Performance Bulletin, January, 2013

1

MINUTES OF THE (14th ) MONTHLY REVIEW MEETING

OF DISTRICT HYDERABAD

Monthly Review Meeting (M.R.M) of District, Hyderabad for the Month of January, 2013 was held on 13.2.2013 at meeting Hall of DG Health Office, Hyderabad. Written invitations to participate were sent to the Administrator/ DCO, the D.H.O, all Focal persons of Vertical Programs, District Population Officer i.e EPI, TB DOTS,MNCH, National Program, Malaria Control, Hepatitis, DHIS & DEWS, representatives WHO, all I/c Medical Officers/ FMOs/LHVs etc.

List of Participants

S #

Names Designation S #

Names Designation

1. Abdul Shakoor Shaikh RPD-I 38 Waseem jokhio SO

2. Dr Qaisar Qaimkhani DOH(M&PH) 39 Dr. Mumtaz Rajper FMO

3. Mr. Mustafa Kamal Tagar DSM, PPHI 40 Dr. Neelofer Kazi FMO

4. Dr Kashif Ali Channar Asstt Professor 41 Mr. Athar Ali Memon Ex: M&E

5. Dr.Farzana Chachar Sonologist 42 Dr Atif MO

6. Dr. Sono Khan Bhurgri T.H.O Hyd Rural 43 Dr. Yasir MO

7. Dr. Naila Sheikh FMO 44 Dr. Mehwish FMO

8. Dr. Sadia Pir FMO 45 Dr. Fareeda FMO

9. Dr. Shabnum DDO 46 Dr. Shabnum Tunio FMO

10. Dr. Rafique Ahmed MO 47 Dr. Rukhsana Dal Sonologist

11. Dr. Ammnullah Ogahi SMO 48 Dr. Farzana Agha WMO

12. Dr. Azeem Shah SMO I/C 49 Dr. Kapil Dev M O HQ

13. Dr. A. Rahim Khatian SMO I/C 50 Sanjar Kumar Asst.Store

14. Dr. Raza Muhammad SMO I/C 51 Dr. Yasir Ali MO

15. Dr. Muqadus Ali MO 52 Dr. Ashok Kumar MO

16. Dr. Khadim Hussain SMO / IC 53 Mr.Atif Abbas Ex(F&A)HYD

17. Dr. Khalid Dawich MO I/C 54 Dr. Sameena Bano FMO

18. Dr. Iftekhar Ahmed MO 55 Dr. Ashok Kumar MO

19. Dr. Abullah Nizamani I/C MO 56 Mr. M Yousuf SO

20. Mr. Waseem Jokhio SO 57 Mr.Faheem Bukhari SO

21. Dr. Sohrab Hisbani S M O I/C 58 Dr.Attaullah SMO

22. Dr. Riaz Ahmed SMO I/C 59 Dr Saleem bhai SMO

23. Dr. Ramesh Kumar MO I /C

24. Dr. M Qasim Soomro I/C MO

25. Dr. Abdul Hamid Mangi SMO I/C

2

26. Dr. Khem Chand SMO I/C

27. Dr. Pervez Talpur M O

28. Dr. Mehboob Qadir M O I/C

29. Dr. Muhammad Ali MO

30. Dr.Hafiz Zohaib I/C MO

31. Dr. Noor Nabi WMO

32. Dr. Erij Kamal Abbasi FMO

33. Dr. Sadaf Sheikh FMO

34. Dr. Aruna Kumari FMO

35. Dr. Abida FMO

36. Dr. Rubina Abro FMO

37. Dr. Shazia Zeeshan FMO

The following could not attend the meeting for the reasons stated against each:-

S # Names Reasons for absence

1 Dr AZeem Shah On Leave

2 Dr Parvez Talpur On Leave

A. HFs WITH PPHI RHC: 03 BHUs: 13 MCHCs: 03 Dispensaries: 22 TOTAL: 41

B. Population of the Catchments Area: 385,898

C. STAFF STRENGTH

Sanctioned

Posts (Govt.) Working

Government Employees

PPHI Contract

Vacant

(Sanc-Govt)

MOs

65 52 13

WMO/FMO 26 10 16

LHVs 29 20 9

MTs/MAs Male 3 3 0

3

Female

Dispensers 46 29 17

D. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO

E.

CAPACITY BUILDING

E. CAPACITY BUILDING

Capacity building session:

1. Capacity Building Session on Recent advances in the Contraception by Professor Firdous Mumtaz a. OBJECTIVES b. Risk factors c. CLINICAL CASES d. DISCUSSION e. CONCLUSION

2. Capacity Building Session on SCLERODERMA by Dr Thanwadas Medical Officer @ RHC Hoosri

a. Definition b. Classification c. Clinical Features d. Diagnosis e. Treatment

Previous Month Total Month under Review Total

Clusters of 6 HFs Clusters of 6 HFs




Clusters of 2 HFs 2 Clusters of 2 HFs 4

Single HFs 39 Single HFs 37







4

3. Capacity Building Session on Hepatitis B,C by Professor Firdous Mumtaz.

f. Definition g. Classification h. Clinical Features i. Diagnosis a. Treatment.

F. REVIEW OF THE PERFORMANCE

(I) PREVENTIVE HEALTHCARE

During Month under Review

1. Vaccination / Immunization

No. of Doses of Immunization Administered to Children at Health Facilities. 1021

Children <12 months received 3rd pentavalent vaccine 1123

Children <12 months received 1st measles vaccine 1044

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 620

Total vaccination / immunization for the month of January- 2013 3808

2. National Immunization Days (NIDs) for Polio

Dates of NIDs Total Target of

coverage Actual coverage

Percentage of coverage

------------------------------------- ---- --------- -----------

3. Other Preventive/Promotional Services

S # Service Number

1 Passive Case Detection (APCD) Slides --

2 Malaria Metro Survey (MMS) Slides 1119

3 +ve Slides 1

4 Follow up 0

MOTHER, CHILD & REPRODUCTIVE HEALTH

1. Female Health. S.

No NAME OF FMO NUMBER

OF OBSTETRICAL

old patient children & Total

OPD Total OPD Women&

Diagnostic Tests

5

PATIENT women Childs (Childs)

Women Antenatal 1st Visit

Natal Post

Natal 1st visit

PT Total

BS Total

HB Total

1 Dr. Erij/Sameena 789 121 3 25 311 86 1186 62 12 11

2 Dr. Neelofer Kazi 876 29 0 9 90 439 1315 11 10 0

3 Dr. Sadaf Sheikh 1079 47 6 14 50 544 1623 30 16 19

4 Dr. Sadia Pir 343 20 0 0 34 82 459 2 15 0

5 Dr. Naila Sheikh 602 30 0 24 63 196 861 6 40 28

6 Dr. Shabnum 111 25 37 3 69 6 117 0 0 0

7 Dr. Sameena 596 50 15 10 0 0 596 50 100 100

8 Dr. Shazia Zesshan 687 45 1 4 40 229 916 51 35 29

9 Dr. Rubina Sheikh, Dr Sameera

1609 89 2 39 570 1745 3354 44 55 50

10 Dr. Mumtaz Soomro Dr

2372 170 119 130 0 0 2372 167 100 199

11 Dr Yasmeen 751 34 0 4 227 308 1059 14 15 32

12 Dr. Mehwish Dr Shabana

692 40 3 5 53 753 1445 7 18 16

13 Dr.Fareeda 1253 114 2 7 16 973 2226 21 9 0

14 Dr.Rubina 649 52 0 12 150 413 1062 23 9 2 15 Dr.Azra Shaikh 1334 61 5 8 143 332 1883 45 13 8

16 Dr.Jhan Ara 2466 130 1 12 90 923 3622 28 38 17

17 Dr.Mumtaz khatoon 730 83 1 12 103 261 1094 29 44 0

18 Dr.Rahila 252 28 0 0 44 87 383 3 2 0

19 Dr.Aruna Kumari 791 40 0 14 204 271 1266 43 34 40

20 Dr.Abida Ishtiaque

Total 17982 1208 195 332 2257 7648 26839 636 565 551


2. Deliveries Assisted

S # Service Number

1 Deliveries Assisted at HFs 128

2 Deliveries Assisted at Homes 0

3. Lab/ Diagnostic Tests

6

S # Test Number

1 Pregnancy Tests 641

2 Blood Sugar Tests 701

3 Hemoglobin Tests 590

4 Ultra Sound Test 1932

5 Other

6 TOTAL 3864

3. Important Discussion on Mother and Child and Reproductive Health during MRM&Polio a. Pre-diagnosis screening of patients for vaccine should be done religiously. b. Where vaccinator are provided under National Program, the duty roster should be signed by I/c

Medical Officer and absence report should immediately be sent to Focal Person. c. Pregnant females should be encouraged for delivery at BHU. d. F.P advice should be part of diagnosis and separate record be maintained. e. Sonologists shall furnish their presentation on the findings, referral and follow up. f. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not

provided. In all cases, record should be legible, complete and traceable. g. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been

provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/C MO in writing.

h. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.

i. Focal Person (EPI) has declined to provide EPI vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).

3. Provision of Family Planning Services during the Month

S # Name of the Items / Service Number

Consultation / Advice 1368

Oral Pills 4180

IUCDs 21

Injections 2120

Others

Total 7689

(III) COMMUNITY PARTICIPATION


1. Number of Male SGs: 34 Number of Female SGs: 02

2. Performance of Social Organizers

7

Names of Social Organizers Meetings of Support Groups

conducted by him CHSs/SHSs arranged by him

No. No. of

Participants No.

No. of Participants

Wasim Jokhio 4 160 9 360

Yousuf Seelro 5 193 9 342

Faheem Bukhari

Total

1. School Health Sessions & Community Health Sessions

S. #

NAME OF FMO Name of Health

Facility

S.H.SESSION C.H.SESSION

No of Session

Child Examined

Child Treated Session Participant

1 Dr. Neelofer Kazi DCD Noor Khan Ch

2 27 8 2 38 2 Dr. Sadaf Sheikh MCHC Jhando

Kh 1 150 20 1 90

3 Dr. Naila Sheikh BHI AMI Qazi 0 0 0 2 75 4 Dr. Shazia Zesshan RHC Tando Qaisar 1 35 3 1 15

5 Dr. Rubina Sheikh,

BHU Sehrish Nagar 2 426 40 4 109 Dr. Sameera,

6 DR. Fareeda BHU Massu Bhurgri 2 12 8 2 69 GD Taaj M h d J j

1 10 7 2 39 Dr. Fareeda

7 Dr. Rubina Abro

BHU khesana Mori 2 104 9

GD bheendo sharif

Dr. Rubina Abro

8 Dr. Azra Sheikh BHU Hatri 1 30 5 1 16 BHU Darya Beg Mughal 1 8 6 1 14

Dr. Azra Sheikh

9 Dr. Jahan Ara BHU Bahawal Zaunr 1 29 7 1 58 BHU Jhando Narejo 1 35 8 1 43

Dr. Jahan Ara

10 Dr. Aqsa GD M.Solangi 0 0 0 0 0

8

GD H.K.Thora 0 0 0 0 0

Dr. Yasmeen

11 Dr. Mumtaz Khatoon

BHU M A B Talpur 1 20 0 1 48 GD Habibullah Memon 1 15 0 1 30

Dr. Mumtaz Khatoon

12 DR. Mehwish Muneer

BHU Norai Sharif 1 6 3 2 36 BHU Sono Khan Almani

DR. Mehwish Muneer

13

Dr. Sameena Rasheed

RHC T.Jam 0 0 0 1 35

Dr. Sameena Rasheed

14 Dr. Aruna Kumari

BHU Moosa Khatian 1 10 0 1 40

GD Arif Khatian 1 9 2 1 45 Dr. Aruna Kumari

TOTAL 16 269 83 26 1059

4. Important Points during Support Group Meetings.

• The CSG members should help in monitoring and facilitation. • I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on

need basis after seeking administrative approval from DSM- should be regular feature. • Moral support to medical/paramedical staff working at HF. • Arranging of awareness sessions at their respective villages • Information sharing to the rest of the villages regarding facilities at HF • Reformation of CSGs and individual roles of the members • Effective local facilitation by CSG members to the hf staff • Developing greenery at HFs by the CSG members • Ownership of the HFs

5. Important Points during SHSs

• To drink clean & safe water and Washing hands after toilet. • Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine

Flue, Congo Fever etc. • Nutritional awareness to be transferred to mothers through their kids. • Hair trimming clean clothes nails clipping, washing fruit/vegetables before eating.

6. Important Points during CHSs

• Primary health care awareness. • Educate about immunization against infectious disease. • Personal Hygiene and worm infestation/De-worming of children

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• Prevention from diabetes • Precautions from Malaria and Hepatitis • Importance of family Planning • Importance of Vaccination • Importance of ultrasound • Importance of antenatal and postnatal care

7. Topics for SHSs for the Month

Sr. No. Topics

1 Measles

2 RTI

8 Topics for CHSs for the Month

S # Topics

1 Measles

2

9. Important Discussion on Community Participation during MRM

• Community Health Sessions are to be planned and held on Sonologist days.

• Participation should be ensured through formal contact with LHWs. • Sessions are to be held preferably at Health Facility or at community home duly coordinated and

facilitated by DSU/HF staff. • DSU field staff shall attend 50% of all the CSG meetings conducted during the month. • TORs of CSG must be shared with CSG members in every meeting of CSG. • Formal invitation to the CSG members in meeting • Presiding of the meeting by the CSG members • Participation of notable CSG member in MRM • Effective Mobilization of female CSGs and developing their ownership at H.Facility. • Involvement of notable in solving day to day problems of HFs. • CSG should be held at BHU. • Developing greenery at HFs.

10. Health Camps: Number Held: Number of Patients:

11. Measures for improvement / provision of Services by other Department / Agencies

Sr No Description Recommendation To whom sent Present status

10

I Sanitation

Ii Drainage / sewerage

Iii ……… drinking water

Iv Prevention of adulteration

V Tree Plantation

Vi Roads and infrastructure

Vii Environmental Improvement

Viii Others

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW

1. OPD*

New patients treated during the month

Old patients treated during the month

Total OPD during the month (New + Old)

35470 6684 42154

2. Maximum OPD**

01 RHC Tando Jam 13737

02 RHC Hoosri 6460

03 BHU Sehrish Nagar 5270

04 RHC Tando Qaiser 3996

05 MCHC Jhando Khoso 3144

3. Top Five Diseases Treated during School Health Sessions/Camps

S # Diseases No. of Patients

1 ARI

2 Warm Infestation

3 Scabies

4 Malaria

5 Diarrhea

*All HFs — BHUs and others.

11

**Reflects OPD at BHUs only — not at other HFs.

4. Top Five Diseases During OPD

S # Disease S # Disease

1 Acute URTI 28882 6 Dog Bite 53

2 Malaria 4367 7

3 Scabies 2505 8

4 Diarrhea 5390 9

5 Suspected Viral Hepatitis 61 10

4. ARV / ASV used during the month Particulars No. of Patients

Dog bite cases reported

ARV Administered ( @ 5 Dozes per

00

ARV Available Doses (@ 24 dozes/vial) 00

Snake bite cases reported 00

ASV Vaccine Administered 00

ASV Vaccine Available Doses 00

6. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive Health) 3. (Lab / Diagnostic Tests)

S # Tests Number


2 Hemoglobin 590

3 X-Rays (if available) 136

4 Ultra Sound 1931

5 Others (Lab Tests)

7. B & C SCREENING TESTS

Screening No. of Tests Performed

No. of cases found positive

No. of cases referred for

Total referred upto date

Follow up result

Hepatitis B 52 2 2 2 0

Hepatitis C 49 12 12 12 0

8. TUBERCLOSIS

9. Referrals

S.No Totals Cases Referred To

1 0 TB DOT Deliveries Others RHCs THQs DHQs

2 0 0 0 0 0 0

3

Patients

New Cases During the

Under Diagnosis

0 0 0

12

4

10. Inverse Referrals

S.No Totals Cases Referred from

1 ARV ASV Others RHCs THQs DHQs

2 0 0 0 0 0 0 0

3

4

G. MONITORING DURING MONTH UNDER REVIEW

1. Monitoring Visits during the month

DSM Executive Monitoring Other Staff Total

36 55 165 247

H. AVAILABILITY OF MEDICINES/MEDICAL MATERIALS

1. Medicines available for: 24 Weeks

2. Important Issues raised relating to Medicines, etc. during MRM I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

S # Name of HFs Description of Repair / Maintenance

Status / Remarks

1 BHU AMI Kazi & DCD

Need R&R work School Building

Inspections / Visits of PPHI HFs

Visitors* Health Facilities Visited Overall Comments

--------------------------------------- ----------------------------------------- --------------------------------------

* To reflect only non-PPHI Visitors

J- DISCUSSION DURING MRM

On Staff Matters:

• All efforts must be made to achieve the targets of family planning vaccination, malnutrition deliveries,ANC Coverage. The area Incharge Medical Officers will be held responsible and Salaries will be deducted along with disciplinary action for low achiements .

13

• All MCHC Centers to be fully functionalized, the I/C MO/FMO to focus their attention • Generator will be provided at tando qaisar • The Ambulance of RHC Tando Qaisar will be repaired • All MO/FMO are directed to ensure screening for EPI before examination of patient. • HB meter must be Prevent • DNC/NVD kit prevent for Hepatitis • Autoclave must be available at every center • It was reiterated that already delegated powers for one day leave/short leave to Executive M&E were

withdrawn and anybody seeking leave shall have to inform DSM directly. • All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications. • Till DHIS forms are provided by DGHS, HMIS formats are printed to reduce the Photostat costs and same

are being provided to all the I/c MOs before next due date. • Medicine Requisition/DEWS reporting formats were distributed to avoid Photostat cost. • Carbon copies be used for keeping an other copy of Referral Forms • Aprons and Staff Uniforms should be strictly worn during duty hours. • V-phones remain unattended by some facilities. Some V-phone sets remained irreparable despite

successive change of batteries. Requisition for purchase of new sets is moved. • Frequent leaves and late comings should be avoided otherwise explanation calls and deduction of salary

may result for delinquents. • The DSM, PPHI Hyderabad requested the in charges of health facilities for their timely submission of

DHIS reports, Monthly Medicines Requisition, Referral Cases regarding the TB, Polio Dog Bite, Measles, Diarrhea etc.

• Leaves availed through SMS should be subsequently submitted on prescribed format and got approved otherwise will be treated as absence.

• Late coming/Early going will be marked as “x” and two such crosses will result in one absence. • All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks. • Waste Disposal pit be properly ditched and regular burning of hospital waste as per protocol must be

observed. • Expiry or near to expiry medicines be separated and disposed as per protocol already circulated.

On Preventive Health:

• All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines. • Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in

communities On Curative Health:

• Quality of medicines has improved with clear impact on increased cost of medicines. • Normal Delivery Centers have been opened at 16 facilities of the district. • Rise in OPD and consequent rise in medicine consumption. • Patient coming from farther areas demand for more medicine dosages.

On Mother, Child & Reproductive Health:

• Baby Weighing Scales have been provided at all 30 facilities where FMO cover has been provided. • HB meters have been provided at all 30 facilities where FMO cover has been provided. • MNCH registers and Growth monitoring registers will be maintained at each facility where FMO cover

is provided. Training has already been provided to all FMOs in this regard.

14

• The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.

• For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs. Other Matters:

• One Pathological laboratory and X-ray unit have been made functional at RHC Tando Qaisar. Now, 02 Pathological Laboratories and 02 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits. Planning is in hand for opening up 01 more Pathological Laboratory at RHC hoosri.

• I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.

• Lot of improvements have been brought in newly taken over RHC Tando Jam as (1) X-ray Plant has started functioning, (2) Pathological Laboratory started after purchase of regents and training of Lab. Technician (2) Additional FMO and Dispenser have been provided.

• Night shift at RHC has been started with male doctors in all three shifts and female doctors in morning shift. Full fledge show is to start as soon.

• Date /Time for Next MRM: Tentative Date for next MRM is 09-03-13

Comments on Targets vs Achievements (by DSM)

• DSM conveyed his displeasure to all those FMOs having less number of ante-natal. • DHIS reports don’t reach in time causing embarrassment and delay in reporting. • Pre-Post R&R photos are not found at H.Fs. • Tree Plantation targets.

(Mustafa Kamal Tagar),

District Support Manager,

PPHI, Hyderabad.

Copy for information to:

1) Secretary to Government of Sindh for Health Department, Karachi. 2) Program Director, PSU, PPHI, Karachi. 3) District Coordination Officer, District Government, Hyderabad. 4) Director General Health, Directorate of Health Hyderabad. 5) Regional Program Director, Region-I @ Hyderabad 6) DHO Hyderabad... 7) Incharge Medical Officer(s) all PPHI managed Health Facilities, Hyderabad.

(Mustafa Kamal Tagar),


PPHI, Hyderabad.

15

MINUTES OF THE (17th) MONTHLY REVIEW MEETING

OF DISTRICT JAMSHORO

17th Monthly Review Meeting (MRM) of District Jamshoro for the Month of January, 2013 held on 11h February, 2013 at PHDC Hall - Jamshoro. Written invitations were sent to the DC, the EDO(H), the EDO(F&P) District Population Welfare Officer and District Incharges of EPI, LHW, T.B Program, Malaria ,DHIS, family planning, District Surveillance Officer WHO and all other National Programs as usual. The list of participants is as follows:


1. Mr. Mustafa Kamal Tagar District Support Manager DSU PPHI Jamshoro

2. Mr. Niaz Hussain Channa EO(M&E) DSU PPHI Jamshoro

3. Dr. Khalid Memon MO (HQ) PPHI Jamshoro

4. Mr. Tarique Ahmed Shaikh Executive F/A DSU

5. Dr. Irum Naz FMO GD Khurshed Colony & BHU Sari

6. Dr. Shah Bano FMO GD Bihar Colony

7. Dr. Khalida FMO LSB+BHU Khanoth

8. Dr. Shaekla Mehtab FMO BHU Lakha / GD Malhdoom Saharabad

9. Dr. Sabiha Khaskeli FMO BHU Amri / BHU Garwari

10. Dr. Zeba Zardari FMO GD Manjhhu

1. Dr. Raheela Naz FMO BHU Wahur / GD Bajara

2. Dr. Seema Shaikh FMO BHU Mole

3. Dr. Prem chand MO GD Manhdapalari

11. Dr. Farzana Arif FMO GD Qubi / GD Mehanda Palarai

12. Dr. Shahida Shoro FMO BHU Karo Khao / GD Budhapur

13. Dr. Rozina Memon FMO BHU KK BAsti

14. Dr. Naheed FMO SHC Dhamach

15. Dr. Naseem Junejo FMO BHU Talti / BHU Tajuji

16. Dr. Anjum Shaikh WMO GD Sindh University

17. Dr. Aftab Soomro MO BHU Walidad Gabol

18. Dr. M Ramzan SMO GD LSB Jamshoro Colony

19. Dr. Khuram Ansar MO GD Makhdoom Saharabad

20. Dr. Noor Hussain MO BHU Khanoth

21. Dr. Mohan Lal MO BHU Karo Khao

22. Dr. Nazir Feroz MO GD Bihar Colony

23. Dr. Niisar Ahmed MO Band Maanchar

24. Dr. Faraz Hanif Memon MO BHU Lakha

25. Dr. Sultan Ali MO GD Qubi

26. Dr. Irshad Ahmed Nonari MO BHU Thano Ahmed Khan

27. Dr. Zunair Shoro MO GD Budhapur

28. Dr. Zakir Ali MO BHU Garwari

29. Dr. Faisal Channa MO BHU Khuda ki Basti

30. Dr. Hafeez Memon MO GD Khursheed Colony

31. Dr. Muzamil Ahmed MO SHC Dhamach

32. Dr. Faisal Mehdi Qureshi MO GD Akro

16

33. Dr. Allah Jurio MO GD Bajara

34. Dr. Assar Mal MO BHU Sari

35. Dr. Asan Das Mo BHU Mole

36. Dr. Aneel Kumar MO GD Ali Murad Barejo

37. Dr. Ehafuzu Din MO BHU Amri

38. Dr. Ghulam Sarwar MO GD Sindh University

39. Dr. Ferozuddin MO BHU Talti

40. Dr. Saifullah MO BHU Tajuji

41. Dr Abdul Khalique MO BHU Laki

42. Dr. Shahid Hussain MO BHU Bubak

43. Mr. Allah Dino SO-/Assistant DSU PPHI Jamshoro

44. Mr. Shahzad Ali SO-/Assistant DSU

45. Mr. Alraf Gul SO-/Assistant DSU

46. Mr. Mujeeb u Rehman SO-/Assistant DSU

47. Mr. Akhtiar Ali Assistant R&R DSU

48. Mr. Nazar Hussain Assistant Accounts DSU

49. Mr. Asif Ali Assistant Store DSU


1 Dr. Nighat Naseem WMO GD LSB Jamshoro HF

2 Dr. Shazia Memon FMO BHU khando / GD Christian Colony C/L

3 Dr. Imamau d din MO BHU Khando C/L

4 Dr. Ghulam Nabi Surahyo SMO BHU Wahur C/L

B. HFs WITH PPHI BHUs: 19 Dispensaries: 16 MCHCs: 00 Others: 00(RHC)

TOTAL: 35

B. Population of the Catchments Area: 640303

E. STAFF STRENGTH

Sanctioned Posts (Govt.)

Working Government Employees

PPHI Contract

Vacant

(Sanc Govt) MOs 35 35 09 26 26 WMO 02 02 00

FMOs - 16 - 16 -

LHVs/MW/F. Nurse 20 35 22 18 0

MTs/MAs Male 26 26 26 0

0 Female - - -

Dispensers 11 34 12 22 01

F. CLUSTERS OF HFs

17

WITH ONE MO

WITH ONE FMO

CAPACITY BUILDING

1. First Session: During MRM

Dr Nazir Feroz Memon I/C Medical Officer GD Bihar Colony gave lecture on Integrated Management of Childhood Illness (topic) focused on the following topics

a) Introduction is IMCI

b) Why is IMCI better than single-condition approaches

c) Art of taking history of patient.

d) How to diagnose the disease.

e) Doses for selected antibiotics

4. Capacity Building of LHVs / Dispensers During Month under Review

Names of the Resource Persons with dates

Date Venue Topic No. of

Participants














18






No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. -

No. of Immunization & Vaccination Administered by outreach EPI Teams 553

Total vaccination / immunization for the month March 2012 3501


Dates of NIDs Target of coverage Actual coverage Percentage of

coverage


S # Service Number

1 Passive Case Detection (PCD) Slides

2 Active Case Detection (ACD) Slides

3 Visits to Check Sanitation (individual house holds + streets)

4 Notices issued against Poor Sanitation

5 Challans sent to Court against Poor Sanitation

6 Patients Nebulized 209

(II) MOTHER, CHILD & REPRODUCTIVE HEALTH


1. Female Health

S # Names of FMOs Ante-Natal

Neo-Natal

Other

Total OPD

1 Dr Anjum Shaikh 49 0 1051 1100

2 Dr. Nighat Naseem 48 0 1172 1220

3 Dr. Rozina Memon 41 0 1268 1309

19


S # Service Number




S # Test Number



3 Hemoglobin Tests


5 Other

5. Important Discussion on Mother and Child and Reproductive Health during MRM RPD emphasized on creating awareness regarding reducing maternal mortality and morbidity rate in the District. FMOs were advised to increase the Ante and Post natal visits of female patients and guide them for completing TT vaccination course.

6. Provision of Family Planning Services during the Month S # Name of the Items / Service Number


Oral Pills 156

IUCDs 0

4 Dr Naheed Akhtar 10 0 369 379

5 Dr Shah Bano 70 0 2031 2101

6 Dr Shazia Memon 0

7 Dr Khalida 60 0 1888 1948

8 Dr Shahida Shoro 66 0 1071 1137

9 Dr Irum Naz 77 0 2521 2598

10 Dr. Naseem Junejo 73 0 656 729

11 Dr. Anna Abro 0 0

12 Dr. Shakela 74 0 530 604

13 Dr. Rahela 34 0 672 706

14 Dr. Sabiha 34 0 510 544

15 Dr. Zeba 7 0 228 235

16 Dr. Farzana 23 0 528 551

Total 666 0 14495 15161

20

Injections 192

Others(RC) 499

Total 993



1. Number of Male SGs: 32 Number of Female SGs: --------------


Names of Social Organizers

Meetings of Support Groups conducted by him

CHSs/SHSs arranged by him

No Male Female Total No. of Participants

No. No. of Participants

Shahzad Ali Soomro 4 39 0 39 2 19

Mujeeb-u-Rehman Shaikh 6 48 0 48 3 31

Allah Dino Otho 5 61 0 61 4 45

Altaf Gul 1 9 0 9 0 0

Total 16 157 0 157 9 85


Sr. No

Name of FMO/ MO CHS School Health Session

No. Part: NO. Examined Treated

1 Dr. Anjum Shaikh 1 10 1 5 0

2 Dr. Nighat Naseem 1 42 1 6 4

3 Dr. Rozina Memon 1 22 1 0 0

4 Dr. Naheed Akhtar 1 52 1 15 3

5 Dr. Shah Bano 1 24 1 0 0

6 Dr. Shazia Memon

7 Dr. Khalida Buriro 2 67 2 19 5

8 Dr. Shahida Shoro 2 72 2 0 0

9 Dr. Irum Naz 2 44 2 0 0

10 Dr. Naseem Junejo 2 44 2 3 3

11 Dr. Anna Abro 1 31 1 7 3

12 Dr. Shakela Mehtab 1 22 1 0 0

13 Dr. Rahela 2 45 2 70 15

21

14 Dr. Sabiha Khaskeli 2 35 1 4 2

15 Dr. Zeba Zardari 1 11 1 0 0

16 Dr. Farzana Arif 2 58 2 27 14

Total 22 579 21 156 49

4. Important Points during Support Group Meeting

• Awareness of Measles. • Support in polio eradication campaign. • To increase and support routine immunization. • Arrange CHS & SHS in catchment area, • Arrange medical camps.


• Discussed importance of immunization, personal health & hygiene, nutritional status and other diseases.


• Importance of breast feeding and maternal health.


Sr. No. Topics

1 Immunization

2 Personal Health and hygiene

3 Nutrition

4 Diarrhea (Prevention & Treatment)

5 Malaria


S # Topics 1 Immunization 2 Personal Health and hygiene 3 Nutrition 4 Mother and child health


The schedule of the CSG meetings was shared and finalized with MOs consultation. DSM guided the MOs to arrange the community support groups on mentioned dates in the schedule. Invite and ensure the maximum participation of the members from the CAs of the health facility in the CSG meetings.

10. Health Camps: Number Held: 0 . Number of Patients:


22


I Sanitation No No No

Ii Drainage / sewerage No No No

Iii ……… drinking water No No No

Iv Prevention of adulteration No No No

V Tree Plantation No No No

Vi Roads and infrastructure No No No

Vii Environmental Improvement No No No

viii Others No No No


1. OPD*




53264 1887 55151

2. Maximum OPD** Minimum OPD**

S # BHF name OPD S # BHF name OPD

01 GD Bihar Colony 4221 20 BHU Lakha 1372

02 BHU Khuda ki basti 3821 21 GD Gu Muhammadl Sehtan 1168

03 GD Khurshed Colony 3741 22 GD Band Manchar 1170

04 GD Christian Colony 3246 23 BHU Walidad Gabol 1070

05 GD LSB Jamshoro Colony 2696 24 BHU Amri 1007

06 GD Sindh University 2153 25 GD Karchat 1006

07 BHU Khanot 2109 26 GD Makhdoom Saharabad 889

08 GD Bajara 1759 27 GD Budhapur 827

09 GD Akro 1765 28 BHU Taung 742

10 BHU Bubak 1678 29 GD Qubi 714

11 BHU Karo Khao 1512 30 BHU Khado Village 764

12 BHU Laki 1486 31 BHU Thano Ahmed Khan 742

14 SHC Thano Arib Khan 1515 32 GD Mehenda palari 684

15 BHU Mole 1412 33 SHC Dhamach 684

16 BHU Sari 1484 33 GD Ali Murad Barejo 533

17 BHU Wahur 1445 34 GD Manjhoo 420

18 BHU Tajuji 1441 35 BHU Garwari 380

19 BHU Talti 1428

23

3. Top Five Diseases Treated during School Health Sessions/Camps.


S # Disease No. of Patients

1 ARI 17100

2 Diarrhea 3868

3 Fever(clinical Malaria) 3769

4 Dermatitis 2199

5 Scabies 1152

7. ARV / ASV used during the month

No. of Patients

Dog bite cases reported 22

ARV Administered 16

ARV Available Doses 103




9. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) 3. (Lab / Diagnostic Tests)

S # Tests Number

1 Pregnancy Tests

2 Blood Sugar Tests

3 Hemoglobin

4 X-Rays (if available)

5 Ultra Sound

6 Others (please specify)


1 ARI 39


3 Diarrhea 11

4 Scabies 06

TOTAL 80

24




No. of cases referred for treatment


Follow up result



8 TUBERCLOSIS 9

Patients

Receiving Treatment

New Cases During the Month

Under Diagnosis

0 0 0

9. Referrals


1 TB DOT Deliveries Others RHCs THQs DHQs

2 55 10 10 -

3

4




2 0 0 0 0 0 0 -

3

4




8 33 73 110

2. Important Points/Issues arising from Visits

25

S # Name of HF Issue Action Remarks


1. Medicines available for Weeks: 22 weeks

5. Important Issues raised relating to Medicines, etc. during MRM a. Syp Brufen and Syp Amonium Chiloride required. b. One month FP Injection by FMOs

I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

S # Name of HFs Description of Repair / Maintenance incl.

