health status of uttar pradesh and field visit
TRANSCRIPT
![Page 1: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/1.jpg)
STATE MAP OF UTTAR PRADESH
. Districts :70 Subdistricts:320 Towns:704 Villages:107452.
![Page 2: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/2.jpg)
ORGANIZATION AND MANAGEMENT AT STATE LEVEL
MINISTER
Principal Secretary
Med Health & FW
SecretaryMedical Health
Director General Medical Health
Director Medical care
Director Public Health
Director Administration
Director
paramedical
Secretary Family welfare & MD
NRHM
Director General National Program Evaluation And
Monitoring
Secretary and Project Director
UPHSDP
Secretary and project Director
UPSACS
Secretary and Exec. Director
SIFPSA
![Page 3: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/3.jpg)
PRINCIPAL SECRETARY: Senior member of Indian Administrative
Services
DUTIES AND RESPONSIBILITIES: Assists minister in policy making Modifies policies from time to time Budgeting and control of expenditure
RESPONSIBILITIES OF PRINCIPAL SECRETARY
![Page 4: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/4.jpg)
RESPONSIBILITIES OF THE DIRECTOR
Directorate is headed by Director General, Medical and health services.
Provides technical assistance to Secretary and Minister.
Supervises,controls policies framed by state govt.
Co-ordinates and controls implementation of health programmes and projects.
![Page 5: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/5.jpg)
UTTAR PRADESH HEALTH SYSTEM DEVELOPMENT PROJECT(UPHSDP)
World Bank project To provide effective,responsive and
comprehensive health care in U.P. Through institutional and human resource
development in addition to investment in health policy and public private partnership.
![Page 6: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/6.jpg)
STATE INNOVATION IN FAMILY PLANNING PROJECT SERVICES AGENCY(SIFPSA)
Catalyst for Goverment of India in reorienting, revitalising state’s family planning services.
Joint endeavour of Govt. and USAID Assists admnistration in reducing
population growth to a level consistent with social and economic objectives.
![Page 7: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/7.jpg)
UTTAR PRADESH STATE AIDS CONTROL SOCIETY (UPSACS)
Overall goal is to halt and reverse the incidence of AIDS in Uttar pradesh by integrating programs for prevention, care and treatment.
![Page 8: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/8.jpg)
NACO(National AIDS Control organization)
UPSACS(UP State AIDS Control Society)
HIV/AIDS PREVENTION AND CONTROL COMMITTTEE
District program manager
District AIDS Prevention and Control unit(DAPCU)
Coordinator/
Supervisor
Assistant cum
Accountant
Support staff
ORGANIZATIONAL STRUCTURE FOR AIDS CONTROL PROGRAMME IN UTTARPRADESH
![Page 9: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/9.jpg)
ORGANIZATION AND MANAGEMENT OF HEALTH AT DISTRICT LEVEL
District Health System is Headed by CMO (Chief Medical officer).
CMO is Assisted by Deputy CMO for implementing various programs.
District hospital is headed by Senior medical officer (SMO).
![Page 10: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/10.jpg)
CMO(Chief Medical Officer)
Dy. CMO(Urban Setup)
Medical Officer(PHC)
Medical suprintendent(C
HC)
Dy. CMO (Rural Setup)
Medical Supritendent Medical Officer
SMO(Senior Medical
Officer)
ORGANIZATION AND MANAGEMENT AT DISTRICT LEVEL
![Page 11: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/11.jpg)
RESPONSIBILITIES OF CMO
In-charge of Health & family welfare programs in District.
Planning & implementation of National health programs at the District level.
Supportive supervision. Coordinating with relevant
departments. Managing finances. Monitoring & reviewing progress.
![Page 12: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/12.jpg)
RESPONSIBILITIES OF SMO
Overall in charge and responsible for supervising activities of Health and Family welfare programmes in dispensaries etc
He is further assisted by Health supervisor.
![Page 13: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/13.jpg)
LADY MEDICAL OFFICERS
Innovative scheme of hiring women medical officers to serve at block PHCs and at CHCs.
CMOs can contract practising medical graduates who are paid on a visit basis.
