1998-99 STATE UFA
(%)
(%)
(%)
1. Pregnant mother receiving ANC
3 visits
104
100
70
100
2. Delivery by Trained birth attendent
94.9
? 98.2
80.0
100
Institution!
72.8
22.1
5.1
ANM+Trained dais
Untrained
4. Birth Weight of babies below 2500 gni.
5.7
6.3
30.00
10.00
5. Immunisation coverage IT (pregnant
women)
103.5
100
85.00
160.00
6. Infant Immunisation (BCG+DPT+Measels):
97.00
100
97.00
100.00
7. Couple Protection Rate (Cumulative)
73.5
72.5
58.26
60.00
8. Family Planning (1998-99)
Mo. of Eligible Couples (1998-99)
: 537
Effective Couples Protection Rate
81.0%
Female Sterlization.
IUD
OP
27.1%
25.7%
21.4%
25.8?/o
cc
118 Nos.
112
93
112
<c
435
~r.
Major Achievements of I hitliiinathi PHC since July 1996
InfrasHctyre:
The delapidated building of PHC- hospital building. Medical officers
Quarters, Stall'Nurse quarters and Majjigelialla Sub-Centre were repaired at a cost
of Ra. 6 lakhs.
b) Drix/Mg
supply was provided.
c) Electricity supply to all the buildings restored after paying tlie arears fRs. 11,000/-) io
KEB and repairing the electrical installations.
d) The hospitalpremesis and the garden is being maintained regularly by the BCK
PLuil^lion.
a)
2. Hospfral:
a) Labour Room has been renovated and equipped.
b) Operation theater was constructed and equipped to conduct surgeries.
c) Lady Mcdicid Officer and Staff Nurse ;irc available all the 24 hrs. to conduct
deliveries and oilier medical emergencies. In addition another Medical Officer lias
Jso been made available at our own costn to the PI IC.
d) Essemiid drugs arc made available tluoughoul the year
3. Snednsht Sen/Seers,
n) Regular l.eprosctfpit' and lUbcctosvty camps by qualified Surgevna.
b) Denial Clmics - by Dental Surgeons.
c) Obstetrician de Gynecologist visits PHC regularly.
4, Apibulapcy ncrvjcc^:
A fully equipped ambulance service is available at PHC for various medical
emergencies, Immunisation Programme and Family Planning programme.
Cd! Anepiia Screening pro^nmifne:
Tribal people suffer from a genetic disease called Sickle Cell Anenda. Our Laboratory
is well equipped to di;)gno;;c Sickle Cell Anemia by Turbidity test and Electrophoresis.
6. Imr/rovenDent in the He^tb Status of PHC Popuhtjcn.
The Crude Birth Rate, Crude Death Rate, Infant Mortality Rate, Child Mortality Rate,
Under five Mortality Rate, Still Birth Rate, Perinatal Mortality Rate, Nco-natal Mortality
Rate, Post natal Mortality Rate, Maternal Mortality Rare of the PHC area are better
than the District, State and National Level Figures.
Mother and child care Family Planning programme and Immunisation Programmes have
achieve grater huccc-h compared to District, State and National Level . (Details are
enclosed)
^^05
PHC THITHIft^HI COOFG DISTRICT. 3l-037199?-?0Q0
PBC THITHIMATKI
A»-/SIS
ELIGIBLE
ANALYSIS OF ELIGIBLE COUPLES:
AGE -«I$E
I"...... . ........
.......
jAge of ITotaliVasc-./jLc-lI.U.D1! CC [ OP [Total; p.s; s.s; : * ;peai
1
I
1
I
Wife ! ECs Ictoa* tciy;
linirc’
;
f.« :
I
I
I
I
1
1
I
1
[Accep1,
iECs i
I
>
I
I
1
I
I
I
1
1
[tors [
I
1
I
1
1
Ko of [TctaljVaseclTube [ IT ;Condoi[?-il [Total; P.S[ S.S[ E.H[Rt»a 1
I
I
LivmglECS [to»y [ctosy[
!ininc[
.^illslF.K I
I
I
II
I
I
Chil- |
jAccepi
[ECs ;
I
I
I
I
I
1
I
I
I
I
1
1
I
I
I
|dren j
;iors I
1
I
I
I
1
I
I
I
>
15-19 [ 89 [
[ 75
I 0
: 224:
20-24 i 416 |
; no ; 50 [ 37 ; 28; 234 ; 2; 4 ; - ; i?61
I ‘
: 493;
25-29 ; 656 |
; 390 [ 50 [ 53 [ 34 [ 527 [
: 2
; 910 ; 1 [ 613 [ 58 1 52 [ 40 [ 764 [ - [ 56 [ 5 | 85 !
30-34 i 436 1
: 289 |
j 3
: sis:
; 428 ; is ;
9 ; is ; 466 ; - ; 25 ; 3 ; 19!
35-39 | 477 !
: 340 ; is ; 1° ; 11 1 386 [
i 4
1145;
I 11? I
i
4
's
; 35 ; 2
I 28 ;
i:
1 !
1
-0
2:
40-44 1 246 ; 3 i 172 ;
3:
6 !
3 !
H i
1
5 ! 3? ;
: 87;
16 ; 16 ; 17 [ 338 [ 13 [ 37 ; • ;
5:
4
1
7 ! 56 | ‘ ; 24
; 184 ; 10 ; 33; : ;
Total 12320 j 3 !1312 ! 140 ! 135 | 93 11683 ] 37 ,
‘167 1 U
CPR ; 72.5 t
Tubectoey; 77.91, Vasectoiy: 0.21, IUD: 8.31, OP: 5.51, CC: 8.11
12
4191
I
ANALYSIS OF ELIGIBLE COUPLES:
LIVE CHILDREN - NISE
k—
I
5 I
I
c
136;
4 I
2 ; 17? j
1 124 [ 62 [ 64 ; 37 ; 28? ; - ; u ; 3 ; 131 ;
3 ; 129 ; 1 [ 8 [
i
’9 1 -
1
7 1 -
1 I
6!
Lil
Total; 23201 3 [1312 [ 140 [ 135 [ 93 [1683 [ 37 [167 [ 14 [ 419 (
IHIIFPATFI CGQPG QISIKICL 31-03-1Q99-2000
CEKTP.t THITRIHATHI 'A*
L^LYSIS OF EUGIelF COUPLES.
AKALYSIS OF ELIGIBLE COUPLES:
AGE -WISE
Age of ]Total!Vase-;Tube-I.U.DJ C C
i
Hi fe 1 ECs ictoaylctoay!
i
I
lit
i
i
i
i
i
I
i
I
I
ANALYSIS OF ELIGI8LES TUPLES:
o p [Total; p.s; s.s; *.« ,'Reu
,'f.k ; )
lining
I
i
i
I
I
lAccepl
]tors !
I 3 ;
I
.tCs ,
I
I
15-19 I h :
; i
I i
! 1
20-24 | 46 |
; 12; 7
I 5
; i : 25;
>
25-29 | 62 |
; 35 ; 7
I 7
! 2 ; si ;
I 3 ;
I
: 2i i
: 1
: 66;
I 14 ;
s
1 2
: 133;
!
!
2
: 35 I 2 ; I ; 2 ;
o;
; 65 ; 3 ;
: i ; 691 -; 3;
40-44 | 40 I
; 34 ;
I
I
Total ; 293 |
; 191 [20 I 13
i :
; 3 ; 49 ;
; s ; 232 ; 3 ; 11 ; 2 l 45;
CPR 1 79.134;
TUEECTOMY: 82.3%, IUD: 8.61, OP: 3.5%, CC: 5.6%
I
I
)
1:4;
35-39 ; 74 [
i :
■
■
: 12:
3!
: 451
’
0
:
30-34 ; 57 ;
No of ;Total;Vasec!Tube | ILE jCondoaiOral [Total; P.S] S.S] E.MlP.eaa |
I
I
LivingiECs [tosy [ctoay;I
;Pills;F.H ;
lining
I
I
I
I
I
Cnil- |
;
;
;
Accep]
lECs ;
I
I
I
I
I
dren ;
'
1
Hors ! II II i
I
i
: n
4>
LIVE CHILDREN - WISE
h
j—
i 4
5
I
I
I
I
I
I
! 3; 1 !
!
8 I
9 ;
2; 35 ; - ; 8| 1 ; 22 ;
99:
4 :
s ! ii6 ;
I 2; i ;
U I
: 65;
: 6i i
;
i : 64 ;
I
I
11
: 141
: 141
;
I
31
Total; 293!
3;
; i9i;
>
; 14:
i
i
1 13 ;
I 3; -
i
i
.
i .
>
I
I
I
i
>
i
i
8 I 232 ' 3 I 11 I 2 I 45 I
Pii£ THITe.?ATBI COOP'S DISTRICT 11-03:1992;.m5
SUB CEHTRE IhUilWlil X
ANALYSIS OF ELIGIBLE fWLLL
ANALYSIS OF ELIGI-LES:
i
i
i
i
; OP [Total; P.S| S.S, E.N '.Reaa '
;
JF.W |
1
:
lining
;
lAccep!
1
1
1ECS
Itors 1
1
1
i
i
I
I
I
I
Age of iTotaljVass-lTube-1 .U.D! CC
i
»
site ! ECs Ictfrsylctosy;
Illi
I
t
I
I
Illi
I
I
I
is-19 ; ii ;
: 24 *
; 131 8 ; 8
; 3 | 52 :
25-29 I 96 1
---------------30-34 | 57 1
: 5i i io; 6
1 3 ; 70 ;
: 43;
3
;
1 46 ; 31 6 .