Status / Remarks

1 BHU KK Basti R&R Complete

2 GD Christian Colony R&R Complete

3 GD LSB Jamshoro Colony R&R Complete

4 GD Sindh University R&R Complete

5 BHU Talti R&R Complete

6 BHU Karo Khaho R&R Complete

7 BHU Wahur R&R Complete

8 BHU Khanot R&R Complete

9 BHU Laki R&R Complete

10 SHC Dhamach R&R Complete

11 BHU Khado R&R Complete

12 BHU Garwari R&R Complete

13 BHU Lakha R&R Complete

14 GD Qubi R&R Complete

05 GD Makhdoom Saharabad R&R Complete

16 GD Manjhu R&R Complete

17 GD Bihar Colony R&R Complete

18 GD Karchat R&R Complete

19 GD Khurshed Colony R&R Complete

20 GD Band Manchar R&R Complete

21 BHU Walidad Gabool R&R Complete

22 BHU Thano Ahmed Khan R&R Complete

23 BHU Mole R&R Complete

24 SHC Thano Arab Khan R&R Complete

25 GD Ali Murad Barejo R&R Complete

26 GD Gul Muhammad Sehtani R&R Complete

27 BHU Sari R&R Complete

26

28 BHU Bubak R&R Complete

29 BHU Toung R&R 70 % Completed

30 GD Bajara R&R 40 % Completed



* To reflect only non-PPHI Visitors.


DSM presented the progress of PPHI and openly discussed the issues related to health facilities

• DSM emphasized on Data Accuracy on DHIS, Repair and Renovation work and advised all MOs to take keen interest in this regard.

• DSM advised to all MOs/ FMOs to increase Community / School health sessions. • FMOs were advised to increase the number of family planning clients / Ante Natal care and focus on

managing/conducting deliveries as according the target against their catchment area population. • DSM advised to MOs/FMOs to aware general public regarding measles. • He advised DSU team to ensure the provision of ARV and ASV at scheduled centers.

Date / Time for Next MRM:

7th of March 2013 at 09:30am

Comments on Targets v/s Achievements (by DSM)

DSM Appreciated the efforts of the MOs and FMOs regarding their working at HFs.

27


OF DISTRICT MATIARI

The 50th Monthly Review Meeting (MRM) of District Matiari for the Month of January, 2013 was held on 14th February, 2013 at Makhdoom Shafiq-u-Zaman Auditorium Hall, Hala New. In this regard, the written invitations to participate in the meeting were sent to the Deputy Commissioner, the DHO, and District Incharge of EPI, LHW, T.B Program, Malaria, Family Planning and all other National Programs as usual. The list of participants is produced as under:


1. Mr.Abdul Shakoor Shaikh Regional Program Director RSU I @ Hyderabad

2. Mr. Inam-ur-Raheem Abro District Support Manager DSU PPHI Matiari

3. Mr. Kamran Khan EO(M&E) DSU PPHI Matiari

4. Mr. Imran Qureshi Ex(F/A) DSU PPHI Matiari

5. Hafiz Ghulam Shabir Jamali Islamic Scholar Nawabshah

6. Dr Imam Ali Soomro Medical Superintendent RHC BHithsah

7. Dr Ghulam Abbas Shaikh SMO RHC Bhitshah

8. Dr Ameer Qazi SMO/Ophthalomologist RHC Bhitshah

9. Dr Juman Surahio SMO/ Incharge TB Dots RHC Bhitshah

10. Dr Ameer Sanagrasi Medical Officer RHC Bhitshah

11. Dr Gulam Abbas Bachro Medical Officer RHC Bhitshah

12. Dr Sajjad Anasthetist RHC Bhitshah

13. Dr Sharmin FMO (Paeds) RHC BHitshah

14. Dr Naheed FMO RHC Bhitshah

15. Dr Ruqia Gynecologist RHC Bhitshah

16. Dr Shazia FMO RHC Bhitshah

17. Dr Ume Salee FMO RHC Bhitshah

18. Dr Najma Siddiqi SWMO RHC Bhitshah

19. Dr PErvez Ahmed MO(HQ) DSU Matiari

20. Dr. Afshan Rafique FMO MCHC BHU Panj Moro

21. Dr. Iram Zain Memon FMO BHU Mahar Shah & DCD Awal Chachar

22. Dr. Shazia Shaikh FMO DCD M.M.Khan & DCD Zair Pir

23. Dr Mahfooz Shah District Incahrge TB Dots EDO Office Matiari

24. Dr.Sumera Habib FMO BHU Fakir Nooh Hothiani/GD Soomar Chand

25. Dr. Ghulam Fatima FMO BHU Seerachoo Kaka & BHU S.Rahu

26. Dr.Parveen Hafeez FMO BHU Odero Lal Vilage/GD SMT

27. Dr. Rukhsana Zahid FMO BHU Tahir Hingoro & DCD Dhaloo Khaskheli

28. Dr. Salma Shah I/C Sr.WMO DCD Jumo Shahoke

29. Dr Azeema Raza WMO MCH Hala Old

30. Dr Asif EX MO PPHI Matiari

31. Dr Hussain Ex MO PPHI Matiari

32. Syed Muhabbat Ali Shah Ex: Ex(M&E) PPHI Matiari

33. Dr Asad Shah MO RHC Bhitshah

34. Dr. Jameela Memon FMO BHU Yousuf Hajano & BHU Bhanothe

28

35. Dr. Saeeda Mansoor FMO BHU Laloo Mangwano & GD Punhal Khan Jamali

36. Dr. Tasleem Shahzadi FMO BHU N.B Jamali & BHU B.K Jamali

37. Dr. Zainab Abro FMO GD Khanothe & GD Rano Bughio

38. Dr. Rumi Ejaz Memon FMO GD Shahmeer Ji Wasi & DCD Pali-Jani

39. Dr. Saba Shahnawaz FMO MCH BHU Saeed Khan Laghari

40. Dr. Fozia Zaheer FMO MCHC BHU Khando

41. Dr Tahseen Zia FMO BHU AD Sand /BK Pathan

42. Dr. Sajida Raza FMO BHU K.K.Nizamani & GD Old Saeedabad

43. Dr. Shazia Atta Sonologist Taluka New Saeedabad

44. Dr.Safina Ahmed Sonologist Taluka Hala

45. Dr. Amina Bano Sonologist Taluka Matiari

46. Dr. Imtiaz Ahmed Memon I/C SMO GD Punhal Khan Jamali

47. Dr.M.Ismail Laghari I/C SMO BHU Saeed Khan Laghari

48. Dr. Anwer Ali Soomro I/C SMO GD Rano Bughio

49. Dr. Toufeeque Ahmed Memon I/C SMO MCHC BHU Sekhat

50. Dr.Ayaz Ahmed Abrejo I/C SMO BHU Ilyas Abrejo

51. Dr.Nizamuddin Abro I/C SMO BHU Odero lal Village

52. Dr. Aijaz Ahmed Memon I/C MO DCD Pali Jani

53. Dr.Shahzeb Ali Shah I/C MO MCH/BHU Panj Moro

54. Dr.Shuja M. Shah I/C MO DCD Jumo Shahoke

55. Dr. Khuda Dino Memon I/C MO GD Old Saeedabad

56. Dr. Amir Ali Sangrasi I/C MO BHU K.K Nizamani & BHU Mahar Shah

57. Dr. Lariab Shaikh I/C MO DCD Dhaloo Khakheli & GD Shahmeer Ji Wasi

58. Dr. Safdar Ali Rajpar I/C MO GD Sher M. Thora

59. Dr. Naeem Ahmed Memon I/C MO BHU Khando

60. Dr. Faisal Shahzad I/C MO BHU Shahmeer Rahu

61. Dr Azam Memon MO GD Hala Old

62. Dr. Shakeel Ahmed Memon I/C MO GD Soomar Chand

63. Dr.Nadeem Shah I/C MO BHU Bhanothe

64. Dr. Abdul Sattar Dakhan I/C MO BHU Laloo Mangwano

65. Dr. Sache Dino I/C MO DCD Zair Pir

66. Dr. Waseem Ahmed I/C MO BHU A.D Sand

67. Dr. Munir Ahmed I/C MO BHU Seeranchon Kaka & BHU B.K Jamali

68. Dr. M. Soomar Memon I/C MO BHU Nabi Bux Jamali

69. Dr. Shahid Memon I/C MO BHU Fakir Nooh Hothiani

70. Dr. Abdul Fatah Abro I/C MO BHU Bao Khan Pathan/BHU Tahir Hingoro

71. Dr. Sahib Dino Memon I/C MO DCD Mari Muhammad Khan

72. Dr Shamsuddin IC SMO BHU Hala OLd

73. Dr. Jamaluddin Ansari I/C MO BHU Yousuf Hajano

74. Dr. Shakeel Ahmed Memon MO BHU Hala Old

75. Mr. Kirshan Mal Store Manager DSU PPHI Matiari

76. Mr. Rabdino Abid Kazi SO-I/Assistant Taluka Hala

77. Mr. Liaqat Jamali SO-II/Assistant Taluka Saeedabad

78. Mr. Billal Atta SO-III/Assistant Taluka Matiari

79. Mr. Imran Memon Assistant DSU PPHI Matiari

80. Mr. Abdul Ghaffar Assistant DSU PPHI Matiari

29

81. Mr. Ayaz Ahmed Assistant DSU PPHI Matiari

82. Mr. Waqas Anjum Assistant DSU PPHI Matiari

C. HFs WITH PPHI BHUs: 13 Dispensaries: 16 MCHCs: 06 Others: 01(RHC)

TOTAL: 36


G. STAFF STRENGTH Sanctioned

Posts

Working Government

l

PPHI

Vacant

(

MOs 49 29 12 17 20

WMO/FMO 26 25 02 23 01

LHVs/MW/F. Nurse 65 47 23 24 18

MTs/MAs Male 22 16 16 0

06 Female - - -


H. CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO














30

As this was 50 th MRM ,therefore , the BRHF and DSU staff have specially planned . Hafiz Gulam Shabir Jamali who is a young scholar was invited to deliver Tafseer Of Quran specially keeping in view the topic of FIKR-E -AKHITRAT . After formal MRM, the informal program was planned ie quiz competition etc

I. CAPACITY BUILDING 1. First Session: During MRM

1. Dr.Aijaz And Dr Roomi Aijaz , Incharge Medical Officer GD Palijani and FMO GD Palijani presented the history of GD Palijani with pictures from the day one , PPHI Took over the management. Following points wre discussed

A. HISTROY OF GD PALIJANI. B. HF BEFORE PPHI . C. NEW BUILDING. D. HUGE OPD E. IMMUNIZATION F. MEDICINE AVAILABILITY G. COMMUNITY PARTICIPATION 2. PHOTOS OF DIFFERENT PATIENTS HAVING INFECTIONS ON DIFFERENT PARTSO BODY AND DISCUSSED AS TO HOW THEY WERE

TREATED IN DETAIL.



Date Venue Topic No. of Participants





No. of Doses of Immunization Administered to Children at Health Facilities.

( Children <12 Months Received 3rd Pentavallent Vaccine &Children <12 Months Received 1st Measles Vaccine & Children <12 Months Received Fully Immunization)

3851


No. of Immunization & Vaccination Administered by outreach EPI Teams -

Total vaccination / immunization for the month January 2013 4254

31


Dates of NIDs Target of coverage Actual coverage Percentage of coverage


S # Service Number 1 Passive Case Detection (PCD) Slides 181

2 Active Case Detection (ACD) Slides

3 Visits to Check Sanitation (individual households + streets)



6 Patients Nebulizer 992



1. Female Health S.No Names of FMOs Ante-Natal

Neo-Natal

Other OPD Total OPD

1 Dr. Tahseen Adeel 166 0 1608 1774 2 Dr. Fozia Zaheer 120 0 1543 1663 3 Dr. Tasleem Shahzadi 75 0 1581 1656 4 Dr. Naheed & Dr.Ruqia 794 0 853 1647 5 Dr. Azeema Raza 357 0 1108 1465 6 Dr. Shabana Shah 241 0 1050 1291 7 Dr. Jameela Memon 154 0 1135 1289 8 Dr. Afshan Rafiq 90 0 1098 1188 9 Dr. Parveen Hafeez 147 0 1027 1174

10 Dr. Roomi Aijaz 130 0 1006 1136 12 Dr. Erum Zain Memon 60 0 1059 1119 13 Dr. Sajida Raza 209 0 850 1059 14 Dr. Saba Faiz 198 0 808 1006 15 Dr. Zainab Abro 97 0 705 802 16 Dr. Rukhsana Zahid 151 0 588 739 17 Dr. Sumera Habib 71 0 638 709 18 Dr. Shazia Shaikh 81 0 605 686 19 Dr. Gh.Fatima 104 0 561 665 20 Dr. Saeeda Memon 82 0 534 616 21 Dr. Salma Shah 31 0 557 588

Total 3358 0 18914 22272

32

• The remaining two FMOs are working in evening/night shift at RHC Bhitt shah. NO OPD is conducted in these shifts.


S # Service Number



3. Lab/ Diagnostic Tests S # Test Number





5 Other 333

4. Important Discussion on Mother and Child and Reproductive Health during MRM The DSM presented the graphical presentations of MCH centers. The DSM highlighted the last quarter progress of NVDs, Family Planning visits, ANC and FMO OPD. The Appreciated all top performers and showed his expectation the same from all FMOs.

Provision of Family Planning Services during the Month


1 Consultation / Advice 1110

2 Oral Pills 515

3 IUCDs 05

4 Injections 22

5 Others(RC) 460

Total 2112



1. Number of Male SGs: 34 Number of Female SGs: --------------





Male Female Total No. of Participants


Abid Kazi 8 - 99 14 211

Liaqat Jamali 13 - 112 22 601

33

Bilal Ata 15 105 28 610

Total 36 - 316 64 1422


Sr.No Name of FMO / MO Community Health Session School Health Session

No. Participants No. Examined Treated

1 Dr. Erum Zain Memon 2 51 2 0 0

2 Dr. Jamila Memon 2 88 1 0 0

3 Dr. Ghulam Fatima 2 66 2 75 8

4 Dr. Parveen Hafeez 2 68 2 0 0

5 Dr. Zainab Abro 2 86 1 0 0

6 Dr. Azeema Raza 1 30 1 10 0

7 Dr. Roomi Aijaz 2 62 2 30 30

8 Dr. Saeeda Mansoor 2 48 2 31 12

9 Dr. Sumera Habib 2 81 2 63 6

10 Dr. Shabana Shah 1 20 1 80 30

11 Dr. Saba Shahnawaz 1 32 1 0 0

12 Dr. Rukhsana Zahid 2 55 2 75 7

13 Dr. Afshan Rafiq 1 25 1 0 0

14 Dr. Fozia Zaheer 1 80 1 0 0

15 Dr. Shazia Shaikh 2 75 2 29 29

16 Dr. Tasleem Shahzadi 2 55 1 0 0

17 Dr. Sajida Raza 2 62 2 17 17

18 Dr. Tahseen Adeel 2 128 1 17 0

19 Dr. Sachedino Memon 1 18 1 0 0

20 Dr. Muner Ahmed Jamali 2 46 2 42 0

21 Dr. Khuda Dino Memon 1 12 1 34 0

22 Dr. Amir Ali Sangrasi 2 28 2 1 1

23 Dr. Azam Memon 1 43 0 0 0

24 Dr. Jamal uddin Ansari 1 10 0 0 0

25 Dr. Faisal Shahzad 1 42 1 0 0

26 Dr. M. Soomar Memon 1 23 1 6 6

27 Dr. Anwer Ali Soomro 1 23 1 34 34

28 Dr. Waseem Ahmed 1 38 1 11 0

29 Dr. Shakeel Ahmed M 0 0 1 10 5

30 Dr. Abdul Sattar 1 25 1 9 9

31 Dr. Sahib Dino Memon 1 26 1 0 0

32 Dr. Naeem Ahmed 1 17 1 0 0

33 Dr. M. Ismail Laghari 1 33 1 13 0

34 Dr. Safdar Ali Rajpur 1 10 1 31 1

35 Dr. Shuja M. Shah 1 12 1 0 0

36 Dr. Muzaffar Ali Memon 1 20 1 3 3

37 Dr. Toufeeq Ahmed 1 30 1 0 0

34

38 Dr. Imtiaz Memon 0 0 1 0 0

39 Dr. Shamsuddin Memon 1 43 0 0 0

40 Dr. Laraib Shaikh 0 0 1 86 66

Total 54 1636 50 707 264


Disseminating the message of health facilities available at the centers (HFs) Support Groups were made responsible for conduction of School Health Sessions and Community Health

session. The Support Group was made responsible at BHU Bagu Khan Jamali for solving the hospital road maintains.


• Outbreak of Measles and preventive measures. • Personal hygiene • Immunization


The Male Medical Officers Female medical Officers conducted Community Health Sessions. In these sessions the recent outbreak of Measles was discussed in detail . that how and why Measles outbreak occurred. The MOs /FMOs directed the community to get their children vaccinated without any delay .


Sr. No. Topics

1 Personal Hygeine

2 Immunization

3 Malaria ( source of infection and clinical features).

4 Measles (Prevention and cure).


S # Topics

1 Typhoid

2 New born care

3 Measles (Prevention and cure).

4 Abortion


35

Importance of Community involvement and their meetings on regular intervals was highlighted . The Incharge were directed to hold the meetings of CSG on regular basis. As this was the 50 th MRM ,so the journey from the day one till date was dilated up on. All In charge were directed that the new members may be included in the Groups, where the old members are not showing their interest in Community Support Group Meetings.

10. Health Camps: Number Held: 00 . Number of Patients: 00



I Sanitation - - -

Ii Drainage / sewerage - - -

Iii ……… drinking water - - -

Iv Prevention of adulteration - - -

V Tree Plantation - - -

Vi Roads and infrastructure - - -

Vii Environmental Improvement - - -

Viii Others - - -


1. OPD*




76,908 5,896 82,804


Sr. No BHU Name Total

Sr.

BHU Name Total 1 RHC Bhit Shah 11792 18 DCD Mari Muhammad Khan 1078

2 BHU Hala Old 4164 19 BHU Mahar Shah 1284

3 BHU Sekhat 3681 20 BHU Laloo Mangwano 1321

4 BHU Khando 3366 21 GD Rano Bughio 1413

5 BHU Panj Moro 3273 22 BHU Ilyas Abrejo 1554

6 BHU Udero lal Village 2504 23 GD Shahmeer JI Wasi 1575

7 GD Sher Muhammad Thora 2312 24 GD Punhal Khan Jamali 1608

8 GD Old Saeedabad 1976 25 BHU Fakir Nooh Hothiani 1695

9 BHU Karam Khan Nizamani 2184 26 BHU Allah Dino Sand 1729

10 BHU Saeed Khan Laghari 2080 27 BHU Seerachoo Kaka 1735

11 BHU Bau Khan Pathan 2000 28 GD Khanothe 1767

36

12 DCD Jumo Shahoke 1876 29 BHU Bagho Khan Jamali 1781

13 DCD Dhaloo Khaskheli 1933 30 BHU Yousuf Hajano 1854

14 BHU Shahmeer Rahu 1967 31 GD Soomar Chand 1859

15 DCD Zair Pir 1868 32 DCD Awal Chachar 1861

16 BHU Tahir Hingoro 1962 33 BHU Nabi Bux Jamali 1906

17 DCD Pali Jani 1727 34 BHU Bhanothe 2001


4. Top Five Diseases during OPD


1 ARI 15708

2 Diarrhea 3493


4 Scabies 1668

5 Asthma 1731

5. ARV / ASV used during the month 6.

No. of Patients Dog bite cases reported 134 ARV Administered 134 ARV Available Doses 627 vials Snake bite cases reported 00 ASV Vaccine Administered 00 ASV Vaccine Available Doses 05


S # Tests Number 1 Pregnancy Tests 250 2 Blood Sugar Tests 618 3 Hemoglobin 760 4 X-Rays (if available) 190


1 Malaria 110

2 Pneumonia 211

3 Diarrhea 21

4 Worm Infection 22

5 Skin diseases 15

37

5 Ultra Sound 2583 6 Others (please specify) 1023

12. B & C SCREENING TESTS Screening No. of Tests

Performed No. of cases

found positive No. of cases referred

for treatment Total referred

upto date Follow up result

Hepatitis B 390 11 11 11

Hepatitis C 390 19 19 19

13. TUBERCLOSIS Patients

Receiving Treatment


Under Diagnosis

151 14 6

9. Referrals



2 36 36 0 0 0 36




2 106 65 0 41 0 106 0




29 65 142 236



01 BHU Khandu FMO record not up

to date. Explanation letter /

Personal Hearing

03 BHU Tahir Hingoro, DCD Pali Jani, BHU Odero Lal Village, BHU Fakir Nooh

Submission of incomplete DHIS

Warning letters issued

38

Hothiani, BHU Khando, BHU Allah Dino Sand, BHU Sekhat, BHU Laloo Mangwano, DCD Dhaloo Khaskheli, GD Shahmeer Ji Wasi

H. AVAILABILITY OF MEDICINES / MEDICAL MATERIALS

1. Medicines available for Weeks: 34 Weeks

8. Important Issues raised relating to Medicines, etc. during MRM

The doctors were directed to be careful while making referrals to other hospitals . The necessary information must be mentioned as required. The medicine must not be prescribed at the will of patient. They must avoid multidrug therapy and heavy medicines doses. If patient needs secondary or tertiary level health care, they must be referred properly as per guidelines already provided to them.

REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

S # Name of HFs Description of Repair / Maintenance incl. Electrification

Status / Remarks

1 BHU Laloo Mangwano R&R Work Completed

2 BHU Tahir Hingoro - Completed

3 BHU Udero Lal Village - Completed

4 BHU Khando - Completed

5 BHU Bhanothe - Completed

6 BHU Saeed Khan Laghari - Completed

7 GD Old Saeedabad - Completed

8 GD Sher Muhammad Thora - Completed

9 GD Punhal Khan Jamali - Completed

10 GD Rano Bughio -- Completed

11 GD Soomar Chand -- Completed

12 GD Shahmeer Ji Wasi -- Completed

13 DC Dispensary Jumo Shahoke - Completed

14 DC Dispensary Dhaloo Khaskheli - Completed

15 DC Dispensary Mari

- Completed

16 BHU Hala Old - Completed

17 BHU Ilyas Abrejo - Completed

18 BHU Mahar Shah - Completed

19 BHU Yousuf Hajano - Completed

39

20 DC Dispensary Zair Pir - Completed

21 BHU Seerachoo Kaka - Completed

22 BHU Nabi Bux Jamali - Completed

23 BHU Bau Khan Pathan - Completed

24 BHU Karam Khan Nizamani - Completed

25 BHU Panj Moro - Completed

26 BHU Shahmeer Rahu - Completed

27 BHU Bagho Khan Jamali - Completed



Nil



The DSM presented the graphical presentation of performance of HFs during last month. Besides, he dilated up on the problems PPHI faced during the journey of last four years . In this presentation the DSM highlighted total OPD, Family Planning Visits, Fully Immunization, anti-natal care and NVDs. The DSM appreciated all top performer teams. The MOs and FMOs were directed by DSM to focus EPI after current Measles outbreak. All Incharges of Health Facilitates were directed by DSM to ensure availability of measles vaccine all the time as there is no shortage of Measles vaccine in our district and no child should go out from HFs due to unavailability of measles vaccine. The Incharges were also directed by DSM to ensure that when vaccinator goes in field, 2 LHWs must be available to vaccinate children at fix centre.

Date /Time for Next MRM:

12th of March 2013 at 10:00am Insha Allah

Concluding Remarks by Regional Program Director Hyderabad

The RPD highlighted the overall performance of DSU Matiari and told that they feel pleasure as the record of Matiari is good specially as far as the statistics of MCHC is concerned. The number of NVDs done at HFs is at the top in entire Sindh. The ratio is on continuous increase. So credit goes to staff and the management team . He specially mentioned the OT at RHC Bhitshah as C-Section are being done at RHC without charging any pie from patients. Besides, he also mentioned the recent achievement at RHC ie Eye unit. Now ,the surgery of eye will also be started within two /three weeks . Insha Allah.

The meeting ended with the note of thanks from and to the RPD Hyderabad.

40


OF DISTRICT TANDO ALLAHYAR

Monthly Review Meeting (MRM) of District, Tando Allahyar for the Month of JAN , 2013 was held on 15-02-2013 . The following officials participated in the meeting:

Sr. Name Designation

1 Mr. Imran Aziz Siddiqui DSM, Tando Allahyar

2 Dr. Abdul Jaleel Bachani DHO, Tando Allahyar

3 Dr. Abdul Qadir Memon EPI, Focal person

4 Dr. Arif Soomro TB DOTs Focal Person

5 Mr. Shamsul Haq DDO, Population welfare Deptt

6 Dr. Noor Jahan FMO

7 Dr. Tooba Abro FMO

8 Dr. Indra FMO

9 Dr. Benish Imran FMO

10 Dr. Quratul Ain FMO

11 Dr. Sumaira Qaimkhani FMO

12 Dr. Samreen FMO MCHC

13 Dr. Shazia Parveen FMO

14 Dr. Nazia Jabeen FMO

15 Dr. Samina Naz FMO MCHC

16 Dr. Sunita Kumari FMO

17 Dr. Fakhra Qureshi FMO

18 Dr. Shabana Qureshi FMO

19 Dr. Farhana Tahir FMO

20 Dr. Najma FMO

21 Dr. Ambreen memon FMO MCHC

22 Dr. Afshan Bhatti FMO

23 Dr. Nazish Patoli FMO

24 Dr. Zahida Parveen FMO

25 Dr. Ambar Abbas Ultrasound Specialist

26 Dr. Aamna Shaikh Ultrasound Specialist

27 Dr. Waseem Ahmed Medical officer

28 Dr. Zahid Hussain Medical officer

29 Dr. Gulzaib Ahmed Medical officer

30 Dr. Hakim Mal Medical officer

31 Dr. Amir Nahyoon Medical officer

41

32 Dr. Danish Hussain Medical officer

33 Dr. Imam Bux Medical officer

34 Dr. Rehan Yusfani Medical officer

35 Dr. Abdul Razzak Medical officer

36 Dr. Ghulam Rasool Medical officer

37 Dr. Faisal Iqbal Medical officer

38 Dr. Abdul Manan Medical officer

39 Dr. Abdul Hussain Medical officer

40 Dr. Irfan Shah Medical officer

41 Dr. Ariful Hassan Medical officer

42 Dr. Saqib Siddique Medical officer

43 Dr. Hamid Ghousi Medical officer

44 Dr. Allah Warayo Medical officer

45 Dr. Ashok Kumar Medical officer

46 Dr. Rana Muhammad Akhtar Medical officer

47 Dr. Atif Miandad Medical officer

48 Dr. Mazhar Hussain Medical officer

49 Dr. Naveed Memon Medical officer

50 Dr. Muhammad Amir Qazi Medical officer

51 Dr. Shakeel Ahmed Medical officer

52 Dr. Ali Khan Medical officer

53 Dr. Dharamver Medical officer

54 Dr. Noor Ahmed Pahore Medical officer

55 Dr. Aftab Hyder Medical officer

56 Dr. Dildar Hussain Mughal Medical officer

57 Dr. Muhammad Ilyas Baig Medical officer

58 Dr. Adil Shamshad Medical officer

59 Dr. Waqar Ahmed Medical officer

60 Dr. Ranu Mal Medical officer

61 Dr. Chatesh Kumar Medical officer

62 Dr. Zubairuddin MO HQ


1 2

D. HFs WITH PPHI

42

BHUs: 13 Dispensaries: 32 MCHCs: _______ Others:______

TOTAL: 45


STAFF STRENGTH

Sr. No Sanctioned

Working Govt.

PPHI 1 MOs 15 38 2 36

2 W/FMOs 19 0 19

3 LHVs 12 17 7 10

4 MTs/MAs Male 26 25 14 11 Female

5 Dispensers 21 31 4 27

J. CLUSTERS OF HFs WITH ONE MO

Sr. No Previous Month Number Month under

Number

1 Clusters of 6 HFs 0 Clusters of 6 HFs




5 Clusters of 2 HFs 0 Clusters of 2 HFs 8

6 Single HFs 0 Single HFs 29

WITH ONE FMO

Sr. No Previous Month Number Month under

Number

1 Clusters of 5 HFs 2 (U/S) Clusters of 5 HFs 2 (U/S)




5 Single HFs 5 Single HFs 5

CAPACITY BUILDING

1 First Session: During MRM : (a) Resource person: Dr. Imam Bux Topic: Viral Hepatitis

43

(b) Resource person: Dr. Afshan Bhatti Topic: Hypertention in Pregnancy

Capacity Building of LHVs / Dispensers/other staff members/LHWs During Month under Review

Sr # MO Name CBS Session Participants

1 Dr. Waseem Ahmed 1 4 2 Dr. Zahid Hussain 1 3 3 Dr. Gulzaib Ahmed 1 6 4 Dr. Hakim Mal 1 17 5 Dr. Amir Nahyoon 1 7 6 Dr. Danish Hussain 1 6 7 Dr. Imam Bux 2 11 8 Dr. Rehan Yusfani 1 10 9 Dr. Abdul Razzak 1 20

10 Dr. Ghulam Rasool 2 11 11 Dr. Faisal Iqbal 1 31 12 Dr. Abdul Manan 1 12 13 Dr. Abdul Hussain 1 5 14 Dr. Irfan Shah 2 40 15 Dr. Ariful Hassan 1 5 16 Dr. Saqib Siddique 1 6 17 Dr. Allah Warayo 2 22 18 Dr. Hamid Ghousi 1 3 19 Dr. Ashok Kumar 2 9 20 Dr. Shakeel Ahmed 1 7 21 Dr. Rana M Akhtar 1 8 22 DR Muhammad Ilyas 1 7 23 Dr. Atif Miandad 1 5 24 Dr. Naveed Memon 1 4 25 Dr. Aftab Hyder 1 5 26 Dr. Dharamver 2 7 27 Dr. M Amir Qazi 1 4 28 Dr. Mazhar Hussain 1 3 29 Dr. Dildar 2 35 30 Dr. Ali Khan 1 20 31 Dr. Noor Ahmed 2 4 32 Dr. Adil Shamshad 1 8 33 Dr. Waqar Ahmed 2 8 34 Dr. Ahmed Ali 1 14 35 Dr. Laj Pat 1 9 36 Dr.Chatesh Kumar 1 2 37 Dr.Ranu Mal 1 4

TOTAL 46 382

44

r# Capacity Building Session by FMO CBS

Session Participants

1 Dr. Noor Jahan 2 7

2 Dr. Tooba Abro 1 11

3 Dr. Indra 2 13

4 Dr. Benish Imran 1 6

5 Dr. Quratul Ain 1 5

6 Dr. Sumaira 3 22

7 Dr. Samreen 2 22

8 Dr. Shazia Soomro 1 18

9 Dr. Nazia Jabeen 2 38

10 Dr. Samina Akram 1 20

11 Dr. Sunita Kumari 2 11

12 Dr. Fakhra Qureshi 2 7

13 Dr. Shabana qureshi 2 14

14 Dr. Farhana Tahir 1 4

15 Dr. Najma 1 10

16 Dr. Ambreen 1 16

17 Dr. Afshan Bhatti 2 9

18 Dr.Nazish Patoli 2 18

19 Dr.Zahida Parveen 2 10

Total 31 261








Total Vaccination / Immunization for the Month

5740

2. National Immunization Days (NIDs) for Measles


- - - -

45


S # Service Number 1 Passive Case Detection (PCD) Slides -

2 Active Case Detection (ACD) Slides/ RDT examined

3 Visits to Check Sanitation (individual households + streets) -

4 Notices issued against Poor Sanitation -

5 Challans sent to Court against Poor Sanitation -




• Female Health

S# FMO NAME NAME OF H.F Obstetrical

Total OPD FMO Anti

Natal-I Anti Natal Re-visit

Natal

Post Natal-I

Post Natal

1 Dr.Noor Jahan GD Sadique Memon 33 9 0 5 0 348

GD Taj Mori 12 2 0 3 1 461

2 Dr. Tooba Abro BHU Dhigano Bozdar 46 105 0 15 18 1012

GD Lal Fakir Behrani 14 64 0 7 5 655

3 Dr. Indra BHU Ditto Kalro 38 5 0 1 0 466

GD Pak Singhar 26 12 2 5 0 347

4 Dr. Benish Imran GD Golo Halepoto 67 62 0 4 3 705

BHU Sultanabad village 5 5 0 4 0 261

GD Hakra Mori 1 17 0 3 0 226

5 Dr. Quratul Ain GD Darya K Hingoro 30 29 0 5 1 614

GD Mehro K Lashari 15 21 0 3 0 508

6 Dr. Sumaira BHU Allah Rakhio 25 111 1 8 3 777

GD Usman Shah Hurri 35 42 0 4 0 463

7 Dr. Samreen BHU Shah Nawaz 82 116 5 16 3 1717

8 Dr. Shazia Soomro BHU Shadyoon 44 12 0 0 0 381

BHU Sultanabad village 7 0 0 2 0 215

GD Missan Nandhi 20 2 0 4 0 126

9 Dr. Nazia Jabeen BHU Tando Soomro 65 44 0 10 5 661

GD Bahar khan Mirjat 14 18 0 4 4 403

10 Dr. Samina Akram BHU Jhando Mari 78 20 1 3 0 753

11 Dr. Sunita Kumari GD G Hussain Khokhar 14 6 0 0 1 406

46

GD G Khan Sanjrani 67 30 0 6 0 986

12 Dr. Fakhra Qureshi GD Masso Bozdar 26 12 0 3 0 684

GD Saeed K Leghari 8 3 0 0 1 116

13 Dr. Shabana BHU Kauro Daidano 31 3 0 1 0 366

GD Ghani Khan K K 26 19 0 1 0 231

14 Dr. Farhana Tahir BHU Sultanabad Stand 79 66 6 9 1 1682

15 Dr. Najma BHU Sanjar Chang 79 53 3 16 0 1929

16 Dr. Ambreen BHU Bukera Sharif 87 42 0 0 14 1064

17 Dr. Afshan Bhatti GD Rawat Leghari 11 6 0 0 0 360

GD Mevokurkuli 11 1 0 0 0 209

18 Dr.Nazish Patoli BHU Naseer.K.Leghari 25 38 0 7 2 865

GD Dodo Rind 18 4 0 3 0 255

19 Dr.Zahida Parveen GD Mail Mori 25 49 0 9 2 227

GD M.Hassan Dal 7 8 0 1 0 245

Total 1171 1036 18 162 64 20724


S # Service Number 1 Deliveries Assisted at HFs 49

2 Deliveries Assisted at Homes - 3. Lab/ Diagnostic Tests

S # Test Number





5 Other Nil

7. Important Discussion on Mother and Child and Reproductive Health during MRM

DSM directed the FMOs to ensure immunization of children, pregnant women and child bearing age women and also ensure that they should bring immunization and Ante-Natal card each time they visit HFs.