Where no allopathic doctor available, even women practitioners of the Indigenous System of Medicine hired.
The women medical officers provide services from 8 a.m. to 2 p.m.
![Page 14: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/14.jpg)
CONTINUED..
56 Women medical officers have been contracted under this scheme throughout UP.
More than 40,461 visits have been made by women medical officers.
This innovative scheme is an example of a unique public and private sector partnership, and won wide acclaim.
![Page 15: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/15.jpg)
SOCIO-ECONOMIC PROFILE
![Page 16: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/16.jpg)
TOTAL POPULATION
Most Populous state in India. Population of 199,581,477. 16.49% of the total Indian population.
![Page 17: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/17.jpg)
RURAL POPULATION
U.P. India0
100000000
200000000
300000000
400000000
500000000
600000000
700000000
800000000
Chart Title
pop
ula
tion
![Page 18: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/18.jpg)
URBAN POPULATION
U.P. India0
50000000
100000000
150000000
200000000
250000000
300000000
350000000
Chart Title
![Page 19: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/19.jpg)
DECADAL GROWTH OF U.P.
1991-2001 2001-20110
5
10
15
20
25
30
Chart Title
![Page 20: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/20.jpg)
ECONOMY OF U.P.
Second lowest per capita income. Per capita income of Rs 23,132. 1 crore of population below poverty
line.
![Page 21: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/21.jpg)
POPULATION DENSITY
Population density is of U.P. - 828/sq. km. Population density is of India- 382/sq. km.
![Page 22: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/22.jpg)
LITERACY RATE:
Overall literacy rate of U.P. is 69.72% Literacy rate of India is 74.04% Female literacy rate is 59.3% Male literacy rate is 70.23%
![Page 23: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/23.jpg)
SEX RATIO
U.p. India905
906
907
908
909
910
911
912
913
914
915
Column2Column1
![Page 24: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/24.jpg)
SCHEDULE CASTE POPULATION
Schedule cast population in Uttar Pradesh was around 35.15 million in the year 2010.
Constitutes about 17% of the total population of Uttar Pradesh.
![Page 25: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/25.jpg)
SCHEDULE TRIBE POPULATION
Schedule tribe population of Uttar Pradesh is just around 0.11 million.
0.5% of the total population of Uttar Pradesh.
![Page 26: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/26.jpg)
CRUDE BITH RATE &CRUDE DEATH ARTE
Crude birth rate has reduced to 28.7
Crude Death Rate is Highest
CBR CDR0
5
10
15
20
25
30
35
28.7
8.2
22.5
7.3
27.2
6.6
UPIndiaRajasthan
![Page 27: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/27.jpg)
TOTAL FERTILITY RATE
TFR has reduced from 4.82 to 3.8 but is still higher than the national average of 2.7 and nowhere close to the target of 2.1 for the year 2012 UP India Rajasthan
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
TFR
TFR
![Page 28: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/28.jpg)
MATERNAL MORTALITY RATE
MMR at 440 (SRS 04-06) has improved from 517 in SRS 01-03, but
still way above the national average of 254.
UP India Rajasthan0
50
100
150
200
250
300
350
400
450
500
MMR
MMR
![Page 29: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/29.jpg)
HEALTH INDICATORS
Neonatal mortality: The probability of dying in the first month of life
Post neonatal mortality: The probability of dying after the first month of life but before the first birthday
Infant mortality : The probability of dying before the first birthday Child mortality : The probability of dying between the first and
fifth birthdays
![Page 30: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/30.jpg)
NEONATAL MORTALITY RATE
Neonatal mortality rate has decreased by 12 deaths per 1,000 live births (from 51 to 39)
National Average :- 34 This accounts for 70% of the IMR
![Page 31: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/31.jpg)
INFANT MORTALITY RATE
• HIGHEST IN THE COUNTRY
UP India Rajasthan0
10
20
30
40
50
60
70
IMR
IMR
![Page 32: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/32.jpg)
CHILD MORTALITY RATE
HIGHEST IN THE COUNTRY The child mortality rate (at age 1-4 years) has
decreased by 14 deaths per 1,000. Currently it is, 96 as compared to 65 deaths of national average
![Page 33: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/33.jpg)
EARLY CHILDHOOD MORTALITY RATES FOR THE FIVE-YEARPERIOD PRECEDING THE SURVEY, NFHS-1, NFHS-2, AND NFHS-3
NFHS1 NFHS2 NFHS30
10
20
30
40
50
60
70
80
90
49
4339
79
68
57
3329
18
Chart Title
NMRIMRCMR
![Page 34: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/34.jpg)
PUBLIC HEALTH INSTITUTIONS
![Page 35: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/35.jpg)
SUB-CENTERS (SC’S)
Sub centers are physically in bad shape, maintenance of old buildings is poor.