1
2
35-39 1 89 |
I 70 |
; 9
i
1 79 1 21 51
1
3
40-44 ; 33
Total
342
: 271
; 204 ; 18
i: 4 ;
Tubectosy: 80.31, IUD: 7.1*, OP: 2.4Y, CC: 10.2*
I
i 65;
I 18;
9 ; 10 |
2 ; 39 J - | 71 11 it 1
! U7 !
; 99;
9 1 10 1
4 I
! 3
I 64 ;
! 60
2
*
; 2? i
: 22 i
I
I
i s:
1
: 2i |
| - ! 7 |
i
i—
1 2? 1 11 4 1 i :
'- - 26 ; 6 1 254 1 7 ! 19 ; 1 ! 61!
CPR 1 74. 26*
of |TotallVasec|Tub8 • It'D ICondralOral Uotai; P.S!I S.S| E.MlReu
I
limn;.
‘.Pills’.F.s ;
I
Living'.ECs Itosy Ictosyl
I
1
I
;ecs ;
1
‘
.
Accepl
t
I
ichu-:
:
:
:
i
•
I
I
I
’
.
Tors
|
i
i
I
I
dren
...
I
I
I
I
13 16 1
I
3 I
I
0
I
sc:
I
I
|
20-24 I 56
LIVE CHILDREH - RISE
ANALYSIS OF ELKI8LE COUPLES:
COUPLES AGE -USE
r-
'Ll
5 I
jTotal! 3421
L......... ——
:
1 62 1 - 1 21
I
I
I
I
1 I
- 1 23 1 11 31
i
1
I
I
I
I 204 ; 18 ; 26 ;
;
5; -
6 ! 254 ;
I
I
n
|
7 1 19 1 1 1 tl [
---------- -------—I
COQPG PISTfICT. 31-03-1
SU9 CEMTRE rjIHIGOOU
-’-.YSIS Qf IklillU COUPLES,
PHO
AHALYSIS OF ELIGIBLE:
COUPLES:
AGE -WISE
r----------------
jAge of 1 Total]Yase- Tube-]I.U.0] CC
Hite ] ECs ]ctcr :toay]
is-19 ;
2v
3 I
i
i
OP iiotai; p.s; s.s;
I
I
I
I
i
i
i
iii
i
i
i
i
i
i
|F.« I
I
] Accep!
Itors !
I
I
I
I
I
I
I
ANALYSIS OF ELIGIBLES COUPLES: LIVE C-ILDREI - WISE
I
I
!
;
iResa!
lining
|ECs
I
I
i
I
I
I
No of ilotaljVaseclTube ] III) |Condos!0ral !Total] P.S] S.S] E.MlReaa ]
i
i
i
lining]
;piiis'r.* :
i
i
i
i
i
i
‘
Accep]
|ECs ;
i
i
L ivi ng]ECs itcsy Ictosy!
i
i
i
Cnil- ;
i
i
i
i
i
i
cren j
i
i
i
i
i
i
i
i
i
i
i
i
3
0
: 48;
»
I
I
J
i
I 9 I 24 | 2 I 2 I ■ : 361
i
: 97;
i 16:
I 11
; io' 46 | - | 27| - | 24 |
I
I
I
I
20-24 | 64 I
6 I 5 | 4
25-29 ] 126 |
: 49 I 7 : 16
I 13 I 85 | i ; I? i -
21
: 2
1 151 I
I 80 |
30-54 | 87
39 I 5 : 4
! 5 : 531 3 I 16 ;
! 15
3
I 87 I
: sb ;
I
35-39 | 64
38 I 5 | 3
I 1 I 47 | - | 15 I
I
2
l 4
: 26;
; H:
2 i
I
3 I
40-44 | 67 |
: 381 4 ! 4
I
I
I
I
3
. 5
2 I
I
I
i
Total | 411 1
I 170 I 26 I 31 I 28 | 255 | 11 I 65 ]
I <6 I 5 | 13 |
CPR ; 62.044
Tubectoay: 66.74, I©: 10.24, OP: 11.04, CC: 12.14
I
;’ors :
| BO
i Total! 411|
I
I
2 I
:n :
I
I
_ I
I
V !
J'
1
3 I 14 I 14 I 116 | - | 23] - | 12 |
3 | 4 I 72
- I 12|
:
31
-I 19 I - I 3 I
I
4 |
i
i
i
i
I 2 I -I
I
i
i
| 170 | 2» | 31 | 28 I 255 I 11 | 65 | - | 80 |
£H£ THITF^ATHI COORC DISTRICT, 31-03-1999-2000
SUB CEMTRE DEVARArURA
A^LYSIS QF EtIGIBlE COUPLES,
ANALYSIS OF ELIGIBLE COUPLES:
'ftge of liotallVase-i’i'bs-'J.U.o; CC
I
Kite [ ECs [ctoaylctosyl
I
iii)
iiii
iiii
iiii
i is-19is
; -
I
I
J
65 ;
35-39 1 83 |
; op [Total; P.S[ s.s:
i
i
i
i
i
i
I
IF.S |
jAccep!
iters I
i
i
i
i
i
i
i
i
i
i
i
i
i
i
>
No cf jToUltYasectTube ‘ ?J0 !Condos!Oral [Total] P.S[ S.S[ E.H!Reii ;
i
IPiiisiF.s ; ii ii
LivioglECs 1toay Ictosyi
i
i
i
i
i
’,ECs !
;Accept
‘Chil- |
!
|
•
i
i
i
i
i
i
i
i
i
i
i
[Tors 1
dren ]
|i
|
i
i
i
i
: i : 5;
i
i
-
i
i
it i
i
0
: 2?;
i
i
i i:
: 33
i
! 88:
i
1 7 | 9i ; 2 I 6 ;
: is
2
I 168 I i ; no;
9 1 12 |
7 ; 139 ; - ; i4| 2 ; 13 ;
1 43; 5 ; i
I 3 ; 52 ; 2 ; 5;
:
6
3
I 88 ;
I 72
2:
11 75 i - : 7 ; i i
: 551
: 2
;
1 57 | 1
17! i i
7
4
I 23 |
I 19 :
I
i
I 27 |
a; 3 :
2
s
6;
1 s|
40-44 ‘ 40 1 1 ; 26 ;
Total 1 402 | 1 ; 211 | 25
;
:
>
7
5
I <5 |
:
I
[Reaa
iiningi
I ESc '
I 13 '
i ; 1 : 3
j20-24 | 79 I - : 2i; 6 : ii
r-.....................125-29 1117 ; - ; 65 ; 13 ; 6
30-34
AXALYSIS OF ELIL'BLES COUPLES: LIVE CRILOREK - RISE
AGE -USE
23 ; 17 | 277 | 5 ; 37 ; 4 I 79
CPR : 68.90^
lubectoay: 76.21, Vasectosy: 0.411, IUD: 9.01, OP: 6.It, 08: 8.34
i
i
i :
5: H; io i
i
i
i
7 ! 36 ;
2 I 21 I
37 |
I 15| -
: i: i:
i s; - ;
8;
i
i
1 - I 1 I
Total! 402! 1 I 211 ; 25 ; 23 | 17 | 277 ; 5 | 37 ] 4
I 79 |
COORG DISTRICT, 3K3-1999-2Q0Q
SUB CENTRE biim
PHC
OF ELIGIBLE COUPLES.
ANALYSIS OF ELIGlriE COUPLES:
AGE-WISE
ANALYSIS OF ELlGILiS COUPLES;
Ags of ;TotallVas=-;Tube-;i.U.O] CC I OP ITotai; P.s; s.s; t..> IRssa
i
i
Wife ; ECs ]ct?2j;ctoiy!
;f.» i III iii lining
i
i
I
1
I
I
i
i
jftccep!
11)1
lECs
i
i
I
I
I
I
I
i
i
I
i
I tors ;
i
i
r
15-19 ; 19 ;
1 I 1 1 2
20-24 | 73 ;
I 29 | 5 : 7
!
25-29 | 95 |
I 70 | 4 1 6
I 5
: as; 11 i:
30-34 i 62 I
I 47 | 2 | 2
1
3
35-39 ] 83 ;
I
59 I
40-44 ; 4i ; 1 I 28 |
5
|
2
i
i
LIVE CHILDREN - WISE
ho cf J To til J Vasec [ Tube 1 ?£■ ’.CorKloal Oral lloiai1, P.S[ S.Sj E.M|Reu I
)I
i
ilivinglECs Jtoay
1
[tony Jctoiy.'
,'ctoiy;
IPillslF.K 1
linio;!
I
I
4
I
I
i
jchii- iii
lAccepl
JECs |
I
I
I::
I
I
i
II
I|
II
I
i
I
I
I
jdrer, I
|
. iTors 1
I
I
•
I
I
: 13
O
I
1 27
i
I 65 ;
! 23:
i
i
8
2
: 1331
I 103 ■
I 54 ; 21 4:
2
j
I ’2 |
I 80 '■
1 1
i 1 2 1 84 1
I
I
: 66 I 1 I 14 I 1 I
1
4
! 26 '
I 23 ;
i ;
1 I 25 |
I
I
I 29 | 2 I 7 I 1 1
2
5
: io; i !
