sunita subedi and lila paudel, fulbari hp chitwan · sunita subedi and lila paudel, fulbari hp...
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Sunita Subedi and Lila Paudel, Fulbari
HP Chitwan
Introduction
• Fullbari VDC located in Chitwan District
of Narayani Zone
• Total Population: 4800
• Mixed population (Brahamin /Chhetri, Janjati,
Dalit and Terai ethinc group)
• Average Family size : 5.3
• None of the I/NGOs, CBOs working
with in VDC currently
• known as VDC of “Full Literate” ( 100% literacy)
• Schools: 4
HP’s catchment Area •Fulbari VDC all
• Mangalpur VDC ward 1,2
•Bharatpur municipality ward 13, 14,
•Shivnagar VDC ward 2, 5,6, 7
•Gitanagar VDC- Indrapuri
• More than 8000 people (est.popn)
• Serving Mixed population
• More Brahamin/ chhetri and Dalit
Beneficiaries
• Own building : 7 rooms • OPD room • Dispensary, • Laboratory, • Surgery ( minor boils and
abscess), • Administration • Store • Meeting hall
• Toilet facility
Infrastructure
Total staffs- 8
• Health Assistant-1
• Senior AHW- 2
• Sr. ANM-1
• AHW-1 ( Padnam-VHW)
• ANM-1 ( Padnam- MCHW)
• Lab Assistant- 1 ( from HFoMC)
• Office Assistant-1
Staffing
Available Free Health Services • Immunization
• Nutrition- Growth monitoring, Vit-A, Iron and albendazole Distribution
• Diarrhea- ORS and Zinc distribution
• ARI
• Safe motherhood- ANC, PNC
• Family Planning- Counseling, condom, pills and Depo
• Disease control- Malaria slide collection, treatment,
• TB- sputum collection and testing and treatment
• Leprosy- treatment
• HIV/AIDS and STDs- Health Education and STDs treatment
• OPD services
• Community level services: PHCORC and EPI clinic
Milestones
Milestones Date
Established SHP 2054/06/09
Upgraded to HP from SHP- 2069/02/23
Re- formation of HFOMC 2069/04/24
Started to Prepare a yearly work plan and approved by DPHO 2069/04/24
Started public Audit as well as routine audit ( establish a audit
committee)
2069/04/24
Household survey 2069/05/19
Extension of lab service 0269/06/07
Recording and updating household vital data through survey
separately
2069/07/11
Why Fullbari HP Different?? • Household survey each year
Why Fullbari HP Different??
• Good Recording keeping and updating health profile of every households
Why Fullbari HP Different?? • Proper Mobilization of FCHVs
for HHS
Why Fullbari HP Different??
• Functional Lab Services
Strength of Lab •Free TB services
•Free Malaria Services
•Measles sentinel site
•Screening of diabetic patients and
continuous follow up
•Stop misuse of antibiotics
•Free service to HFOMC member and FCHVs
• 50% subsidy to students
•Full/partial subsidy to poor
Why Fullbari HP Different?? • Monthly routine health check up- camp- mentally
retarded pupils (Sustha Manasthiti kalyan Vidhaylaya)
• Creation of Communicable disease management Fund
• Declare Model HP based on population related services
• Yearly Annual Review meeting
• Annual presentation of health service statics to stakeholders and public
• Social Audit
• Open Defecation free VDC
SERVICE STATISTICS
OPD Service Utilization
3443 3992
4461
8121
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
066/067 067/068 068/069 069/070
Number of OPD cases
Fiscal Year
Re-formation of HFOMC Household Survey Started Lab Services
Monthly Distribution of OPD cases
567
415 399
333
271 256 275 284
390 389 385
497
706
805
704
528 525
465
666 651
720 690
790
871
0
100
200
300
400
500
600
700
800
900
1000
Shra
wan
Bh
adra
Ash
win
Kar
thik
Man
gsir
Po
ush
Mag
h
Falg
un
Ch
aitr
a
Bai
sakh
Jest
ha
Ash
ar
Shra
wan
Bh
adra
Ash
win
Kar
thik
Man
gsir
Po
ush
Mag
h
Falg
un
Ch
aitr
a
Bai
sakh
Jest
ha
Ash
ar
068/069 069/70
Number of OPD cases
FY/Months
Household survey
Reformation of HFOMC Prepare yearly work plan
Immunization Coverage
49%
66%
79%
105%
38%
73%
81%
102%
65%
52%
78%
105%
0% 20% 40% 60% 80% 100% 120%
066/067
067/068
068/069
069/070
Measlse DPT 3rd BCG
Re-formation of HFOMC Household Survey
% of New Growth Monitoring
78%
72% 72%
105%
0%
20%
40%
60%
80%
100%
120%
066/067 067/068 068/069 069/070
Percents
Fiscal Years
Re-formation of HFOMC Household Survey
ANC and PNC coverage
39%
33%
28%
47%
43%
23%
16%
45%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
066/067 067/068 068/069 069/070
Percents
Fiscal Years
ANC ( 4th Visit) PNC (1st, 2nd, 3rd)
Re-formation of HFOMC Household Survey
HFOMC Meetings
9
4
7
17
0
2
4
6
8
10
12
14
16
18
066/067 067/068 068/069 069/070
Number of meetings
Fiscal year
Re- formation of HFOMC
Contraceptive Prevalence Rate ( CPR)
46%
59%
64%
0%
10%
20%
30%
40%
50%
60%
70%
067/068 068/069 069/070
Percents
Fiscal Years
Re-formation of HFOMC Household Survey
Findings from Household survey
Population Pyramid
Age group
Educational Status (N=3273)
87%
12% 1% 0%
Hindu Buddhist Others
99.29%
0.70% 0 0
literate illiterate
Religion of household (N=961)
Occupation of Household (n= 961)
0%
5%
10%
15%
20%
25%
30%
35%
40%
agriculture services foreign
employment
business labor
38%
29%
20%
8% 5%
Type of fuel use for cooking ( n=961)
0%
10%
20%
30%
40%
50%
60%
70%
80%
cylinder gas bio- gas wood electricity
70%
17% 12%
1%
Type of Toilet (n=961)
Source of Drinking water (n=961)
98%
1% 1%
tub-well well tap
12%
88%
kachhi pakki
Published Excellent work of Fulbari HP
Upcoming -plans
• Establish Birthing center
• Extend 24 hours service
• Declare Full Immunization VDC
• Declare Uterus prolapsed free VDC
• Start Safe Abortion service
• Extend Family planning service (Copper-T and Implant)
• Extend lab services
• Well managed recording and reporting system
• HP building construction
• Declare organic free VDC in collaboration with Agriculture
Take Home Message
Local Innovation
Updated household information though
HHS
Multi-sectoral collaboration
Increase service utilization Increase quality of care
Functional Lab
DPHO
Agriculture HFOMC
VDC
Schools
Proper and
updated Record Keeping