a report on assessment of 3 phcs in jharkhand
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A report on Assessment of Singhari, Teenpahar and Atka Primary Health Centres in Jharkhand state Page 1
A report on Assessment of Singhari, Teenpahar and
Atka Primary Health Centres in Jharkhand state
Submitted by: Dr. Suranjeen Prasad, M.D. Dr. M. Jawed Quereishi, MPH (Gold Medallist), PGDDHM. Mr. Arshad Hussain (ITAP representative).
15th July 2011
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Background: The Jharkhand Rural Health Mission Society (JHS) has expressed its intent towards the
operationalization of 10 Primary Health Centres (PHCs) through Public Private Partnership. The PHC / PHCs will
be handed over to the NGOs/ Corporate / Private Agencies based on the strengths of the proposals received
against the clauses mentioned in Expression of Interest floated by JHS. The government, as of now, plans to hand
over 7 out of the 10 PHCs to NGOs. Before the final handing over, JHS wants a third party assessment of the
PHCs to be done. The physical infrastructure of the PHCs will be handed over as per the inventory jointly agreed
upon by JHS and concerned NGO.
Scope of Work: The Consultant will provide technical support in carrying out the Facility survey of the
identified PHC/PHCs which will include the following activities:
1. To examine the status of infrastructure
2. To examine the status of human resource
3. To examine the status and functionality of equipment
4. To examine the status of type of services being provided as per the IPHS to the community.
The questionnaire/ check-list to be used for the mentioned survey have been developed by ITAP and
encompass Indian Public Health Standard (IPHS) guidelines and other relevant questions required for
contracting out of facility.
Team of Consultants:
(1) Dr. Suranjeen Prasad, M.D.
(2) Dr. M. Jawed Quereishi, MPH (Gold Medallist), PGDDHM.
(3) Mr. Arshad Hussain (ITAP representative).
Facilities visited:
Above team has carried out the Facility survey of the identified three PHCs which are as follow:
(1) Name of PHC: Singhari, Block: Meharama, District: Godda visited on 6
th
July 2011.(2) Name of PHC: Teenpahaar, Block: Rajmahal, District: Sahebganj visited on 7
thJuly 2011.
(3) Name of PHC: Atka, Block: Bagodar, District: Giridih visited on 11th
July 2011.
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Report on Singhari Primary Health Centre
A team of consultant visited Singhari Primary Health Centre which comes under Meharama block of
Godda district on 6th
July 2011. This PHC is located 3 kilometres away from Meharma CHC. Team of
consultant is also accompanied by District Programme Manager and Medical Officer of respective areas.
Status of infrastructure:
This PHC is located within village locality. PHC building is a designated government building available
for PHC only with staff quarters handed over by District collector on 11th
April 2010. The PHC is just a
building, which has functioned occasionally to host eye surgical camps. The building is of very good
quality, and has been designed as a hospital with residential quarters for doctors and other staff. PHC
have partial compound wall. Walls and floors are in good condition. Good cleanliness is maintained in
OPD, Rooms, Wards, Toilet and entire premises. A prominent display board regarding availability of
services was not there. There are separate registration counters but not functioning. There is no
pharmacy for drug dispensing and drug store. There are separate toilets for male and females but not
functioning. Separate wards for male and females are there. Separate OPD rooms are available. There is
no suggestion/complaint box available at PHC. Family welfare clinic, Newborn care corner, DOT
centres are not there. No operation theatre is available although there is space for same . Labour room and
laboratory are not available. The main water supply is hand-pump/tube well and there is a over head tank on PHC.
Sewerage facility is there with soak pit. There is no electric connection. Generator is not available. Laundry
facility, communication facility, and vehicles are not available. There is a separate space for office, store room
and kitchen. There are staff quarters but only two 4th grade staffs are staying.
Status of Human resources:
Mr. Rajpathi Tandan (Male ward attendant) from Meharama CHC and Mr. Sanath Lal soren fromBlawadah PHC is deputed to Singhari PHC.
Status and functionality of equipment:
No equipments are available there.
Status of type of services being provided as per the IPHS to the community:
Occasionally eye camps were held at PHC building. There are no services being delivered to community
at Singhari PHC.
NOTE: Photographs of Singhari PHC are annexed in Annexure A.
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Report on Teenpahaar Primary Health Centre
A team of consultant visited Teenpahaar Primary Health Centre which comes under Rajmahal block of
Sahebganj district on 7th
July 2011. This PHC is located 13 kilometres away from Rajmahal CHC. Team
of consultant was also accompanied by District Programme Manager and Medical Officer of respective
areas.