5:
11
: 2 : 6 1
4
i 45:
I
j
Total j 373 i 1 I 234 | 17 | 19 | 14 | 285 I 6|27: 2 | 53
CPS : 76.4*
Tubectoay: 82.Ct, Vasectocy: 0.4t, IUD: 6.0t, OP: 4.9t, CC: 6.7t
i
' Totall
373|
3: -: 34.;
3:
! s;
1 I
<;
8 | 2 | 119 I - | 9 |
I
C I
: 41 i:
3:
9 I 9 I 49 |
i :
1
I
0 >
3 I
'
- 1
: 11
_
I
I
0
I
|
_
I
|
I
1 | 234 I 17 | 19 | 14 | 285 | 6 | 27 | 2 | 53 {
PHC THITFIVIHI COQFG DISTRICT, 31-03-1999-2000
SUB CEKTBE AifilB
4-MJSIS 21 [U£im COl'FlES,
i............ .... ......................................................
(Age of J Total 1 Vase- Tube-11.U.D1 CC
Wife
i ECs Jctoc)-Ctofly;
I
I
I
I
»
»
>
I
I
I
I
i
i
i
i
i
i
i
15-19 ] 24 1
20-24
98 I
• 38 1 19 1 2
'
I
10
“■
| OP liotai; p.s; s.s; i.fl IReaa
i
i
lining
;f.w :
i
I
ECs .
;Accep;
i
i
»
i
i
[tors i
i
i
i
LIVE CdlLDREM - WISE
ANALYSIS OF EL1GI8LES COUPLES:
A6E-SISE
ANALYSIS OF ELIGIBLE COUPLES:
i
i
i
Kc cf ;ioul|Vasec|Tube ; ICO iCondoilOral [ictal1, P.S1, S.s; E.M;?.:ia [
I
i
li’ingl
[puis:?.8 :
I
i
LivinglEOs 1tosy jctoi)!
i
I
i
i
i
‘.ECs ;
i
[f£cep[
i
I
Chil- ;
i
i
i
t
i
I
i
i
i
[
[Tors ;
i
i
i
‘dren 1
1
i : 51
: u!
! u
o
:
35
1
I 114 :
[ 48 [ 12 [ 15 [ 7 [ 82 ' - : 7 ! - ! 25 |
! 4 ; 145;
! n
2
I 178 |
', 122 [ 18 [
4 [ 8 i 152 [ -
I 17
3
I H7 I
I 97 |
j
9
4
I 29 ;
I 27:
! 4 I 63 I
I
I
25-29 ;i60 |
: 120 ', 9
30-34 1108 ;
. 72 [ 3 [ 6
[ 3 [ 84 [ 2 [ 2 ; •
35-39 I 84 |
[ 53 [ 3 [ 3
! 9 [ 68 [ 3 i 2; 2 I
52;
-; i
I
I
4:
»
1 [ 2 [
: 5 ; 109 ;
I
I
i i:
- ; 27 :
i
i
I
9: - !
i
i
!
:
ai
7 !
-I
2 [
I—-
i ; 19 I
i
I 20 ; -
! 5i
40-44
25 I
Total
499 | 1 [ 302 [ 34 [ 23 ] 20 1 380 1 51 81 5 ; loi
CPR l 76.15*
Tubsctoay: 79.5*, Vasectoay - 0.3t, IU0: 8.9*, OP: 5.3*, CC: 6.0$
|
5
I
9 *
i ;
8 !
I
I
I
j Total; 499[ 1 [ 302 [ 34 1 23 ! 20 [ 380 ; 5 1 8 [ 5; ioi
VIVEKANANDA FOUNDATION (R)
“VIDYA” 54, PARAMAHAMSA ROAD
YADAVAGIRI, MYSORE- 570 020.
Receipts
Granta received from ZP
Amount
7,90,848-00
Payment
Salaries PHC Stall
Amount
7,63,142-00
Contribution liom
Vivekananda Foundation
3,70,674-04
Additional Doctor Saluiy
Medicines
Administration Cost
Vehicles Maintenance
diet Charges (Patients)
Consultancy Charge
Traveling Expenses
Building repairs & Maintenance:
46,078-00
1,14,173-40
15,024-30
24,510-00
5,018-00
1,000-00
8,265-00
11,61,522-04
Maintenance:
Doctors Quarts
Staff Quarts building
OT Building
ANM Quarts Building
Dental unit expenses
Total
7,307-00
9,991-00
22,118-00
58,263-98
4()7-(X)
8,62,244-36
U,61,522-04
1. Grants from ZP.
2. Contribution from V.F
7,90,848-00
3,70,764-04
68 %
32 %
Total
11,61,522-04
Total
SUMMARY:
iC
VIVEKANANDA FOUNDATION (R)
VIDYA” 54, PARAMAHAMSA ROAD
Y/VDAVAGIRI, MYSORE- 570 020.
Receipts and Payments Accounts for the year 1996-99
______ Receipts
I. Grants received from
ZP
Amount____________ Payment
18,08,134-00 Recurring Expenditure:
13,31,840-82
11. Contribution from
Vrvckanimda Foundation
III. Contribution from
BCK Plantation
3,44,109-00
Salaries, PHC staff
Additional Doctor Salary
Medicines
Administration Expenses
Vehicles maintenance
Traveling Expanses
Electricity charges
Diet Charge
Consultancy charge
MLsccllouncc Expenses
Amount
19,35,512-00
90,914-00
2,17,422-15
55,661-29
77,231-20
55,111-10
14,558-00
5,018-00
1,000-00
7,650-00
Building Repairs <& Maintenance:
Hospital Building Repairs & maints.
Doctors Quarter building
Staff Quads building
O f Building
ANM Quarters
3,94,866-95
9,991-00
22,118-00
58,263-98
407-00
Capital Expenditure A/c
Total
34,84,083-82
Dental Equipments
I lospital Equipment
Almirah
Jeep (Mahindra)
Bore well & Purnp_
Total
94,084-36
1 5,464-48
2,950-00
3,85,860-31
40,000-00
34,84,083-82
SUMMARY;
Grants received from ZP
Contribution from VF and BCK
18,08,134-00
16,75,949-82
34,84,083-82
!
51 %
49 %
I
a,
moniuly
POKM 7
HKPOR! rooMmc/pRHA^,.
(REPORT OF MEDICAL OFFICER)
I General
1. State.KW,.N/\T/.I/-ZI ? “■
....... 3.rac.I.HJ.T.HJMflTH1
4. Population ofPHC ...l..^2,8.7.
6. Eligible Couples (as on Is. April ofi y7P77' ““ n”""‘ °f M'aStH-'a3»SI.
No.
Service
Performance P Performance
in correspon
in the repor
ding month
ting month
liistj/cjir
6
d^tc_Nalul Care
Ante Nutnl Case#
Registered
a) Total
b) Tess tnan 12 weeks
1.2
No.of pregnant woine?i
_ who had_3 check-ups
1.3
lohd No. of high risk
pregnant women attend
Attcncd and Treated at
_
Referred of PR IJ
1.4
No. of IT doses
a) 7Tl
b) 7T2
— -c) P°osJcr
1.5
No. of Piegnant women
under treatment for
anaemia
1.6
No. of Pregnant women
given prophylaxis for
anaemia
Natal Care
. ^Qtal No, of delivers
Home delivers
a) (i) by ANM/LHV
b) by trained'Birth
|
1
2
78
.1S3
19
l 7
- 65
7
Cumulative
Cumulative
Performance till
Performanc
corresponding
c (ill current
niontji of lastlyear moiHh
3
766
-1_57
7 66
77 7
2.3
9
16
16
265
2 65
-26JirX2ZE
L 97
1777
Apy
7 1
277
7^7
77/7
2.7/7
15 3
137 IS //
173
G7
137
a) at PHC ~
2.4
~~
3L
ZSK S5
6o
/
~
GPlpJ.)
_ b) at Sub- Centres
Deliveries referred to
FRU
■
27/-/
//
___ Attendant
c) UntraineJBirthAttendant
InstitutionaTdelivers
Planned
performanc
e in current
_y£8r
’
~
~
g
3
IS
I 2_
17
2_ S
lgl_
Xu
-JjSZ
__ .3n
117
M
•’
3.1
3.2
Ficgnnncy Outcome
No. of births______
a) Live births_________
b) StiU births
Order of Births in 3.1 (a)
a) 1 st________
F
M
G
ft
I
3
.157 2012.) 127 i:zo
30 73, 5 I L-}&^ Ml 5/ 30 -
—
c) 3+-_______
New bom status at birtii
a) Less than 2.5 kg.
b) 2.5 kg. or more_____
c) No. of high risk new
horns referred FRI)
S
I
±2. Z2S
I2
G
J'osfal NafaH htt
No. of women given 3 post
natal check-ups
J 2 Complication referred to FRU
5.
Maternal Deaths
5.1
During pregnancy
_ During Delivery_
53
Within 6 weeks ofdchvcry
<1
|X
io
4
5
xGG
2S9
2^
_Zm
__ 3
___ L
2
i
n Fp
F
M
loo KUMM Txzte'
127I no
w 151
ir
-ta.li m IX 11£
,3
3
4.1
.1___ L_
Ml !•_
6
6.1
6.2
7._
7.1
F
13. 1/4
b) 2^_____ __ J
3.3
M
F
F
M
RTI /STI_______
Cases detected and treated
Cases referred to FRl J
M
M |
F
L0_ 59
F
M
F
770 WO 747
Infant 0 to 1 year
DPT 1___________
' DPT 2____________'
DPT 3
DPT BOOSTER
' OPVO ____
_OPVJ___________
OPV2_________ _
' _OPV 3_________ _
MEASLES’
7.2
Children more than 18
in on tli s
DPT Booster
OPV Booster
Fwil Immunisation
7.3
Children more than 5 yrs.