Some of the sub centers, not having been able to meet the accreditation standards are not eligible for JSY scheme and hence are performing poorly
As on march 2010, the number of SC’s functional was 2,052 as compared to total number of SC’s all over India is 1, 47,069.
![Page 36: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/36.jpg)
PRIMARY HEALTH CENTERS
The number of PHC’s functional as on March’2010, was 3692 and the total number of PHC’s functional all over India was 23,673.
There has been an increase of 32 PHCs since 2005
![Page 37: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/37.jpg)
COMMUNITY HEALTH CENTRE’S (CHC’S
The CHC has adequate space, wards and manpower for its functioning
As on March 2010, there are 515 CHC’s functioning in UP as compared to 4535 CHCs all over India.
There has been progress in the number of CHCs from 386 in 2005
![Page 38: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/38.jpg)
COMPARISON CHART
Required In position Shortfall0
5000
10000
15000
20000
25000
30000
CHCPHCSC
![Page 39: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/39.jpg)
HEALTH CENTRES IN UTTAR-PRADESH
![Page 40: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/40.jpg)
DISTRICT HOSPITAL
There are special district hospitals only for women (Janana Hospital)
Number of DH :-134
![Page 41: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/41.jpg)
FIRST REFERAL UNITS
FRUs in UP is like a misnomer :- that are operationalised without fulfilling the criteria of services to be provided like caesarian section, new born care, blood transfusion services which is quite similar to FRU we visited in Rajasthan.
As on March’2010, 121 FRUs have been operationalised so far against the target of 257 by 2010. Out of 121 functional FRUs in the state, 65 are in CHCs and 56 are in District Women’s hospital
![Page 42: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/42.jpg)
POPULATION SERVED
PER DOCTOR
PER CHC
PER PHC
PER SC
23986
8931
50077
474824
15122
7671
49062
284446
UP INDIA
![Page 43: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/43.jpg)
AVERAGE RURAL POPULATION BY SC’S, PHC’S AND CHC’S
UP
INDIA
255647
163725
CHC
CHC
UP
INDIA
35660
31364
PHC
PHC
UP
INDIA
6416
5049
SC
SC
![Page 44: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/44.jpg)
AVERAGE AREA COVERED BY SC’S, PHC’S AND CHC’S
CHC PHC SC
INDIA 687.81 131.72 21.2
UP 455.09 63.48 11.42
50
150
250
350
450
550
650
750
![Page 45: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/45.jpg)
AVERAGE RADIAL DISTANCE COVERED BY SC’S, PHC’S AND CHC’S
CHC
PHC
SC
14.79
6.47
2.6
12.03
4.49
1.91
Chart Title
UP INDIA
![Page 46: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/46.jpg)
AVERAGE NO. OF VILLAGES COVERED BY SC’S, PHC’S AND CHC’S
CHC
PHC
SC
14.79
6.47
2.6
12.03
4.49
1.91
UP INDIA
![Page 47: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/47.jpg)
INTERNATIONAL AGENCIES FUNDING IN UP WHO :- MCH, RCH UNICEF :- Supporting NRHM NIPI :- Within the overall framework of
NRHM, NIPI focuses on newborn and child health.