S # Name of the Items / Service Number 1 Consultation / Advice 863

47

2 Oral Pills 393 3 IUCDs 5 4 Injections 316

5 Others 1134 TOTAL 2711



1. Number of Male Support Group 40: Number of Female 17 SGs: (57 Total ) 2. Performance of Social Organizers



Male Female No. of

No. No. of Dr. Muhammad Azam 11 125 15 245

Mr. Riaz Hussain 9 110 11 215

Mr. Gandhi 6 81 8 200

Total 26 316 34 660


Sr # Name CHS SHS

Session Part No Parti EXA TREATED

1 Dr. Waseem Ahmed 1 12 1 68 5 0

2 Dr. Zahid Hussain 1 12 1 60 60 0

3 Dr. Gulzaib Ahmed 1 15 1 55 15 9

4 Dr. Hakim Mal 1 25 1 55 15 10

5 Dr. Amir Nahyoon 1 12 1 27 3 0

6 Dr. Danish Hussain 1 11 1 113 19 10

7 Dr. Imam Bux 2 22 2 26 4 2

8 Dr. Rehan Yusfani 1 17 1 38 10 0

9 Dr. Abdul Razzak 1 18 1 50 6 2

10 Dr. Ghulam Rasool 2 27 2 129 35 15

11 Dr. Faisal Iqbal 1 16 1 19 2 2

12 Dr. Abdul Manan 2 29 1 100 100 5

13 Dr. Abdul Hussain 1 25 1 30 10 4

14 Dr. Irfan Shah 2 25 1 47 6 3

15 Dr. Ariful Hassan 2 22 1 15 6 4

16 Dr. Saqib Siddique 1 10 1 50 0 0

17 Dr. Allah Warayo 2 34 2 251 29 15

18 Dr. Hamid Ghousi 1 11 1 24 4 2

48

19 Dr. Ashok Kumar 2 21 2 52 12 10

20 Dr. Shakeel Ahmed 2 28 2 80 2 2

21 Dr. Rana M Akhtar 1 12 2 75 18 7

22 DR Muhammad Ilyas 1 13 1 30 15 8

23 Dr. Atif Miandad 3 57 2 115 85 21

24 Dr. Naveed Memon 1 15 2 130 0 0

25 Dr. Aftab Hyder 1 9 1 25 10 5

26 Dr. Dharamver 2 18 2 150 30 12

27 Dr. M Amir Qazi 1 10 1 20 3 3

28 Dr. Mazhar Hussain 1 20 2 217 39 26

29 Dr. Dildar 1 14 1 35 35 0

30 Dr. Ali Khan 1 21 1 55 15 5

31 Dr. Noor Ahmed 2 24 1 103 56 24

32 Dr. Adil Shamshad 1 10 1 30 10 5

33 Dr. Waqar Ahmed 2 15 2 114 18 6

34 Dr. Ahmed Ali 2 47 1 132 1 1

35 Dr. Laj Pat 2 27 1 62 8 2

36 Dr.Chatesh Kumar 1 10 1 40 40 5

37 Dr.Ranu Mal 1 21 1 56 20 5

TOTAL 52 735 48 2678 746 230

Sr# Name of FMO Name CHS SHS

Session Part NO Parti Examined TREATED

1 Dr. Noor Jahan 2 36 2 115 103 40

2 Dr. Tooba Abro 2 40 2 94 94 2

3 Dr. Indra 2 40 2 52 35 21

4 Dr. Benish Imran 3 65 2 135 92 78

5 Dr. Quratul Ain 2 36 2 45 11 6

6 Dr. Sumaira 2 50 2 72 36 36

7 Dr. Samreen 2 40 1 60 10 4

8 Dr. Shazia Soomro 2 27 2 60 10 10

9 Dr. Nazia Jabeen 2 37 2 80 35 12

10 Dr. Samina Akram 1 10 1 35 35 7

11 Dr. Sunita Kumari 2 14 2 50 0 0

12 Dr. Fakhra Qureshi 2 36 2 219 43 27

13 Dr. Shabana qureshi 2 20 4 167 33 7

14 Dr. Farhana Tahir 1 10 1 50 6 4

49

15 Dr. Najma 1 20 1 30 30 0

16 Dr. Ambreen 1 20 1 40 30 10

17 Dr. Afshan Bhatti 2 13 2 42 11 0

18 Dr.Nazish Patoli 2 40 2 46 18 13

19 Dr.Zahida Parveen 2 31 1 70 10 5

Total 35 585 34 1462 642 282

4. Important Points during Support Group Meetings. a. Repairing Work of Labour Room repairing work at MCHC Jhando Mari.

b.Functioning of X-ray facility at GD Ghani Khan Kaimkhani.

c. Electrification issues in newly handed over HFs.

8. Important Points during SHSs. Awareness regarding measles & scabies. Role & importance of routine immunization. Awareness & importance about use of coils, mats ,body lotion ,malarial spray & sleeping nets Personal hygiene & importance of safe drinking water Sing & Symptoms of measles & scabis. 6. Important Points during CHSs.

Awareness for health diet & importance of micronutrient in daily diet.

Awareness regarding Mal nutrition ,measles & scabies.

Awareness & importance about use of coils, mats ,body lotion ,malarial spray & sleeping nets.

. Role & importance of routine EPI vaccination. Personal hygiene & importance of safe drinking water

Topics for SHSs for the Month JAN 2013

Sr. No. Topics

1 MEASLES

2 SCABIES.

8 Topics for CHSs for the Month JAN 2013

S # Topics

1 Mal Nutrition

2 Routine Immunization EPI

3 Pneumonicoccal (pcv-10) vaccine

50

4 Measles & Scabies


DSM, DHO and officials raised their concern about polio refusals cases in the District and emphasized the need of community sensitization through CHS, SHS, & CSG meetings. It was also decided that all PPHI HFs will serve as a Fix point during upcoming polio campaign and they will submit their daily reports to nearby BHU in the same UC or DSU Tando Allahyar on the same day.

10. Health Camps:



I Sanitation



Iv Prevention of

V Tree Plantation


Vii Environmental

viii Others


1. OPD*


Follow up patients treated during the month

Total OPD during the month (New + Follow up)

76875

6068

82943


S # BHU OPD BHU OPD

1 Shah Nawaz Muhajir

Kauro Daidano 1530

3. Top Five Diseases Treated during School Health Sessions


1 URTI 243

2 GIT 44

3 Dermatological problems 135

4 Diherraa /Dysen 47

5 Suspected Malaria 43

51



S # Disease No. of Patients 1 Respiratory Disease 20212 2 Gastro Intestinal Disease 6326 3 Dermatological Problems 4323 4 Fever due to other cause 5631 5 Suspected Malaria 2010

9. ARV / ASV used during the month No. of Patients


ARV Administered 150


Snake bite cases reported -

ASV Vaccine Administered -

ASV Vaccine Available Doses -


S # Tests Number 1 Pregnancy Tests 502

2 Blood Sugar Test 1059

3 Hemoglobin 333


5 Ultra Sound 1208

6 Others (please specify) 395

15. Hepatitis B & C SCREENING TESTS





Follow up result

83 162 19 19 - -

16. TUBERCLOSIS

Patients

Receiving Treatment


Under Diagnosis

41 3 -

52

9. Referrals

S.No Total Cases Referred To

TB DOT Deliveries Others RHCs THQs DHQs

1 434 70

0 364

0 0 0



ARV ASV Others RHCs THQs DHQs

1 476

128 0 347

15

3

35


9. Monitoring Visits during the month DSM Executive Monitoring Other Staff Total

45 78 152 275

I. Important Points/Issues arising from Visits S # Name of HF Issue Action Remarks

1 GD Usaman Shah Hurri BUILDING INCOMPLETE MEETING WITH BUILDINGS DEPTT

DO BUILDINGS VISITED

2 GD MAIL MORI ELECTRIC CITY NOT AVAILABLE

MEETING WITH BUILDINGS DEPTT

DO BUILDINGS VISITED

3 BHU SANJAR CHANG NEED OF R&R REQUEST RE FOR ESTIMATE

RE VISITED


1. Medicines available for (26 ) Weeks

II. Important Issues raised relating to Medicines, etc. during MRM • Issues regarding Newly taken over GDs:-

Sr# Name HF ISSUES

1 GD Mehro Khan Lashari Electricity , Fans, meter, drainage system

2 GD Hakra Mori meter, drainage system

3 GD Pak Singhar Electricity , Fans, meter, grill, drainage system, motor

4 GD Mithoo Khaskheli Electricity , Fans, meter, grill, drainage system, motor

5 GD Ghani Khan Kaim Khani Three phase meter connection required, grill, motor

6 GD Dodo Rind Masonry & plumbing work, motor

7 GD Sobho Rind Electricity , plumbing work, motor

8 GD Ghulam Hussain Lund Electricity , meter, grill, carpenter work, drainage system, 9 GD Saleh Arisar Electricity , drainage system, plumbing work, motor

10 GD Sachedino Panhwar Electricity , motor

11 GD Muhammad Hassan Dal drainage system

53

12 GD Saeed Khan Leghari Electricity , meter, drainage system, motor

13 GD Mashaikh Hoti Carpenter work, meter, grill, drainage system

14 GD Mail Mori Electricity , meter, drainage system, plumbing work

III. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFS

IV.


Status / Remarks

1 BHU-Allah Rakhio P th

100% Completed M.B recorded & Sent to P S U

2 BHU Ditto Kalroo 100% Completed M.B recorded & Sent to 3 GD M Sadiq Memon 100% Completed M.B recorded & Sent to 4 BHU-Jhando Mari 100% Completed M.B recorded & Sent to 5 BHU-Shadyoon 100% Completed M.B recorded & Sent to 6 BHU-Sultanabad stand 100% Completed M.B recorded & Sent to 7 BHU-Sultanabad

Vill 100% Completed M.B recorded & Sent to

8 GD-Dassori 100% Completed M.B recorded & Sent to 9 B.H.U Bukera Sharif 100% Completed M.B recorded & Sent to 10 B.H.U Kauro Daidaanoo 100% Completed M.B recorded & Sent to 11 B.H.U Tando Soomro 100% Completed M.B recorded & Sent to 12 B.H.U Shahnwaz

M h ji 100% Completed M.B recorded & Sent to

13 BHU-Naseer Khan L h i

100% Completed M.B recorded & Sent to 14 BHU-Sanjar chang 100% Completed M.B recorded & Sent to 15 GD-Ghulam Khan

S j i 100% Completed M.B recorded & Sent to

16 BHU-Dhingano Bozdar 100% Completed M.B recorded & Sent to 17 GD-Ghulam Hussain

Kh kh 100% Completed M.B recorded & Sent to

18 Quarter of BHU Sh h M h ji

100% completed MB needs to be recorded

19 Quarter of BHU Jhando M i

100% completed MB needs to be recorded

20 Quarter of BHU Bukera 100% completed MB needs to be recorded

21 GD Lal Faqir Behrani 100% completed MB needs to be recorded

22 GD Golo Halepoto 100% completed MB needs to be recorded




Date /Time for Next MRM: To be decided later

DISCUSSION DURING MRM

54

It is observed that Sugar strips consumption ratio is high it should be controlled as the sugar strips will use only for diagnostic purpose only.

It is Observed during the performance review in the Hall that there is low ratio of follow up clients, it should be increased as 30 percent of the total OPD.

All MO I/C must fill the target portion given in the DHIS monthly reporting form as 8 Indicators, including data accuracy indicator.

All MOs should countersigned the advance outreach schedule of vaccinators on monthly basis and monitor the performance of the vaccinator on the basis of the schedule.

eDews weekly reports must reach at DSU before the closing of Monday. Target population and actual coverage in NIDs, SNIDs must be submitted with

monthly DHIS report. During NID days all UC focal person / I/C MOs will monitor the field teams and fix

points and report to DSM/DHO/DC on daily basis. Every MO must conduct five minutes meeting with vaccinators at the start of the

day and ask him about performance, progress and targets for the day. MO’s & FMO’s have to be actively involved in NID’s, SNIDs and during NIDs they are

bound to ask every mother and her children for Immunization and prepare a list of children not vaccinated on daily basis and report to DSM /DHO office.

Every MO/FMO shall conduct at least 4 Health sessions/ Capacity Building sessions. Daily expense register should be maintain properly by the Dispenser of the

concerned facility and duly verified by the MO I/C. Every M.O I/C should take initiative to improve their Hf’s Decorum and Medical

instruments functionalization which was pointed out By M& E section during Monitoring visits. Decision taken in the meeting by DSM/ DHO

• In the CBS/ CHS/SHS conducted by the MOs and FMOs, the topics for this month FEB 2013 are as follows 1 Importance of Routine Immunization & ( E.P. I) Schedule.

2 Mal Nutrition. 3 Record Keeping And use of DHIS Tools.

• Follow up patient ratio is low it should be increased as 30 percent of the total OPD. • Every MO should sereousely monitor the routine EPI in there respective centre and check the record and

field plan of Vaccinator either PPHI vaccinator or Govt. • Every MO i/c of HF where EPI centre is functional will bound to their Vaccinator for sending a copy of their

Monthly EPI report to DSU with the stamp and signature of MO i/c.

55

MINUTES OF THE (51st) MONTHLY REVIEW MEETING

OF DISTRICT TANDO MUHAMMAD KHAN

Monthly Review Meeting (M.R.M) of District, Tando Muhammad Khan for the Month of January, 2012 was held on 15-02-2013 at meeting Hall of District Government Complex. Written invitations to participate were sent to the Deputy Commissioner, the DHO, the Additional Deputy Commisionar-1, Focal Persons, EPI, TB DOTS, National Program, Malaria Control, Hepatitis, HMIS & DEWS, District Population Welfare Officer, representatives WHO, all I/c Medical Officers/ FMOs etc.


S # Names Designation S # Names Designation 1 M. Naeem Khanzada DSM T.M.Khan 32 Dr. Azizullah Memon MO-PPHI 2 Dr. M. Ismail Soomro F/P (HMIS) 33 Dr. Waheed Abbass MO-HQ 3 Dr. Mir Hassan Turk MO-DG 34 Dr. Sadique Khowaja MO-DG 4 Dr. M. Hussain Notkani MO- DG 35 Dr. Intikhab Alam MO-PPHI 5 Dr. Makhdom Ali Nawaz MO- DG 36 Dr. Sadaf Sabir Sonologist 6 Dr. Shamshad Memon MO-DG 37 Dr. Qamarulnisa Sonologisy 7 Dr. A.Kareem Leghari MO- DG 38 Dr. Hifza Kinat Shah FMO-PPHI 8 Dr. Mumtaz Bhatti MO- DG 39 Dr. Shazia Qayoom FMO-PPHI 9 Dr. Dhalo Mal MO-DG 40 Dr. Sadaf Faraz FMO-PPHI 10 Dr. Murad MO-DG 41 Dr. Zaid Jamali FMO- PPHI 11 Dr. Narinder Kumar MO- DG 42 Dr. Shazia Sattar FMO-PPHI 12 Dr. Abdul Malik Shaikh MO-PPHI 43 Dr. Naima Memon FMO-PPHI 13 Dr. Shahbaz Mughal MO-PPHI 44 Dr. Rizwana Shah FMO-PPHI 14 Dr. Ali Muhammad Qureshi MO-PPHI 45 Dr. Sanober FMO-PPHI 15 Dr. Aamir Khushk MO-PPHI 46 Dr. Najma Memon FMO-PPHI 16 Dr .Nizam Soomro MO-PPHI 47 Dr. Farzana Jarwar FMO-PPHI 17 Dr. Raja M. Ishaque MO-PPHI 48 Sharjeel Siddique Ex (M&E) 18 Dr. Ghulam Sarwar MO-PPHI 49 Haji Noor Muhammad S.O 19 Dr. Kashif Faraz Hingoro MO-PPHI 50 Muhammad Azeem S.O 20 Dr. Ali Anwar MO-PPHI 51 Naveed Khaskheli S.O 21 Dr. Sabir Kolachi MO-PPHI 52 22 Dr. Sajan Sawai MO-PPHI 53 23 Dr. Mushtaque Bhurgri MO-PPHI 54 24 Dr. Abdul Rahim Bhurgri MO-PPHI 55 25 Dr. Chatro Mal MO-PPHI 56 26 Dr. Ali Raza Jarwar MO-PPHI 57 27 Dr. Muhammad Khalid MO-PPHI 58 28 Dr. Manoj Kumar MO-PPHI 59 29 Dr. Ayoub Memon MO-PPHI 60 30 Dr. Mumtaz Talpur MO-PPHI 61 31 Dr. Asghar Talpur MO-PPHI

56


S # Names Reasons for absence 1 Dr. Sajida Mem on C/L

2 Dr. Laila Khowaja C/L

3 Dr. Rubeena Abbassi C/L

Dr. Shazia Dal

E. HFs WITH PPHI RHC: 01 BHUs: 13 Dispensaries: 20 Others: 01

TOTAL: 35

Population of the Catchments Area: 639000

K. STAFF STRENGTH Sr. No Sanctioned

Posts Working Govt.

Employees PPHI

Contract Vacant Posts

1 MOs 41 38 12 26 3

2 W/FMOs 1 0 0 21 0

3 LHVs 9 16 8 8 0

4 MTs/MAs Male 25 11 13 12 Female 2

5 Dispensers 5 37 3 34 0

L. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO











57


1. 1st Session: Dr. Sadaf Faraz ,F MO (PPHI) conducted session on PPT and focused on the following points:-

• Introduction • Case Definition • Causes • Diagnosis

2. 2nd _Abdul Wahab conducted session Case definition and focused on the following points:- • Introduction • Definitions • Causes • Diagnosis

3. 3rd Session : _____________________ Conducted session on _______________ on the following points :-

• •




Participants







58


No. of Doses of Immunization Administered to Children at Health Facilities. 24,062

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 3,056

No. of Immunization & Vaccination Administered by outreach EPI Teams

Total vaccination / immunization for the month January, 2012 27,118


Dates of NIDs Total Target of coverage

Actual coverage Percentage of coverage

17th 18th 22th 23RD December 24,559

45,172

184%


S # Service Number

1 Passive Case Detection (APCD) Slides 563

2 Malaria Metro Survey (MMS) Slides 236

3 +ve Slides 24

4 Follow up 27



2. Female Health Sr. No Service Number

1 Ante-Natal Cases 839

2 Neo-Natal Cases 119

3 Other OPD by FMOs 13,471

Total OPD 14,429


S # Service Number



59


S # Test Number





5 Other 1,211

2,501

4. Important Discussion on Mother and Child and Reproductive Health during MRM • No: of Deliveries has greatly increased at 24 hours MCHCs. Medicine indent has been circulated by

PSU and medicines have been purchased. P.O for tablet cytotec has been supplied at Delivery centers.

• Pre-diagnosis screening of patients for vaccine should be done religiously. • Where vaccinator are provided under National Program, the duty roster should be signed by I/c

Medical Officer and absence report should immediately be sent to Focal Person. • Pregnant females should be encouraged for delivery at BHU. • F.P advice should be part of diagnosis and separate record be maintained. • Sonologists shall furnish their presentation on the findings, referral and follow up. • MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not

provided. In all cases, record should be legible, complete and traceable. • Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been

provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.

• Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.

• Focal Person (EPI) has declined to provide District Government vaccinators during FMO Days at the places where FMO cover is provided. The Vaccinator at all FMO covered facilities for that day used to bring vaccines in carrier and remarkable increase had been achieved in coverage for TT and BCG vaccines. But, now such matter will thoroughly be discussed with EDO (Health).


Sr.No Service/ Item Number

1 Consultation/Advice 396

2 Oral Pills 152

3 IUCDs 3

4 Injections 159

5 Others 85

Total 828

60





No. of Social Organizers Meetings of SGs (Male)

Meetings of SGs (Female)

Total No. of participants of

M ti 3 17 0 129

3. School Health Sessions & Community Health Sessions Community Health Sessions

Number of CHS Number of Participants

58 1327

School Health Sessions

No. of SHS No. of Children Examined No. of Children Treated

67 3127 406


• The CSG members should help in monitoring and facilitation. • RHC Rajo Nizamani shall be inaugurated by Federal Minister for Water and Power in the month of

November as R&R work is still left. However, purchase of O.T equipment is in process. • RHC Rajo Nizamani has been made functional for 24 hours with 03 shifts having medical and paramedical

staff. • I/c Medical Officer has been trained for undertaking necessary day to day equipments/asset repairs on

need basis after seeking administrative approval from DSM- should be regular feature. • Moral support to medical/paramedical staff working at HF. • Arranging of awareness sessions at their respective villages • Information sharing to the rest of the villages regarding facilities at HF • Reformation of CSGs and individual roles of the members • Effective local facilitation by CSG members to the hf staff • Developing greenery at HFs by the CSG members • Ownership of the HFs


• To drink clean & safe water and Washing hands after toilet. • Awakening health consciousness in children regarding new aspects of diseases like Dengue Fever, Swine

Flue, Congo Fever etc. • Nutritional awareness to be transferred to mothers through their kids. • Hair trimming clean clothes nails clipping, washing fruit/vegetables before eating.


• Primary health care awareness.

61

• Educate about immunization against infectious disease. • Personal Hygiene and worm infestation. • De-worming of children • Prevention from diabetes • Precautions from Malaria and Hepatitis • Importance of family Planning • Importance of Vaccination • Importance of ultrasound • Importance of antenatal and postnatal care


Sr. No. Topics

1 Polio

2 Malaria/Dengue


S # Topics

1 Polio

2 Malaria/Dengue


• Community Health Sessions are to be planned and held on Sinologist days.


facilitated by DSU/HF staff. • DSU field staff shall attend 50% of all the CSG meetings conducted during the month. • TORs of CSG must be shared with CSG members in every meeting of CSG. • Formal invitation to the CSG members in meeting • Presiding of the meeting by the CSG members • Participation of notable CSG member in MRM • Effective Mobilization of female CSGs and developing their ownership at H.Facility. • Involvement of notable in solving day to day problems of HFs. • CSG should be held at BHU. • Developing greenery at HFs.

62

10. Health Camps: Number Held: 00 Fixed and 00 Mobile camps Number of Patients:

11. Measures for improvement / provision of Services by other Department / Agencies Sr No

Description Recommendation To whom sent

Present status

I Sanitation Not discussed in this meeting. Normally, a separate Quarterly Review meeting of Public Representatives and District Government officials/officers/NGOs is being held where such issues are discussed and decisions are taken.




V Tree Plantation


Vii Environmental Improvement

Viii Others


1. OPD*

New Patients treated during the month

Old patients treated during the month Total OPD during the month

55,811 2,979 58,790



1 ARI 52

2 Allergic Rhnites 21

3 Scabies 31

4 Malaria 21

5 Diarrhea 16




S # Disease S # Disease

1 ARI 1679 6 Suspected Viral Hepatitis 148

2 Diarrhea 2767 7 Cough more than 2 week 0

3 Malaria 3214 8

4 Scabies 4015 9

5 Dog Bite 207 10

63

5. ARV / ASV used during the month Particulars No. of Patients


ARV Administered ( @ 5 Dozes per patient) 00

ARV Available Doses ( @ 24 dozes/vial) 00



ASV Vaccine Available Doses 17. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Ch & Reproductive Health)

3. (Lab / Diagnostic Tests) Sr.No Test No.

1 Pregnancy Test 483

2 Blood Sugar 199

3 Haemoglobin 117


5 Ultrasound 0

6 Others (Please specify) 1211






Follow up result

Hepatitis B

Hepatitis C


Receiving Treatment New Cases During the Month Under Diagnosis

14

9. Referrals



2 14 14 00 14

3

4

64

20. Inverse Referrals S.No Totals Cases Referred from


2 26 26 0 0 0 0 26

3

4



43 71 187 301



01

02






incl. Electrification Status / Remarks





On Staff Matters:

• All I/c M.Os/FMOs were asked to prepare the base data of that area and set the targets for A.N/P.N, immunization, Deliveries ets. Just reporting the figure does not solve the problems

• Every Medical Officer has to commence a journey to become Health Officer sensitized for all 08 components of Primary Health.

65

• All I/c M.Os/FMOs were given Leave formats to discourage sms leaves or hand written applications. • The DSM, PPHI TM Khan requested the in charges of health facilities for their timely submission of DHIS

reports, Along with self created form for data required for MPR etc. • DSM advised all MO/FMO Submit advance leave application of planed leaves. • DSM advised all Incharge MO share all access medicine with other BHU with the help of monitoring

team • All I/c M.Os should counter-sign on Bin Cards and Stock registers at every receiving and usage of stocks.


• All I/c M.Os should ensure checking of temperature chart as well as stock and expiry of vaccines. • Quality of HE sessions not yet improved. S.O should facilitate in arranging most of The CHS in

communities On Curative Health:

• Quality of medicines has improved with clear impact on increased cost of medicines. • Rise in OPD and consequent rise in medicine consumption. • Patient coming from farther areas demand for more medicine dosages.


• Baby Weighing Scales have been provided at all 35 facilities where FMO cover has been provided. • New DHIS MNCH registers and Growth monitoring registers will be maintained at each facility where

FMO cover is provided. Training has already been provided to all FMOs in this regard. The DHO office will provide new DHIS register as per requirement.

• The registers will be maintained by LHVs wherever provided. Otherwise, FMO will record and maintain.

• For NVDs, FMOs should motivate to pregnant ladies for deliveries at BHUs. • All staff members of BHU Saeed Khan Lund and BHU Shaikh Bhirkyo were appreciated for conducting

55 deliveries during the month . Other Matters:

• One Pathological laboratory has been made functional at BHU Jinhan Soomro. Now, 04 Pathological Laboratories and 03 X-ray units have started functioning and periodically they have become self sustainable for purchasing diagnosis kits.

• I/c Medical Officers requested not to wait for DSU for minor repairs and to undertake necessary repair in lines with procedures and policies already shared and claim reimbursements.

66

Date /Time for Next MRM: Tentative Date for next MRM is 8-2-2013


• MEETING WAS SUCCESSFUL

(M.NAEEM KHANZADA),


PPHI, Tando Muhammad Khan.

Copy for information to:

8) P.S to Syed Naveed Qamar Zaman Shah Sahib, Federal Minister for Defense, Govt of Pakistan. 9) Secretary to Government of Sindh for Health Department, Karachi. 10) Program Director, PSU, PPHI, Karachi. 11) Deputy Commissioner, District Tando Muhammad Khan. 12) Director General Health, Directorate of Health Hyderabad. 13) Regional Program Director, Region-I @ Hyderabad. 14) District Health Officer, District T.M Khan. 15) Dr. Wahab, S.O, WHO. 16) Incharge Medical Officer(s) all PPHI managed Health Facilities, T.M Khan.

67

MINUTES OF THE (59TH) MONTHLY REVIEW MEETING

OF DISTRICT MIRPURKHAS

Monthly Review Meeting (59th MRM) of District, Mirpurkhas for the Month of January, 2013 was held on 14th February, 2013 at Tharparker Gymkhana , Hyderabad Road Mirpurkhas. Written invitations to participate were sent to the DC, and District In charge of EPI, LHW and all other National Programs as usual but they could not attend the meeting due to their engagements. The list of participants follows:


S. Names Designation S. Names Designation

1 Mr. Muhammad Juman Thebo DSM MPK 2 Dr. Khalid Memon DHO EPI I/C MPK

3 Dr. Naseer Ahmed Sheikh THO 4 Dr. Hanif Baloch DO (Accounts)

5 Mr Adil Rasheed Exe(A&A) 6 Mr. Irfan Hyder Shah Exe (M&E)

7 Mr. Shahbaz Ali Memon Exe (M&E) 8 Dr Amna Idrees FMO PPHI

9 Dr Shamsher Mardan MO HQ-MPK 10 Dr. Shaheen FMO PPHI

11 Dr Arif Shamim SMO Govt 12 Dr Neel Kanth MO PPHI

13 Dr. Khan Mohd SMO Govt 14 Dr. Abdul Kabir MO PPHI

15 Dr G R Soomro MO Govt 16 Dr. A Latif MO PPHI

17 Dr Narain SMO Govt 18 Dr Nadeem MO PPHI

19 Dr Narain Das MO Govt 20 Dr. Afzal MO PPHI

21 Dr Atta Hussain shah SMO Govt 22 Dr Pardeep MO PPHI

23 Dr. Tulsi Das SMO Govt 24 Dr. Munner Akhter MO PPHI

25 Dr Shahid Rizwan MO Govt 26 Dr. Mehmod-ul-Hassan MO PPHI

27 Dr Arshad Nihal SMO Govt 28 Dr A Rauf MO PPHI

29 Dr Farouque MO Govt 30 Dr Khalid MO PPHI

31 Dr. Jan Mohammad MO Govt 32 Dr Naraindar Sufi MO PPHI

33 Dr Saleh Memon MO Govt 34 Dr. Ramesh Kumar MO PPHI

35 Dr Naveen Kumar MO Govt 36 Dr. Zulifqar MO PPHI

37 Dr Ashoke Kumar MO Govt 38 Dr Rajni Davi Sonologist

39 Dr. Saleem MO PPHI 40 Dr Dileep Kumar MO PPHI

41 Dr Ramesh Kumar MO PPHI 42 Dr Vishan Das MO PPHI

43 Dr. Imtiaz MO Govt 44 Dr. M Sadique MO PPHI

45 Dr. Narender MO PPHI 46 Dr. Anis Mari MO PPHI

47 Dr. AllahDitto MO Govt 48 Dr. Imran Jarwar MO PPHI

49 Dr Wishan Das MO PPHI 50 Dr. Baldev MO PPHI

51 Dr Bushra FMO PPHI 52 Dr. Shankar lal MO PPHI

53 Dr Nighat Sultana FMO PPHI 54 Dr Munwer MO PPHI

55 Dr Sahira Baloach FMO PPHI 56 Dr. Ramesh Kumar MO PPHI

57 Dr Faria FMO PPHI 58 Dr Kashif MO PPHI

59 Dr Hamida Ali FMO PPHI 60 Dr Pir Nasir Jan MO PPHI

68

61 Dr Aneela Zahoor FMO PPHI 62 Dr Chander MO PPHI

63 Dr Gulshad FMO PPHI 64 Dr. Nazish FMO PPHI

65 Dr Urooj FMO PPHI 66 Dr. Ramesh Kumar MO PPHI

67 Dr Azra Parveen FMO PPHI 68 Dr Arif MO PPHI

69 Dr Asia Kareem FMO PPHI 70 Dr. Saqib Shah MO PPHI

71 Dr Mohni FMO PPHI 72 Dr Zahid Hussain MO PPHI

73 Dr Adeela FMO PPHI 74 Dr. Mukesh MO PPHI

75 Dr Saba Ilyas FMO PPHI 76 Dr. Imran Laghari MO PPHI

77 Dr Shaheen FMO PPHI 78 Dr. Kishore MO PPHI

79 Dr Samreen Shafee FMO PPHI 80 Dr. Rasheed MO PPHI

81 Dr Shazia FMO PPHI 82 Dr. Arbab MO PPHI

83 Dr Quratulain FMO PPHI 84 Dr. Mansoor MO PPHI

85 Dr Nargis Naz FMO PPHI 86 Dr. Ramchand MO PPHI

87 Dr Irum FMO PPHI 88 Dr. Amart MO PPHI

89 Dr Attaullah MO PPHI 90 Dr Mumtaz Ali MO PPHI

91 Dr Noor Nisa FMO PPHI 92 Dr. Aneela FMO PPHI

93 Dr Asma FMO-PPHI 94 Dr Ghazanfer Abbas MO PPHI

95 Dr. Saeeda FMO PPHI 96 Dr. Haresh MO PPHI

97 Dr. Fahmeeda FMO PPHI 98 Dr. Ghulam Mustafa SMO Govt

99 Dr Shaista FMO PPHI 100 Mr Mohsin SO DSU-PPHI

101 Dr Kiran Kumari FMO PPHI 102 Mr Jethanand SO DSU-PPHI

103 Dr. Sajda Tahir FMO PPHI 104 Mr Bharji SO DSU-PPHI

105 Dr. Parkash MO PPHI 106 Mr. Faruukh Assistant Accounts

107 Dr Naeem MO PPHI 108 Mr. Diljeet Store Manager

109 Dr. Aijaz Memon MO PPHI 110 Mr Naresh Assist Admin

111 Dr Saneela FMO PPHI 112 Mr Khair Mohammad SO DSU-PPHI

113 Dr. Kamni FMO PPHI


S # Names/Designation Reasons S # Names/Designation Reasons 1 Dr Yousif Absent 2 Dr. Salma Leave 3 Dr M Urs Leave 4 Dr. Moazam Absent 5 Dr. Salma Leave 6 Dr. Rajesh Kumar Leave 7 Dr Sana Ayoub Leave 8 Dr Rano Absent 9 Dr. Aijaz Laghari Absent 10 Dr. Noor Hassan Absent

11 Dr. Nenu Bai Leave 12 Dr. Farhana Qureshi Leave 13 Dr Liaquat Hussain Leave 14 Mr Farhan Rasheed Leave 15 Dr. Mohidin Absent

F. HFs WITH PPHI BHUs: _______ 38 Dispensaries: _______48 MCHCs: _______10 others: ______2

TOTAL: _______98

69


M. STAFF STRENGTH

Staff Sanctioned Posts (Govt.)