DT_____
7.4
Children more than 1 Oyrs.
TT
loo
1^. J521 kzo I‘ ' >7 l^~
5
8
.S.
7
7
loo IQOlMJ^Z loo
m
130 105
• /
mi Too
M.
MX .iMi/a ror; I (EC)
I
I .
fl
*__ -
IM IM loo
/lol IZfVl 100
] 0(5
7M B :
134 | Mo. PIP
132. .40.Q. UfcO. 1331/4711OQ
Ex- M- M-—
LLX. xi.a. 155 172 7M
in
IX.
XM
■'
100
3i.g. is: 2.6_ 12MJLQ m /4R IM 1)20
2MJSl3f2... zn~n 10
lfl
2'
Hid
F
M
75
JT____________ ______
8.
9.
9.1
M
I
M
F
M
Children more Ihnn Jo years
Adverse reactions reported
after immunisation
Vitamin A administration
(9 months to 3 yrs )
Dose 1___________
Dose 2______
Dose 3-5_____
Childhood Diseases
Vaccine Preventable diseases
LClMl. Lt!
F
H
F
l^~
--XL .44
4
I/O
43 KS3B3
34.
]£S3
a) Diptheria_____________
Cases________
__ Deaths______
b) Poliomyelitis(Acute Flaccid
Paralysis )______ _
Cases____________
Deaths___________
c) Neo Natal Tetanus
Cases_________
Deaths________
d) Tetanus other than
Neo Natal
Canes
Deaths
o) WhoojHn^coii^h
Cases
|
Deaths
( 0 McuJilen
________ Cases_______
Deaths
9.2
ARI under 5 year's (Pneumonia)
a) Cases__________
b) Treated with Co_____ trimoxozole
c) Referred _______
d) Deaths
9.3
Acute Diarrhoeal diseases
_ J^djxrJyyears
__ a) Cases_________
b) Treated with ORT
c) Referred to
_____ PHC7FRU______
d) Deaths _
io __ Child Deaths-_______
a) Within 1 week________
~~j b) 1 Week to 1 month
L
Q
/-J.
4_
3_4jKZZi
1££ 13. 13
3.X/4. 44 13. IS. 13. 13
3 /& 17- 17 IS 13 13
LQ134 (3O| m 1^ 1SS2.
/41V 14- 10.1311134
c) 1 month to 1 ye ar
'2L
-
I
2l'
11___ Contraceptive Service
l]j
J-diipbld couples contac (cd
Ti "i Male Stcrilir.nlioii
a) Conventional
b) Non Scalpel
Female sterilisation
11.3
a) Total No of cases
motivated______
b) No.of cases
followed up
11.4
Total IUD insertions
a) Cases followed up___
b) Complications_______
c) Discontinued________
Total Oral Pill users_____
11.5
a) Old user8__
b) New users
c) Complication______
d) Discontinued________
Total Condom users
11.6
I
2
3
5
86
105
125
32i/
a
1
12.
(2
□55
'J
__LQ_
... I o
Io
M
1'
M
I'
105
103
(03
^/3
5-J
_s.l
Z--5-3-
__.l o._.
? 0
118
/I1L
l.Li
n_2_
15\3
LL'2-
M
M
F
57
F
Abortions_________
12.
______ a) Spon tancous
_ bJ
5.
nt 1,1,('
______ c) (\lscs followed up
(I) C’oniplicntions
_____ e) Deaths_______
:i i
III Facilities:
1. Transport : 2) Vehicle : Total
2. X-ray Machine : /Available: Yes
3. Status of cold chain equipments:
Total Supplied
lLR-~300~
1TF.Z - 300
1 kit 300
’D.F.Z. 140 '
T
1
1
... No .’
Total V/orking
On Road
I
'
Working : Yes
No.VtT
.y.9i.JI?! working fomnore than a month
T"
_______ bl 0
I
Kl 0
SV. VACANCY POSITION:
Category
No.of Posts
Sanctioned
MO (including specialist)
Dental Sin peon
No.in Position
Not in position since (mention
date for each vacancy)
_____ i
Staff Nurses/Nurses mid-wife
Phanuncint/ Compound I ci
Lab Tech./Lab Asst.
Radiographer___________
Computer
Driver____________
Paramedical Supervisor (Malaria Inspcchn)
"(BEE) '_______
__ 1_
(PHN /LHV)_________
(HA)________________ _____________ _
Mpkijpi^po^ worker
Male____________
Female
I
1
I
1
__L_
__ 1_._
l[_
I__
I____
I
I
6
^INVENTORY OF DRUGS, VACCINES I A B C ONSIJ M M AIH ,ES ANIDEQU1 PM ENTS
SI.
Items
unit
Stock in hand Consumption
Balance
Stock Sufficient
No_
Stock
for months
01
QRS Packets
i-yeJ
02__ Tubal Rings
MO
_ LS
03_ Laparoscope
04
Niiodh Packets
05
Oral Pill Packet
-60____
06
IUDs
07
Iron Solution
08
Vitamin A solution __ ______ Al6X|ooml
i09 I FA Large tablets
iGSeoOT/l
io IFA Small Tablets
105000
_________
IL DPT Vaccine
__________
Rgo| Hired
12
Polio Vaccine
___________
____
Rj?qcu'-r<id
13
TT Vaccine__________
__________
I
PC)
(J
r e gm ,red
14
BCG Vaccine
______
ixodnif
R egcu'-red
__
3
07
1'2,0
15
DT Vaccine
___ ___ i aodc/T1
32 g
130
16
Measles Vaccine
____ 15'Ofl^e
2.^ 3
ISO
RT1/ST1'Dings
17
18
LULL .5’l£tipiMpparat us
KQ_d_:u.3j.Q.
6____ 752^
<7 000 Pi-
Number of inspections made by MO, PHC during the month:
1. LHV.
2. ANM
Number of Villages visited:
Note on Progress made :
3. Male Health Workers
_A5
VlVEKyVNANDA FOUNDATION
THITIIIMATHI PUC
Progress Report for (he period: April 01, 1998 to March 31, 1999.
Particulars
During
the
month
Cumulative
Total
1
_L
1
No. Enumerated
Leprosy:
No. of cases registered____________
No. of cases newly detected
No. of eases on treatment
No. of relapsed eases
No. <.>1 icnclmn cuncn
No. of defaulter cases_____________
No. of total RFT cases
No. of RFT during the month
No. of RFT follow-up done
No. of total RFC eases
No of RFC during the month
No. of smear taken duting the month
1
Tuberculosis :________________________ Sputum i vc
No. ofcuses registered froin beginning
No. of newly detected cases this month
No. of cases on treatment
No. ot del a u 11 cis
No. of defaulters restarted
No. of sputum collected_______________
No. of sputum collected this year_______
No. of sputum positive
______
No. of x-rays done
X-ray
Jixt Pulm
Total
Iz
Mai aria :____________________
No. Fever identified
No. of Blood smear slides sent to PHC
No. of Fever cases given presumptive
treatment___________________
No. of cases Positive cases of Malaria
No. of Positive cuscs given gadical
treatment
bo
1
_3._
i
_±dP±>JlL
7o'T/l L-
___
lfa.65
P'iO
2_
.23
Epilcpsy:
______________
Feb
HW
GTCS
OTHERS
TOTAL
2.
No. of cases regd. from beginning
No. of newly detected dm mg month
No. of cases on treatment
Drug delivery point:
No. of cases attended actually
Clinic:
No. of cases to be attended
No. of GTCS cases not on treatment
MR J} LGlMJlLL9nses
No. of defaulter started retreatment
Blindness Control : ____________________
Total no. of coses registered
No of cn.'icn detected dining the month
No. of cataract operation conducted this monlh
No. of cases pending this month
No. of Vit ‘A’defjciency cases detected
No. of Vit ‘A’ deficiency cases treated
No. of eye problems U eated during the month
Cancer:
Total no. of cases regisleied
No. of cases detected this month
No. of cases referred for treatment
Q1 cases smear taken_______
No. of cases on treatment
Dental Health:
No. of cases registered
No. of cases treated diinng Uris month_______
Aids & STD:
No. of awareness programmes conducted
No. of cases detected this month
No. of cases treated_____ __________________
No. of cases referred
Diarrhoea:
No. of awmcncss programmes conducted
No. of cases detected during this period
No. of cases treated with ORS packets
Anaemia:_______________________________
No. of cases registered
No. of cases detected <.lui mg Llriu period
No. of cases treated
__
_
Drinking water and Sanitation:__________
No. of toilets constructed during the period
No. of borewell constructed during the period
Thithiinothi
PHC
TOTAL
5^
JI
25
.39
33^
338
A 10
^!VriA>r 'f-t j-
form 2
PHC ACTION PLAN
A. General Information ------------------State
District -K3-D6.G.L1.____
P.H. C --L-tLlJ.H1 N'ZAz H J.
Year - J-3:15._______
Population of S.C -132-.23..
Birth Rate- DisCState -J-SZ...
Eligible couples -No. of Sub- centres under PHC 5l.
of population under sub -centre.^iaiS^^
Population of PUC (Total
(
si.
