Barmer visit Tour Report (23-27 Oct, 2013)

Kshitij GaurangCO(CH)

Medical, Health & F.W. Services

GOOD PRACTICES

• Branding :Branding has been done in all Health Facilities.• Funds: Fund are distributed up to Sub-center level. And

43% expenditure has been done at district level.• ASHA Module 6&7 :Most of the ASHA trained in

Module 6 & 7• MCHN Day : MCHN held as per micro-plan. ASHA

Mobilized the beneficiaries.• JSY and Shubh Laxmi : JSY payments and Shubh laxmi

payments are given promptly.• Food: Hot food given to delivered Mother.

Contd….

• Cold Chain:- Cold Chain Maintained properly and temperature recorded every day.

• MMU : 2 MMU and 6 MMV are functional.• Regular Visit of MMU/MMV Total 1781 camp

conducted and 38712 Patients treated.

Issues and Gap

• ANC :Hemoglobin and Urine Checked in Lab but not mentioned in ANC Register.

• There are huge gap of ANC registration , ANC before 12 Weeks and Full ANC.

• BCG Vaccine is not available in Some places.• NBCC: Radiant warmer, Other equipment and Pediatrician

are available but NBCC are not functional in Pachpadra and chohtan because Paedtirician is not interested.

• Under utilization of 108 and Janani Express due to geographical conditions.

Contd…

• Cleaning Tenders: District office transferred the amount to Block office but tender is still pending.

• Guide line for cleanlines is not clear to lower level.• PCTS Data :Due to only 1 BPM out of 8 sanctioned

posts and no DNO data is under reported in PCTS and not checked before uploading.

• An Orientation training should be done for all DEOs.

Contd...

• Grievance Redressal System: Grievance Redressal System is not established in district.

• Bio-Medical Waste: - Most of the health institute applied or renewed registration in pollution control board.

• CTF connectivity's: Most of the health institute not connected to CTF’s so when pits are full with Bio medical waste they burn it.

Contd…

• ASHA : ASHA Payment only done on (ASHA Monthly Meeting, MCHN and institutional delivery)

• Payment for VHSC, HBPNC, Infant death and follow-up of discharge children from SNCU/MTC still pending, because of lack of information about guidelines.

• Regular Meeting of VHSC has not been done.• United and Corpus Fund is used but AMG fund is

not used properly.

Contd..

• MMU/MMV :- due to technical problem X-ray Machine not functional.

• Medicine is not received through MNDY as per information of DPC budget is not allotted for it.

• MMU generator not functional.• Weighing Machine for Adult not found in

MMV.

Cont..

• WIFS Programme: Visited three Govt Secondary Schools. (In Two school red WIFS tablets were available and in one school WIFS tablets and reporting formats were not received). Monitoring with Education department required.

• Shifting of NBCC from non functional delivery point to functional non-delivery point.

Branding

Display of IEC

Bio-Medical Waste

Misuse of IEC

THANKS