PPHI Contract

Vacant

(Sanc-Govt) MOs 79 74 22 52 57

WMO 04 3 3 0 01

FMOs 00 36 0 36 00

LHVs 08 38 08 30 0

MTs/MAs Male 79 50 50 0 01 Female 28 28 0


N. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO/WMO

Month under Review Total Month under Review Total







Month under Review Total Month under Review Total







70



Dr. Khalid, in his lecture on ‘Measles’ & ‘Proper DHIS Reporting’ focused on the following points:-

• How to diagnose measles case. • How to prevent from measles. • How samples to be collected for measles cases. • How to check data accuracy of DHIS Report.

After the session, participants raised the questions.

Capacity Building of LHVs / Dispensers During Month under Review







No. of Doses of Immunization Administered to Children at Health Facilities & outreach EPI Teams 26391

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities & outreach EPI Teams

3216


Total vaccination / immunization for the month January, 2013 29607



15, 16 & 17 Oct-2012 244114 254192 104%


S # Service Number

1 Passive Case Detection (PCD) Slides 0

2 Active Case Detection (ACD) Slides 0

3 Visits to Check Sanitation (individual house holds + streets) 0

4 Notices issued against Poor Sanitation 0

5 Challans sent to Court against Poor Sanitation 0


71



1. Female Health

S. # NAME OF FMO Antenatal Post Natal Total Others Total

1 Dr Faria Atif 121 26 147 200 1387

2 Dr Asia Narejo 84 13 97 202 1105

3 Dr Sahira Baloch 58 6 64 89 888

4 Dr Kamni Kumari 125 13 138 230 898

5 Dr Aneela Zahoor 83 10 93 94 894

6 Dr Gulshad 47 14 61 255 1067

7 Dr Mohni 51 14 65 0 1007

8 Dr Shereen Ahmed Khan 83 7 90 0 547

9 Dr Saba Ilyas 53 5 58 77 970

10 Dr Azra Parveen 50 7 57 13 592

11 Dr Adeela Sohail 110 11 121 105 894

12 Dr Samreen Shafee 29 10 39 3 578

13 Dr Hamida Ali 61 11 72 266 897

14 Dr Amna Idrees 86 17 103 58 727

15 Dr Kiran Kumari 51 9 60 140 664

16 Dr Nighat Ashraf 51 12 63 233 644

17 Dr Sana Ayoub 9 1 10 11 251

18 Dr Shazia Zulfiqar 66 17 83 82 526

19 Dr Saneela Mughal 0 0 0 0 0

20 Dr. Fahmida Kolachi 171 23 194 169 1580

21 Dr Nargis Naz 27 4 31 124 464

22 Dr Naina Kumari 30 7 37 315 901

23 Dr Irum Naz 143 5 148 155 1395

24 Dr Bushra Farhin 64 6 70 364 1524

25 Dr Shaheen 43 23 66 114 617

26 Dr Urooj 87 15 102 0 1284

27 Dr Sajida Tahir 750 7 757 0 1230

28 Dr Shaista Parveen 49 13 62 487 1004

29 Dr Asma Shaikh 395 13 408 467 1492

30 Dr Noor Nisa 81 21 102 67 1620

72

31 Dr Saeeda Mari 131 20 151 246 1559

32 Dr Qurat-ul-Ain 211 38 249 321 1785

33 Dr. Nazish zehra Rizvi 84 22 106 287 1746

Total: 3484 420 3904 5174 32737





S # Test Number 1 Pregnancy Tests 567 2 Blood Sugar Tests 256 3 Hemoglobin Tests 266 4 Ultra Sound Test 1749 5 Other (X Rays) 27

Total 2865 Important Discussion on Mother and Child and Reproductive Health during MRM

• Antenatal and postnatal performance shared with the participants. DSM Mirpurkhas requested to pay heed to improve MCHC Services at health facilities.


S # Name of the Items / Service Number 1 Consultation / Advice 1496 2 Oral Pills 503 3 IUCDs 09 4 Injections 602 5 Others 2634

Total 5244



1. Number of Male SGs: --------------94 Number of Female SGs: --------------04

73




Male Female Total No. of


Jethanand 10 0 82 18 470

Farhan 08 0 62 18 458

Mohsin 07 0 55 18 386

Bharji 07 0 68 24 480

Khair Mohammad 10 0 58 18 338

Total 42 0 325 96 2132

3. School Health Sessions & Community Health Sessions S.

No Name Of I/C Community Health Sessions School Health Sessions

CHS Pts SHS Examined Treated Pts 1 Dr Munwer 1 17 1 7 2 23 2 Dr. Kashif Ali 1 24 1 10 5 40 3 Dr Khalid 1 11 1 5 1 55 4 Dr Afzal 3 112 1 6 3 46 5 Dr Zulfikar 1 7 1 12 1 35 6 Dr Zahid Hussain 1 30 1 0 0 35 7 Dr A Kabir 1 12 1 0 0 22 8 Dr Arbab 1 10 1 0 0 8 9 Dr Khan Mohammad 1 13 1 10 6 40

10 Dr Rasheed Ahmed 1 28 1 7 0 37 11 Dr Narain 1 27 1 10 0 80 12 Dr Urs 1 60 1 5 1 30 13 Dr Arif Shamim 1 8 0 0 0 0 14 Dr Mukesh 0 0 1 9 2 80 15 Dr Ramesh Kumar 1 13 1 2 1 44 16 Dr Siddique 1 18 1 0 0 17 17 Dr. G.R Soomro 1 23 1 6 0 46 18 Dr Liaquat 1 25 1 5 0 40 19 Dr Ghazanfar Abbas 1 36 1 2 1 37 20 Dr Rano Mal 1 30 1 4 2 45 21 Dr Noor Hussain 1 35 1 12 7 86 22 Dr Muneer 1 16 1 0 0 11 23 Dr Wishan 1 22 1 15 5 102 24 Dr Neel Kanth 1 27 1 0 0 26 25 Dr Pardip 1 10 1 5 2 40 26 Dr Parkash 1 40 1 0 0 30 27 Dr A Rauf 1 40 1 9 5 95 28 Dr A Latif 1 14 1 4 2 47

29 Dr Salim 1 15 1 0 0 35

74

30 Dr Naveen 1 9 1 5 5 37

31 Dr Kishore Kumar 1 14 1 8 3 68 32 Dr. Amrat 1 17 1 0 0 32 33 Dr Baldeve 1 23 1 4 1 50 34 Dr. Dileep 1 25 1 2 2 38 35 Dr Nadim 2 30 2 4 1 50 36 Dr Pir Nasir Jan 2 26 2 0 0 24 37 Dr Arif Ali 1 23 1 0 0 24 38 Dr. Ramchand 2 27 2 15 9 111 39 Dr Arshad Nihal 1 35 1 5 1 50 40 Dr Mumtaz 2 50 2 12 4 78 41 Dr Naeem 2 34 2 25 15 110 42 Dr Mansoor 1 8 1 1 1 21 43 Dr Narain 1 13 1 4 3 47 44 Dr Ashoke-Kumar 1 13 1 25 15 71 45 Dr Ramesh 2 37 2 18 11 130 46 Dr Imran Jarwar 2 48 2 25 19 109 47 Dr Mehmood 1 18 1 5 1 23

48 Dr Rajesh 1 10 1 1 0 20 49 Mukesh HT 1 15 1 0 0 18 50 Dr Moazam 1 18 1 18 17 30 51 Dr Imran Laghari 1 22 1 4 3 26 52 Habib Ullah HT 1 35 1 15 15 60 53 Dr Vishan 1 10 1 20 9 42 54 Dr. Tulcho 1 8 1 18 18 80 55 Dr Narainder 1 30 1 2 1 20 56 Dr Shahid Rizwan 1 35 1 25 25 180 57 Dr. Imtiaz Hussain

1 33 1 1 1 14

58 Dr Narainder 1 24 1 4 4 55 59 Dr Attaullah 1 18 1 0 0 15 60 Dr Sakib Shah 1 28 1 14 9 76 61 Dr Chandar Kumar 2 24 2 5 5 36 62 Dr. Jan Mohammad

1 90 1 23 19 90

63 Dr Saleh Memon 1 35 1 2 2 23 64 Dr Mohiddin Shaikh 1 23 1 0 0 17 65 Dr. Shankar 1 8 1 15 15 68 66 Dr Faroque 1 11 1 8 8 42 67 Dr Anees 1 12 1 7 4 25 68 Dr Sajida Tahir 1 15 1 0 0 30 69 Dr Shaista Parveen 1 15 1 1 1 12 70 Dr Asma Rasool shaikh 1 23 0 0 0 0 71 Dr Noor Nisa 1 20 1 20 20 60 72 Dr Saeeda 1 30 1 17 7 47 73 Dr Fahmida kolachi 1 10 1 34 30 87

74 Dr Qurat-ul-Ain 1 50 1 15 2 29

75

75 Dr Nargis Naz 2 33 2 10 10 42 76 Dr Naina Kumari 1 10 1 0 0 12 77 Dr Irum Naz 1 10 1 2 2 57 78 Dr Bushra Farhin 2 40 1 8 5 35 79 Dr Shaheen 1 25 1 10 10 25 80 Dr Urooj 1 22 1 12 10 50 81 Dr Nazish 2 55 1 5 5 47 82 Dr Nighat Ashraf 1 60 1 6 1 30 83 Dr Sana Ayoub 1 9 1 1 1 18 84 Dr Shazia Zulfiqar Sand 2 23 1 0 0 12 85 Dr Amna Idress 1 20 1 2 1 15 86 Dr Azhra 1 35 1 0 0 13 87 Dr Aneela 1 15 1 10 10 25 88 Dr Saba Ilyas 1 14 1 2 0 21 89 Dr Samrren 1 12 1 10 0 20 90 Dr Sahira Baloach 1 22 1 19 4 56 91 Dr kiran 1 27 1 3 3 26 92 Dr Mohni 1 21 1 25 25 42 93 Dr Gulshad 1 21 1 10 5 23 94 Dr Kamni 1 38 1 17 17 46 95 Dr Farai 1 12 1 4 4 35 96 Dr Asia Naijo 2 30 1 15 15 26

Total: 110 2379 103 743 480 4183


• Role of CSG Members in Measles Campaign. • Performance sharing of health facilities. • Female must be appointed at health facilities. • Quantity of medicine be increased.


• Measles • Importance of Vaccination

6. Important Points during CHSs • Measles • Importance of Vaccination

Topics for SHSs for this Month

Sr. No. Topics 1 Measles 2 Immunization

76

8 Topics for CHSs for this Month

S # Topics 1 Measles 2 Polio Campaign


• CSG may key play key role in recent measles out-break. • CSG Members may create sense of ownership among communities. • Community support group members must promote importance of measles vaccination. • CSG members may be helpful to cover refusal & N/A cases in measles CRASH PROGRAM.

10. Health Camps: Number Held: -----------------0 Number of Patients: -----------0



I Sanitation




V Tree Plantation


Vii Environmental

Viii Others


1. OPD*




137611 4310 141921


S # BHU OPD BHU OPD

1 Hameedpura 5948 Doalat Laghari 877

2 Makhan Samoon 3197 Hingorno 1151

3 Satellite Town 3059 Faqir Basheer Laghari 1162

4 Nawab Colony 3021 Fazal Bhambhro 1162

5 Kot Mirs 2795 Abdul Qayoom Khair 1172

77






1 ARI 41662

2 Diarrhea 11794

3 Fever (Clinical Malaria) 6188

4 Scabies 4521

5 Dermatitis 3364

ARV / ASV used during the month

Cases No. of Patients







21. Lab / Diagnostic Tests: Includes Tests Reported at No. 22. (II) (Mother, Child &Reproductive Health)

3. (Lab / Diagnostic Tests)

S # Tests Number



3 Hemoglobin 266


5 Ultra Sound 1749


S # Diseases No. of Patients 1 ARI 102

2 Suspected Malaria Fever 66

3 Diarrhea 51

4 Scabies 31

5 Others 52

78


NO ANY SCREENING TEST OF HB & C AVAILABLE AT PPHI HFs.




Total referred up to date

Follow up result





Under Diagnosis

10 02 01

9. Referrals


TB DOT Viral HB Others RHCs THQs DHQs

1 3 0 0 3 0 0 3



ARV ASV Others RHCs THQs DHQs BHUs

1 97 97 0 0 03 00 57 37



35 89 413 537



No any No any No any No any


1. Medicines available for ……………………… 32 weeks 2. Important Issues raised relating to Medicines, etc. during MRM

79

I. REPAIR / MAINTENANCE / ELECTRIFICATION OF / AT HFs


Status / Remarks

1 BHU Hashim Bhurgri Electricity Work & Colour of Furniture Work Done

2 BHU Ubedullah Bhurgri Netting & Colour of Furniture Work Done

3 GD Dajero Mori Colour of Furniture Work Done 4 DCD Outaq Ahmed Khan Netting & Colou of Furniture Work Done 5 BHU Ghulam Hyder Shah Motor Repair Work Done 6 MCH Khan Sahab Din Mohd Motor Repair & Fitting Work Done 7 GD Mir Sher Mohammad Colouring, Netting, Furniture Repair, Earth

Work Done

8 BHU Nawab Colony Water Motor Repair Work Done 9 BHU Makhan Samoon Installation Laboratory Door Work Done

10 BHU Ismail Jo Goth Netting of Window & Doors Work Done 11 BHU Patohiyoun Furniture Polish Work Done 12 MCH Mirpur Old Electricity Work Work Done 13





On Staff Matters:

11. MOs will, from now onwards, fill data accuracy sheet every month. 12. Staff timings must be followed strictly. 13. SO should fill check lists on regular basis so as to ensure the data accuracy of monthly reporting. 14. Monthly reports of all the health facility must reach 3rd of every month. 15. After compilation of reports, reports will be sent to DHO Office on 5th of every month.


• Those doctors who did not conduct sessions in January, 2013, will be issued explanation call letters. The performance of MOs and FMOs, regarding health sessions was scrutinized.

• Keeping in view recent out-break of measles, all medical officers must conduct sessions on the theme of ‘measles’.

• DSU staff (DSM/Executives M&Es/SOs) members must participate in Community Health Sessions, School Health Sessions & Community Support Meetings.

On Curative Health:

• Velosef Capsule (500 mg) has been supplied in current medicine supply in those health facilities where FMO cover is available. As per directions of worthy Program Director, PPHI Sindh, only FMOs are authorized to prescribe Velosef Capsules, no any other staff member, including MO, is not authorized to prescribe Velosef Capsules.

80

• Those MOs, who have prescribed the Velosef capsules despite of several instructions issued from DSU, have been issued explanation calls and their salaries have also been deducted as well.

• Health Facility wise per patient cast was shared with participants. On Mother, Child & Reproductive Health:

• FMO should try to achieve Antenatal, Postnatal, delivery & family planning targets (targets have already been circulated).

• 236 deliveries were conducted at health facilities during the month of January, 2013. DSM Mirpurkhas again raised the question from FMOs regarding low number of deliveries.

Other Matters:


08th March, 2013

Major Achievements /Recommendations / Issues:

DSM Mirpurkhas informed both MOs and FMOs that PPHI Mirpurkhas has started its first Laboratory at BHU Makhan Samoon. He further informed the MOs and FMOs that they may now refer needy patients to BHU Makhan Samoon for lab Investigations. In this regard, minimal charges will be taken from the patients.

(Muhammad Juman Thebo)

District Support Manager

Copy for information & necessary action to:

• The Programme Director, PPHI, PSU Sindh. • The Director Health, Mirpurkhas Division • The Regional Programme Director, PPHI, RSU-II, Mirpurkhas. • The Deputy Commissioner, District Mirpurkhas • The District Health Officer, Mirpurkhas • The Master file.


DSU-PPHI-MPS

81


OF DISTRICT BADIN

Monthly Review Meeting (MRM) of District, Badin for the Month of January, 2013 was held on 08-02-2012 at

Darbar Hall DCO Office Badin. The EDO (H), civil surgeon, District Population Welfare Officer, District Incharge of

EPI, District Coordinator NP, District Focal Person Malaria, District Focal Person TB and District Officer MNCH Badin

were also invited to the meeting. Following participants attend the meeting.


# Names/Designation S # Names/Designation

1 MR BIRJ LAL DOSSANI DSM BADIN 67 DR BADUL JABBAR KHATTI MO

2 DR SHAREEF SO WHO 68 DR ALI MUHAMMAD MO

3 MR NAVEED ABBAS BALOCH EO: M&E 69 DR KHADIM MALLAH MO

4 MR IFTAKHAR KHOSO 70 DR DOLAT RAM MO

5 DR AMEER ALI KHUWAJA MO HQ 71 DR ASGHAR SOOMRO MO

6 MR IRFAN SOOMRO SO 72 DR SHAHZAD VIRK MO

7 MR MAQSOOD SO 73 DR MUKESH KUMAR MO

8 MR RAZZAQU SOOMRO 74 DR MUHAMMED ASHARAF LAGHARI MO

9 MR MANSOOR SO 75 DR SUHAIL AHMED ABBASI MO

10 MR HANIF KHATI SO 76 DR MUHAMMAD AZAM MO

11 NOOR MOHAMMED SOOMRO SO 77 DR KAMIL MEMON MO

12 DR ANITA KHAWAJA FMO 78 DR SUNIL KUMAR (ABS) MO

13 DR KHATIJA KAMBRANI FMO 79 DR ZAHID HUSSAIN KHUWAJA MO

14 DR AISHA RAHIM FMO 80 DR SULEMAN PALIJO MO

15 DR FAHMIDA SOOMRO FMO 81 DR SOOMAR MAL MO

16 DR KAVITA ASHOK FMO 82 DR SHAFIQ AHMED LAGHARI MO

17 DR SAEEDA BANO (Sinologist) 83 DR SARFRAZ AMIR MO

18 DR NAVEEN SAMON 84 DR MUHAMMAD SHARIF CHANDIO MO

19 DR TASLEEM KHAWAJA FMO 85 DR MUHAMMAD AYOUB PAHORE MO

20 Dr NEELOFER SHAH FMOI 86 DR JUNAID SHAH MO

21 Dr NAZ ABBASI FMO 87 DR JAVED IQBAL QAMBRANI MO

22 DR NITASHA SOOMRO FMO 88 DR JAMIL MEMON MO

23 DR NAZIA FMO 89 DR IMTIAZ AHMED ARAIN MO

24 DR REHANA FAYAZ FMO 90 DR IBRAHIM PINJARO MO

27 Dr RUKHSANA MEMON FMO (MCHC) 91 DR MUHAMMAD HANIF MEMON MO

28 DR RUKHSANA QAZI FMO 92 DR HAFEEZULLAH MEMON MO

82

29 DR SIAMA NAZ FMO 93 DR GULSHAN KOREJO MO

30 DR TASLEEM KHUWAJA FMO 94 DR CAPT. GHULAM RASOOL MALLAH MO

31 DR TAHSEEN PITAFI FMO 95 DR GHULAM MURTAZA MEMON MO

32 DR SHAHNAZ SOOMRO FMO 96 DR GULAM MUHAMMAD MEMON MO

33 DR KIRAN BHATTI FMO 97 DR AMEER HASSAN MO

34 DR ALMAS JUNEJO FMO 98 DR ALTAF BASHEER MO

35 DR ABDUL ALI SHAH MO 99 DR AIJAZUDDIN NIZAMANI MO

36 DR MEHMOOD MEMON MO 100 DR AFAQUE AHMED MO

36 DR ASHOK KUMAR (QFM) 101 DR ABDUL JABBAR KHASKHALI MO

37 DR CHAIT RAAM MO 102 DR RAFIQUE AHMED MEMON MO

38 DR MOHAMMAD RAMZAN SOOMRO MO 103 DR RAFIQUE AHMED BHURGARI MO

39 Dr ASHOK KUMAR MO 104 DR AHMED KHATTI MO

40 DR MOHAN LAL MO 105 DR ILYAS LAGHARI MO

41 DR NISAR KHUWAJA MO 108 DR MUZAFFAR ALI KHUWAJA MO

42 DR RAZA ALI KHUWAJA MO 109 DR MUNAWAR ALI ARAIN MO

43 DR SAFIULLAH ABBASI MO 110 DR GULAB KASHMIRI MO

44 DR SAHIB KHOSO MO 111 DR SALEEM NIZAMANI MO

45 DR SALEEM NOTKANI MO 112 DR IQBAL AHMED MEMON MO

46 DR SANTOSH KUMAR MO 113 DR ABDUL JABBAR NIZAMANI MO

47 DR SUNIL KUMAR MO 114 DR JAVED MEMON

48 DR TUFAIUL BHAN MO 115 DR NADEEM BHURGARI

49 DR ZAHID HUSSAIN KHAWAJA MO 116 HAKIM GHULAM NABI DARS (HAKEEM)

50 DR AMJAD ALI MO 117 MR NAIMATULLAH ASST: R&R

51 DR LAL JI MO 118 MR WAHID PATHAN ATTENDANT

52 DR ASAN DAS MO 119 MR SIKEELADHO ATTENDANT

53 DR SUNIL KUMAR MO (Dunmbalo) 120 MR ALLAH WARHAYO ATTENDANT

54 DR KUMAIL ABBAS 121 MR SHAHZAD CHAND DRIVER

55 DR SUHAIL ABBASI

56 DR ABBAS ALI

57 DR VISHAN DAS

58 DR JAVED MEMON MO

59 DR MUNAWAR ARAIN MO

60 DR SALEEM NOATKANI MO

61 DR HARCHAND MO

62 DR AHMED KAHTTI MO

63 DR HAJI KHAN NIZAMNI MO

64 DR HARESH KUMAR MO

83

65 DR MUHAMMAD SIDIQUE PAHORE MO

66 DR GHULAM NABI SAMON MO


S # Names/Designation Reasons S # Names/Designation Reasons

1 DR UZMA KOREJO CL 9

2 DR NAYAB MEMON CL 8

3 DR KANWAL SABIR CL 9

4 AISHA JAMIL CL 10

G. HFs WITH PPHI BHUs: 36 Dispensaries: 66 MCHC: 01 Others: 01 TOTAL: 104

O. STAFF STRENGTH 200

Designation Sanctioned Posts (Govt.)


PPHI Contract

Vacant (Sanc-Govt)

MOs 49 14 14 63 32 WMO 0 0 0

FMOs 00 0 0 27 17

LHVs 42 8 8 40 34



P. CLUSTERS OF HFs WITH ONE MO

Previous Month No of Hfs Month under Review Total







84

WITH ONE FMO



Dr. Tasleem Khuwaja delivered a lecture on “Basic Hygiene”





No. of Doses of Immunization Administered to Children at Health Facilities outreach EPI Teams. 7815

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities outreach EPI Teams.

566

Total vaccination / immunization for the month June 2012 8,381 2. Other Preventive/Promotional Services

S # Service Number

1 Passive Case Detection (PCD) Slides 112 2 Active Case Detection (ACD) Slides 23 3 Visits to Check Sanitation (individual house holds + streets) 0






Previous Month No of Hfs Month under Review Total






85

1. Female Health

S # Names of FMOs Ante-Natal Cases Post-Natal Cases Other OPD Total OPD

1 Dr Saima Naz 27 7 357 1623

2 Dr Tasleem Khawaja 33 41 150 1120

3 Dr Kavita Ashok 75 11 30 653

4 Dr Neelofar Shah 49 18 20 1467

6 Dr Aisha Jamil 38 12 84 769

7 Dr Anita Khawaja 47 18 60 891

8 Dr Rukhsana Memon 292 93 755 2714

9 Dr Shazia Rauf 21 0 236 21

10 Dr. Khatija Qambrani 42 18 137 1066

11 Dr Shahnaz Muneer 29 12 28 658

12 Dr Naveen Samoon 30 10 98 722

13 Dr Naz Abbasi 82 9 156 637

14 Dr Natasha Soomro 61 8 65 841

15 Dr Nayab Memon 26 1 204 802

16 Dr Nazia Noor 57 4 1483 1329

17 Dr Tahseen Pitafi 104 32 313 1309

18 Dr. Rehana fayaz 63 22 186 937

19 Dr Ayesha Rahim 38 12 84 769

20 Dr Rukhsana Qazi 34 1 498 1531

21 Dr Fahmida Soomro 46 3 32 854

22 Dr Nida Shahid 20 1 63 371

23 Dr Shahnaz Soomro 3 1 45 188


S # Service Number




S # Test Number



3 Hemoglobin 186


Total 969

86

1. DSM discussed with the participants of MRM in detail regarding;

- EPI, The performance of the vaccinators & weekly targets will be analyzed closely through fortnight and monthly meetings.

- Target v/s achievements, DSM sb demonstrated the actual performance of MOs & FMOs through the vindicate facts & figures of targeted OPD against the achievements. He encouraged to all functionaries to achieve the monthly targets by head & shoulder efforts.

-Low number of SHS & CHS, DSM sb directed that each MO & FMO should deliver at least two SHS & CHS in a month.

Ambulance Running, DSM Sb heartened the all MOs & FMOs to share the Ambulance service to the community through the CHSs & with the regular patients as well.


j. No: of Deliveries has substantially increased at 24 hours MCHCs. Medicine indent should be standardized.

k. Pre-diagnosis screening of patients for vaccine should be done relugularly. l. Where vaccinators are provided under National Program, the duty roster should be signed by I/c

Medical Officer and absence report should immediately be sent to Focal Person. m. Pregnant females should be encouraged for delivery at BHU. n. F.P advice should be part of diagnosis and separate record be maintained. o. Sinologists shall furnish their presentation on the findings, referral and follow up. p. MNCH record and Growth monitoring record should be maintained by FMOs where LHV is not

provided. In all cases, record should be legible, complete and traceable. q. Baby Weighing Scales/ Adult Bath Scales, Hemoglobin Meters and Height Charts have been

provided. Ensure proper usage of the equipments and report of out of order weight machines should be immediately conveyed to I/c MO in writing.

r. Training on Hemoglobin meters have been provided to all Medical and Paramedical Staff for blood tests preferably for pregnant women and same will be repeated for retention.

17. Provision of Family Planning Services during the Month of November 2012

S # Service Provided Number 1 Consultation / Advice 564 2 Oral Pills 575 3 IUCDs 00 4 Injections 413 5 Others Condoms 2772

Total 1,552



87

1. Number of Male Support Groups: 101 Number of Female Support Groups: 11



Meetings of Support Groups conducted CHSs/SHSs arranged


No. No. of Abdul Razzaque Soomro 15 0 98 46 556

Irfan Khan Soomro 16 0 92 55 612

Maqsood Arisar 13 0 79 53 645

Noor Mohammed 13 95 22 554

Mansoor 12 91 43 443

Total 69 0 455 219 2810

3. School & Community Health Sessions

Names of MO / FMOs/Paramedics Community Health Sessions School Health Sessions

Sessions Participants Sessions Children

Children DR ANITA KHAWAJA FMO 1 45 1 7 3

DR KHATIJA KAMBRANI FMO 1 56 1 18 9

DR AISHA RAHIM FMO 1 47 1 11 5

DR FAHMIDA SOOMRO FMO 1 12 1 23 12

DR KAVITA ASHOK FMO 1 29 1 32 7

DR SUHAIL ABBASI 1 19 1 25 4

DR AIJAZUDIN NIZAMANI 1 54 1 12 6

DR SALEMM NOATKANI 1 25 1 13 2

DR TASLEEM KHAWAJA FMO 1 27 1 21 1

Dr SAIMA NAZ FMO 1 18 1 30 7

Dr AIJJAZUDDIN NIZAMANI MO 1 31 1 20 12

Dr SAFFIULLAH ABBASI MO 1 17 1 10 8

Dr JAVED MEMON MO 1 51 1 10 2

Dr AMJAD MEMON MO 1 25 1 20 7

Dr. MOHAN LAL MO 1 17 1 12 2

DR MEHMOOD MEMON MO 1 51 1 17 4

DR ZAHID KHUWAJA 1 13 1 12 5

DR ILYAS LAGHARI 1 32 1 16 7

DR GHULAM RASOOL MO 1 21 1 19 5

Dr Gulab Kashmiri 1 34 1 18 6

Dr Abdul Jabbar Nizamani 1 28 1 15 1

DR SALEEM NIZAMANI 1 43 1 14 4

88


• Introduction of PPHI

• Ownership of HFs

• Health Awareness Sessions for prevention at Community Level

• Health Awareness Program at School Level

• Water and sanitation, Electricity, Cleanliness etc Issues of HFs

• Major and Minor Repair & Renovation of HFs

• Suggestions for the improvement of HFs


Hand washing before and after taking food, and after bath, Nail cutting, wear clean clothes etc.

18. Important Points during CHSs Breast feeding, Antenatal care, Personal Hygiene, Water and sanitation, Communicable Disease, Vaccination.

7. Topics for SHS for the Month

Sr. No. Topics

1 Basic hygiene

2 Immunization

3 Dirroeah

8 Topics for CHS for the Month

S # Topics

1 Prevention of measles

2 Hepatitis

3 Family planning

4 Immunization

5 Brest Feeding

6 TB


89

• Community Health Sessions are to be planned and held on FMO days.


facilitated by DSU/HF staff.

10. Health Camps: Number Held: 0


No any other Public or Private sector has involved in any regard


i Sanitation 00 00 00

ii Drainage / sewerage 00 00 00

iii ……… drinking water 00 00 00

iv Prevention of adulteration 00 00 00

v Tree Plantation 00 00 00

vi Roads and infrastructure 00 00 00

vii Environmental Improvement 00 00 00

viii Others 00 00 00


1. OPD*




121,669 3879 125,548


S # BHU OPD BHU OPD

1 MCHC BADIN 3855 DCD MIR MUBARAK @

SIM NALI 180

2 BHU BEHDAMI 3145 GD BAGHLI 249

3 BHU NABI BUX PANJABI 3059 DCD SABOO KHAN CHANG 300

90

4 BHU SAEEDPUR 2971 ED ALLAH BACHAYO 318

5 BHU GULAM SHAH MORI 2717 DCD TALIB BHUCHO 330




1 Acute Respirity Infection 37,881

2 Diarrhea / Dysentery 7,684

3 Suspected Malaria 8,799

4 Scabies 3,935

5 POU 3,266








25. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health)


S # Tests Number



1 Ari 55

2 Fever 45

3 Scabies 13

4 Diarrhea 5

5 Dysentery 0

91


3 Hemoglobin 186


5 Ultra Sound 300

6 Others (please specify) Malaria 55






Follow up result

0

0 0 0 0


Receiving Treatment


Under Diagnosis

0 0 0

9. Referrals

S. No Totals Cases Referred To


2 100 0 20 80 20 50 30


S. No Totals Cases Referred from


2 0 0 0 0 0 0 0



DSM ADSM Executive

Monitoring Other Staff Total

48 0 122 345 517

92


1. Medicines available for: 9.05 weeks

13. Important Issues raised relating to Medicines, etc. during MRM/ Submission date of Medicine Requisition Form from 21st to 20th of every month


The status of running R & R schemes was reviewed thoroughly during the MRM and doctors were advised to fill

the gaps. Moreover, the new 12 schemes of BHUs and GDs were thoroughly discussed. MOs were motivated to

get to work in full throttle and complete the work well before the commencement of Third Party Evalution.

S # Name of

HFs

Description of Repair / Maintenance incl. Electrification

Status / Remarks

1 GD Seerani Tiles, CC Toping, Plaster, Plinth protection, Colour, Electricity

100% Completed Estimate Sent for Revise

2 BHU Haji Mohammad Boohar

Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Colour,

l i i

100% Completed Estimate Sent for Revise

3 BHU Abdullah Shah Tiles, Girder T.R, Plaster, Roof Topping, Plinth protection, Color,

l i i

100 % Completed

4 BHU Dadah Tiles, Girder T.R, Plaster, CC Toping, Roof Topping, Plinth protection, C l El i i Gi d TR Pli h

100% Completed

5 BHU Ahmed Rajo Tiles, CC Toping, Plaster, Roof Topping Color, Plinth Protection

100% Completed

6 BHU Mataro Mandhro

Tiles, CC Toping, Plaster, Roof Topping, Color, Electricity , Plinth

100 % Completed

7 GD Beero Lanjwani Tiles, CC Toping, Plaster, Color, Roof Topping,

100 % Completed for Revise

8 BHU Artilary Chak Tiles, CC Toping, Plaster, Roof Topping, Electricity , Plinth

l l l

100 % Completed

9 BHU Khalifo Qasim Tiles, Girder T.iron, Plaster, CC Toping, Color, Electricity, Plinth

l

100 % Completed

10 BHU Ali Mohammad Maheri

Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection

100 % Completed

11 BHU Rahooki Tiles, CC Toping, Plaster, Color, Roof Topping, Plinth Protection

100 % Completed Sent for Revise

12 BHU Saeed Pur Tiles, CC Toping, Plaster, Color, Roof Topping, Electricity , Plinth

f

Completed

93





Staff Matters:

Basic issues of HFs & Doctors

• Follow-up of TB referral cases

• OPD ratio and per patient cast

• Discussed on FMO Performance including Vaccination, Antenatal, Natal, Post Natal Pregnancy and family

Planning

• HIMS Monthly Report

• Self analyses of HFs by MOs & FMOs

• Ownership

• Discipline in PPHI

Preventive Health:

Regarding school health session and community health session mostly topic for preventive measures

including Scabies, Malaria, Diarrhea and Hygiene etc were discussed.

Curative Health:

Issues relating to Mother, Child & Reproductive Health:

More focus on Mother- Child health care. Effort is to be made for institutional birth instead of deliveries at home. More MCHCs center will be opened soon.

Other Matters:

Date /Time for Next MRM: 08-03-2013, Time 10: 00 am


Targets vs Achievements: MOs

94

Monitoring Mechanism

HMIS Reports

Health Sessions

Punctuality

Doctors have become punctual and are attending their HFs in time, despite the fact that they facing numerous

hardships in the difficult-to-access HFs of District Badin.