No
Service
Antenatal Care
Tola! ANC cases registered in (he Pl 1C area
No. of high risk pregnant women
-Treated
-Referred to FRU
3
No. ol 1 1 doses given
TT1
TT2
Booster
4
No. of pregnant women with anemia trealcd
5
No. of* pregnant women
Given prophyaxis with II-A tablets.
Natal care
6
I otal no. of dclivciH in the ai ca
7
No. of home delivery by
a) ANM/LHV
b) 7 rained birth attendant
c) Untrained birth attendant
8
No. of institutional deliveries
a) At PHC
b) At Sub-centre
9
No. of Pregnant women referred to/L RiJ for
delivery
Neo-Natal care
10 No. of sick new boms referred
Treated
Referred
11
MTP
No. of MTPs referred to
ERU7 Dis diet
1
2
Performance
in last year
Planned performance in 1
current year compiled
from^sub- centre plans
2.15
253
M-l
39
3
271H
275
I 2 G
125
3
363
f I
20
52.
5o
I 2_
15 I
)08
3-
5/^
39
3
1 2
.1
SI.
No
13
14
15
16
n
18
19
20
21
Service
Performance
in last year____
Male Female
RTI/STI
No. of cases
a) Identified by ANM
25 5 I &I0
b) Dealt with at PI IC
i) Treated
ii) Referred
Immunization
No. of infants immunized (0-1 year)
I 57 (50
BCG
DPT 1
DP I' -2
DPT -3
170 13 7OPV-O
OPV -1
OPV -2
I t40 I 3^
OPV -3
Measles
155
No. of children immunized (more than 18 months)
DP T Booster
140 I
OPV Booster
l/|D
I 34
No. oi children immunized (more than 5 years)
14S
I 5-1
DI’
No. of children immunized (more (han 10 years)
TT
I 5'4 1 7 7
No. of children immunized (more than 16 years)
TT
I 2-4 1 10
IFA
No. of children given IFA small (below 5 years ) 7-4 0
Vlt. A
No. of children administered Vit-A
(9 months to 3 years)
Dose 1
30
Dose 2
35
Dose 3-5
ARI
No. of cases under 5 with pneumonia
15
a) Identified by ANM
b) Attended at PHC
2_O
IS
i) Treated with cotrimoxozole
ZO 1 5
ii) Referred
1G
Expected Requirement
for current year_____
Female
Male
i ^4
I7
lio
(7^
I I 0
1 77
I 27
1 I0
I IO
I 29
I
I I O
I 1 5
1 I o
I07
11 O
I 10
|07
346
3 Z/-6
.1 o 6
106
I O6
I O(S
! 2_
I 2.
1 2-
I 2
I 2_
i 'X
22
23
24
25
26
27
Performance
in last car
Mule.
Fcnutlc
Service
SI.
No
Acute diarrhoeal / diseases
No. of cases under 5
a) Identified by ANN!
b) Attended at PHC
i) Treated with ORS
ii) Referred
Family Planning
Male sterilisation
a) Conventional
b) NSV
Female sterilisation
a) Abdominal
l>) Lnpioncopic
IUD Insertion
a) By ANMs
b) By PHC
Oral Pills users
Condoms users
Expected Requirement
for cun ent year______
Female
Male
‘IBS
l
2 38
/ 2.^
AfO
76
If
93
t I 2
45
I 6 o
| GO
SO)
go
Midcriah & Supplies:
si.
Items
No
1
n
3
4
5
6
8
9
10
11
12
13
14
15
16
Contraceptives
Nirodh Pieces
Oroi PHI Cycles
IUDs
Tubal Rings
Dai kits
Vaccine Doses
DPT
OPV
rr
BCG
Measles
DT
Prophylactic Drugs
IF A Tab. Large
IF A Tab. Smail
Vit. A Solution
ORS Packets
Cotrimoxazok
Tablet Paediatric
Quantity used in
previous year__
I 25^0
I
I I 2I 56
6
26 gd <25.7
IOoodo^
30 7^05^
3 do^’
Slock position
on 1st April__
h goo
6oi^7S
A+575
J. ] _2.63
I SodtJW
^30
3'70
o-^roo
7 or
2oo
G
-2.3o {
<G5ooo^
)2.O
) g-od ose?
I
rJo
/ |. I OC!C:
/-)■ i
Additional quantity
required in cunent year
!0
6oo
2.0 Bo H'feS
gToopiQS
5o^o
-------
urrW>-W». ■
Equipments <& Facilities
1. PiiC Building Owned or Kcn(cd
Item
01
02
03
04
05
06
07
OH
09
10
II
12
13
14
15
16
17
18
19
20
21
22
23
24
Vehicle
Refrigerator
ILR
Deep Freezer
Cold Box
Vaccine/ Day Carrier
X-Ray machine
IUD Kits
Examination 1 able
Weighing Machine (Infant)
BP Instrument
Stethoscope
Needles
Syringes
Autoclave
Steam Sterilizer Drugs
Operation Theatre
MTP Suction Aspirators
Equipment for Infant Resucitation
Microscope & Lab. Equipment
Oxygen Cylinder
Labour Room 1 able &, Equipment
O.T. Table
Surgical Equipments relating to PHC
expertise
No. AvaflabU; 1 No.Functioning
o^e
o^ne
NO
K/O
o ne
T Oo
I 3 No'S
N0
o 'ne
T lOO
kJo'S
bJO
rj Me
OvnC
T coo
TcOO
3
O'oC
O-oC
I -2_36
iqo
C5
OTve
G
{Ho
Gnoe
K3O
MO
6) n<?
kJO
K3O
one
)C
Ooe
O zne
T coo
Mo
(OO
n3O
Or^
o-ne
G-ne
'Feo?)
too ■
STAFF POSITION
SLNo.
CMr^ory 'of Stnfl
Number
sanctioned
01
Medical Officer -1
1
02
Medical Officer - 2
03
Ijidy Medical Officer
04
Dental Surgeon
05
Number m:
ppHidon
Number vacant
aince lhat dute
No
1
1
Staff Nurse/ Nurse Midwife
.1
1
06
Pharmacist / Compounder
1
1
NO
07
Lab. Technical/ l>ab. Asstl.
J
1
No -
08
Radiographer
09
Computer
10
Malaria Supervisor
1
1
No
11
Block extn. Educator
.1
.1
M (3
12
Public Health Nurse
13
Lady Health Visitor
.1
J
1NO
14
Driver
15
Multi purpose Worker - Male
1
1
O
16
Multi Purpose Worker - Female
17
Class - IV Stall
6
5
No
No
/NO
V
S«L4R
? 4^ '
i
a
r» &
i
<1
Cl
5 JV v<ftS
%
r
:?
X
XJs
a
/'
,c^
’r
"*%
3
>\MCC/^Aip|1
h
<v>>
x^-'
a
1a^q'
s
aa\V°^
w<
’KX^
iX
d
L
%
^5d0
o
''Ji< 3
ryp^
** >
3:A
O
fl
<?
a
%
%
tt <
,F
.
’^Ap^ v>';
■
8
I
%
a
s
%
X
‘
'
,\^
’°- •» ./>»
8
yi/
(Wv ■‘W/
a
%
%j
B
•
4
* t.
/X
e
a
iL
4
a
n.
%
j PHC
%.
F??®
I hnzr
'iSr^H'C’TmrmmH
i
--------------- --------------------------------------- ------------------------------- illWWIMlMBWHMIMllilll n
. LSZiin™^ii
H
!
H'
• :
4
i
1
I
1
^MATUM^U
w=K?irai^-^r:«cr ZiiXwase^ai-
I J. Jg*MgaQgu^
L
jt?
v<:Ah-js t m m &
SGKVmr
1
r
lI'
5^
&
a
a.
%er
6
qp^ yl
FBevAtA^u? AI
er-<J ixj A
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
A. General Inlunnatlon ------------------____ I</AB M/A 7 A KA____
District---- -------------------------------pHC
Th ITC-ti MATHl_____
Sub- centre
No. of Villages under the sub - centre-----
___ _______
Year
! 76 2,
Population of S.C
Birth Rate- Dist/.State_ 16//'Oot)
Eligible couples - 2-^3
(As on 1st April)
- --
- --------- M--------------------------- ■ — — -
ANC=(Population x Birth rate)+10%
DELIVERY/L1VE BIR1H= (Population x Birth rate)
lr76XX 16 _ 2.S_________________
■
3-1
i-eerO—-------------- ------- ——
SI.
Consultation with
No. of
When consultation made
No.
Consultation
(month of year)
Panchayat
or
health
committee
of
the
1.
i
I
Panchayat
I
I
2.
Anganwadi worker / TBA
I
I 2.
3.
Women in Mahila Swasthya Sangh
I
4.
Families on house to house basis
SI.
No
Service
Performance
in last year
v
Antenatal Care
1
2
3
4
5
6
7
8
9
Total ANC cases registered in the area
No. of liigh risk pregnant women detected and
referred
No. of’IT doses given
TT1
TT2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophyaxis with IF A tablets.