WORLD BANK :- Aids UPHSDP
![Page 48: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/48.jpg)
GROUP II
FIELD VISIT AT A GLANCE
![Page 49: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/49.jpg)
CHCBASSI
PHCBASCO(20 km
PHCTUNGA(18 km)
SC SC SCSC
M ADHOGARH(2 k m )
SC SC
PHCROJWADI(25 km)
PHCBADWA(30 km)
![Page 50: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/50.jpg)
PLACES COVERED
Aug 04’ 2011 : COMMUNITY HEALTH CENTRE, BASSI (DIST. JAIPUR)
![Page 51: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/51.jpg)
CHC : BASSI
Population Covered : 25000. No. of Beds : 30 (10 Male + 20 Female) No. of OPD Patients/day : 600 No. of IPD patients/day : 25 Total No. of deliveries under JSY :2000/Yr. No. of PHC’s Covered : 4 24x7 Emergency Services available. Listed as FRU.
![Page 52: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/52.jpg)
S.No. Personnel IPHS Norms Current Availability
1. General Surgeon 1 1
2. Physician 1 1
3. Gynae/Obs. 1 1
4. Pediatrician 1 1
5. Anesthetist 1 Nil
6. Public Health Program Manager
1 Nil
7. Eye Surgeon 1 Nil
8. General Duty Officer 4 4
9. Nursing Staff 7+2 7+2
CLINICAL MAN POWER
![Page 53: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/53.jpg)
MAJOR SERVICES AVAILABLE
Lab services : CBC, Blood Sugar, BT, CT, AFB, Sputum, Urine.
Diagnostic services : ECG, X-Ray, Sono-Graphy (PPP).
Equipments : 4 Incubators, Autoclave, Hot air Oven, Rotor and shakers.
Cold Chain : Deep Freezer, ILR’s, Refrigerators, Ice Box.
All vaccination and immunization services are given by trained staff under the guidance of doctors.
![Page 54: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/54.jpg)
INCUBATORS
![Page 55: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/55.jpg)
The Cold Chain
![Page 56: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/56.jpg)
MAJOR SERVICES CONTINUED…
Free medicine and Treatment provided to BPL card holders.
Deliveries done under JSY Scheme. Provides high rate of institutional deliveries. AIDS Awareness program is executed via ICTC.
![Page 57: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/57.jpg)
B.P.L. CARD
![Page 58: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/58.jpg)
INTEGRATED COUNSELING AND TESTING CENTRE (ICTC) 12- 15 patients per day Patients referred from Doctors, NGOs and
voluntarily also. Awareness programs includes awareness
camps in villages and mainly focused on the migrant people.
Proper follow-ups are also maintained.
![Page 59: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/59.jpg)
Public Awareness Via Posters
![Page 60: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/60.jpg)
MAJOR ISSUES TO BE CONSIDERED
No proper emergency room for the casualties. Blood Bank available but non-functional. Increment in the No. of beds in the female ward
esp. pre and post delivery wards. No Intercom facilities. No Availability of the residential facilities for staff. More facilities required for the surgical and post
surgical departments.
![Page 61: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/61.jpg)
AUGUST 05’ 2011 : 1) PRIMARY HEALTH CENTRE, TUNGA, BASSI (DISTRICT: JAIPUR)
2) SUB CENTRE, MADHOGARH, BASSI (DISTRICT: JAIPUR)
![Page 62: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/62.jpg)
PHC : TUNGA
Population Covered : 7000. No. of Beds : 14( sanction 6 beds) No. of OPD Patients/day : 90(50 females, 40
males) No. of IPD patients/day : 5 Total No. of deliveries under JSY : 700/Yr. No. of Sub-Centers Covered : 6 Emergency Services available.
![Page 63: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/63.jpg)
FACILITIES AVAILABLE
All the facilities are available (OPD services, MCH services, Family planning consultation, Nutritional services, proper store, laboratories, labor room)
ILR’s are available for storage of vaccines DOTS Therapy Available Conducts school health Programs including dental,
height and weight check up and nutrition advice Have monthly meetings with Panchayat regarding
basic sanitation and hygeine measures.
![Page 64: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/64.jpg)
INTERVIEW WITH ASHA
She attends 8-10 families/ day and covers 205 families. Key works include:- Immunization, VHSC (attend
meetings with panchayat), Awareness regarding Nutrition and Health supplements.