R & R

Targets vs Achievements: FMOs

Ante-natal care

During the month target achieved 1849 cases of antenatal and natal and advised to increase the cases.

Family Planning Service

FMO’s have improved on the count of Family Planning clientele.

Health Sessions

All FMOs and MOs were advised to perform as per their job description and conduct as many health

education/awareness sessions as possible. A total of 166 Health Session’s were conducted majority of FMO’s have

done well.

Punctuality

FMOs have become punctual and are attending their HFs in time, despite the fact that they facing numerous

hardships in the difficult-to-access HFs of District Badin.

Capacity Building of LHVs

Things are improving consistently in Badin. Hopefully, we will be achieving the targets set by PSU in near future

Inshallah.

95

MINUTES OF THE 64th MONTHLY REVIEW MEETING

OF DISTRICT THARPARKAR @ MITHI

Monthly Review Meeting (MRM) of District, Tharparkar for the Month of January, 2013 was held on February 7th, 2013 at Karoonjhar Hall Mithi. Written invitations to participate were sent to Deputy Commissioner Tharparkar, The DHO (H), District Population welfare officer and District Incharge of EPI, Secondary Care Doctors, M/S of THQs, Surveillance officer, WHO Team and all other National Programs as usual. The list of participants given below:


S # Names Designation 1 Raiz Ahmed Jakhrani District Support Manager Tharparkar at Mithi

2 Dr Irshad Ahmed DO MNCH WHO Tharparkar

3 Mr Majid Sarki Asstt: Director Bait-ul-Mall Tharparkar at Mithi

4 Mr Mukesh Raja Operational Manager Sukar Foundation Mithi

5 Mohammad Arif Abbasi Executive Officer (M&E)

6 Dr. Jeewat Rai Medical Officer H.Q

7 Dr. Serwan Kumar Medical Officer H.Q 8 Dr. Aneel Kumar Paeds. Consultant DHQ Hospital Mithi

9 Dr. Misri Bajeer Medical Officer

10 Dr. Ishtiaq Shah Medical Officer 11 Dr. Adu Mal Medical Officer

12 Dr. Pirbhu Lal Medical Officer

13 Dr. Lajpat Rai Medical Officer

14 Dr Bheru Lal Suthar Medical Officer 15 Dr. Shahdev Medical Officer 16 Dr. Chetan Medical Officer 17 Dr. Harish Kumar Medical Officer 18 Dr. Kamlesh Kumar Medical Officer 19 Dr. Dileep Kumar Sonaro Medical Officer 20 Dr. Lachman Medical Officer 21 Dr. Moolchand Medical Officer

22 Dr. Nand Lal Medical Officer

23 Dr. Mahesh Kumar Medical Officer

24 Dr. Dechand Medical Officer

25 Dr. Parkash Medical Officer 26 Dr. Ashok (BHU Wakrio) Medical Officer

27 Dr. Bheru Lal Medical Officer

28 Dr. Mukesh Kumar Medical Officer 29 Dr. Suneel Medical Officer 30 Dr. Vijay Kumar Medical Officer

31 Dr. Santosh Medical Officer 32 Dr. Ashok Kumar (Wahori) Medical Officer 33 Dr. Vikram Kumar Medical Officer 34 Dr. Gotam Medical Officer

35 Dr. Saleem Rahimoon Medical Officer

96

36 Dr. Shagufta Shah Female Medical Officer

37 Dr. Lata kumara Female Medical Officer 38 Dr. Asma Karam Baloch Female Medical Officer

39 Dr. Janta Kumari

Female Medical Officer

40 Dr. Jai Mala Female Medical Officer

41 Mrs Najma LHV

42 Mrs.Rehana LHV

43 Mr. Dhenoo Mal HT

44 Mr. Saindad Samejo HT 45 Mr. Chandar HT 46 Mr. Partab Rai HT 47 Mr. Arjun HT 48 Mr. Ameer Bux HT 49 Mr. Mohammad Hashim HT

50 Mr. Mohammad Mohisin HT

51 Mr. Moroo Mal HT

52 Mr. Pirbhu Lal MT

53 Mr. Somji HT

54 Mr. Rai Khangaar HT

55 Mr. Aijaz Ali HT

56 Mr. Jhando HT

57 Mr. Mohin HT

58 Mr. Bheesham HT

59 Mr. Mohammad Rahim HT

60 Mr. Shahab-u-ddin HT

61 Mr. Sardar Singh HT

62 Mr. Ab: Hadi HT

63 Mr. Abdul Qadir Social Organizer

64 Mr. Muqeem Ahmed Social Organizer

65 Mr. Javed Ahmed Social Organizer

66 Mr. Imdad Social Organizer

67 Mr. Tayab Jhanjhi Store Manager

68 Mr. Muneesh Asstt:

69 Mr. Chaman Lal Asstt:

70 Mr. Qurban Medicine Handler

71 Mr. Pandhi Driver

72 Mr. Qeemat Rai Attendant

73 Mr. Nathu Attendant

74 Mr. Barkat Attendant

75 Mr Allah Rakhio Asstt: Admin

76 Mr Zulifiqar Ali Driver

77 Mr. Subhan Ali Attendant

78 Mr Haji Attendant

79 Mr Noor Mohammed Malhi

80 Mr Chandan Singh HT

97

The following could not attend the meeting for the reasons stated against each:

S # Names Designation Place of Posting Reason 1 Dr Sarwan Kumar Sr MO I/C BHU Chelhar Absent 2 Dr Dileep Kumar MO GD Goongio Absent 3 Dr Madan Lal Sr MO I/C BHU Kantio Leave 4 Dr Bheem Raj Dental Surgeon THQ Chachro Leave 5 Dr. Meena Kumari FMO Cluster Leave 6 Mr Chandar HT Mithrio Suthar Absent

A. HFs WITH PPHI

BHUs: 31 Dispensaries: 18 MCHCs: Others: TOTAL: 49

B. Population of the Catchments Area: 376,460/=

C. Staff Strength Staff Sanct: Posts (Govt) Working Govt: Employees PPHI

Contract Vacant Sanctioned (Govt )

Remarks

Mos 52 32 07 25 20

FMOs 0 06 0 06 0

WMOs 0 0 0 0 0

MTs/MAs Male

0 0 0 0 -

Female 0 0 0 0 0

LHVs 47 3

1 2 44

Dispensers:

55

14 7 7 0

HTs: 39

18 21 02

D. Clusters:

CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO











98

E. CAPACITY BUILDING:

1. Dr Mukesh Kumar (I/C MO BHU Chhachhi Moora) conducted Session on Gastroenteritis. 2. Dr Lata Kumari (FMO Cluster) conducted Session on Urinary Poly Cystic Ovarian Syndrome. 3. Dr Jeewat Rai (MO HQ) conducted session on DHIS, oriented on different DHIS Tools and reporting

formats.

Capacity Building of LHVs / Dispensers during month under Review:


Date

Venue Topic

No. of Participants

F. REVIEW OF THE PERFORMANCE: Executive Officer (M&E) Mr. Arif Abbasi Presented DSU Progress for the Month of January 2013.



1.Vaccination / Immunization

2. National Immunization Days (NIDs) for Polio:


Note: According to 3rd Party Evaluation percentage of coverage 98%. 3. Other Preventive/Promotional Services:

S # Service Number 1 Passive Case Detection (PCD) Slides (NEGATIVE) 2116 2 Active Case Detection (ACD) Slides (FALCIPARIUM) 22 3 Active Case Detection (ACD) Slides (VIVAX) 57




Children < 12 months received 3rd Pentavalent vaccine 1774

Children < 12 months received 1st Measles Vaccine 2794

Children < 12 fully immunized 1375

Pregnant women received TT-2 Vaccine 763

99

4 Active Case Detection (ACD) Slides (MIXED) 0 5 Visits to Check Sanitation (individual households + streets) 0 6 Notices issued against Poor Sanitation 0 7 Challans sent to Court against Poor Sanitation 0 8 Patients Nebulized 0

MOTHER, CHILD & REPRODUCTIVE HEALTH:

(During the month under Review)

I. Female Health:


3. Lab/ Diagnostic Tests (by MO & FMOs)

S.# Name of FMO ANC cases Natal Post

Other OPD Total OPD

1 Dr. Meena 69 01 22 1330 1422

2 Dr. Asma 45 09 26 800 880

3 Dr. Lata 45 03 17 777 842

4 Dr. Janta 51 01 09 676 737

5 Dr. Shagufta 06 03 12 570 591

6 Dr. Jaimala 84 02 07 313 406

300 19 93 4466 4878

S # Service Number


2 Deliveries Assisted at homes 27

Total Deliveries 53

S # Test Number





5 Others 27

100

5. Important Discussion on Mother and Child and Reproductive Health during MRM The FMO were directed to keep record of Mother and Child Health in the facilities, improve the family planning Program by giving medicine and aware about family planning methods.

6. Provision of Family Planning Services during the Month:



2 Oral Pills 140

3 IUCDs 0

4 Injections 77

5 Others 75

Total 731

III) COMMUNITY PARTICIPATION:


1. Number of Male CSGs: - 49- Number of female CSGs: 4

2. Performance of M&E Section:

Names

Meetings of Support Groups conducted

CHSs /SHSs arranged

No. No. of Participants No. No. of Participants

Mohammad Arif

Ex: Officer (M&E) 8

135 2 58

Muqeem Ahmed 5 84 4 132

Abdul Qadir 4 64 5 148

Total 17 283 11 338

Important Points during Support Group Meetings:

1. Immunization Coverage. 2. Repair of HFs . 3. Availability of Female doctors.

101

4. School Health Sessions & Community Health Sessions SHSs/CHSs conducted By MOs/FMOs/HTs for the month of January 2013

S# Name

Community Support Group Meetings

Community Health Sessions

School Health Session

Session Participant Session Participant Session Pax Children Examined

Children Treated

1 Dr. Meena NA 2 51 2 86 32 20

2 Dr.Janta NA 2 56 2 42 3 1

3 Dr.Shagufta Shah NA 1 18 0 0 0 0

4 Dr.Asma Karam NA 2 42 2 53 16 5

5 Dr.Lata Kumari NA 2 40 2 89 0 0

6 Dr Jaimala NA 2 44 2 92 15 8

7 Dr.Saleem 1 15 2 78 2 54 28 13

8 Dr.Dechand 1 9 2 47 2 86 23 13

9 Dr. Ashok Kumar WAHORI 1 10 2 35 2 20 10 0

10 Dr.Dileep Sonaro 0 0 2 33 2 338 30 11

11 Dr.Dileep Kumar 1 7 2 31 2 31 29 3

12 Dr . Parkash 1 4 4 93 0 0 0 0

13 Dr.Gotam 1 15 2 50 2 89 22 6

14 Dr.Amanullah 1 16 2 31 2 91 37 0

15 Dr.Adu Mal 1 14 2 42 2 90 46 9

16 Dr.Mahesh Kumar 1 12 2 36 2 29 0 0

17 Dr.Bheroo Lal 2 18 4 66 4 159 0 0

18 Dr. Madan Lal 1 6 2 52 2 43 12 5

19 Dr.Lachman 0 0 2 30 2 68 30 20

20 Dr. Lajpat Rai 1 16 2 45 2 274 18 7

21 Dr.Vijay Kumar 1 20 2 24 2 84 10 0

22 Dr.Nand lal 1 10 2 56 2 143 0 0

23 Dr.Santosh Kumar 1 12 2 35 2 70 0 0

24 Dr.Bheru Suthar 1 10 2 79 2 106 0 0

25 Dr.Sarwan Kumar Chelhar 1 13 3 52 1 36 0 0

26 Dr. Kamlesh/Dr. Farhan 0 0 0 0 1 48 0 0

27 Dr.Molchand 1 8 2 23 2 209 0 0

28 Dr.Ishtiaque Shah 0 0 0 0 0 0 0 0

29 Dr.Pirbhu Lal 1 17 2 64 2 61 49 19

30 Dr.Misri 1 38 2 56 2 158 9 9

31 Dr.Mukesh Kumar 1 7 2 20 2 30 12 3

32 Dr.Suneel Kumar 1 10 2 45 2 39 3 0

33 Dr Ashok(Wakrio) 1 8 2 46 2 172 0 0

34 Dr Vikram 1 4 2 22 2 38 0 0

35 Dr Sundeep Kumar 1 6 2 57 2 59 0 0

102

36 Dr Shahdev 1 12 2 47 2 40 5 4

37 LHV Rehana 0 0 0 0 2 54 48 6

38 LHV Neelam 0 0 1 16 1 20 6 0

39 HT Chander 0 0 2 46 1 33 14 5

40 HT Abdul Aziz 1 20 2 72 2 63 12 6

41 HT Hashim 1 32 2 43 2 79 18 14

42 HT Mohsin 0 0 2 59 2 89 10 10

43 HT Muhammad Raheem 0 0 0 0 0 0 0 0

44 HT Bheesham Kumar 0 0 2 35 2 221 0 0

45 HT Pirbhu Lal 1 8 2 39 2 32 21 5

46 HT Amir Bux 1 11 3 64 1 20 5 2

47 HT Dhino 1 9 2 18 2 189 12 0

48 HT Mooro Mal 1 10 2 58 2 127 0 0

49 HT Abdul Hadi 0 0 0 0 0 0 0 0

50 HT Shahbdin 1 10 2 60 2 52 0 0

51 HT Aijaz 1 12 2 27 2 72 23 15

52 HT Saindad Samejo 1 10 2 15 2 152 0 0

53 HT Rai Khanghar 1 14 2 28 1 31 0 0

54 HT Bhoopal Singh/HT Chandan Singh 1 16 2 66 2 62 15 4

55 HT SardarSingh 1 16 2 113 2 89 10 7

56 HT Arjun 2 27 0 0 2 45 0 0

57 HT Partab Rai 1 7 2 68 2 70 64 49

Grand Total 42 519 106 2373 100 4527 697 279

4. Important Points during Health Sessions: 1. Importance of Immunization

5. Topics for CHS for the Month S # Topics

1 IMMUNIZATION

2 Measles

3 Diarrhea

6. Important Discussion on Community Participation during MRM:

Honorable DSM directed to all I/C MOs that regularly conduct the CSG meetings and get support of CSG in different RHF level activities & be alert for the Measles outbreak etc.

10. Free Tubal Ligation Camp was organized at BHU Dano Dhandhal on 26th December 2012 with collaboration of MARIE STOPE (Bihater Zindgi Center ) Mithi.

Number of Clients for Tubal Ligation: - 49

103

11. Measures for Improvement / provision of Services by other Department / Agencies

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW:

1. OPD*



Total OPD during the month (New + Old

47746 1667 49413

2. Top Five Diseases Treated during School Health Sessions/Camps:

*All HFs — BHUs and others.**Reflects OPD at BHUs only — not at other HFs.

4. Top Five Diseases during OPD: S # Disease No. of Patients

1 UARI 21366

2 SUSPECTED MALARIA 3436

3 PEPTIC ULCER DISEASE 1762

4 DIARRHEA < 5 Years 1625

5 PNEUMONIA < 5 Years 1361

S. No Description Recommendation To whom sent Present status

I Sanitation - - -

II Drainage / sewerage - - -

III Drinking water - - -

IV Prevention of


VI Roads and infrastructure - - -

VII Environmental

- - -

VIII Others - - -

S # Diseases No. of Patients 1 ARI 121

2 Fever 51

3 Ear/Eye Problems 36 4 Cough 6

5 Scabies 3

Total 217

104

5. ARV / ASV used during the month:

Detail No. of Patients



ARV Available Doses (DSU) 205



ASV Vaccine Avalable Doses(DSU) 98

Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother Child & Reproductive Health. 3. (Lab / Diagnostic Tests)

S # Tests Number 1 Blood Sugar Tests 219

2 Hemoglobin 429 3 X-Rays (if available)

0 4 Ultra Sound 310 5 Others 27

Total 785

B & C SCREENING TESTS:

Screening No. of Tests

No. of cases found

No. of cases

Total referred

Follow

Hepatitis B

0 0 0 0

Hepatitis C

0 0 0 0

8. TUBERCLOSIS

Patients Receiving Treatment New Cases During the

Under Diagnosis

06 00 01

9. Referrals

S.No

Totals

Cases Referred To

TB DOT Deliveries Others RHCs THQs DHQ

1 24 3 0 21 1 18 5


S.No

Totals

Cases Referred from


105

1 14 14 0 0 0 0 14



DSM Executive officer (M&E)

Other Staff Total

29 25 113 167



1 BHU M.Gechu Electricity, approach road, main gate, and boundary wall destroy due to heavy rain

Contact to Line Deptt: by Admin & resolve electricity problem, Assign to Regional Engineer for

2 BHU Mithrio Bhatti Roof Repair Regional Engineer verified and preparing Technical Sanction, after approval work will be start.


1. Medicines available for: 45 Weeks 2. Important Issues raised relating to Medicines etc. during MRM: Honorable DSM directed to all I/C and FMOs that Tab. Velosef, and Tab Fefolvit will only be prescribed by FMOs. Also directed to all I/Cs that medicine requisition should be verified (physically stock and consumption of HFs) then signed and send to DSU.



Status / Remarks

1 BHU Virawah Work Completed

MB is completed

2 BHU Dano Dhandhal Work Completed

MB is completed

3

Work Completed

MB is completed 4

Work Completed

MB is completed

5 BHU Kantio Work Completed MB is completed

6 BHU Wahori Work Completed

MB is completed

7 BHU Mubarak Rind Work Completed

MB is completed

8 BHU Verijhap Work Completed

MB is completed

9 BHU Pabhuar Work Completed

MB is completed

10 BHU KG Shah Work Completed

MB is completed

11 BHU Warkio Work Completed

MB is completed

12 BHU Chanida Work Completed

MB Sent to PSU

13 BHU Kolhi Ji Veri Work Completed

MB is completed

14 BHU Kaloi Work Completed

MB is completed

106

15 BHU Hirar Deda Work Completed

MB Sent to PSU

16 BHU Jadam Jhanjhi

MB is completed

17 GD Kehri Work Completed

MB is completed

18 GD Jado Joyo Work Completed MB is completed

19 GD Jogi Mari Work Completed MB is complete

20 GD Bhagisal Work Completed MB is completed

21 GD Peelu Work Completed MB is completed

22 GD Dalan Jo Tar Work Completed MB is completed

23 BHU Amrio Work Completed MB is completed

24 BHU Bhakuo Work Completed MB is completed

25 BHU Doonjh Work Completed MB is completed

26 BHU M.Bhatti Work Completed MB Sent to PSU

27 BHU Arokhi Work Completed MB is completed

28 BHU Kankio Work Completed MB Sent to PSU

29 BHU Khetlari Work Completed MB Sent to PSU

30 BHU Choopni Work Completed MB Sent to PSU

31 BHU Kot Arbab Work Completed 100% work done

32 BHU Khario Fazal Work Completed 100% work done



• To reflect only non-PPHI Visitor:

J- DISCUSSION DURING MRM:

On Staff Matters:

1. The Government Employees were directed to inform the DSM before performing any assignment by EDO Health Office. 2. All In charges of Health Facilities must be inform to the DSU PPHI before giving joining to any newly appointed staff & directed to all no employee will relieve without permission of District Support Manager.

3. All In charges should be submitted their Monthly Progress Reports and Medicine requisition before third of the month.

4. All staff under the administration of PPHI district Mithi should be professional, be punctual and bring improvement in Primary Healthcare Services and improve their ownership.

5. DSM has strictly directed to all staff that should be avoid to protocol any visitor, if any one will visit then you must be busy their activity.

107


1. The Honorable DSM Riaz Ahmed Jakhrani directed to all Incharges that don’t share progress or data to any N.G.O or other organization, regarding their respective health facilities and performance without permission of DSM.

2. Chaired directed all Incharge that must be focus on Immunization, National Program, if any vaccinator or LHW doesn’t submit progress , should be inform DSU in writing.

3. DSM Sb appreciated the progress and directed all MOs, FMOs and I/C HTs to improve their progress especially in Antenatal, Natal, Postnatal, Family Planning services.

4. Honorable DSM Mithi directed to all regarding political involvement.

5. Honorable DSM Mithi directed all Medic & Paramedic to sensitize community regarding their (performance/ Health facility progress) achievements.

6. Honorable DSM directed to all Incharge MOs and HTs improve their reportings i.e. DHIS, edews, monthtly reports etc.

7. Honorable DSM directed to all Medic and Paramedic that improve T.B Dot referral mechanism.

8. All Doctors have been directed that to conduct regular Health awareness Sessions in the community and Schools as we can prevent the souls of Thar from different diseases.

9. Directed to all must be capture the emergency cases, Health Sessions, Deliveries etc.

10. During any visit by any PPHI official including DSM or any other organization, they must remain there work, no need of protocol.

11. Directed to all must be sent eDEWS Report every Saturday before 5.00 PM Sharp.

On Curative Health:

The Medical and Paramedical Staff has advised to give three days medicine to the patients. In any center there is shortage of medicine the information should be reached to DSU PPHI at least three days in advance.


Directed to the FMOs for regular Health Sessions, motivation and counseling to Community for the importance of deliveries at BHUs and also appreciated their progress which is satisfactory from previous.

Other Matters: Directed to all participants be punctual, bring discipline and all reports must be reach before 3rd of the every month.

Appreciation Award:

Dr Nandlal (MO I/C BHU Verijhap), Dr Bhemraj (Dental Surgeon), Mr Mohsan (HT I/C GD Chachi Gaju) were nominated for best performer for the month of January 2013 and The Honorable DSM Mithi has given Appreciation Certificate. Also Dr Jeewat Rai (MO HQ) was awarded with AJRAK by Honorable DSM Mithi on securing first position in MCQs Test conducted in last MRM.

108

Date /Time for Next MRM: 07-03-2013 10: 00 AM

Comments on Targets vs. Achievements (DSM):

Honorable DSM directed to all Medic & Paramedic staff that we all are working for the betterment of people, so we should perform our duty honestly with regularly and punctuality and directed to all improve your progress, every Incharge should be call staff meeting and collect, verify the data then fill DHIS carefully before the reporting of DSU office & also directed to all FMO that improve Female Planning Services & Maternal Health Services.

109


OF DISTRICT SANGHAR

Monthly Review Meeting (MRM) of District, Sanghar for the Month of January -2013 held on February 04 , 2013 at DSU office; Sanghar. Written invitations to participates were sent to the District Coordination Officer, the DHO, EDO (F&P), in charge WHO, District Sanghar and District In charge of EPI, LHW and all other National Programs as usual. The list of participants is enclosed.

Attendance sheet

Sr.

Name & Designation Sr.

Name & Designation

1 Mr.Ashique Chandio DSM DSU,Sgr 26 Dr. Iltaf Hussain I/C PPHI, M.O

2 Mr. Abdul Rasool Golo DSM Jacobabad 27 Dr. Gobind Ram I/C PPHI, M.O

3 Mr. Gul Muhamad Bhurgari Ex: F&A Sanghar

4 Mr.Mushtaque Ali Executive (M&E), DSU-Sgr 28 Dr. Dilshad Ali Khan I/C PPHI, M.O

5 Mr. Ghulam Muhammad Shaikh Executive (M&E), DSU-Sgr 29 Dr. Ghulam Rasool I/C M.O

6 Dr. Javeed WHO 30 Dr. Shafique Raheman I/C PPHI, M.O

7 Dr.Deedar Hassan M.O (HQ) 31 Dr. Syed Turab Ali Shah I/C PPHI, M.O

8 Dr. Abdul Hameed I/C PPHI, M.O 32 Dr. Muhamad Haroon I/C PPHI, M.O

9 Dr. Irfan I/C PPHI, M.O 33 Dr. Qamar Hussain I/C PPHI, M.O

10 Dr. Ghulam Sarwar I/C PPHI, M.O 34 Dr. Bhagwan Das I/C PPHI, M.O

11 Dr. Abdul Jabar I/C PPHI, M.O 35 Dr. Mola Bux I/C PPHI, M.O

12 Dr. Bashir Ahmed I/C PPHI, M.O 36 Dr. Muhamad Farooque I/C PPHI, M.O

13 Dr. Pitamber Das I/C PPHI, M.O 37 Dr. Jeewan Ram I/C PPHI, M.O

14 Dr. Shaman Das I/C PPHI, M.O 38 Dr. Kishwar Das I/C PPHI, M.O

15 Dr. Manzoor Ahmed I/C PPHI, M.O 39 Dr. Faiz Muhamad I/C , M.O

16 Dr. Ghulam Abas I/C PPHI, M.O 40 Dr. Muhamad Aslam I/C PPHI, M.O

17 Dr. Haque Nawaz I/C PPHI, M.O 41 Dr. Anwar Adil I/C , M.O

18 Dr. Mahesh Kumar I/C M.O 42 Dr. Aijaz Baig I/C PPHI, M.O

19 Dr. Talib Hussain I/C PPHI, M.O 43 Dr. Nand Lal I/C PPHI, M.O

20 Dr. Mahesh Kumar I/C PPHIM.O 44 Dr. Aftab Ali I/C PPHI, M.O

21 Dr. Ghulam Mustfa I/C PPHI, M.O 45 Dr. Kirpal Das I/C PPHI, M.O

22 Dr. Mohan I/C PPHI, M.O 46 Dr. Muzfar Hussain I/C PPHI, M.O

23 Dr. Arjan Kumar I/C , M.O 47 Dr. Taj Muhamad I/C PPHI, M.O

24 Dr. Muhamad Aslam I/C PPHI, M.O 48 Dr. Rafique Ahmed I/C , M.O

25 Dr. Shahid Hussain I/C PPHI, M.O 49 Dr. Israr Ahmed I/C , M.O

50 Dr. Muhamad Yousif I/C .M.O 79 Dr. Syed Tarique Ali I/C , M.O

51 Dr. Persram I/C PPHI, M.O 80 Hameeda Zardari F.M.O

52 Dr. Jai Ram I/C PPHI, M.O 81 Jai Shiree F.M.O

110

53 Dr. Rasool Bux I/C M.O 82 Qamar-un-Nisa Shumaila F.M.O

54 Dr. Muhamad Zakir I/C PPHI, M.O 83 Zohra F.M.O

55 Dr. Muhamad Saeed I/C PPHI, M.O 84 Sadaf Choudry F.M.O

56 Dr. Babar Hussain I/C PPHI, M.O 85 Amna Hayat F.M.O

57 Dr. S. Atta ul Mustfa I/C PPHI, M.O 86 Shamim Begam F.M.O

58 Dr. Syed Tarique Ali I/C , M.O 87 Zulikha Pari F.M.O

59 Dr. Hathi Sing I/C PPHI, M.O 88 Amna Fatima F.M.O

60 Dr. Bashir Ahmed I/C , M.O 89 Rukhsana Babar F.M.O

61 Dr. Naeed Ashraf I/C PPHI, M.O 90 Fozia Soomro F.M.O

62 Dr. Jai Ram I/C PPHI, M.O 91 Rizwana Khokhar F.M.O

63 Dr. Santosh Kumar I/C PPHI, M.O 92 Satti Jeevat F.M.O

64 Dr. Abdul Hameed I/C PPHI, M.O 93 Rizwana Shaheen F.M.O

65 Ruqia Chandio F.M.O 94 Qurat-ul- Ein Suhail F.M.O

66 Farzana Ishtiaque F.M.O 95 Mr. Imtiaz Ali Store Manager

67 Samina Bhatti F.M.O 96 Mr. Sultan Ali Social Organizer

68 Asma F.M.O 97 Mr. Abdul Ghaffar Social Organizer

69 Hira Naz F.M.O 98 Mr. Muhammad Faisal Social Organizer

70 Nusrat Dilshad F.M.O 99 Mr. Shahid Social Organizer

71 Shumaila Naz F.M.O 100 Mr. Shabeer Ahmed Asst. Admin

72 Mehreen F.M.O 101 Mr. Asif Ali Arain ASM

73 Wajiha Anwar F.M.O 102 Mr. Muhammad Essa Med. Handler

74 Tasleem Aziz F.M.O 103 Mr. Muhammad Asif Attendant

75 Rizwana Chanar F.M.O 104 Mr. Qaim Ali Attendant

76 Nusrat Rani F.M.O 105 Mr. Abdul Rasheed Med. Handler

77 Asma Jabeen F.M.O

78 Rahima Memeon F.M.O


Name & Designation

Absent

Dr. Amil Khan I/C M.O

Dr. Irfan Ali I/C M.O

Dr. Israr Ahmed I/C M.O

Dr. Shah Saud I/C M.O

Dr. Aftab Ahmed I/C MO

Dr. Ali Bahar Rind I/C MO

111

A. HFs WITH PPHI

BHUs: 58 Dispensaries: 31 MCHCs: (4 functioning in BHU) others: 01

TOTAL: 90


C. STAFF STRENGTH

Sanctioned Posts


PPHI Contract

Vacant

(S

MOs 136 82 23 59 54

W/FMOs 49 33 2 31 -

LHVs 144 64 12 52 67

MTs/MAs

Male 104 32 32 0 72

Female 0 07 07 0 -07

Dispensers 126 89 24 41 61

D. E. CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO

Previous Month Month under Review Total at Present

Clusters of 6 HFs - Clusters of 6 HFs -






Month under Review





Single HFs 08

Single HFs 02

112



Following persons addressed in MRM.

Capacity Building of LHVs / Dispensers during Month under Review


Date Venue Topic

No. of Participants





No. of Doses of Immunization Administered in Children at Health Facilities. 8691

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.

1072


Total vaccination / immunization for the month JULY 2012.

9763


S # Service Number

1 Passive Case Detection (PCD) Slides 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual households + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized 1365



113

1. Female Health


Neo-Natal

Other OPD Total OPD

1 Ruqia Chandio 58 5 138 1371

2 Farzana Ishtiaque 56 3 42 718

3 Samina Bhatti 46 0 73 539

4 Shazia Shareef 130 0 222 681

5 Asma 56 0 248 802

6 Hira Naz 73 0 168 835

7 Nusrat Dilshad 26 0 458 1949

8 Shumaila Naz 71 0 180 533

9 Mehreen 36 0 157 802

10 Wajiha Anwar 121 0 134 890

11 Tasleem Aziz 154 4 280 1581

12 Rizwana Chanar 148 0 160 1156

13 Nusrat Rani 23 0 131 982

14 Asma Jabeen 12 0 250 660

15 Hameeda Zardari 27 1 73 1343

16 Jai Shiree 60 0 118 596

17 Qamar-un-Nisa Shumaila 100 2 150 1217

18 Zohra 198 0 59 617

19 Sadaf Choudry 47 0 67 1030

20 Amna Hayat 68 0 109 890

21 Shamim Begam 102 0 170 805

22 Zulikha Pari 48 0 62 639

23 Amna Fatima 41 0 0 681

24 Rukhsana Babar 48 0 81 958

25 Fozia Soomro 138 0 0 906

26 Rizwana Khokhar 115 22 494 2088

27 Satti Jeevat 25 0 19 1279

28 Rizwana Shaheen 36 0 170 711

29 Qurat-ul- Ein Suhail 31 0 145 497

30 Rahima Memeon 74 6 165 1320

Total 2120 43 4461 28437

Deliveries Assisted

S # Service Number 1 Deliveries Assisted at HFs 208 2 Deliveries Assisted at homes 366

114


Test Number





5 Other (Malaria/HBs/HCv) 603

7. Important Discussion on Measles during MRM




2 Oral Pills 318

3 IUCDs 35

4 Injections 68

5 Condom 76

Total 932

1. Number of Male SGs: --------------87 Number of Female SGs: -------------01


Names of Social Organizers Meetings of Support Groups conducted by him

CHSs / SHSs arranged by him



Mr. Sultan Ali 02 123 8 258

Mr. Abdul Ghaffar 02 72 5 165

Mr. Faisal 02 66 4 122

Mr. Nadeem So H/Q

Mr. Shahid 05 186 9 281

Total 11 447 26 826

115

116


S # Name of Medical Officer Community Health Sessions Male Female

1 Dr. Rukhsana Babar 2 0 8

2 Dr. Shamim 1 9 25

3 Dr. Aslam 2 25 31

4 Dr. Tasleem Aziz 1 10 30

5 Dr. Asma Malik 1 5 11

6 Dr. Amna Hayat 2 8 41

7 Dr. Samina Bhatti 1 5 4

8 Dr. Shazia Shareef 2 2 37

9 Dr. Asma Jabeen 1 4 12

10 Dr. Zohara 2 05 42

11 Dr. Shumaila Naz 1 0 8

12 Dr. Zulekha Pari 2 7 16

13 Dr. Mehreen 1 2 13

14 Dr. Satti Jeevat 2 10 21

15 Dr. Sadaf 1 0 18

16 Dr. Hira 1 0 14

17 Dr. Fozia Soomro 1 12 8

18 Dr. Rizwana Khokhar 2 20 4

19 Dr. Wajiha Anwar 2 56 8

20 Dr. Amna Fatima 1 13 5

21 Dr. Nusrat Jameel 2 56 0

22 Dr. Jay Shiri 1 20 3

23 Dr. Rizwana Channar 1 26 12

24 Dr. Hameeda 2 58 0

25 Dr. Qurat ul ain Suhail 1 24 2

26 Dr. Rizwana Shaheen 1 30 4

27 Dr. Nusrat Rani 1 11 0

28 Dr. Qamrunissa Shumaila 1 12 0

29 Dr. Farzana Parveen 2 72 6

30 Dr. Rukia Chandio 1 31 8

31 Dr. Mohammad Yousif 2 46 15

32 Dr. Taj Muhammad 1 25 0

33 Dr. Ramzan Wassan 1 10 30

34 Dr. Waheed 1 5 11

35 Dr. Bahsir Ahmed 1 25 0

117

36 Dr. Ramzan Wassan 1 10 30

37 Dr. Rukhsana Babar 1 5 11

38 Dr. Abdul Qadir 1 5 28

39 Dr. Aslam 4 12 67

40 Dr. Manzoor Ahmed 2 18 16

41 Dr. Fiaz Muhammad 1 10 13

42 Dr. Moula Bux 2 22 58

43 Dr. mehdi hassan 2 10 39

44 Dr. Muhammad Sharif 2 21 63

45 Dr. Ali Bahar 2 8 41

46 Dr. Muzafar 1 1 0

47 Dr. Muhammad Aslam 1 5 28

48 Dr. Aftab Ali Ghrwan 4 12 67

49 Dr. Zohara 2 18 16

50 Dr. Ghulam Sarwar 1 10 13

51 Dr. Dilshad 2 22 58

52 Dr. Anwar Adil 2 10 39

53 Dr. Turab Ali Shah 2 21 63

54 Dr. Rafique Ahmed 2 10 13

55 Dr. Abdul Waheed 1 20 2

56 Dr. Iltaf Hussain 2 39 6

57 Dr. Huq Nawaz Jatoi 2 10 13

58 Dr. Gobindram 1 20 8

59 Dr. Muhammad Zakir 1 25 0

60 Dr. Mahesh Kumar 1 10 30

61 Dr. Ghulam Hyder 1 5 11

62 Dr. Mahesh Kumar 1 18 6

63 Dr. Mustafa 1 31 8

64 Dr. Arjun 1 39 12

65 Dr. Pitambar 1 10 7

66 Dr. Shamandas 2 22 16

67 Dr. Nanad Lal 1 16 9

68 Dr. Santosh Kumar 1 25 0

69 Dr. Shahid Hussian 1 10 30

70 Dr. Muhammad Haroon 1 5 11

71 Dr. Sayed Tariq 2 42 0

72 Dr. Aijaz Beg 1 10 12

118

73 Dr. JayRam 1 10 7

74 Dr. Abdul Jabar 1 22 16

75 Dr. Babar 1 16 9

76 Dr. Hameeda 2 20 2

77 Dr. Aftab 2 39 6

78 Dr. Ghulam Mustafa 1 10 13

79 Dr. Muhammad Yaqoob 1 20 8

80 Dr. Rasool Bux 1 10 7

81 Dr. Naeem Ashraf 2 10 7

83 Dr. Bhagwandas 1 22 16

84 Dr. Shafiqurehman 2 16 9

85 Dr. Farzana Parveen 1 18 0

86 Dr. Muhammad Farooq 2 10 12

87 Dr. Ghulam Rasool 1 10 7

88 Dr. Kishwar 2 22 16

89 Dr. Rafique Ahmed 1 16 9

90 Dr. Kirpal 1 20 2

91 Dr. Jayram Dass 2 22 16

Total 138 1472 1201


Various important points have been discussed in different community support groups meetings

conducted by DSM, M&E and SOs.