Natal care
Total no. of delivers in the area
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
No. of institutional deliveries
No. of Pregnant women referred to PHC/FRU for
delivery
Planned
performance
in current year
3l
-5
6
I
Z4 I
■5 I
3
Z+ I
3 I
3
15
2
15
2L
I o
■37
I
1
ro
I
10
11
Neo-Natal care
No. of sick new boms referred
MTP
No. of women referred for MTP
I
I O
J£TJ/ STI
12
300
No. of cases detected & referred
Male
Female
Male
Female
14
13
I4
14
'IS
I3
l/f-
14
I 4
14
13
13
l/|-
14
14
1114
Immunisation
13
No. of infants immunised (0-1 year)
BCG
DPT-1
DPT -2
DPT -3
2G
24
OPV ■ 0
14
15
16
17
18
19
OPV-1
OPV -2
OPV -3
Measles
No. of children immunised
(more than 1X months)
DKf Booster
OPV Booster
No. of children immunised
(more than 5 years)
DT
No. of children immunised
(more than 10 years)
IT
No. of children immunised
(more than 16 years)
IT
IFA
No. of children given IFA small
(below 5 years )
No. of children administered Vit-A
(9 months to 3 yeas's)
Dose 1
Dose 2
Dose 3-5
26
2A).
la-
Ib
I
I
ih
14
14
is
'4
i 4
14
14
2.r7
2.0
18
1^.
S3
So
hl
14
IH
Al
----------
Kf
,4/
pHC-lOO
IJ11
ARI
20
No. of cases under 5 with pneumonia
- Treated with <o tnmoxozole
- Referred
21
H
IS
25,
4
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
1s
14
1^
SL )
Family Planning
22
23
No. of eligible couples who accepted permanent
methods out of couples with
a) 3 or more children
b) 2
c) 1 child
No. of eligible couples who accepted temporary
Methods
-IUD
- Oral Pills
- Condoms
32
14
<5
I 2-
13
I 6
I
inventory of vaccines and drugs
SI.
No
Unit
Item
1.
ORS Packets
2
Metronidazole Tablets
3
Cotrimoxazole
4
Paracetamol
5
Chloroquine
Requirement
- VbscsnciJ last
Actual qu.uitity
recc- ived last
3^6)
~~^5o
J3O6
vb^o
5 6)0
I boo
I Odo
6
Antiseptic solution
7
Uristix
8
UD kits
(Disposable (Delivejy Kits)
9
Slides for blood tests
10
'Dicrmometer
11
Gloves
12
IFA lai^e
I ooo
Vit - A solution
15
Condom
16
Oral pills
17
IUDs
18
Syringe & Needles
( OOo
/ 6<0X
Jb o o
I
IFA small tablets
14
^oo
€ PxnHteE
/ Orio
13
SiuiJus or Rcq'uircme)
shortage
for current
last year
vear^
<2? <0(D<D
I
I
cC? b O r j
HoT<;tKDX7U5o^o
I
6 Ooo
J
^OOO
^ot^PmLqo^l,
-2_ Oocj
IS o
-2-Oc
3o-/-^Oq
35
FACILITY IN SUB - CENTRE
SI.
No
Selected c<|uipincnt and supplicH
Yes
A.
Facilities
1
2
3
4
Officer
Accommodation (including residence)
Water
Electricity
B.
Furniture & Equipment
1
2
15
16
Examination table
Benches for clients
Cupboard lor drugs
Foot Stools
Vessells for Water storages
Water disposal containers
Brooms and mops for cleaning
Steam sterilizer
Delivery kits
Torch light
Stove
Weighting scale
BP Apparatus
Hacmoglobinomctcr
Vaccine carrici
IUD kits
C.
IEC Material
3
4
5
6
7
8 “'
9
10
jl
12
13
14
Available
Quantity/Quality
No
Kl <)
NO
NO
N0
H0
Mo
kJ 0
AJO '
.17 • Poster
18 Models
’19
Flip Chart
1
Signature (ANM).
3^
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
A. General Infonnation ------ - ---------State
---------District
----pHC
—r- , ii
Sub- centre
-T-LlLH L./3
Year
Population of S.C •
-----Birth Rate- Dist/.State--------Eligible couples ——
(As on 1st April)
No. of Villages under the sub - centre
DEL1VERY/LIVE BIRT H- (Population x Birth rate)
ANC-“(Population x Birth rate)4 10%
:LN2:-A2SI^IOZ- 3^,
-38____________
■Qo —
1 00-0----------- ;When consultation made
No.
of
Consultation with
SI.
(month of year)
Consultation
No.
1
I
Panchayat or health committee of the
1.
Panchayat
II 2Anganwadi worker / 1 BA
2.
Women in Mahila Swasthya Sangh
3.
Families
on house to house basis
4.
___ -SS
SI.
No
Service
“
Performance
in last year
Planned
performance
in current year
Antenatal Care
5o
1
2
Total ANC cases registered in the area
No. of high risk pregnant women detected and
referred
3
No. of TT (Iohch given
ITT
4
5
6
7
X
9
J-]- Li
TT2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophyaxis with IF A tablets.
Natal care
Total no. of delivers in the area
No. of home delivery by
a) ANM /LHV
b) Trained birth attendant
No. of institutional deliveries
No. of Pregnant women referred to P11C71T<U lor
delivery
______________________
t
Ib
I6
J- •
2_
16
16
8
-2.9
11
1
I
L
10
Neo-Natal care
No. of sick new boms referred
MIT
H
No. of women referred for MTP
9
KTI/ STD
12
^)8
u
I
2
I
362- 30
No. of cases detected & referred
Male
Female
Male
Female
2^
2.3
IH
I 5”
I l-f~
14
<4
/b
IS
Immunisation
13
I
14
15
16
17
18
19
No. of infants immunised (0-1 year)
BCG
DPT-1
DPT -2
DPT -3
OPV-O
OPV -1
OPV -2
OPV 3
Measles
No. of children immunised
(more than 18 months)
DPT Booster
OPV Booster
No. of children immunised
(more than 5 years)
DT
No. of children immunised
(more than 10 years)
31
I?
w
w
II
! I
2P1
IG
IT
i/
2_ I
No. of children immunised
(more than 16 years)
IFA
No. of children given IFA small
(below 5 years )
No. of children administered Vit-A
(9 months to 3 years)
Dose 1
Dose 2
Dose 3-5
15
14
IS
[0
30
H
J7
34
4s
44
5)
IS
14
)s
14
4S
3G
ARI
20
No. of cases under J with pneumonia
- Treated with co-trimoxozole
IS
(V
IS
I
- Referred
21
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
2.0
I
I
Family Planning
22
23
i
No. of eligible couples who accepted permanent
methods out of couples with
a) 3 or more children
b) 2
c) 1 child
No. of eligible couples who accepted temporaiy
Methods
-IUD
- Oral Pills
- Condoms
I
2.
IG
20
20
I 6
6
2.2-
i
i
i
2
I
I
i
I
I
i
■■
37
INVEN I ORY OF VACCINES AND DRUGS
Unit
Requirement Actual quantity
Assessed last rece- ived last
year
year
SI.
No
Item
1.
ORS Packets
2
Metronidazole Tablets
3
Co-trimoxazole
4
Paracetamol
5
Chloroquine
I boo
6
Antiseptic solution
6 COM 1X6
15 o
- ?
2
I OOO
Surplus or
shortage
East year
Requirement
for current
year
__
<300
b <0o
I boo
9
_• ?
[06)0
I 2. <5 o
f ooo
?
o
7
Uiintix
8
DD kits
(Disposable (Delivery Kits)
5o
<Af o
9
Slides for blood tests
30o
XS'o
10
Thermometer
11
Gloves
12
IF A large
13
IFA small tablets
t ( C’
14
Vit - A solution
G OOML
15
Condom
[ b OO
16
Oral pills
17
IUDs
18
Syringe & Needles
7
I
I Aox
360
1
5o
«zo
?
O
( 5"00
Ib o
IS'O
^5
+ (SO
38
/500U
FACILITY IN SUB - CENTRE
SI.
No
Selected equipment <ind supplies
Available
Yes
A.
T
Quantity/Quality
No
Facilities
|
1
2
3
4
Officer
Accommodation (including residence)
Water
Electricity
B.
Furniture & Equipment
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Examination table
Benches for clients
Cuj)board for dnigs
Foot Stools
Vessells for Water storages
Water disposal containers
Brooms and mops for cleaning
Steam sterilizer
Delivery kits
Torch light
Stove
Weighting scale
BP Apparatus
Uaemoglobinometcr
Vaccine carrier
IUD kits
C.
IEC Material
17
Poster
Models
Flip Chart
18
19
!
-
7^ I t f CJ1)
|
-
i -
_
I
i No
NO
NO
wc
f\JC
MO
No
MO
KJO
Nn?
^<5
Signature (ANM).
37
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
Year —1-0219--- ...
.....—
Population of S.C ——
state
------Birth
Rate- Dist/.State---------- District —lSJ2.D_Zi_G.CJ---------------Eligible couples------ ^LL-----P.H.C
------Sub- centre
-----A^ilgTS (As on 1st April)
No. of Villages under the sub - centre 1'
A. General Inlonnalion ------------------
ANC "(Population x Birth rate)+10%
16-r107
k-4
si.
1-455-
DEL1VERY/LIVE BIRTH= (Population x Birth rate)
■jSZl------------
No. of
Consultation
Consultation with
No.
1.
2.
3.
4.
SI.
No
Panchayat or health committee of the
Fancfuyat
Anganwadi worker / TEA
Women in Mahila Swasthya Sangji
Families on house to house basis
I J.