Status of infrastructure:
The PHC building was built under the MP fund and handed to the Health Department by the District Collector
recently. This PHC is located within village locality. PHC building is a designated government building
available for PHC. PHC doesnt have compound wall. Walls and floors are in good condition. Good
cleanliness is maintained in OPD, Rooms, Wards and entire premises except toilets. A prominent display
board regarding availability of services was not there. There are separate functional registration counters.
There is a functional pharmacy for drug dispensing and drug store. There are separate toilets for male
and females but not clean. Space for separate wards for male and females are there but functional.
Separate OPD rooms are available. There is no suggestion/complaint box available at PHC. There is a
separate waiting room for patient. Family welfare clinic is functional. Newborn care corner, DOT
centres are not there. No operation theatre is available. Labour room is available and not functional and not
well equipped. Deliveries are not conducted due to lack of staff. Laboratory is available and functional but for
only few diagnostic purposes. The main water supply is hand-pump/tube well and there is no over head tank on
PHC. Sewerage facility is there with soak pit. There is electric connection lines connected to all parts of PHC.
One inverter is available and functioning properly. Laundry facility, communication facility, and vehicles are not
available. There is no separate space for office but space available for store room and kitchen. There are no staff
quarters.
Status of Human resources:
Two medical officers deputed to this PHC. Dr. Mahmood Alam and Dr.Nishant Kujur. Two ANMs were
posted named Mrs. Sohagini Murmu and Madhuri Kumari along with one MPW male- Manindar Nath
Yadav on contractual basis. One health educator named Ganesh Prasad Mandal, one clerck Mohd. Tufail
Ahmed Ansari and one 4th
grade staff Mr. Chakrawarthi Paaswan were also posted.
Status and functionality of equipment:
One binocular microscope with oil immersion is functional. New born care corner is not available, B.P.
apparatus, stethoscope are available in 2 no. out of which 1 each is functioning. Clinical thermometer,
hub cutter, examination table, writing tables, plastic chairs, full size steel almirah, fans and one vaccine
carrier are available.
Status of type of services being provided as per the IPHS to the community:
Only primary treatment is available, MCH and RCH services are not available due to non availability of
staffs and equipments.
NOTE: Photographs of Teenpahar PHC are annexed in Annexure B.
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Report on Atka Primary Health Centre
A team of consultant visited Atka Primary Health Centre which comes under Bagodar block of Giridih
district on 11th
July 2011. This PHC is located 11 kilometres away from Bagodar CHC. Team of
consultant was also accompanied by District Programme Manager and Medical Officer of respective
areas.
Status of infrastructure:
This PHC is located within village locality. PHC building is not a designated government building
available for PHC and operated in building of veterinary department. PHC doesnt have compound wall.
Walls and floors are in good condition. Good cleanliness is maintained in OPD and Rooms. There is no
toilet facility. A prominent display board regarding availability of services was not there. There are
separate functional registration counters. There is a functional pharmacy for drug dispensing and drug
store. There is no space for separate wards for male and females. Separate OPD rooms are available.
There is no suggestion/complaint box available at PHC. There is a separate waiting room for patient.
Family welfare clinic is not functional. Newborn care corner, DOT centres are not there. No operation
theatre is available. Labour room is available and not functional and not well equipped. Deliveries are conducted
in this PHC but there is no separate area available for conducting septic and aseptic deliveries. Laboratory is
available and functional but for only few diagnostic purposes. The main water supply is hand-pump/tube well and
there is no over head tank on PHC. There is no sewerage facility. There is electric connection lines connected to
all parts of PHC. Laundry facility, communication facility, and vehicles are not available. There is no separate
space for office but space available for store room and kitchen. There are no staff quarters.
Status of Human resources:
The PHC has two doctors, two ANMs, a Laboratory Technician apart from support staff. It has a HMSand a bank account.
Status and functionality of equipment:
One functional binocular microscope with oil immersion, one vaccine carrier, IUD insertion kit, normal
delivery kits, 1 fridge (165 ltr.) are available in functional condition.
Status of type of services being provided as per the IPHS to the community:
Only primary treatment is available, MCH and RCH services are limited available due to non
availability of staffs and equipments.
NOTE: Photographs of Atka PHC are annexed in Annexure C.
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Annexure: A
Singhari PHC:
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ANNEXURE B: Teenpahaar PHC:
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ANNEXURE C: Atka PHC:
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