Schools closed due to summer vacations


Measles

1. Malaria and Dengi due to rainy seasons 2. Counseling on Family Planning among families. 3. Advantages of neat and cleanliness. 4. Preventive aspects of Hepatitis B&C, Malaria 5. Health and Hygiene

119


Sr. No. Summer vacation Topics



The DSM emphasized that all the MOs and FMOs should motivate community of the local area of the health facility and do counseling with them so that they should be active participants in the health facility activities for the betterment and welfare of the health facility and local people of the health facility as well.

In addition to above DSM stressed that U/C M.O in charge to Officers in conducting Health camps in response of Measles outbreak, put their sensiour efforts for 100% coverage of that area

10. Health Camps:



i Sanitation - - -

ii Drainage / sewerage - - -

iii ……… drinking water - - -

iv Prevention of adulteration - - -

v Tree Plantation - - -

vi Roads and infrastructure - - -

vii Environmental Improvement - - -

viii Others - - -

S # Topics

1 Measles

2 Importance of Breast Feeding

3 Identification of T.B Patents

4 Facility of Anti Natal care at heath centers

5 Management of / prevention of Malaria

6 Importance of immunization

120


1. OPD*




143540 4235 147775


S # BHU OPD BHU OPD

1 BHU Rukan Burara 4159 Mohib Jonejo 1087





1 ARI 43560

2 Scabies 12672

3 Dira/Dysn<5yrs 5892

4 Fever other Causes 4423



No. of Patients


ARV Administered (561 doses Intra Dermal)

ARV Available Doses (05Vials)





S # Tests Number


121

2 Hemoglobin 87


4 Ultra Sound 1417

5 Others (Malaria/HBs/HCv/PT) 603





Total referred up to date

Follow up result

Hepatitis B 35 2 -

Hepatitis C 21 5 -

8. TUBERCLOSIS

Patients Receiving Treatment New Cases During the

Under Diagnosis 0

9. Referrals



76 76 10 27 39

At serial number (9), the data required is not mentioned DHIS format.


S. No Totals Cases Referred from


2 125 125 0 0 0 47 78

3

4


122



35 139 245 419







S # Name of HFs Description of Repair / Maintenance incl. Electrification Status / Remarks

1 GD Rawtiani Repair and maintenance of main building including water supply, drainage, electricity, coloring etc.

Completed

2 BHU Tando Mitha Khan ---do--- Completed

3 BHU Rukan Burera ---do--- Completed

4 BHU Chotyarion ---do--- Completed

5 BHU Pritam abad ---do--- Completed

6 BHU Malook Junejo ---do--- Completed

7 BHU Landhi ---do--- Completed

8 BHU Golo Pir ---do--- Completed

9 BHU Moheb Ali Junejo ---do--- Completed

10 DCD Loon Khan ---do--- Completed

11 DCD Bobi Town ---do--- Completed

12 BHU Jia Abad ---do--- Completed

13 BHU Perumal ---do--- Completed

14 BHU Khairo Kaloi ---do--- Completed

15 DCD Ali Muhammad Thaheem ---do--- Completed

16 BHU Bago Wadadani ---do--- Completed

17 BHU Karim Dino Wassan ---do--- Completed

18 BHU M.K Rind ---do--- Completed

19 BHU Yameen Hingoro ---do--- Completed

20 BHU Bilawal Hingoro ---do--- Completed

123

21 BHU Khai ---do--- Completed

22 BHU Gider Aahpan ---do--- Completed

23 BHU Soomar Wassan ---do--- Completed

24 G D Ghundan ---do--- Completed

25 BHU Bassi ---do--- Completed

26 BHU Malook Maher ---do--- Completed

27 BHU Rahimabad ---do--- Completed

28 G.D USAMN NIZAMANI ---do--- Completed

29 G.D Juma Village ---do--- Completed

30 G.D Soomar Faqeer Maher ---do--- Completed

31 G.D Bakir Nizamani ---do--- completed

32 G.D NASSER KHAN JALALANI ---do--- completed

33 BHU MAROOF DAHRI ---do--- Completed

34 BHU MEER HASSAN MARI ---do--- Completed

35 G.D DIN MOHD KAKEPOTO ---do--- Completed

36 G.D DALOOR MORI ---do--- Completed

37 BHU QAZI JUMAN DAHRI ---do--- Completed

38 G.D SACHY DINO WARYAH ---do--- Completed

39 BHU ALI MARDAN JAMALI ---do--- Completed

40 BHU PERO FAQEER SHORO ---do--- Completed

41 BHU MULLAN HURMAT ---do--- Completed

42 BHU JEANDO RIND ---do--- Completed

43 BHU MAHER ALI TALPUR ---do--- Completed

44 BHU LUNDO ---do--- Completed

45 DCD MULLAN MAKHAN ---do--- Completed

46 BHU AWADH ---do--- Completed

47 BHU HAMZO HAMZO DARS ---do--- Completed

48 BHU BHIT BHAITI ---do--- completed

49 BHU DHANI PARTO RAJPAR ---do--- Completed

50 BHU ABDULLAH SANGHRASI ---do--- Completed

51 BHU CHAMANDAS ---do--- Completed

52 BHU Chack 8 ---do--- Completed

53 BHU 30 Jamrao ---do--- Completed

124


On Staff Matters:

1. It was informed to keep a record of referral / inverse referral record.

2. The District Support Manager assured all the participants that; PPHI will provide full support and cooperation in all matters of In-charge of Health facilities.

3. The DSM, PPHI Sanghar once again in this MRM reminded all the in charges of health facilities for their timely submission of DHIS reports, Monthly Medicines Requisition and Weekly eDEWS Report


1. The District Support Manager ensured all the participants that PPHI will extend its full support and cooperation in all vertical Programs related from health.

2. On Curative Health:

1. On Mother, Child & Reproductive Health:

Efforts relating to establishment of more MCH centers will be taken.

Other Matters:

Comments on Targets vs. Achievements (by DSM)

TARGETS

ACHIEVEMENTS

NEGATIVE:

DISTRICT SUPPORT MANAGER

CC to:

• Programme Director, PSU-PPHI-Sindh, Karachi. • Regional Programme Director, RSU-II, PPHI, Mirpurkhas. • All Participants. • Master File.


125


OF DISTRICT UMERKOT

Monthly Review Meeting (MRM) of District, Umerkot for the Month of January, 2013 was held on 7th February, 2013 at Darbar Hall, DC Office, Umerkot. Written invitations to participate were sent to the DC, the DHO, the DO (F&P), D.O Population Welfare Department, District In charge, National Program, EPI, HANDS, TRDP, AWARE, Sami Foundation, Medical officers & Female Medical Officers as usual. The list of participants is as follows:


Sr. Names Designation Sr. Names Designation 1 Zulfiqar Ali Langah DSM PPHI U.K 28 Dr Naresh Kumar MO PPHI 2 Ashique Hussain Chandio DSM PPHI SGR 29 Dr Devi das MO PPHI 3 Dr Javed Bhutto IMNCI, WHO 30 Dr Sibghatullah MO PPHI 4 Dr Madhuri ADHO 31 Dr Parshotam MO PPHI 5 Dr Nisar Sheikh IMNCI 32 Dr Malook Oad MO PPHI 6 Dr Fareed Ahmed Focal Person EPI 33 Dr Ashok Kumar MO PPHI 7 Dr Mahboob Ali Samejo E.O (M &E) 34 Dr Mansoor Ali Shah MO PPHI 8 Rehan Hameed E.O (F & A) 35 Dr Mohan Lal MO PPHI 9 Dr Nand Lal MO Govt 36 Dr Nadir Ali MO PPHI

10 Dr Talib Mangrio MO Govt 37 Dr. Mohan Bhoopani MO PPHI 11 Dr Chetan Malhi MO Govt 38 Dr Jai Parkash MO PPHI 12 Dr Eassar Das MO Govt 39 Dr Ghandi Lal MO PPHI 13 Dr Qazi Samejo MO Govt 40 Dr Bhawani Shanker MO PPHI 14 Dr Jeevraj MO Govt 41 Dr Chetan Kolhi MO PPHI 15 Dr Khushal Das MO Govt 42 Dr M Naeem MO PPHI 16 Dr Ghansham Das MO Govt 43 Dr Teekam Das MO PPHI 17 Dr Shanker Malhi MO PPHI 44 Sher Mohammad MO PPHI 18 Dr Feroz Ali MO PPHI 45 Dr Gunesh Kumar MO PPHI 19 Dr Lalchand MO PPHI 46 Dr Pawan Kumar MO PPHI 20 Dr. Mukesh Kumar MO PPHI 47 Dr Shafaque Akhtar FMO PPHI 21 Dr Gomoon Mal MO PPHI 48 Dr Naheed Akhtar FMO PPHI 20 Dr Chetan Kolhi MO PPHI 49 Dr Devi Jagdesh FMO PPHI 21 Dr Vasdev MO PPHI 50 Dr Tahreem FMO PPHI 20 Dr. Gobind Ram MO PPHI 51 Dr Rana Shah FMO PPHI 21 Dr Nasrullah MO PPHI 52 Dr Hussna Bhatti FMO PPHI 22 Dr Kanji Mal MO PPHI 53 Chetan Dev Store Manager 23 Dr Bahadur Singh MO PPHI 54 Hosh Mohammad Assistant 24 Dr Vijay Kumar MO PPHI 55 Dileep Kumar S.O 25 Dr Santosh Kumar MO PPHI 56 Mohmmad Iqbal S.O 26 Dr Mohammad Yousif MO PPHI 57 Zulfiqar Ali Asst: 27 Dr Dalpat Rai MO PPHI 58 Abdul Rehaman S.O

126



1

H. HFs WITH PPHI BHUs: 30 Dispensaries: 11 MCHCs: 01 Others: 0

TOTAL: 42


Q. STAFF STRENGTH Sanctioned

Working Government

PPHI

Vacant

MOs 43 40 08 32 35 WMO 0 0 0

FMOs 01 06 0 06 1

LHVs 31 33 23 13 0



R. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO







Single HFs 31

Single HFs 39





127


4. Sessions: During MRM 1st Session: ___, _____, ____ conducted session on ____ and focused on the following points:

19. Capacity Building of LHVs / Dispensers During Month under Review Names of the Resource






No. of Doses of Immunization Administered to Children at Health Facilities.

No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities.


Total vaccination / immunization for the month December 2012

2. National Immunization Days (`s) for Polio



S # Service Number



3 Visits to Check Sanitation (individual households + streets) --

4 Notices issued against Poor Sanitation --

5 Challans sent to Court against Poor Sanitation --

6 Patients Nebulized --



128



1. Female Health


S # Service Number




S # Test Number

1 Pregnancy Tests 136 2 Blood Sugar Tests 306 3 Hemoglobin Tests 200 4 Ultra Sound Test 0 5 Other (Sputum) 4

20. Important Discussion on Mother and Child and Reproductive Health during MRM It was unanimously agree up that PHC services revolve around the mother & child healthcare. It was reiterated that all possible efforts would be taken to improve delivery in this area.


S # Name of the Items / Service Number 1 Consultation / Advice 828 2 Oral Pills 3 IUCDs 4 Injections 5 Others

Total 828


Neo-Natal

Other OPD Total OPD

1 Dr. Husna Bhatti 103 4 1641 1748

2 Dr Naheed Akhtar 68 0 834 902

3 Dr Devi Jagdesh 227 10 1711 1948

4 Dr Tahreem 84 8 683 775

5 Dr Rana Shah 67 22 1557 1646

Total 549 44 6426 7019

129









Dileep Kumar 5 41 7 95

Abdul Rehman 5 52 6 82

Mohammad Iqbal 4 45 7 78

Total 14 138 20 255


Names of MO / FMO Community Health Session School Health Session

Session Participants Session Children

Treated

Dr Bahadur Singh 1 16 1 7 3

Dr Mukesh Kumar 1 12 1 0 0

Dr Easar Das 2 60 1 0 0

Dr Lalchand 1 14 1 18 18

Dr Sher Mohammad 0 0 0 0 0

Dr Gomoon 1 22 1 22 22

Dr Shanker 1 9 1 0 0

Dr Khushahal Das 1 27 1 25 19

Dr Talib Mangrio 1 30 1 0 0

Dr Chetan Kumar 1 17 0 0 0

Dr Parshotam Das 1 26 1 12 12

Dr Vijay Kumar 1 16 1 10 5

Dr Nandlal 1 30 1 0 0

Dr Qazi Samejo 1 23 1 0 0

Dr Gobind Ram, 0 0 0 0 0

Dr Chetan 1 27 1 0 0

Dr Vasdev 1 30 1 0 0

Dr Ghansham 0 0 0 0 0

Dr Bhawani Shanker 1 14 1 0 0

Dr Dalpat Rai 1 26 1 0 0

130

Dr Nasrullah 1 10 1 14 3

Dr Jeev raj 1 30 0

Dr Feroz 1 15 1 3 0

Dr Naresh Kumar 2 16 1 0 0

Dr Gunesh Kumar 1 22 1 0 0

Dr Teekam Das 1 9 1 4 1

Dr Gandhi 1 19 1 18 5

Dr Jai Parkash 1 21 1 0 0

Dr Naeem 1 7 1 0 0

Dr Kanji 1 20 0 0 0

Dr Sabightullah 1 12 0 0 0

Dr Mohan Bhoopani 1 8 1 8 8

Dr Santosh Kumar 1 8 1 0 0

Dr Ashok Kumar 1 21 1 23 10

Dr Mansoor Shah 1 21 1 0 0

Dr Devidas 1 10 1 10 10

Dr Nadir Ali 0 0 0 0 0

Dr Malook Oad 1 21 1 0 0

Dr M Yousif 1 9 1 0 0

Dr Mohan Rathore 1 10 1 0 0

Dr Mansoor Shah 1 22 1 0 0

Hussna 0 0 0 0 0

Dr Shafaque 0 0 0 0 0

Dr Naheed Akhtar 0 0 1 23 2

Dr Tahreem 2 63 0 0 0

Dr Rana Shah 1 20 0 0 0

Dr Devi Jagdesh 1 17 0 0 0

43 810 34 197 118


• FMO, LHV & Dai needed • Vaccinator & Pathology Laboratory required • Ultra Sound facility be provided • Progress of Health Facility


• Skin Disease

131

• Malaria Prevention • Diarrhea Prevention • Water Diseases • Breast feeding is important for newly born baby. • Importance of EPI 21. Topics for SHSs for the Month

Sr. No. Topics

1


S # Topics

1 Scabies

2 ARI

3 Measles

4 Polio

9. Important Discussion on Community Participation during MR

10.Health Camps: Number Held: 0 Number of Patients: 0



I Sanitation ----- ----- -----

Ii Drainage / sewerage ----- ----- -----

Iii ……… drinking water ----- ----- -----

Iv Prevention of

----- ----- -----

V Tree Plantation ----- ----- -----

Vi Roads and infrastructure ----- ----- -----

Vii Environmental

----- ----- -----

Viii Others ----- ----- -----


1. OPD*

New patients treated during

Old patients treated during

Total OPD during the month - - 77696

132


S # BHU OPD BHU OPD

1 BHU Shadi Palli 6194 BHU Darelo 662

2 BHU G N Shah 4836 BHU M Hassan 745

3 BHU M Jo Par 3813 BHU Dilawar Hussain 780

4 BHU Rana Jagir 2937 GD Hurabad 821

5 GD Shewani Mohalla 2912 BHU Siddique Abro 852






1 ARI

2 Fever

3 Diarrhea

4 Pneumonia

5 Scabies




ARV Available Doses 446 (Patients)





S # Tests Number

1 Pregnancy Tests 136 2 Blood Sugar Tests 306 3 Hemoglobin 200 4 X-Rays (if available) 0


1

133

5 Ultra Sound 0

6 Sputum 4

7 Others (Lab test) 1972


No. of cases

No. of cases

Total referred

Follow up result

Hepatitis B N/A N/A N/A N/A N/A

Hepatitis C N/A N/A N/A N/A N/A



Under Diagnosis

24 10 10

9. Referrals

Sr. Totals Cases Referred To


2 0 0 00 0 0 0 0


Sr. Totals Cases Referred from


2 43 43 0 0 2 2 39 G. MONITORING DURING MONTH UNDER REVIEW

14. Monitoring Visits during the month DSM ADSM/ Executive Monitoring Other Staff Total

38 54 147 255



1


1. Medicines available for 42 Weeks


• Monthly medicine supplied at all the health Facilities • Health facility wise, monthly medicine consumption and per patients cost were shared with doctors.

134



Status / 1 BHU Rana Jagir Tiles Work, Colour, Repair, Carpenter,

Complete

2 BHU Aahori Farm Tiles Work, Co lour, Repair, Carpenter,

Complete

3 BHU Kharoro Syed Tiles Work, Co lour, Repair, Carpenter &

Complete

4 BHU Moula Bux Rajar Tiles Work, Co lour, Repair, Carpenter,

Complete

5 MCH Umerkot Tiles Work, Co lour, Repair, Carpenter,

Complete

6 BHU Digu Co lour, Repair, Carpenter & Pulmbering Complete

7 BHU Samaro Road Co lour, Repair, Carpenter & Pulmbering Complete

8 BHU Kunri Memon Tile work, Co lour, Repair, Carpenter,

Complete

9 BHU Sanwan Rajar Tile work, Co lour, Repair, Carpenter &

Complete

10 BHU Pir Sarhandi Tile work, Co lour, Repair, Carpenter,

Complete

11 BHU Faqir Ali Bux

Tile work, Co lour, Repair, Carpenter &

Complete

12 GD Muzafer Hussain

Tile work, Co lour, Repair, Carpenter &

Complete

13 GD Amin Rajar Tile work, Co lour, Repair, Carpenter &

Complete

14 BHU Nabisar Thar Tile work, Co lour, Repair, Carpenter &

Complete

15 BHU Fateh M.Rajar Tile work, Co lour, Repair, Carpenter &

Complete

16 BHU Toban Veri Tile work, Co lour, Repair, Carpenter &n

Complete

17 BHU Haji Pir Shah Tile work, Co lour, Repair, Carpenter &

Complete

18 BHU Siddique Abro New Roof, Co lour, Repair, Carpenter &

Complete

19 BHU Saleh Bhanbhro Co lour, Repair, Carpenter & Pulmbering Complete

20 BHU Mehinry Jo Par Work started Tile work, Co lour, Repair,

Complete

21 BHU Abdul Hakim

Repair, Tile work, Plumbering & Colour Complete

22 BHU Nawaz Ali Shah Repair, Tile work, Plumbering & Colour Complete

23 BHU Mohd. Hussain

Repair, Plumbering & Colour Complete

24 GD Sajan Khan Chandio Repair, Tile work, Plumbering & Color Complete

25 G.D Moosa Jan

Repair, Tile work, Plumbering & Colour Complete

26 BHU Araro Bhurgri Repair, Tile work, Plumbering & Colour Complete

27 BHU Dilawar Hussain

Co lour, Repair, Carpenter, Pulmbering &

Complete

28 GD Noor Mohammad

Colour, Repair, Tile, Carpenter & Pulmbering. Complete

29 GD Ismail Nohri Colour, Repair, Tile, Carpenter & Pulmbering &

Complete

30 BHU Darelo Colour, Repair, Tile, Carpenter & Pulmbering &

Complete

31 BHU Padheri Farm Colour, Repair, Tile, Carpenter & Pulmbering &

Complete

32 GD Maghan Khan

Tiles Work, Colour, Repair, Carpenter &

complete

33 BHU Talhi Tiles Work, Colour, Repair, Carpenter &

complete

34 BHU Okraro Chanio New Roof, Co lour, Repair, Carpenter &

complete

35 BHU Mir Din Mohd New Roof, Co lour, Repair, Carpenter &

complete

36 BHU Ghulam Nabi Shah Tiles Work, Colour, Repair, Carpenter &

complete

37 BHU Shadi Pali New Roof, Co lour, Repair, Carpenter &

complete

38 GD Ahmedabad New Roof, Color, Repair, Carpenter &

complete

135



------- -------

-------



On Staff Matters:

• Health Facilities Timings should be followed strictly.


• School Health Sessions, Community Health Sessions & CSG meetings will continuously be monitored by Monitoring staff.

Date /Time for Next MRM: March 08, 2013 at 10:00 am

Comments on Targets vs. Achievements (by DSM)

136


OF DISTRICT THATTA

Monthly Review Meeting (MRM) of District, Thatta for the Month of January, 2013 was held on 12th January, 2013 at DHDC Hall, DHO Complex Makli. Written invitations were sent to the DC, the DHO Thatta and District Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows:

S

Names/Designation S

Names/Designation

1 Mr Riaz Ahmed Abbasi,RPD-II 2 Mr Maqsood Ahmed Baloch/DSM-Thatta

3 Dr Ghulam Qadir Sheikh FP Polio,Thatta 4 Dr Akash Abbasi Dist. coordinator NRSP.

5 Mr Hassan Ali Memon/Ex M&E Thatta. 6 Dr Jai Kumar/MO BHU Rahoot.

7 Mr Shafiq u Rehman / Ex F&A Thatta 8 Dr Imtiaz Jogro MO BHU G.M Baran

9 Dr Naseem Bano, FMO. 10 Dr Samiullah,MO BHU Garho

11 Dr Devi Sadho/FMO 12 Dr Abdul Jabbar Memon MO BHU Kot Alamo.

13 Dr Zareen Kehar,FMO 14 Dr Imam Bux MO BHU Raj Sheikh Bachal

15 Dr Rubina Khokhar/FMO 16 Dr Jamal Memon/MO BHU Ghulamullah

17 Dr Umaira Jabeen/FMO 18 Dr Anwar Memon, MO BHU Bello

19 Dr Rukhsana Leghari,FMO 20 Dr Asif Behrani MO BHU Jhimpir.

21 Dr Zehra Abbasi, Sonologist. 22 Dr Naimatullah/MO BHU Mureed Jarejo

23 Dr Zuhra Kiran/FMO 24 Dr Ashfaque Ahmed MO Boohar

25 Dr Razia Raheem,FMO 26 Dr Nisar Memon,MO BHU Nodo Baran

27 Dr Badar ul Nisa/FMO 28 Dr Aijaz Khawaja MO BHU Buhara

29 Dr Farah Rafique, Sonologist. 30 Dr Anwar Khawaja/MO BHU Sajanwari

31 Dr Saba Fatima/FMO 32 Dr A.Ghani Soomro /MO BHU Ghorabari.

33 Dr Marvi Shah/FMO 34 Dr Akhtar Ali shah /MO BHU Chatochand

35 Dr Mehnaz Ghouri FMO 36 Dr Akhtar Hussain katiyar ,MO BHU Kothi

37 Dr Ruqia Turk ,FMO 38 Dr Abdul Wahab MO BHU Ali Bahar.

39 Dr Asha Kumar,FMO 40 Dr Shafi Memon/C MO BHU N.M.Thaheem

41 Dr Hakima Palijo.,FMO 42 Dr M Aslam I/C MO BHU Jungo Jalbani

43 Dr Sanam Bakhtyar,FMO 44 Dr M.Ibrahim Soomro MO, BHU Gujjo.

45 Dr Rehana Yasmin,FMO 46 Dr Ghulam Mustafa Leghari MO BHU SQD Shah

47 Dr Sanya Brohi,FMO 48 Dr Hussain Gul MO BHU Dhabeji

49 Dr Sanam Khatri,FMO 50 Dr Chander Bhan MO BHU Laiqpur

51 Dr Heema Dilip FMO 52 Dr Parkash Kumar,MO BHU Marho Bula Khan

53 Dr Girdhari Lal,MO BHU Goongani 54 Dr Ali Akbar Brohi,MO GD Aresor

55 Dr Sher Muhammad MO BHU Mureed Khoso 56 Dr Ghulam Murtaza MO BHU Ali M.Guggo

57 Dr Attaullah Baloch /MO BHU Buhara 58 Dr M.Umer Memon MO BHU Banno

137



1 Dr Shaheen Brohi,FMO On trg at

2 Dr M.Ibrahim Memon,MO

I. HFs WITH PPHI BHUs: 50 Dispensaries: 01 MCHCs: 0 Others: 0

TOTAL: 51

B. Population of the Catchments Area: 1.00 million

S. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant (Sanc-Govt)

MOs 51 50 08 42 WMO 0 0 0

FMOs 31 25 01 24

LHVs 51 37 24 13


T. CLUSTERS OF HFs WITH ONE MO

59 Dr Muhammad Sharif Baloch BHU Dandhari 60 Dr M.Ibrahim Memon MO BHU Kandra

61 Dr Sajid Kehar MO BHU Ghulamullah 62 Dr Rahim Bhatti DS Jhimpir

63 Dr A. Rasheed Memon, MO BHU T.H Shah 64 Dr Iqbal Khatri MO BHU Sajanwari

65 Dr Abdul Hussain Shah/MO BHU Gail Mori 66 Dr Jamshed Memon / Dental Surgeon

67 Dr Soofi Azeem MO BHU Jhoke Sharif. 68 Dr Ghulam Serwer Qazi,MO BHU GM Shah

69 Dr Karim Khawaja MO BHU HM Sodho. 70 Dr Murad Baloch MO BHU Jokhio village

71 Dr Muzaffar Shah/MO-BHU Jaar 72 Dr Adeel Memon MO BHU MK Rind

73 Dr M.Jaffar Almani MO BHU Ladiyoon 74 Mr Munawar Leghari SM-2

75 Dr Altaf Hussain,MO BHU Shahnawaz Leghari 76 Mr. Chetan Lal SM-4

77 Dr Ameer Ali Palijo MO(DHIS) 78 Mr. Lutuf Ali Shah SM-1

79 Dr Parkash Kumar MO BHU Marho Bula Khan 80





138

WITH ONE FMO



Dr. Ghulam Qadir Sheikh Focal Person Polio in his lecture on “POLIO” focused on the following points:-







No. of Doses of Immunization Administered to Children at Health Facilities 15037


No. of Doses of Immunization Administered to Children at outreach EPI Teams 16916

Total vaccination / immunization for the month November 2012 34050


Dates of NIDs Target of coverage Actual coverage Percentage of ………….. …………. …….. …..







Clusters of 3 HFs 0 Clusters of 3 HFs



139


S # Service Number

1 Passive Case Detection (PCD) Slides NA

2 Active Case Detection (ACD) Slides NA

3 Visits to Check Sanitation (individual households + streets) NA

4 Notices issued against Poor Sanitation NA

5 Challans sent to Court against Poor Sanitation NA




1. Female Health S # NO. of FMOs Ante-Natal

Neo Natal

Other OPD Total OPD

19 1411 26 11732 13780


S # Service Number




S # Test Number





5 Other (RDT)Malaria 1465

24. Important Discussion on Mother and Child and Reproductive Health during MRM All FMOs were directed to conduct normal deliveries at BHUs and refer complicated cases to secondary/tertiary level HF.



2 Oral Pills 236

3 IUCDs 0

4 Injections 402

5 Others 32

Total 1394

140








No. No. of Mr. Lutuf Ali Shah 06 0 71 16 352

Mr Munawar Leghari 10 0 98 13 311

Mr Chetan Lal 04 0 47 12 285

Total 20 0 216 41 948

I. School Health Sessions & Community Health Sessions

Names of MO / FMOs/Paramedics

Community Health Sessions School Health Sessions


Children MOs & FMOs 86 1892 75 413 155


Role of the community support group in vaccination and polio campaigns.

• Role of the community support group for the arrangements of school health sessions. • Role of the community support group for the arrangements of Community health sessions for

male and female participants. • Support of the community during the R&R work. • Support of the community groups for plantation. • Increasing the number of members in each community meeting while inviting the social people of

the catchments area of the facility

II. Important Points during SHSs • Immunization • Personal Health and hygiene • Nutrition • Polio • Skin disease

26. Important Points during CHSs • Family Planning • Vaccination/Polio • Personal Hygiene. • Scabies. • Antenatal care. • TB

141

I. Topics for SHSs for the Month Sr. No. Topics

1 Measles

2 Importance of vaccination


S # Topics

1 Measles

2 Importance of vaccination


• To Conduct regular CSG meetings

• Active Participation of CSG members

• Change / Replace inactive members of CSG

• Develop Ownership of BHUs among community

• Cooperation for arranging SHS & CHS.

• Active Participation of CSG members in polio campaign

10. Health Camps: Number Held: 0



i Sanitation

ii Drainage / sewerage

iii ……… drinking water

iv Prevention of

v Tree Plantation

vi Roads and infrastructure

vii Environmental

viii Others

142


I. OPD* New patients treated during


Total OPD during the month

65390 2039 67429


S # BHU OPD BHU OPD

1 Dhabeji 3063 Ali M Guggo 465

2 Garho 2961 Darya Khan Soho 543

3 Gujjo 9797 Muzaffar khan leghari 562

4 Chatochand 2738 Jungo Jalbani 572

5 Ghulamullah 2167 Jeand Zangejo 645



S # Disease

1 ARI

2 Malaria

3 Scabies

4 Diarrhea

5 UTI

S # Diseases

1 RTI

2 Scabies

3 GIT

4 ENT

5 Malaria

143



ARV Administered

ARV Available Doses


ASV Vaccine Administered

ASV Vaccine Available Doses


S # Tests Number



3 Hemoglobin 0


5 Ultra Sound 794

6 Others (Malaria) 1465

34. B & C SCREENING TESTS: N/A Screening No. of Tests

No. of cases

No. of cases

Total referred

Follow up result

Hepatitis B

Hepatitis C



Under Diagnosis

0 0 31

9. Referrals



1 37 31 02 04




1

144

II. MONITORING DURING MONTH UNDER REVIEW 15. Monitoring Visits during the month


30 48 161 239



01 BHU Ghorabari,DK

Health technician transferred by

Letter sent to

Pending.

02 BHU Jangri,GM

Electricity connection required Demand amount

Pending.






Status / Remarks

01 BHU Aachar Jakhro Completed MB recorded

02 BHU Gujjo

MB recorded

03 BHU NM Thaheem

Completed MB recorded

04 BHU Jokhio Village Completed

MB recorded

05 BHU Ali Bahar Completed

MB Recorded

06 BHU Chato Chand Completed

MB recorded

07 BHU Haji M. Sodho Completed

MB recorded

08 BHU Dhabeji

MB Recorded

09 BHU Ghari Wah Completed

MB recorded

10 BHU Garho Completed

MB recorded

11 BHU Ghorabari Completed

MB recorded

12 BHU Khair Bux Leghari Completed

MB recorded

13 BHU Kandra Completed

MB recorded

14 BHU S.Qadir dino Shah Completed MB recorded

15

BHU Muzaffar Leghari Completed MB recorded

16

BHU Shahnawaz

Completed MB recorded

17

BHU Laiqpur Completed MB recorded

18

BHU Banno Completed MB recorded

145

19

BHU T.H Shah Completed In progress

20 BHU Sajanwari Completed MB recorded

21 BHU Rahoot Completed MB recorded

22 BHU Jhoke Sharif Completed In progress

23 BHU Mureed Khoso Completed In progress

24 BHU MK Rind Completed In progress

25 BHU Gail Mori Completed In progress

26 BHU Mureed Jarejo Completed In progress

27 BHU G.M aran Completed In progress

28 BHU Goongani 10%

In progress

29 BHU Ghulamullah

100% In progress

30 BHU Jaar

90% In progress

31 BHU Raj Sheikh Bachal

100% In progress

32 BHU Kothi

90% In progress

33 BHU Jungo Jalbani

100% In progress

34 BHU Jangri

90% In progress

35 BHU Buhara

20% In progress

36 BHU Marho Bula Khan

30% In progress





On Staff Matters:

• Regularity & punctuality of staff. • Maintenance of all records. • Submission of reports on time.