I
I 2-
I
56 5
Performance
in last year
Servicc
3
4
5
6
7
8
9
Planned
performance
in current year
\/
Antenatal Care
1
2
When consultation made
(month of year)
Total ANC cases registered in the area
No. of high risk pregnant women detected and
re fen cd
No. of IT doses given
TT1
TT2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophyaxis with IF A tablets.
Natal care
Total no. of delivers in the area
No. of home delivery by
a) ANM /LEV
b) Trained birth attendant
No. of institutional deliveries
No. of Pregnant women referred to PHC/FRU for
deliver/
ho
1 M• "
4
I
(o
5o
2^-2-
2_
/4S
H
1 1
2-0
I S’
I
. —--u—■<i«uubv-*-
10
11
Neo-Natai care
No. of sick new boms referred
MTP
No. of women refeired for MTP
RTI / STO
12
5
)
1^)
3-1
No. of cases detected & referred
Male
13
14
15
16
17
18
19
Immunisation
No. of infants immunised (0-1 year)
BCG
DPT-1
DPT -2
DPI’ -3
OPV-O
OPV-1
OPV -2
OPV -3
Measles
No. of children immunised
(more than 18 months)
DPT Booster
OPV Booster
No. of children immunised
(more than 5 years)
DT
No. of children immunised
(more than 10 yeani)
IT
No. of children immunised
(more than 16 years)
TT
IFA
No. of children given IFA small
(below 5 years )
No. of children administered Vit-A
(9 months to 3 years)
Dose 1
Dose 2
Dose 3-5
XS
female
Male
Female
30
30
2-0
2_O
X.O
0-0
020
x6
XI
2-S
3o
X«
X)
xo
xo
xo
3 I
2-0
X5
2-0
32
30
30
X)
Go
\\^
XO
J-0
Go
/i i
20.
■6o
ARI
20
21
No. of cases under 5 with pneumonia
- Treated with co-trimoxozole
- Referred
1 3
13
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
^5
30
30
H
N
X3
317
3
I "7
36
Family Planning
22
23
No. of eligible couples who accepted permanent
methods out of couples with
a) 3 or more cliildrcn
b) 2
c) 1 child
No. of eligible couples who accepted temporary
Methods
- IUD
- Oral Pills
- Condoms
I
m
i
p
Ii2
INVENTORY OF VACCINES AND DRUGS
SI.
No
Item
1.
ORS Packets
2
Metronidazole Tablets
3
Co-trimoxazole
bOO
( S'OO
4
Paracetamol
I O OO
I5 oo
oo
5
Chloroquine
I 5 oo
I 300
I 5"o o
6
Antiseptic solution
7
Urislix
8
DD kits
(Disposable (Delivery Kits)
9
Slides for blood tests
10
Thermometer
11
Gloves
12
IFA Large
I o oao
1 ooo
I5’ooo
13
IF A small tablets
r-i ooo
Goaa
|2> Ooa
14
Vit - A solution
9
2
o
15
Condom
ZLOoo
DL-OO o
16
Oral pills
2^0 0
I
17
IUDs
18
Syringe & Needles
Unit
Requirement Actual quantity
Assessed last rece- ived last
____ year_________ year
Surplus or
shortage
last year
Requirement
for current
year
2^ o o
^9
6
I Box
ho
So
05OO
J2_6o
I
3o
Don o
£>
bO±200 250-4-XOo
<5
o
FACILITY IN SUB - CENTRE
SI.
No
Selected equipment and supplies
Available
Yes
A.
Facilities
1
2
3
4
Officer
Accommodation (including residence)
Water
Electricity
B.
Furniture <& Equipment
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Examination f2ble
Benches for clients
Cupboard for drugs
Foot Stools
Vessells for Water storages
Water disposal containers
Brooms and mops for cleaning
Steam sterilizer
Delivery kits
Torch light
Stove
Weighting scale
BP Apparatus
Haemoglobinometcr
Vaccine carrier
IUD kits
c.
IEC Material
17
Poster
Models
Flip Chan
18
19
Quantity/Quality
No
MO
MO
I
J
KJO
I
eye?
I
2.
I
J
Mo
Signature (ANM).
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
A. General Information ------------------State ------ 1OA4 \LJfl
__
Dis tile t---- bU-LdLlcl 12=2__________
P.H.C
Sub- centre
No. of Villages under the sub - centre
ANC-(Population x Birth ratc)+10%
____________ 1
Consultation with
si.
Year —13123-________
Population of S.C
Birtii Rate- Dist/.State -^3.Eligible couples
(As on 1st April)
DEIJVERY/LIVE BIRTH- (Population
(Population x
x Birth
Birth rate)
rate)
zzz r-?\
--------------
No. of
Consultation
N(x
1.
2.
3.
4.
SI.
Panchayat or health committee of the
Pancliayat
Anganwadi worker / TBA
Women in MohiLi Nwasthyn Sangh
I Families on house to house basis
I
Service
I
/□l
35
Performance
ill last year
Antenatal Care
3
4
5
6
7
8
9
When consultation made
(month of year)_____
J
No
1
2
~ -^6 ________
lotal ANC cases registered in the area
No. of higli risk pregnant women detected and
referred
No. of FT doses /^ven
T'fl
1T2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophyaxis with IF A tablets.
Natal care
1 otal no. of delivers in the area
No. of home delivery by
a) ANM /LHV
b) Trained birth attendant
No. of institutional deliveries
No. of Pregnant women referred to PIIC/E’RU for
delivery
Planned
performance
in current year
36
6
I
A+o
3
3
J-[O
•^7
3 0
r>
-28
3G
I 0
"3
G
I o
I
I
10
11
Neo-Natal care
No. of sick new boms referred
MTP
No. of women re fen cd for MTP
R-ti/sti
12
I
2
I
At
33,
Female
Male
Female
25
IS
18
2B
18
113
I 8
] S'
ioo
No. of cases detected & referred
Male
Iminunfoation
13
14
15
16
17
18
19
No. of inf ants immunised (0-1 year)
BCG
DPT-1
DPT -2
DP I’ -3
OPV -0
OPV -1
OPV -2
OPV -3
Measles
No. of children immunised
(more than 18 months)
DPT Booster
OPV Booster
No. of children immunised
(more than 5 years)
DT
No. of children immunised
(more than 10 years)
No. of children immunised
(more than 16 years)
TT
I FA
No. of children given IFA small
2_O
2-0
2.0
1>oho 3-5
H
IS
!S
IS
JS
Ig
17
17
2.3
16
2-2_
6 '<2
(below 5 yearn )
No. of children administered Vit-A
(9 months to 3 years)
Dose 1
Dose 2
IS
2-1-
Io
2
2>G
2O
.3 A
7-^
50
ARI
20
No. of cases under 5 with pneumonia
I
- I rented with co-trimoxozole
36
3
- Ret erred
21
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
3)
Family Planning
22
No. of eligible couples who accepted permanent
methods out of couples with
n) 3 or more children
b) 2
r?.
1 G
c) 1 child
23
No. of eligible couples who accepted temporary
Methods
-IUD
- Oral Pills
- Condoms
C5O
2.
I I
I
1
1
INVENTORY OF VACCINES AND DRUGS
SI.
No
Item
1.
ORS Packets
2
Metronidazole Tablets
3
Unit
Requirement
AsHcsscd last
year_______
Actual quantity
rccc- ived last
year-__________
3oo
2 30
Co-tiimoxazole
2Soo
^Soc)
4
Paracetamol
I 5 O c>
I5
5
Chloroquine
( 0OO
[ OO O
6
Antiseptic solution
7
Urislix
8
DD kits
(Disposable (Delivery Kits)
9
Slides for blood tests
10
Thermometer
11
Gloves
12
IF A large
13
IFA small tablets
14
Vit - A solution
6
15
Condom
^30^0
1^0(00
16
Oral pills
2- o cy
oo
17
IUDs
3o
18
Syringe & Needles
Surplus or
shortage
last year
Requirement
for current
year
2SO
150 0
lOOO
■6
I
I Box
J-~{ 0
o
3 OtO
I
I
Io
| O p^C’le-
| C) )>
S O
30 0
/o
fj
6
Cion
. ’Zo
FACILITY IN SUB - CENTRE
SI.
No
Available
Selected equipment and anpplioH
Yes
A.
Facilities
1
2
3
4
Officer
Accommodation (including residence)
Water
Electricity
B.
Furniture & Equipment
1
2
3
4
5
Examination table
16
C.
IEC Material
17
18
Poster
Models
Flip Chart
6
8
9
10
11
12
13
14
15
19
No
7^5
Nb
1
No
Bcnchcw tor clicnln
Cupboard for drugs
Foot Stools
Vessells for Water storages
Water disposal containers
Brooms and mops for cleaning
Steam sterilizer
Delivery kits
Torch light
Stove
Weighting scale
BP Apparatus
Uacmoglobinomctcr
Vaccine carrier
IUD kits
Quantity/Quality
I
1
)
1
I
I
3
)
. / .j
i
I
Signature (ANM).
h6/
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
Year —
Population of S.C
Birth Rate- Dist/.State ------------Eligible couples —3^
----(As on 1st April)
A. General Information
----State J.^KUn-LclA-Zl
——
,J<xQ.P^6.cj---------District —
pHC 5
Sub- centre —--------------------No. of Villages under the sub - centre
ANC=(Population x Birth rate)+10%
-------- —
si.
No.
1.
2.
3.
4.