Distribution of health supplements. Accompanies the women for ante-natal checkups,
vaccination and during labor. Awareness about Road to health charts and nutritional
status of neonates and infants. ASHA gets paid as per performance.
![Page 65: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/65.jpg)
MAJOR ISSUES AT PHC
No AYUSH practitioner. No Ambulance service. No utility room for dirty linen and used
items. No proper waste disposal system. Excessive workload on ANM, Need for
more staff.
![Page 66: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/66.jpg)
SUB CENTRE
1 ANM (Auxiliary nurse and Midwife) is providing services like handling deliveries, basic medications and First-aid.
LHV visits once in a week. Farthest village is 4 km away.
![Page 67: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/67.jpg)
KEY FACILITIES
Immunization Family planning counseling Nutrition counseling Distribution of Nutritional supplements Promotion of sanitation Health surveys in villages Regularly in communication with ASHA to help
her.
![Page 68: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/68.jpg)
DISTRICT HOSPITAL - DAUSA
![Page 69: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/69.jpg)
DISTRICT HOSPITAL- DAUSA
DH hospital : Dausa is grade III hospital. (According to IPHS norms, district hospitals have 150- 200 beds are graded III).
Headed by PMO Population Covered : 20 LACS No. of Beds : 150 No. of OPD Patients/day : 700 No. of IPD patients/day :125 Total No. of deliveries under JSY :400/Month. 24x7 Emergency Services available.
![Page 70: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/70.jpg)
PHYSICAL INFRASTRUCTURE
Entrance Hall Waiting Hall OPD Room Indoor Patient
Wards Emergency Room Observation Ward Operation Theatre Labor Room
Nursery Laboratory Room X-ray Room ECG Room Blood Bank Administration
Room Store/Pharmacy Toilets
![Page 71: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/71.jpg)
![Page 72: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/72.jpg)
DEPARTMENTS
OPD IPD Emergency General Medicine Surgery Gynecology/
Obstratics Pediatrics
Orthopedics Ophthalmology ENT Skin VD : Post Vacant Psychiatry Dentistry AYUSH
![Page 73: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/73.jpg)
SUPPORT SERVICES :
Operation Theatre SNCU Medico Legal Blood Bank Post Mortem :
Sampling Pharmaceutical
Services
Mortuary ICTC STD Clinic Laundry Nursing Services Biostatistics Room
![Page 74: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/74.jpg)
DIAGNOSTIC SERVICES
Clinical Pathology : All tests except Stool examination.
Pathology : Only sampling services available.
Biochemistry : Only LFT, RFT, Blood Sugar. Microbiology : Sampling apparatus present
but not working. Histopathology : Sampling present. Serology : Sampling present.
![Page 75: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/75.jpg)
![Page 76: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/76.jpg)
YASHODHA : SCHEME Appointed in the labor department to
provide a comfort level and Information to the incoming patients.
One Yashodha/5 deliveries. Paid on work basis Rs. 100/delivery. Qualifications : VIII passed, Trained in
counseling. Key works : Identification of danger signs in
Mother and Babies, Awareness about Breast feeding.
![Page 77: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/77.jpg)
CONCLUSION
DAUSA hospital is easily accessible and spacious too. Hoardings for public awareness are displayed well. Citizen Charter was available Priyadarshni ( Facility for new born care) present. YASHODHA scheme available. Telemedicine services was available. Health Management Information System was present. Hygiene in the hospital is in poor state.
![Page 78: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/78.jpg)
![Page 79: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/79.jpg)
Poor Sanitation and Hygienic Conditions
![Page 80: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/80.jpg)
RECOMMENDATION
There is great need for public private partnership as the district hospital is overburdened.
Integration with Other Local Health-Related Services.
Rehabilitation department like Physiotherapy and Occupational therapy should be present.
Hygiene and Sanitation is Important for “Complete Health” and it should be delivered.
![Page 81: Health Status Of Uttar Pradesh and field visit](https://reader034.vdocuments.net/reader034/viewer/2022050817/55693d23d8b42a2c788b4808/html5/thumbnails/81.jpg)
THANK YOU