• Conduct health sessions on regular basis and include topics of seasonal disease. • Arranging of quality/genuine health sessions.

146

On Curative Health:

• MOs & FMOs with low OPD were directed to increase liaison with community and make regular CSG meetings.


• During MRM it was emphasized that all female medical officers should concentrate more on mother and child health, besides their general OPD they should focus on ANC/PNC, normal delivery cases and also make counseling of patients. Make public family planning services to the clients.

Other Matters:


• The tentative date for next MRM was fixed on 08th February 2013.

Comments on Targets vs. Achievements (by DSM):

DSM gave detailed presentation about the progress achieved in the month of January2013. The performance of each HF was discussed one by one and MOs In charge were directed to cover the deficiencies where ever found. The performance of each FMO was also discussed and they were directed lay special focus on mother and child health. All doctors were directed to perform their duty as focal persons with commitment and dedication

DSM also directed all HFs incharges to fill DHIS report properly and ensure more than 95% data accuracy.

147

MINUTES OF THE (53) MONTHLY REVIEW MEETING

OF DISTRICT LARKANA

Monthly Review Meeting (MRM) of PPHI, District Larkana for the month of January, 2013 was held on 14th February, 2013 at hotel Asia In, Larkana. Written invitations to participate were sent to the DCO, EDO (H), EDO (F&P), Distt. Population Welfare Officer, WHO representative, Dy.Dir. Malaria and District In charges of EPI, LHW and all other National Programs. The list of participants is as follows:


S # Names/Designation S # Names/Designation

1 Mr. Ghulam Abbas Detho, RPD, RSU III

2 Mr. Abdul Hafeez Mahesar, DSM-Lrk

3 Mr. Abdul Latif Malik (Exe. M&E) 4 Dr. Idress Farooqi (MO HQ)

5 Dr. Aijaz Ahmed Shaikh (MO DHIS) 6 Mr. Amir Ali, Asstt: Store

7 Mr. Farhan Ahmed, Asstt: Admin 8 Mr. Gada Hussain Chachar, SO I.

9 Dr. Mukhtiar Channo, MO 10 Mr. Mohammad Ali, SO III

11 Dr. Attahullah Jagirani, MO 12 Dr. Abdul Matab Jatoi, MO

13 Dr. Ashok Kumar 14 Dr. Farman Ali Abro , MO

15 16 Dr. Mumtaz Ali Bhutto, MO

17 Dr. S Baleegh Din Rashidi, MO 18 Dr. Ahsanullah Bugti, MO

19 Dr. M.Hanif Mashori , MO 20 Dr. Bashir Ahmed Wagan, MO

21 Dr.Mahesh Kumar , MO 22 Dr. Abdul Razaque Rahujo, MO

23 Dr. Raj Kumar , MO 24 Dr. Ganesh Lal , MO

25 Dr. Khuda Bux Soomro, MO 26 Dr. Zafar Ali Tunio, MO

27 Dr. Abdullah Arijo, MO 28 Hakeem Razakat Ali, MO

29 Dr. Abdul Aziz Siyal, MO 30 Dr. Tarique Altaf Jatoi, MO

31 Dr. Abdul Rehman Shaikh, MO 32 Dr. Shamsdin Sohu, MO

33 Dr. Muzafar Ali Bhutto , MO 34 Dr. Amanullah Abro , MO

35 Dr. Maqsood Wadho, MO 36 Dr. Mushtaque Ahmed , MO

37 Dr. Zafar Ali Morio, MO 38 Dr. M. Aslam Soomro , MO

39 Dr. M. Yousif Shaikh, MO 40 Dr. Rahim Bux Soomro, MO

41 Dr. Jai Kumar, MO 42 Dr. Farzana Baloch, FMO

43 Dr. Altaf Hussain Abro, MO 44 Dr. Afroz Memon , FMO

45 Dr. Mohammad Ali Shaikh, MO 46 Dr. Bilqees Khokhar , FMO

47 Dr. Shazia Ambreen , FMO 48 Dr. Zaib Nisa Bhutto, FMO

49 Dr. Sanam Asia , FMO 50 Dr. Rozina Shah , FMO

51 Dr. Shazia Rehman , FMO 52 Dr. Jawahar Sheeraz, FMO

148

53 Dr. Seeema kousar , FMO 54 Dr. Naseem Khatoon, FMO

55 Dr. Nusrat Wagan,FMO 56 Dr. Noor Jahan , Sonologist

57 Dr. Asma Abbasi, FMO 58 Dr. Sabeen Naz, FMO

59 Dr. Aneeta Raj, FMO 60 Mst. Zahida Magsi, LHV

61 Dr. Farzana Shaikh, FMO 62 Mst. Bashiran Chandio, LHV

63 Dr. Dur-e- Najaf , FMO 64 Mst. Feroza , LHV

65 Dr. Qurtlain Soomro , FMO 46 Mst. Samina Bhutto, LHV

67 Mst. Afroz Sandelo, LHV 68 Mst. Noor Shaheen , LHV

69 Mst. Razia, LHV 70 Mst. Rehana Siyal, LHV

71 Mst. Humera parveen, LHV 72 Mst. Asma Shaikh, LHV

73 Mst. Sumera Kanwal, LHV 74 Mst. Naveeda Abbasi, LHV

75 Mst. Shazia Khuhro, LHV 76 Mst. Saima Syed, LHV

77 Mst. Tasleem, LHV 78 Mst. Mehtab Mangi, LHV

79 Mst. Sania Mughal, LHV 80 Mst. Fozia, LHV

81 Mst.Sajida Bhutto, LHV 82



1 Dr. Asadullah Gopang Leave

2 Dr. Imdad Lashari Leave

3 Dr. Iltaf Abro Absent

4

5

6

7

J.HFs WITH PPHI BHUs: 24 Dispensaries: 19 MCHCs: 03 Others: 01

TOTAL: 47

B. Population of the Catchments Area:

S # Name of Health Facility Population

1 BHU SAJAN SANGI 32,034

2 BHU AKIL 21,300

3 BHU SHAH ABAD 33,280

4 BHU BEERO CHANDIO 26,500

5 BHU MASOODERO 15,200

149

6 BHU KHAN WAH 20,000

7 BHU IZAT JI WANDH 7,836

8 BHU LASHARI 24,000

9 BHU WARIS DINO MACHI 9,484

10 BHU JUMO AGHAM 15,000

11 BHU PATHAN 29,000

12 BHU NEW GUD 45,000

13 BHU BAKHAR KARIRA 12,710

14 BHU SONO JATOI 55,000

15 BHU KOTHI 30,000

16 BHU PIR BUX BHUTTO 24,800

17 BHU SAIDUDERO 12,250

18 BHU WASAYO BHUTTO 9,135

19 BHU VEEHAR 30,000

20 BHU KARANI 31,000

21 BHU MAD BAHOO 26,355

22 BHU DHAMRAH 38,341

23 BHU HAJI DHADHRO 5,000

24 BHU FATEHPUR 15,000

25 BHU MOEN JO DARO 34,713

26 BHU SEEHAR 23,316

27 BHU USMAN KALHORO 23,119

28 GD RASHID WAGAN 23,418

29 GD BAQAPUR 14,000

30 GD KANGA 17,409

31 GD AGHANI 12,240

32 GD DODO SANHERI 5,000

33 GD AREEJA 10,000

34 GD PANJODERO 25,200

35 GD ABAD BHUTTO 4,666

36 GD KOT BHUTTO 10,500

37 GD KETI MUMTAZ 2,000

38 GD SHAHANI 3,080

39 GD KHAIRODERO 10,000

40 GD MEHAR BURIRO 4,300

41 GD GUJHAR 4,078

42 GD LAL BUX SHAIKH 34,731

150

43 GD TATRI 41,500

44 GD MANGRIA 18,000

45 GD HESSAB CHANDIO 30,000

46 GD BAHMAN 1,550

47 GD MAHOTA 18,155

Total: 9,39,200

STAFF STRENGTH

Sanctioned

Working Government

PPHI

Vacant

MOs 52 47 15 32 17

WMO 00 00 0 00 00

FMOs 28 24 0 24 4

LHVs 42 36 11 25 17



U. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO














151


1. Second Session: During MRM

After the session he invited the participants for open discussion, which was very productive.

E. REVIEW OF THE PERFORMANCE






No. of Immunization & Vaccination Administered by the outreach EPI Teams 0

Total vaccination / immunization for the month of November 2289


Dates of NIDs Target of coverage Actual coverage

Percentage of coverage

Nil Nil Nil Nil


S # Service Number 1 Passive Case Detection (PCD) Slides -- 2 Active Case Detection (ACD) Slides -- 3 Visits to Check Sanitation (individual house holds + streets) -- 4 Notices issued against Poor Sanitation -- 5 Challans sent to Court against Poor Sanitation -- 6 Patients Nebulized --



1. Female Health

S# Name of FMOs Antenatal Post Natal Other Total OPD

1 Dr. Rozina Shah 69 13 165 1550

152

2 Dr. Farzana Balouch 164 13 109 555

3 Dr. Sabeen Naz 63 9 200 919

4 Dr. Qurtlain Soomro 58 26 511 1919

5 Dr. Asma Abbasi 57 34 173 1539

6 Dr. Shazia Abbasi 87 29 172 1941

7 Dr. Shazia Rehman 18 10 92 980

8 Dr. Zaib Nisa Bhutto 14 3 90 810

9 Dr. Aziz Akhtar 101 39 6 1046

10 Dr. Dur-e - Najaf 76 12 46 2041

11 Dr. Bilqees Khokhar 11 11 335 1761

12 Dr. Farzana Shaikh 63 11 264 1687

13 Dr. Sanam Asia 86 8 357 2125

14 Dr. Aneeta Raj 130 65 0 2010

15 Dr. AfrozMemon 47 11 47 1707

16 Dr. Seema Kousar 53 7 339 1356

17 Dr. Musrat Nazir 0 0 0 0

18 Dr. Jawahar Sheeraz 89 11 503 1579

19 Dr. Nusrat Wagan 69 18 48 1462

20 Dr. Farzana Tunio 50 9 7 2941

21 Dr. Kashifa Ayaz 80 7 125 1607

22 Dr. Ruksana Bughio 119 14 0 1972

23 Dr. Naseem Khatoon 48 1 117 567

24 Dr. Waheeda Abbasi 30 7 95 825

TOTAL 1582 368 3801 34899


S # Service Number 1 Deliveries Assisted at HFs 200 2 Deliveries Assisted at Homes 00


S # Test Number





5 Other 0

153

28. Important Discussion on Mother and Child and Reproductive Health during MRM Discussions were carried out by the participants with the guest speakers.



2 Oral Pills 286

3 IUCDs 20

4 Injections 245

5 Others (Condoms) 4230

Total 4781








No. No. of Mr. Gada Hussain Chachar 4 0 48

Mohammad Ali 4 0 48

Total 8 0 96

2. School Health Sessions & Community Health Sessions Sr. No. MO SHS CHS Total

1 59 61 120

2 FMO 41 50 91


• Check the Attendance of the staff of health facility. • Polio Campaign discussed • Diagnostic Laboratory • Medicine quality and quantity. • EPI Coverage were discussed • Ultra sound facility days • FMO days at HFs also discussed • Security and ownership of community. • Demanded of Ambulance.

154

30. Important Points during SHSs • Scabies • Cough • Diarrhea • Influenza Virus • Nutrition • Respiratory trait Infection and Asthma • Personal Hygiene • Pneumonia • Malaria

31. Important Points during CHSs • Dysfunctional Uterine Bleeding DUB • Scabies • Rabies virus Tuberculosis • Antenatal Care • Pelvic Inflammatory Diseases • Importance of Vaccinations • Conjunctivitis (Red Eye) • Low Birth weight Newborn • Family Planning • Diet in Pregnancy • U/S Examination During Pregnancy • Lactating Mother • Postpartum Hemorrhage. • Urine Tract Infection • Vomiting • Anemia • Intestinal Tuberculosis • Constipation • Vomiting • Cough • Acute Diarrhea • Influenza Virus • Nutrition • Respiratory trait Infection and Asthma • Measles • Pneumonia • Malaria.

7. Topics for SHSs for the Month December 12

Sr. No. Topics

1 Scabies

2 Malaria

3 Importance of Vaccinations

155

4 Acute Diarrhea

5 Nutrition

6 Measles

7 Cough

8 Topics for CHSs for the Month of December 12

S.No Topics

1 Dysfunctional Uterine Bleeding DUB

2 Scabies

3 Rabies virus Tuberculosis

4 Antenatal Care

5 Pelvic Inflammatory Diseases

6 Importance of Vaccinations

7 Conjunctivitis (Red Eye)

8 Low Birth weight Newborn

9 Family Planning

10 Diet in Pregnancy

11 U/S Examination During Pregnancy

12 Lactating Mother

13 Postpartum Hemorrhage

14 Urine Tract Infection

15 Vomiting

16 Anemia

17 Intestinal Tuberculosis

18 Constipation

19 Vomiting

20 Cough

21 Acute Diarrhea

22 Influenza Virus

23 Nutrition

24 Respiratory trait Infection and Asthma

25 Personal Hygiene

26 Measles

27 Malaria

156


• Most of the Participants acknowledged PPHI role to provide basic health facilities in rural areas for poor community at free of cost.

• Community participation through community support groups also the role model of PPHI. • Repair and Renovation of Health facilities and other facilities provided at Health facilities by PPHI also

appreciated by participants. 10. Health Camps: 00. Number of Patients: 00



I Sanitation N/A N/A N/A

Ii Drainage / sewerage N/A N/A N/A

Iii ……… drinking water N/A N/A N/A

Iv Prevention of

N/A N/A N/A

V Tree Plantation N/A N/A N/A

Vi Roads and infrastructure N/A N/A N/A

Vii Environmental

N/A N/A N/A

Viii Others N/A N/A N/A

IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW

1. OPD*



Total OPD during the month 91277 3392 94669





1 Fever (Clinical Malaria) 25324

2 Acute Respiratory Infections 13512

3 Scabies 11315

4 Diarrhea 17535

5 Dysentery 1556

157











3 Hemoglobin 647


5 Ultra Sound 0

6 Others 0


No. of cases

No. of cases

Total referred

Follow up result

Hepatitis B 00 00 00 00 00

Hepatitis C 00 00 00 00 00

8. TUBERCLOSIS

Patients


Under Diagnosis

00 0 00

9. REFERRALS



2 No No No No No No No




S No Totals Cases Referred from


158




29 62 115 206



N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A

N/A N/A N/A N/A






Status / Remarks

1 00 00 00



N/A N/A

N/A N/A



On Staff Matters:

• All the staff members of BRHF’ were once again reminded to observe timings in their health facilities.

• Always wear aprons/ uniforms which have been already provided.

• Observe/ ensure cleanliness in their health facilities.

• Maintenance of proper record keeping • Ensure availability of all essential medicines. • Ensure availability of instruments in working condition.

159

• Submitted DHIS reports timely. • Submitted Medicine position/Stock position timely.


• All the Medical Officers/ Female Medical Officers were informed that Family Planning material / medicine

are available in abundant quantity and they should promote its usage.

• It was also requested that ensure availability of T. B DOTS medicine and wherever there is shortage,

inform DSU immediately.

On Curative Health:

All the Medical Officers were informed that there is sufficient stock of medicines available in DSU store and they should report immediately for any kind of shortage


N/A

Other Matters:

Matters regarding supply of medicines, repair of buildings, provision of uniforms, and other items were also discussed during the monthly meeting.


Next MRM will be held on first week of March, 2013


All the targets/goals and assignments from time to time are being achieved for successful continuation of this

program and for the satisfaction of the community.

160


OF DISTRICT KAMBER-SHAHDADKOT

Monthly Review Meeting (MRM) of District, Kamber-Shahdadkot for the Month of January, 2013 was held on 14th February, 2013 at Asia hotel Larkana. Written invitations to participate were sent to the DCO, the EDO(H), the EDO(F&P) and District Incharge of EPI, Surveillance Officer WHO, T.B Dot Programme, EDO (Education), and all other National Programs as usual. The list of participants follows:

S.No. Name of Officer’s

1 Mr Ghulam Abbas Detho Sb ( Regional Programme Director RSU III Larkana)

2 Mr Habib -Ur- Rehman (DSM Kamber Shahdadkot)

3 Asst Prof Dr Shanti lal: ( SMMBBU Larkana )

4 Dr Liaqat Ali (S.O- WHO)

5 Mr Asad ullah Chang (Executive M&E)

6 Dr Abdul Ghaffar Chandio ( BHU Bambho Khan Chandio )

7 Dr Abdul Manan Sheikh ( BHU Wadho Kalhoro)

8 Dr Nadeem Akhtar Sheikh ( GD Chhajjra)

9 Dr Safia Jamali (FMO BHU Thoof Chosool/ BHU Gogharo)

10 Dr Khalid Hussain Sheikh ( BHU Thori Bijar)

11 Dr Fozia Soomro (FMO BHU Arzi Bhutto)

12 Dr Suraya Lashari (FMO BHU Ghazi Khan Khuhawar/ BHU Zia U Din Isran)

13 Dr Reehana Chandio (FMO MCH Nasirabad)

14 Dr Shahid Nabi Shah (BHU Thoof Chusool)

15 Dr Tahira Memon (BHU Kot Ghulam Shah & GD Chajjra)

16 Dr Sajida Sheikh ( Sonologist)

17 Dr Noor Mohammad Memon ( MO H.Q)

18 Dr Ambreen Bhutto ( BHU Bambho Khan Chandio / BHU Ghulam Ali Magsi)

19 Mr Riaz Ahmed Tunio (S.O)

20 Dr Sanaullah Wagan ( BHU Datu Teewna)

21 Dr Ravi Kumar ( GD Abdul Wahab Khoso)

22 Dr Nisar Ahmed Mugheri ( BHU Mohammad Ali Gurhmani)

23 Dr Zahida Kaheri

24 Dr Parkash Lal Advani ( BHU Chakiyani)

25 Dr Noor Khatoon (BHU Deera/BHU Wadho Kalhoro)

26 Dr Allah Bux Soomro(BHU ARZI BHU Arzi Bhutto)

27 Dr Khalid Hussain Burirro( BHU Gazi Khan Khuhawar)

28 Dr Subhan Ali Lakho ( BHU Hamal)

29 Dr Reehana Tunio

161

30 Dr Shamshad Wagan

31 Imran Ahmed Leghari ( S.O )

32 Mr. Abdul Raheem Junejo Ex: O, (A&A)

33 Dr Abdul Kareem Memon ( BHU Ziaudin Isran )

34 Dr Fozia Chandio ( BHU Datu Teewna/ BHU Gaji Khuhawar)

35

Dr Nasreen Naz Chandio ( MCHc Shahdadkot )

36 Dr Farzana Soomro ( BHu Aitbar Khan Chandio/BHU Chakiyani)

37 Dr Nazeer Balooch ( Training Cordinator Des WHO )

38 Dr Altaf Hussain Burirro ( District Survilant Cordinator )

39 Dr Bashir Brohi ( BHU Behram )

40 Imran Ahmed Laghri ( S.O )

40 Dr Munwar Chandio ( BHU Ghogharo)

41 Dr Hiranad Bajaj ( BHU Ghulam Ali Magsi )

42 Dr. Suneel Kumar (BHU Aitbar Khan Chandio)


S # Names/Designation Reasons Concerned Health Facility

01 Dr Hakimzadi On Leave MCH Shahdadkot

04 Dr Shabir Wagan Absent BHU Lalu Rounk

K. HFs WITH PPHI TOTAL: 27 BHUs: 22 Dispensaries: 02 MCHCs: 02 Others: 01


V. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant

(Sanc-Govt) MO 24 23 5 18

W/FMOs 01 16 2 14 2

LHVs 26 14 9 05 12

MTs/MAs Male - - - - - Female - - -

Dispensers 03 25 05 20 -

W. CLUSTERS OF HFs WITH ONE MO



162

WITH ONE FMO

E.

CAPACITY BUILDING


1.1: Dr Shanti Lal delivered a Lecture on (Measles)

1.2: Dr Liaquat Noonari (SO Dews WHO) Dr Nazeer Baloch (Training Coordinator Dews WHO) Dr Altaf Hussain Burirro (District Surveillance Coordinator) Conducted Training On (E Dews )








Total vaccination / immunization for the month ---------------- 9839












163



28/1/2013 TO 30/1/2013 233852 287139 99 %


S # Service Number

1 Passive Case Detection (PCD) Slides Nil

2 Active Case Detection (ACD) Slides Nil

3 Visits to Check Sanitation (individual house holds + streets) -

4 Notices issued against Poor Sanitation -

5 Challans sent to Court against Poor Sanitation -




1. Female Health

2.

Deliveries Assisted

S # Names of FMOs Ante-Natal Cases

Neo-Natal Cases

Other OPD Total OPD

01 Dr Tahira Memon 121 5 1662 1788

02 Dr Safia Jamali 133 0 1845 1978

03 Dr Rehana Chandio 313 86 5142 5541

04 Dr Surya Lashari 73 4 2057 2134

05 Dr Samina Shah 105 9 2026 2140

06 Dr Zahida Kaheri 34 0 2133 2167

07 Dr Ambreen Bhutto 112 7 2576 2695

08 Dr Noor Khatoon 60 3 1195 1258

09 Dr Farzana Soomro 63 00 533 596

10 Dr Fozia Soomro 43 0 972 1015

11 Dr Shamshad Begum 38 2 985 1025

12 Dr Rehana Tunio 48 7 2391 2446

13 Dr Heema 122 29 1111 1262

14 Dr Fareeda Sheikh 176 25 876 1077

15 LHV Kalsoom Burirro 21 0 891 912

Total 1462 177 26395 28034

164

S # Service Number


2 Deliveries Assisted at Homes -


S # Test Number





5 Other 84


DSM stressed on all MOs, especially FMOs to provide better services to the people for mother and reproductive health.




Oral Pills 93

IUCDs 0

Injections 90

Others 162

Total 836




165


Names of Social Organizers Meetings of Support Groups conducted by him CHSs/SHSs arranged by him

Male Female Total No. of Participants No. No. of Participants

Mr Imran Ahmed Leghari 7 1 164 21 348

Mr Riaz Ahmed Tunio 10 0 184 24 381

Total 17 1 348 45 729





Children Dr. Tahir Memon 2 29 1 19 11

Dr. Safia Jamali 2 38 2 21 14

Dr. Rehana Chandio 3 73 0 0 0

Dr. Suraya Lashari 2 35 2 17 9

Dr. Sameena Shah 2 36 2 0 0

Dr. Zahida Kehri 2 33 1 21 14

Dr. Umbreen Bhutto 2 29 2 26 15

Dr. Noor Khatoon 2 25 2 27 14

Dr. Farzana Soomro 2 33 2 19 11

Dr. Fozia Soomro 2 44 1 18 10

Dr. Shamshad 2 39 2 0 0

Dr. Rehana Tunio 2 28 2 14 9

Dr Heema 1 21 1 21 13

Dr Khalid Sheikh 1 17 1 16 9

Dr Abdul Karim 1 26 1 21 13

Dr Nadim Akhtar 1 26 1 14 8

Dr Subhan Lakho 1 18 1 16 9

Dr Heeranand 1 14 1 17 11

Dr Barkat Makool 1 21 1 23 14

Dr Ghulam Fareed 1 19 1 24 9

Dr Bashir Ahmed Brohi 1 17 1 0 0

Dr Munwar Chandio 1 19 1 21 13

Dr Khalid Buriro 2 31 1 21 11

Dr Ravi Kumar 1 18 1 19 8

Dr Sanaullah Wagan 1 21 1 14 6

Dr Ameer Rahojo 1 17 1 17 8

166

Dr Suneel Kumar 1 14 1 16 9

Dr Shahid Nabi Shah 1 19 1 16 11

Dr Nisar Ahmed Mugheri 1 32 1 24 14

Dr Allah Bux Soomro 1 18 1 18 11

Dr Parkash 2 16 1 20 7

Dr Roshan Mugheri 2 15 1 16 10

Dr Abdul Manan Sheikh 1 20 1 16 8

Totals 52 863 40 559 321


1. Electricity problem 2. R&R work of Roofs of the Health Facilities. 3. Supply of ARV 4. Supply of medicines


1. Awareness in School Children about prevalent diseases. 2. Awareness in School Children about Personal Hygiene.


1. Awareness in community about prevalent diseases. 2. Counseling to pregnant women. 3. Awareness in community how to protect from heat & sun stroke.


Sr. No. Topics

1 Measles

2 Cough

3 Hygiene

4 Fever


S # Topics

1 Dengu Fever

2 Measles

3 Viginal discharge

4 Tuber Closes

167


Community to help at centers for tree plantation etc.

10. Health Camps:



i Sanitation Nil Nil

ii Drainage / sewerage Nil Nil

iii Drinking water Nil Nil

iv Prevention of adulteration Nil Nil

v Tree Plantation Nil Nil

vi Roads and infrastructure Nil Nil

vii Environmental Improvement Nil Nil

viii Others Nil Nil


1. OPD*





S # BHU OPD BHU OPD

1 Lalu Rounk 6054 GD Abdul Wahab

1003

2 MCHC Nasirabad 5541 BHU Hamal 1115

3 MCHC Shahdad Kot 4731 BHU Chakiyani 1455

4 BHU Bambho Khan Chandio 4437 BHU Arzi Bhutto 1659

5 GD Chhajjrra 3426 BHU K.B Wahoocho 1665

168






1 A.R.I 10123

2 Fever clinical Malaria 8769

3 Scabies 6914

4 Diarrhea 5413


No. of Patients




Snake bite cases reported Nil

ASV Vaccine Administered Nil



S # Tests Number



3 Hemoglobin 199


5 Ultra Sound 576



1 Fever (Clinical Malaria 1361

2 A.R.I 1247

3 Scabies 963

4 Diaherrea 714

169


No. of cases

No. of cases

Total referred

Follow up result

Hepatitis B

- Nil Nil -

Hepatitis C

- Nil Nil -



Under Diagnosis

35 _ -

9. Referrals



2 10 - - - - 10

3

4


S.No

Totals Cases Referred from


1 Nil Nil Nil Nil Nil Nil Nil

2

3




58 40 112 210



01 N/A N/A N/A N/A

02 N/A N/A N/A N/A

03 N/A N/A N/A N/A

04 N/A N/A N/A N/A

170




As such no issue was discussed.



Status / Remarks

01 BHU Khairpur Jooso Work completed MB recorded

02 BHU Datu Teewna -do- -do-

03 BHU Ghazi Khan Khuhawar -do- -do-

04 BHU Aitbar Khan Chandio -do- -do-

05 BHU Gathar -do- -do-

06 BHU Bhambo Khan Chandio -do- -do-

07 BHU Mohammad Ali Gurmani -do- -do-

08 BHU Thori Bijar -do- -do-

09 BHU Chakyani -do- -do-

10 BHU Kot Ghulam Shah -do- -do-

11 BHU Behram d-o- -do-

12 BHU Lalu Raunk -do- -do-

13 BHU Ghogharo -do- -do-

14 BHU Ghulam Ali Magsi -do- -do-

15 BHU Arzi Bhutto -do- -do-

16 BHU Thoof Chosool -do- -do-

17 BHU Deera -do- -do-

18 BHU Wadho Kalhoro -do- -do-

19 BHU Khuda Bux Wahocho -do- -do-

20 BHU Gaji Khuhawar -do- -do-

21 BHU Khandu -do- -do-

22 Unani Shifakhana Gul Buriro work completed -do-

171



- -



On Staff Matters:

• Discussed & reviewed monthly performance of Male and Female doctor’s for the month of January.

• Discussed & shared the targets of eight indicators with male and female doctors.

• Punctuality of all officer’s.


It was decided to conduct more and more CHSs and utilize the services of vaccinators and outreach staff in order to prevent diseases, and to establish rapport in all the national programs.

On Curative Health:

1. To run OPDs properly at all HFs. 2. To properly provide the services to the people. 3. To ensure availability of essential medicines at HFs


FMOs as well MOs were asked by the DSM to properly attend all the ante-natal & neo-natal cases.

Other Matters:


15_3-2013 @ 09.30 am


1. R&R Target of all the HFs / schemes completed.

172

MINUTES OF THE 56 th MONTHLY REVIEW MEETING

OF DISTRICT KHAIRPUR Mirs

Monthly Review Meeting of District Khairpur for the Month of January-2013 was held on 16th Febuary

2013 at Darbar Hall Khairpur Mir’s. Written invitations to participants were sent to the Deputy Commisioner, the

DHO, the DO (F&P), DO(CDD), District Population Welfare Officer, Civil Surgeon DHQ-Khairpur, Taluka Health

Officer(s) (all), District Coordinator National Program Khairpur, District Focal Person EPI, District Focal Person TB,

District Coordinator, Malaria Control Program and NMO (WHO) as usual.

The list of participants is enclosed.