------------------- ——
DELTVERY/LIVE BIRTH= (Population x Birth rate)
_____________ ____________________________________________ ,
No. of
Consultation
Consultation with
I
I >_
Panchayat or health committee of the
Panel uiyat
Anganwadi worker / 1 BA
Women in Maliila Swasthya Sangli
Families on house to house basis
si.
J5O
335
Performance
in last year
No
Planned
performance
in current year
M
Antenatal Care
1
2
3
Total ANC cases registered in the area
No. of high risk pregnant women detected and
referred
No. of 7T doses given
rri
4
5
6
7
8
9
■
I
I
I 1.
Service
,
When consultation made
(month of year)
5 3
I
. )
% r>
TT2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophyaxis with IF A tablets.
b S
Natal care
Total no. of delivers in the area
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
No. of institutional deliveries
No. of Pregnant women referred to PHC/FRU for
delivery
^•s
SO
J4 0
HO
3
^■'7
X
2- H
( o
I o
Is
I 3
I
2.
10
Neo-Nutnl care
No. of sick new boms referred
11
MTP
No. of women referred lor M11'
2
2
^Tl/ STD
I -6 6
No. of cases detected & referred
12
Male
Immunisation
No. of infants immunised (0-1 year)
13
BCG
DP I’ -1
DPT -2
DPT -3
OPV -0
OPV -1
OPV -2
OPV -3
Measles
No. of children immunised
14
(more than 18 months)
DP T Booster
OPV Booster
No. of children immunised
15
(more than 5 years)
DT
16 No. of children immunised
(more tlian 10 years)
TT
17 No. of children immunised
(more than 16 yeais)
TT
Female
3^76
33
Male
Female
IS
18
2-3
x'7
1 S
I S
2L1
No. of children given IF A small
(below 5 years )
No. of children administered Vit-A
(9 months to 3 yeais)
Dose 1
Dose 2
Dose 3-5
1 c2
18
IS
I8
22 I
I 9
2-G
16
2S=]
2.3
2- |
2-0
AS
lie
2
lo8
o
X..
... •
^OO
J
I3
I8
2-3
n?A
18
19
IS
rf^
07917
'V
ARI
20
21
No. of cases under 5 with pneumonia
- 3 rcated with co-trimoxozolc
- Referred
9
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
Go
b
Ib
2
Family Planning
22
23
No. of eligible couples who accepted permanent
methods out of couples with
a) 3 or more children
b) 2
c) 1 child
No. of eligible couples who accepted temporary
Methods
-IUD
- Oral Pills
- Condoms
17
I
I
I
INVENTORY OF VACCINES AND DRUGS
Unit
Requirement Actual quantity
Assessed last rece- ived last
year______ year_________
.3 S r.
SI.
No
Item
1.
ORS Packets
2
Metronidazole Tablets
3
Co-trimoxazole
4
Paracetamol
5
Chloroquine
6
Antiseptic solution
7
Uristix
8
DD kits
(Disposable (Deliveiy Kits)
9
Slides for blood tests
10
I’hermometcr
11
Gloves
10
12
IFA large
kJ o
13
IFA small tablets
C' o o
14
Vit - A solution
GtOML-
15
Condom
Zoo©
.2.000
16
Oral pills
J2_6c>
I\3
17
IUDs
18
Syringe & Needles
Surplus or
shortage
last year
Requirement
for current
year
3 do
I oo-o
loo o
I DO O
I oo o
[OO o
I Box ■
5o
5o
3oo
1
I
2^0
5^
2-5 o
35oo^
I ..Wo
AfOoH L.
^5’4-20^
( OO
I OC) .
FACILITY IN SUB - CENTRE
SI.
Selected equipment and supplies
Available
No
Yes
A.
Facilities
1
2
Officer
Accommodation (including residence)
Water
3
4
Electricity
B.
Furniture & Equipment
1
2
3
4
5
6
7
8
9
10
' II
. 12
13
14
15
Examination table
Benches for clients
Cuplxjaid for d/uga
Foot Stools
Vessells for Water storages
Water disposal containers
Brooms and mops for cleaning
Steam .sterilizer
Delivery kits
Torch light
No
N10
MO
t Io
KC
rxj'G
(\?0
bJO
KJO
^.7
I
i
16
BP Apparalus
I laemoglobinomctcr
Vaccine carrier
IUD kits
C.
IEC Material
17
18
Poster
Models
Flip Chart
19
Quamity/Quabty
)
11 e :
I
I
M '-3
)
Signature (ANM).
5k
FORM 1
SUB-CENTRE (S.C) ACTION PLAN
A. General Information ------------------State
--------District —-------------P.11.C --TTA-iLTTLlBlZl-lldl----Sub- centre----- ZldJ-Udli------------
Year
----Population of S.C -^.<2—1—3-—
Birth Rate- Dist/.Slatc------------Eligible couples —-------(As on 1st April)
No. of Villages under the sub - centre
DELIVERY/LIVE BIRTH= (Population x Birth rate)
ANC=(PopuIation x Birth rate)+10%
IZQAfG X IG T IO /• - 5' |
------------- -------- ----------'~-|-g)00. d----------- ;—
Consultation with
When consultation made
No. of
SI.
Consultation
(month of year)
No.
Panchayat or healtli committee of the
1.
Panchayat
Anganwadi worker / I’BA
2.
Women in Maldla Swaslhya Sangh
3.
Families
on house to house basts
5 6 ‘7
4.
si.
Service
No
Performance
in last year
y
Antenatal Care
1
2
3
4
5
6
7
8
9
Total ANC cases registered in tiro area
No. of high risk pregnant women detected and
referred
No. of IT doses given
rn
5'r)
TT2
Booster
No. of pregnant women with anemia treated
No. of pregnant women
given prophy axis with IF A tablets.
Natal care
Total no. of delivers in the area
No. of home delivery by
a) ANM /LEV
b) Trained bird) attendant
No. of institutional deliveries
No. (J Pregnant women rolcircd Io PilC/IKU tor
delivery
Planned
performance
in current year
b i
2.6
Z-//
IB
|M
10
11
Neo-Nata! care
No. of sick new bonis referred
MTP
No. of women referred for N FTP
I
]
Rti/sid
12
No. of cases detected & referred
Male
13
14
15
16
Immunisation
No. of infants immunised (0-1 year)
BCG
DPT-1
DPT -2
DPT -3
OPV -0
OPV -I
OPV -2
OPV -3
Measles
No. of children immunised
(more than 18 months)
DPT Booster
OPV Booster
No. of children immunised
(more than 5 years)
DT
No. of children immunised
(more than 10 years)
2r/
18
19
Male
Female
23
2-3
33
31
■3 I
31
rr
17
Female
23
1
No. of children immunised
(more than 16 years)
3^
IFA
No. of children given IFA small
(below 5 years )
No. of children administered Vit-A
(9 months to 3 years)
Dose 1
Dose 2
Dose 3-5
3Q
3^0
2>O
3o
2-9
31
3)
\38
130
^33
bG
A( 6>
9
138
I3
ARI
20
21
No. of cases under 5 with pneumonia
- Treated with co-trimoxozole
- Referred
4
6
Acute diarrhoeal diseases
No. of cases under 5
- Cases treated with ORS
- Referred
7
I 1
&
6
Family Planning
22
23
No. of eligible couples who accepted permanent
methods out of couples with
a) 3 or more children
b) 2
c) 1 cliild
No. of eligible couples who accepted temporary
Methods
-IUD
- Oral Pills
- Condoms
h7
1 I
2_-3
'H
Z_
INVENTORY OF VACCINES AND DRUGS
Requirement
Assessed last
Actual quantity
rcce- ived last
year
_______
ORS Packets
300
300
2
Metronidazole Tablets
3
Co-trimoxazole
150
I Soo
l Soo
I oao
G oo
[ OGO
f o oo
Unit
SI.
No
Item
1.
4
Paracetamol
5
Chloroquine
6
Antiseptic solution
7
Uris tlx
8
DD kits
(Disposable (Delivery Kits)
9
Slides for blood tests
10
Thermometer
11
Gloves
12
IF A large
13
IFA small tablets
14
Vit - A solution
6
15
Condom
X ooo
16
Oral pills
XO0
17
IUDs
XS
18
Syringe <& Needles
Surplus or
shortage
last year
Requirement
for current
year_______
I o-o
Z5o
I
lOoo
[oo o
o M lX. 6
I
I
v
5" o
SO
t? O
Soo
2_
i O
Is OO
J (r-r )
3o+zo^
■ / <70^
I
(J&ooaL/)
(
2600
XOO
2-<00
FACILITY IN SUB - CENTRE
SI.
Available
Selected equipment and supplies
Quantity/Qualiiy
No
Yes
A.
Facilities
1
2
4
Officer
Accommodation (including residence)
Water
Electricity
B.
Furniture & Equipment
1
2
3
4
5
11
12
13
14
15
16
Examination table
Benches for clients
Cupboard for drugs
Foot Stools
Vessells for Water storages
Water disposal containcis
Brooms and mops for cleaning
Steam sterilizer
Delivery kits
Torch light
Stove
Weighting scale
BP Apparatus
Hacmoglobinometer
Vaccine carrier
IUD kits
C.
I EC Material
17
18
19
Poster
Models
Flip Chart
3
6
7
8
9
10
J
No
KTO
kTO •
MO ■
bJ 0
nJ o
nJ O
fVO
I
I
Signature (ANM).
5CI
- Media
7947.pdf
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