S No Name of In-charge Designation S No Name of In-charge Designation

1 Ghulam Abbas Detho RPD_III 72 Dr.Ghayoor Abbas M.O

2 Dr. Abdul Kareem Shaikh M.O 73 Dr. Abdul Shakoor M.O

3 Dr. Ghulam Mustafa Sheikh M.O 74 Dr. Tahir Hussain Kanhar MO

3 Dr. Abdul Qadir Shaikh M.O 75 Dr.Muhammad Afzal .M.O

4 Dr.Abdul Qayoom Solangi M.O 76 Dr Asadullah Ghumro M.O

5 Dr. Abdul Qayoom Memon M.O 77 Dr. Basheer ahmed Lashari M.O

6 Dr. Nek Mohammad Memon M.O 78 Dr.Muhammad Nawaz M.O

7 Dr. Ahsan Solangi M.O 79 Dr Aijaz Ali M.O

8 Dr. Akhtar Hussain Khuhro M.O 80 Dr. Zaheer Ahmed M.O

9 Dr. Ali Mohammad Bhambhro M.O 81 Dr Abdul Majeed memon M.O

10 Dr. Asif ali Khaskheil MO HQ 82 Dr Mukesh Kumar M.O

11 Dr. Atta Hussain Narejo M.O 83 Dr. Gobind Ram M.O

12 Dr. Atta Muhammad Memon M.O 84 Dr. Pardeep Kumar M.O

13 Dr Abdul Hameed Sheikh M.O 85 Dr. Qadir Memon M.O

14 Dr. Ayaz Ali Mirani M.O 86 Dr. Imtiaz Hussain Maitlo M.O

15 Dr. Ayaz Hussain Shaikh M.O 87 Dr. Tariq Mumtaz M.O

16 Dr. Azhar-u-ddin Aarejo M.O 88 Dr. Mohammad Ayoub M.O

17 M.O 89 Dr. Narain Mal M.O

18 Dr. Falak Sher Sahito M.O 90 Dr.Abdullah Al Asad M.O

19 Dr. Fayaz Ahmed Memon M.O 91 Dr.Shahid Hussain M.O

20 Dr. Ghulam Akbar M.O 92 Dr.Roshu Mal M.O

21 Dr. Ghulam Hussain M.O 93 Dr. Mian Khalid Bashir M.O

173

22 Dr. Ghulam Hyder Phul M.O 94 Dr. Abdul Majeed Kanhar M.O

23 Dr. Ghulam Mujtaba Memon M.O 95 Dr.Ajmal Ghumro M.O

25 Dr. Ghulam Mujtaba Rajpar M.O 96 Dr. Abdul Malik Soomro M.O

26 Dr. Ghulam Murtaza Bughti M.O 97 Dr.Nadeem Abbass M.O

27 Abdul Rasheed M.O 98 Dr. Mir Iqbal Talpur M.O

28 Dr. Asghar Ali Arain M.O 99 Dr. Mast Ali M.O

29 Dr.Khalid Javed Awan M.O 100 Dr Nisar Soomro M.O

30 Dr.Raja Ikram M.O 101 Dr. Arif Hussain M.O

31 Dr.Dharam Pal M.O 102 Dr. Ghulam Sarwar M.O

32 Dr Abdul Rasheed Joyo M.O 103 Dr Muhammad Rafique M.O

33 Dr.Ghulam Murtaza Lakho

M.O 104 Dr.Muhammad Hassan Sheikh S.M.O

34 Dr. Ghulam Safdar Lakho M.O 105 Dr.Bashir Ahmed Narejo M.O

35 Dr. Javed Ahmed Memon M.O 106 Dr Israr Ahmed M.O

36 Dr. Javed Ahmed Soomro M.O 107 Dr. Jaleel Memon M.O

37 Dr. Kamran Rasool Mangi M.O 108 Dr Kailash Patti S.M.O

38 Dr. Karam Abbas M.O 109 Dr Noor muhammad S.M.O

39 Dr. Khalid Hussain Memon M.O 110 Dr muhammad shareef S.M.O

40 Dr. Khalique Dino wassan M.O 111 Dr:Ramish Kumar S.M.O

41 Dr. Khair Muhammad M.O 112 Dr:Kundan Dass S.M.O

42 Dr. Mir Sarfraz Talpur M.O 113 Dr:Mir Iqbal Talpur S.M.O

43 Dr. Muhammad Azam Ganbheer M.O 114 Dr:Abdul Rashid S.M.O

48 Dr. Muhammad Juman Sahito M.O 115 Dr:Niaz Ali S.M.O

49 Dr. Muhammad Panah M.O 116 Dr Ghulam Hyder S.M.O

50 Dr. Mumtaz Shaikh M.O 117 Dr Mohammad Waris kuber S.M.O

51 Dr. Mumtaz Wasan M.O 118 Dr Abdul hameed S.M.O

52 Dr. Nek Muhammad Memon M.O 119 Dr Mukhtiar Sahito S.M.O

53 Dr. Niaz Wassan .M.O 120 Dr. Majid Ali Mangi S.M.O

54 Dr. Noor Ahmed Banbhan M.O 121 Dr.Masroor S.M.O

55 Dr. Parvez Iqbal .M.O 122 Dr.Asif Soomro Ophtholmologis 56 Dr. Rabdino Rajper .M.O 123 Dr. Kamran Rasool Mangi MO

57 Dr. Saeed Ahmed Ansari .M.O 124 Dr. Noor Muhammad DO

58 Dr. Saifullah Bugti .M.O 126 Dr. Abdul Munam Shar

M.O

MO

59 Dr. Sanaullah Bharejo MO 127 Dr. Abdul Rauf Shaikh MO

61 Dr. Shafique Ahmed Memon SMO 128 Dr. Anwar Illahi Sahito MO

62 Dr. Sheeraz Phulpoto SMO 129 Dr. Ghulam Murtaza Rajer MO

63 Dr. Waheed Ali Kalhoro M.O 130 Dr. Muhammad Ali Sikandar MO

64 Dr. Khalq Dino Wasan S.M.O 131 Dr. Muhammad Aslam Baloch MO

174

65 Dr. Suhail Ahmed Memon M.O 132 Dr Qadam Ali Jamro SMO

66 Dr Waqar Ahmed .M.O 133 Dr. Manzoor Hussain S.M.O

67 Dr.Mehtab Phull M.O 134 Dr Majid Ali Mangi S.M.O

68 Dr.Maqsood Ahmed M.O 135 Dr.Sanullah Bharejo MO

70 Dr. Jaleel Memon MO 136 Dr. Ashique Hussain MO

71 Dr. Khalid Kalhoro S.M.O 137 Dr. Ghulam Sarwar MO

Following Medical Officers remained absent from Monthly Review Meeting Dr. Ahmed Ali Kanhar S.M.O MO

1 Dr.Mohammad Siddique S.M.O 20 Dr. Manzoor Hussain Wasan .M.O

2 Dr. Ayaz Ali Chandio M.O 22 Dr. Arif Hussain M.O

3 Dr. Basheer Ahmed Khuhro M.O 22 Dr. Ashique Hussain MO

4 M.O 23 Dr. Majid ali Mangi MO

5 Dr. Mukhtiar Ahmed Wasan M.O 24 Dr. Abdul Jabbar Lashari S.M.O

6 Dr. Mir Arif Hussain M.O 25 Dr.Hakim Solangi S.M.O

7 Dr. Washoo Mal MO 26 Dr:Noor undin S.M.O 8 Dr. Safiullah Mahaser MO 27 Dr . Ab Sattar Bhatti S.M.O

9 Dr. Muhakum Din Bozdar MO 28 Dr. Mohammad Hasan Skh S.M.O

10 Dr. Basheer Ahmed Naerejo SMO 29 Dr Abdul Hakeem Kuber S.M.O

11 Dr. Ghulam Rasool SMO 30 Dr. Khair Shah SMO

12 Dr Rahim Bux Rind S.M.O 31 Dr. Abdul Rasheed M.O

13 DR IFTHIKHAR AHMED S.M.O 32 Dr Bag Ali Bozdar S.M.O

14 DR NOOR AHMED S.M.O 33 Dr Abdul Shakoor Buber S.M.O

15 Dr. Israr ahmed MO 34 Dr Khair Muhammad S.M.O

16 Dr. Jamil Memon MO 35 Dr. Niaz ali S.M.O

17 Dr. Noor Mohammad MO 36 Dr. Gada Hussain SMO

18 Dr. Iftikhar Ahmed MO 37 Dr. Ghulam Hayder MO

19 Dr. Zameer Ali Phull MO 38 Dr. Qaiser Raza Bozdar SMO

20

Dr Asadullah Ghumro S No Name of Female Medical

Designation S No Name of Female Medical

Designation

1 Dr. Abida Memon FMO 31 Dr. Sunita Dharampal FMO

2 Dr. Asma Shaikh FMO 32 Dr. Khadija Soomro FMO

3 Dr.Sanobar Soomro FMO 33 Dr. Syeda Aliya Nazir FMO

4 Dr. Nadia sharaf FMO 34 Dr. Reehana Zulfiqar FMO

5 Dr. Rozina Soomro FMO 35 Dr. Sanam Shaikh FMO

Dr. Hameeda Rajper (SN) FMO 36 Dr.Fareeda Sangri WMO

7 Dr. Naheed Akhter FMO 37 Dr. Rozina Lakho Sonologist

8 Dr. Naseem Dharejo FMO 38 Dr. Lal Khatoon FMO

9 Dr. Shafiat Rahman FMO 39 Dr. Sunitaa Bozdar FMO

175

10 Dr. Irshad Rajper FMO 40 Dr. Zeenat Memon FMO

11 Dr Sangeeta washoo FMO 41 Dr. Roshan Waqar FMO

12 Dr. Sobia Memon FMO 42 Dr. Zahida Soomro Sonol

13 Dr. Zainab Bozdar FMO 43 Dr. Sana sheikh FMO

14 Dr. Marium FMO 44 Dr Shazia Sheikh FMO

15 Dr.Mehrunissa FMO 45 Dr. Aisha Balouch FMO

16 Dr.Farzana Kanhar FMO 46 Dr. Hina Mazahr FMO

17 Dr. Shabiran Mari FMO 47 Dr. Rukhsana Maitlo FMO

18 Dr. Sadaf Raheel FMO 48 Dr. Reeta FMO

19 D. Shahida Mangrio FMO 49 Dr. Samina Channa FMO

20 Dr Tahira Sonol. 50 Dr. Rabia Sangi FMO

21 Dr Reshman FMO 51 Dr. Sangeeta Mukesh FMO

22 Dr Sajida Parveen FMO 52 Dr.Ghazala Ghumro FMO

23 Dr Afshan Bhambhro FMO 53 Dr.Sajida WMO

24 Dr. Jameela Jabbar Shaikh FMO 54 Dr. Afsheen FMO

25 Dr. Rozina Lakho Sonol 55 Dr. Fakhunisa Bhambhro FMO

26 Dr Sadaf Rajab FMO 56 Dr. Rukhsana Sohu FMO

27 Dr. Abida Kanhar FMO 57

28 Dr. Hameedda Rajper Jr Sonol 58

29 Dr Pukhraj Panhwar Sonol 59

30 Dr Anjuman Ara FMO 60

31 Dr. Abida Kanhar FMO

Following Female Medical Officers remained absent from Monthly Review meeting

Mohsin Ali S. No Name of Female Medical

Designation S. No Name of Female Medical

Designation

Dr. Nusrat W

FMO 11 Dr. Sh hid

FMO

Dr. M dih

FMO 12 Dr. A i

FMO

Dr. Firdos A

FMO 13 Dr. Af h

FMO

Dr. Reena FMO 14 Dr. S bi

FMO

Dr. Naila S

FMO 15 Dr. R bi

Sonologist

Dr. S i

FMO 16 Dr. Sh b

FMO

Dr. Nazia N

FMO 17 Dr. Af h

FMO

Dr. Gh l

FMO 21

Dr. Sh h d

WMO 22

Dr. Ri

Sonologist 23

List of DSU Staff attended the monthly review meeting

01 Ghulam Abbas Detho RPD-III 09 Mr. Akhtar Hussain Khaskhlei S.O

02 Mr.Ammanat Ali Shar DSM 10 Mr. Mohsin Mehboob Bhatti S.O

176

03 Mr.Riaz Ahmed Rahoojo ADSM 11 Mr. M Ibrahim Chandio S.O

04 Mr.Aijaz Phull EO(M&E) 12 Mr. Junaid Jonejo Assistant

05 Mr.Asif Nazeer Kalwar EO(M&E) 13 Mr. Amanullah SO

06 Mr. Bhai Khan Khemtio S.O 14 Mr. Saleem Mangi Assistant

07 Mr. Kaleem Ullah, Khilji S.O 15 Waseem Sajjad SO

08 Mr. Fahim Ahmed EX F/A 16 Asad ali SO

L. HFs WITH PPHI

BHUs: 82 Dispensaries: 45 MCHCs: 09 Others: 14

TOTAL: 150


X. STAFF STRENGTH

Sanctioned Posts


PPHI Contract

Vacant

Mos 154 51 103 1

WMOs(Govt) 05 05 0 ---

FMO 59 0 61 05

Sonologist 06 - 06 1

LHVs 73 11 75 6

MTs/MAs

Male

--- --- --- ---

Female --- --- --- ---

Dispensers 152 112 48 2

Y. CLUSTERS OF HFs WITH ONE MO

Previous Month Total at Present

Month under Review Total at Present







177

WITH ONE FMO




Topic No. of Participants

Nll

Capacity Building of LHVs / Dispensers during Month under Review

Names of the Resource

Topic No. of





No. of Doses of Immunization Administered in Children at Health Facilities. 3843

NO. of TT Vaccines provided to pregnant/child bearing age women @HFs. 2417

No. of Immunization & Vaccination Administered by outreach EPI

0

Total vaccination / immunization for the

6260

Previous Month Total at

Month under Review Total at Clusters of 5 HFs 00 Clusters of 5 HFs 00





178



100% NA


S # Service Number

1 Passive Case Detection (PCD) Slides NA

2 Active Case Detection (ACD) Slides NA

3 Visits to Check Sanitation (individual house holds + streets) NA

4 Notices issued against Poor Sanitation NA

5 Challans sent to Court against Poor Sanitation NA

6 Patients Nebulized NA

# Names of FMOs Ante-Natal

Cases Neo-Natal

Cases Other OPD Total OPD

01 Dr Nusrat Wassan 280 22 1239 1541

02 Dr. Asma Shaikh 25 0 778 803

03 Dr. Madiha Rehman 55 0 380 435

04 Dr Reena 638 18 619 1275

05 Dr Sanoober 35 0 982 1017

06 Dr. Naila Soomro 256 0 1186 1442

07 Dr. Rozina Soomro 54 0 1640 1694

08 Dr. Samina Shaikh 95 0 920 1015

09 Dr. Naheed Akhtar 49 0 909 958

10 Dr. Naseem Dharejo 38 3 1063 1104

11 Dr. Nazia Noor 60 8 444 512

12 Dr. Ghazala Lashari 64 0 1143 1207

13 Dr. Firdous Ara 0 0 0 0

14 Dr. Irshad Rajper 0 0 0 0

15 Dr.Sangeta Wasu 128 0 1032 1160

16 Dr. Sobia 36 0 778 814

17 Dr. Zainab Bozdar 213 5 1683 1901

18 Dr. Maryam Sheikh 158 2 1800 1960

19 Dr. Mehrunnisa 103 0 910 1013

179

20 Dr. Fakhrunnisa 229 46 1913 2188 21 Dr. Farzana Kanhr 60 0 988 1048 22 Dr. Shaberan Mari 59 0 949 1008 23 Dr. Sadaf Raheel 63 0 1037 1100 24 Dr. Suneeta Dharmpal 130 0 1238 1368 25 Dr. Rukhsana Soho 380 9 1612 2001 26 Dr. Khadija Soomro 90 4 803 897 27 Dr. Syda Alia Nazer 71 0 780 851 28 Dr. Rehana Zuluf 60 0 722 782 29 Dr. Sanam Shaikh 14 0 141 155 30 Dr. Nadia Sharaf 37 0 743 780 31 Dr. Shamshad 86 0 1199 1285 32 Dr. Zeenat Memon 62 2 1218 1282 33 Dr. Roshan Waqar 34 0 987 1021 34 Dr. Aasia Bhatti 0 0 0 0 35 Dr. Shazia Shaikh 120 1 1411 1532 36 Dr. Aisha Baloch 52 0 810 862 37 Dr. Rukhsana Mtl 0 0 1710 1710 38 Dr. Samina Chana 170 0 1351 1521 39 Dr. Rabia Sangi 23 0 445 468 40 Dr. Sangeta Muk 80 0 1173 1253 41 Dr. Reshma 40 0 442 482 42 Dr. Sajida Parve 26 0 545 571 43 Dr. Suneeta Boz 50 0 737 787 44 Dr. Shafiat Rehm 45 0 466 511 45 Dr. Afshan Bhambhro 120 6 202 328 46 Dr. Jameela Jabbar

42 0 633 675

47 Dr. Sadaf Rajb 33 0 789 822 48 Dr Abida Kanhar 110 4 1733 1847 49 Dr. Anjum Ara 50 1 465 516 50 Dr. Sajida (WMO) 72 0 389 461 51 Dr.Afsheen ICU

52 Dr.Tahira Shaikh Sonologist

53 Dr.Reeta Sonologist

54 Dr.Rizwana Sonologist

55 Dr.Pukhraj Sonologist

56 Dr.Zahida Soomro Sonologist

57 Dr.Rozina Lakho Sonologist

58 Dr.Hamida Rajper Sonologist

59 Dr.Lal Khatoon

60 Dr. Sajida Ujan

61 Dr. Shabnam Phul NICU

180



1. Female Health



2 Deliveries Assisted at homes 0



It was informed by DSM that since Family Planing material is being supplied to HFs. The FMOs were also directed to pay more attention over vaccination of children and women and provide family planning advice.


S # Name of the Items / Service November


2 Oral Pills 987

3 IUCDs 175

4 Injections 917

05 Others 836

Total 8130



S # Name of Test Number

1 Pregnancy Tests. 1036

2 Blood Sugar Tests. 1125

3 Haemoglobin Tests. 2135

4 Ultra Sound Test. 4328

5 Other. 3605

181

1. Number of Male CSGs: 120 Number of female SGs: 0




No. No. of

No. No. of Bhai Khan 5 75 2/2 28/30

Muhammad Ibrahim 4 70 6/6 60/60

Akhtar Hussain 6 77 4/4 70/60

Kaleemullah Khilji 5 52 3/4 20/31

Mohsin Ali 3 64 2/2 25/20

Ammanulah Keerio 8 76 5/4 41/31

Total 31 414 23/23 244/232


S No.

Names of MO /


Sessions

Sessions Children E i d

Children T t d 1 Dr. Nusrat Wassan 3 70 0 0 0

2 Dr. Asma Shaikh 3 28 1 1 13

3 Dr. Madiha Rahman 0 0 0 0 0

4 Dr. Reena 0 0 0 0 0

5 Dr.Sanobar Soomro 1 15 0 0 0

6 Dr. Naila Soomro 2 19 0 0 0

7 Dr. Rozina Soomro 3 29 2 2 10

8 Dr. Samina Shaikh 4 40 1 1 4

9 Dr. Naheed Akhter 3 30 1 1 8

10 Dr. Naseem Dharejo 3 57 1 1 9

11 Nazia Noor 2 50 1 1 13

12 Dr. Ghazala Lashari 2 52 2 2 3

13 Firdos Ara 0 0 0 0 0

14 Dr Sangeeta washoo 4 83 3 48 6 15 Dr. Sobia 2 30 1 14 2 16 Dr. Zainab Bozdar 3 37 1 10 8 17 Dr. Maryam Sheikh 4 30 1 10 5 18 Dr.Mehrunissa 3 38 1 9 5 19 Dr. Fakhunisa

Bh bh 3 25 1 10 5

20 Dr. Afsheen

21 Dr.Farzana Kanhar 2 25 0 0 0 22 Dr. Shabiran Mari 4 47 1 20 12

182

23 Dr. Sadaf Raheel 3 27 1 8 6 24 D. Shahida Mangrio 1 10 1 12 4 25 Dr. Abida Memon 1 12 0 0 0 26 Dr. Sunita Dharampal 4 40 2 30 20 27 Dr. Rukhsana Sohu 1 7 0 0 0 28 Dr. Khadija Soomro 3 41 1 11 8 29 Dr. Syeda Aliya Nazir 4 40 1 8 3 30 Dr. Rehana Zulfiqar 2 20 2 42 5 31

32 Dr Tahira Sonologist

33 Dr: Nadia Sharaf

34 Dr: Hameeda Rajper

Sonologist

35 Dr. Nadia Sharaf 3 57 1 15 0 36 Dr. Hameeda Rajper

(SN) 4 45 2 30 15

37 Dr. Shamshad Shaikh 0 0 0 0 0 38 Dr. Zeenat Memon 3 45 1 12 7 39 Dr. Roshan Waqar 1 15 1 15 0 40 Dr. Aasia Bhatti 0 0 0 0 0 41 Dr: Lal Khatoon Red Crescent Unit

42 Dr Shazia Sheikh 2 39 0 0 0 43 Dr. Aisha Balouch 2 25 1 6 6 44 Dr. Rukhsana Maitlo 2 38 2 39 32 45 Dr. Samina Channa 2 44 0 0 0 46 Dr: Zahida Soomro Sonologist

47 Dr. Rabia Sangi 2 39 2 31 5 48 Dr. Sangeeta Mukesh 2 36 2 58 31 49 Dr: Shabnam Phull Neonatal Ward

50 Dr: Reeta SMBB Polyclinic

51 Dr Reshman 3 38 2 30 16 52 Dr Sajida Parveen 2 18 1 10 5 53 Dr. Sunitaa Bozdar 4 60 1 10 8 54 Dr. Shafiat Rahman 1 13 1 10 6 55 Dr: Rozina Lakho Sonologist

56 Dr: Rizwana Andleep Sonologist

57 Dr Afshan Bhambhro 2 15 0 0 0 58 Dr. Jameela Jabbar

Sh ikh 3 32 1 3 3

59 Dr Sadaf Rajab 3 36 2 21 12

183

60 Dr. Abida Kanhar 4 65 0 0 0 61 Dr Anjuman Ara 4 40 1 20 15 62 Dr.Sajida WMO 2 19 1 5 5 63 Dr. Pukhraj Sonologist


- FMOs/MOs told about the sign and symptoms of Malaria,RTI,Measles; preventive measures i.e;mosquito repellent creams/oils,mos.nets,fumigation,examine an treat childrens.


- Medical Officers told the participants about the sign/symptoms,preventive measures of Scabies,Measles,Malnutrition.The participants also examined and were given treatment.


S No. Topic

1 Measles

2 Malaria

3 RTI


S # Topics

1 Measles

2 Scabies

3 Malnutrition


- Holding of regular Community Support Groups Meetings. - Involvement of Active community members in BRHFs issues and in R&R and problems faced by BRHFs. - Support from community member in holding Community Health Sessions and SHS & their participation.. - All Male & Female Medical Officers were instructed to keep HF neat & clean & plantation. - Intimation to community for of health services provided at HFs

9. Health Camps: Number Held: Number of Patients:

184



I Sanitation NIL

Ii Drainage / sewerage NIL

Iii Drinking water NIL

Iv Prevention of

NIL

V Tree Plantation NIL

Vi Roads and infrastructure NIL

Vii Environmental

NIL

Viii Others NIL


1. OPD*





S # BRHF OPD BRHF OPD

1 NMC Chondiko 9275 GD Model Village 127

2 SMBBP Poly Clinic 8262 BHU Pir Bux Gah0 328

3 BHU /MCHC Khuhra 6063 DCD Fakirabad 506

4 BHU Drib Mehar Shah 4471 DCD Atta Mohammad Rajpar 513

5 BHU Bozdar Wada 4206 GD Murad Gopang 520

3. Top Five Diseases Treated during School Health Sessio ns/Camps




1 Malaria 0

2 RTIs 0

3 Scabies/Skin Infections 0

185



1 ARI 4188

2 Malaria 23425

3 Diarrhea 8896

4 Skin Infections 5252

5 Fever due to other Causes 4468


No. of Patients

Dog Bite cases Reported 490



Snake Bite cases Reported 1



42. Lab / Diagnostic Tests: Includes Tests Reported at No. (II) (Mother, Child & Reproductive Health) (Lab / Diagnostic Tests)

S # Tests Number


2 Hemoglobin 2135


4 Ultra Sound 4328

5 Others (Malaria+Lab Test) 3605

B & C SCREENING TESTS

Screening No. of Tests

No. of cases

No. of cases

Total referred

Follow up result

Hepatitis B NA

Hepatitis C NA

8. TUBERCLOSIS

186

Patients

Receiving Treatment

New Cases During the Month Under Diagnosis

0 0 0

9. Referrals

S. No Totals Cases Referred To


0 0 0 0 0 0 0




0 0 0 0 0 0 0



DSM ADSM Executive Monitoring

Other Staff Total

55 45 111 268

479


0 0 0 0



• Late Submission of medicine requisitions DHIS, FMO Reports, Dews Reports by Medical Officer and Female Medical Officers


187

S # Name of

HFs

Description of Repair / Maintenance incl. Electrification

Status / Remarks

01 BHU Dhoro 100% Completed

02 BHU Dubi 100% Completed

03 BHU Hindyari 100% Completed

04 BHU Kabir Khan Siyal 100% Completed

05 BHU Kharrah 100% Completed

06 BHU Tarko 100% Completed

07 GD Deparja 100% Completed

08 GD Mangho Fakir Shar 100% Completed

09 GD Sutyaro 100% Completed

10 BHU Bachal Bhambhro 100% Completed

11 BHU Khalifo Huryah 98% Completed

12 BHU New Goth Sahito 100% Completed

13 BHU Sami 100% Completed

14 BHU Rukrani 100% Completed

15 BHU Bhelar wada 100% Completed

16 BHU Razal Memon 100% Completed

17 BHU Gadeji 100% Completed

18 BHU Kathore 100% Completed

19 BHU Bachal Bhambhro

100% Completed

20 BHU Sikanadr Abad 100% Completed

21 MCHC Choondiko 100% Completed

22 BHU Layari 100% Completed

23 BHU Mithri 100% Completed

24 GD Fateh pur 100% Completed

25 BHU Amir Ali Shah 100% Completed

26 BHU Arab Solangi 100% Completed

27 BHU Jiskani 100% Completed

28 GD Murad Gopang 100% Completed

29 BHU Nawab Khan Wassan 100% Completed

30 BHU Imam Bux Palh 100% Completed

31 BHU Jan M Wandiar 100% Completed

32 BHU Hashim Shah Jagir 100% Completed

33 BHU Karam Ali Khan Lashari 100% Completed

34 BHU Babar wada 100% Completed

35 BHU Bago daro 100% Completed

36 GD Talpur wada 100% Completed

37 BHU Hadal Shah 100% Completed

188

38 BHU Kot Mir Muhammad 100% Completed

39 BHU Sadarji Bhatyoon 100% Completed

40 BHU Rahooja 100% Completed

41 BHU Mahesar wada 100% Completed

42 BHU Manghanwari 100% Completed

43 BHU Bahar Larik 100% Completed

44 BHU Kolab Jial 100% Completed

45 GD Ali Hyder Jalbani 100% Completed

46 BHU Thehri 100% Completed

47 BHU Babarloi 100% Completed

48 GD Mitho Mari 100% Completed

49 BHU Machyoon wada 100% Completed

50 BHU Pir Mangio 100% Completed

51 BHU Bago Maitlo 100% Completed

52 BHU Tando Masti 100% Completed

53 BHU Gagri 100% Completed

54 BHU Lal Bux Mangi 100% Completed

55 BHU Lal Bux Mangi 2 100% Completed

56 BHU Long Fakir 100% Completed

57 GD Allah Bux Katohar 100% Completed

58 GD Manjhi Khan Katohar 100% Completed

59 GD Siming 100% Completed

60 BHU Tando Nazar Ali 100% Completed

61 GD Razi Goth 100% Completed

62 GD Gabar Maitlo 100% Completed

63 GD Nihal Khan 100% Completed

64 BHU Ripri 100% Completed

65 GD Arab Phull 100% Completed

66 BHU M Ramzan Mullo 100% Completed

67 BHU Araro 100% Completed

68 BHU Bhango Behan 100% Completed

69 BHU Zafarabad 100% Completed

70 BHU Ubhri 100% Completed

71 BHU Tando Mir Ali 100% Completed

72 BHU Phori Chadio 100% Completed

73 BHU Jado Wahan 100% Completed

74 BHU Razidero 100% Completed

75 GD Shah Ali Jamro 100% Completed

76 GD Imdad Ali Sahito 100% Completed

189

77 BHU Tando Mir Karam 100% Completed

78 BHU Sagyoon 100% Completed

79 BHU Tajjal Sharif 100% Completed

80 BHU Hussain Abad 100% Completed

81 GD Kandhar 100% Completed

82 BHU Ahmed Pur 100% Completed

83 BHU Piryaloi 100% Completed

84 BHU Phat 100% Completed

85 GD Akan Behan 100% Completed

86 BHU Sadi Lower 100% Completed

87 GD Fakir M Lakho 100% Completed

88 BHU Bozdar Wada 100% Completed

89 BHU Setharja 100% Completed

90 GD Abu Zaibi 100% Completed

91 BHU Kumb 100% Completed

92 BHU Rahooja II 100% Completed

93 BHU Pir Bux Loothi 100% Completed

94 BHU Imdad Ali Shar 100% Completed

95 BHU Pir Hayat Shah 100% Completed

96 BHU Akri 100%

97 BHU Ghulam Nabi Rajper 100%

98 BHU Pir Bux Gaho 95%

99 BHU Niazabad 65%

100 GD Model Village 75%

101 BHU Baseero 10%

102 GD Karoondi 60%

103 BHU Kamaldero 50%

104 GD Faizabad 70%

105 BHU Belharo 30%

106 BHU/MCHC Khuhra 30%

107 GD Fakirabad 70%

108 BHU Lakha Wada 10%

109 MH Ahmedpur in process

110 GD Bakhar Kanasra In process

111 GD Arab Phull II In process

112 GD Mangho Fakir Shar In process

190




Date /Time for Next MRM: 10th of March 2013/ 9:00am

Comments by DSM:

There is Shortage of Basic Equipments i.e;B.P Apparatus,Stethoscope,Thermometer and Aprons for MO & FMO as well as for paramedic & Auxillary Staff. I/C MOs were directed to fill DHIS Report properly and maintain HF record according to DHIS protocol and instructions of Public Health Specialist.

191


OF DISTRICT_DADU

Monthly Review Meeting (MRM) of District, DADU for the Month of January, 2013 was held on 13/02/2013 at DC

Darbar Hall Dadu. Written invitations to participate were sent to the DC, the DO(H), the DO(F&P) and District

Incharge of EPI, LHW and all other National Programs as usual. The list of participants follows:



1 Mr. Moula Bux Solangi

2 Dr. Zahid Hussain Dawach

3 Dr. Abdul Rasheed Qureshi

4 Dr. Ghulam Siddique Panhwar

5 Dr. Abdul Hameed Soomr

6 Dr. Niaz Hussain Jamali

7 Dr. Zahid Hussain Khehro

8 Dr. Sohail Ahmad Channar

9 Mr. Abdul Sattar Soomro

10 Mr. Peer Ashfaque Ahmad

11 Dr. Altaf Hussain Shah

12 Dr. Nizam u Din Abro

13 Dr. Bashir Ahmad Channa

14 Dr. Abdul Kareem Jamali

15 Dr. Bhajan Lal Matlani

16 Dr. Sanaullah Soomro

17 Dr. Sayed Lal Shah

18 Dr. Altaf Hussain Qureshi

19 Dr. Fayaz Ahmad Panhwar

20 Dr. Deedar Hussain Abbasi

21 Dr. Akbar Ali Panhwar

22 Dr. Shams Din Jokhio

23 Dr. Ghullmullah Samoo

24 Dr. Hidayatullah Chandio

25 Dr. Mujahid Saand

26 Dr. Abdul Raheem Saryo

27 Dr. Allah Dino Khoso

28 Dr. Allah Dino Khoso

29 Dr. Mumataz Ali Khand

30 Dr. Imdad Hussain Kalhoro

31 Dr. Ammanullah Chandio

32 Dr. Rasheed Ahmad Chandio

33 Mr. Nisar Ahmad Chandio

34 Dr. Assadullah Lakhair

35 Dr. Mohammad Azam Chandio

36 Dr. Irshad Ahmad Shah

37 Dr. Ihsan Iqbal Thebani

38 Dr. Akram Ali Soomro

39 Dr. Manzoor Ahmad Sario

40 Dr. Shamas Din Kalhoro

41 Dr, Awais Ahmad Bughio

42 Dr. Khalid Hussain Laghari

43 Dr. Qamarudin Abbasi

44 Dr. Altaf Ahmed Lund

45 Dr. Mohammad Nawaz Arain

46 Dr. Zubair Ahmad Panhwar

47 Dr. Abdullah Sameejo

48 Dr. Dost Mohammad Bughio

49 Dr. Mohammad Waseem Arain

50 Mr. Mohammad Khan Rustamani

51 Dr. Afshan Memon

52 Dr. Naheed Akbar Janwari

192

53 Dr. Shabnam Niaz Gorar

54 Dr. Farzana Jokhio

55 Dr. Mehnaz Saeed Soomro

56 Dr. Fareeda Noonari

57 Dr. Zakia Larik

58 Mr. Allahwarayo Khoso

59 Dr. Naheed Shaikh

60 Dr. Farhana Shah

61 Dr. Uzma Soomro

62 Dr. Fahmeeda Shaikh

63 Dr. Shahida Solangi

64 Ali Raza Jamali

65 Dr. Rehana Joyo

66 Dr. Rubeena Arejo

67 Dr. Ameena Bughio

68 Dr. Shoaib Qazi

69 Mr. Abdul Hafeez Bhatti

70 Mansoor Ali Panhwar

71 Mr. Abdul Sami Soomro

72 Sayed Rizwan Ali Shah Kazmi



1 Dr. Kalsoom Janwary

CL 2 Dr. Adeela Soodhar

CL

3 Dr. Mohammad Naeem

CL 4 Dr. Akhtar Hussain

CL

5 Dr. Jameela Khoso

CL 6 Dr. Nizakat Ali Sahar

CL

M. HFs WITH PPHI

BHUs: 35 Dispensaries: 12 MCHCs: 02 Others:______

TOTAL: 49


Z. STAFF STRENGTH

Sanctioned

Working Government

PPHI

Vacant

MOs 49 43 17 26 32

WMO

FMOs - 18 0 18 07

LHVs 30 32 7 25 20

MTs/Mas Male

- - - -

- Female - - -

Dispensers/HT 78 57 28 29 0

193

AA. CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO

NOTE: One Sonologist is working



Dr. Zahid Hussain Khahro, in his lecture focused on POLIO on the following points:-

• Wild Virus cases by type and district in Pakistan

• Clinical Spectrum of Polio virus Infection

• Eradication Strategy

o Routine Immunization

o NIDs

o AFP Surveillance














194

o Mopping Up

• AFP Surveillance

• What is NEAP for Polio

• UPEC

• Why are UPEC needed

• Functions of UPEC

• Pre / During / Post Campaign


Dr. Ghulam Siddiqu Panhwar, in his lecture focused on Malaria on the following points:-

• Malaria

• Back ground Information

• Current Situation

• Diagnosis

• Treatment

• What is new in Malaria

• Historical Back ground of Malaria

• The burden of disease

• Malaria Control in Pakistan

• Roll Back Malaria

• Life Cycle of Malaria parasite

• Diagnosis of Malaria




-- -- -- --

-- -- -- -- --

195


(I) PREVETIVE HEALTHCARE


1. Vaccination / Immunization No. of Doses of Immunization Administered to Children at Health Facilities. 4957



Total vaccination / immunization for the month January 2013 6200

2. National Immunization Days (NIDs) Dates of NIDs Target of coverage Actual coverage Percentage of

- - - -

3. Other Preventive/Promotional Services .

S # Service Number

1 Passive Case Detection (PCD) Slides 1876 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual households + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized -



1. Female Health S # Names of FMOs Ante-Natal

Cases Neo-Natal

Cases Other OPD

Total

1 Dr.Afshan Memon 80 8 492 580

2 Dr.Ameena Bughio 112 15 553 680

3 Dr Fahmeda Shaikh 151 11 849 1011

4

Dr.Fareeda Noonari 51 6 522 579

196

5 Dr.Farhana Shah 174 19 668 861

6 Dr Farzana Jokhio 272 17 588 877

7 Dr. Rubeena Tahir 51 5 408 464

8 DR. Kalsoom Janwari 79 13 437 529

9 Dr.Mehnaz Soomro 91 8 460 559

10 Dr. Meena Kumari 68 6 1096 1170

11 Dr.Naheed Akbar 120 16 450 586

12 Dr. Naheed Shaikh 77 5 701 783

13 Dr. Rehana Joyo 55 11 1108 1174

14 Dr. Shahida Solangi 144 20 819 983

15 Dr.Shabnam Niaz 77 10 619 706

16 Dr. Uzma Soomro 47 4 281 332

17 Dr.Zakia Larik 20 3 218 241

TOTAL 1669 177 10269 12115

Deliveries Assisted

S # Service Number

1 Deliveries Assisted at HFs 69 2 Deliveries Assisted at Homes 00


S # Test Number

1 Pregnancy Tests 24 2 Blood Sugar Tests 18 3 Hemoglobin Tests 79 4 Ultra Sound Test

1109 5 Other 492

197


The MOs and FMOs demanded that supply of the Tables Ponstan, Paracetamol, Brufen and Amoxil Drops.

Increase quantity of peads: medicine especially in suspension form and Tablet forms.




2 Oral Pills 652

3 IUCDs 5

4 Injections Depo 392

5 Injection Noregest 38

6 Others (Condoms) 511

Total 3063



1. Number of Male SGs: ------47------------ Number of Female SGs: -------02-------





No. No. of Mr.Abdul Hafeez Bhatti 128 8x16=128 12 12x18=216

Mr.Mansoor Ali Panhwar 108 6x18=108 10 10x20=200

Total 236 236 22 416

198


Sessio

Sessi

Children

Children Dr. Altaf Lund 1 22 1 3 3

Dr. Akbar Panhwar 1 20 1 4 2

Dr. Allahdino Khoso 1 15 1 5 2

Dr. Ammanullah Chandio 1 17 1 5 2

Dr. Ashok Kumar 1 21 1 4 3

Dr. Awais Ahmad Bughio 1 20 1 6 2

Dr. Bhajan Lal 1 17 1 2 2

Dr. Bashir Ahmad Channa 1 19 1 7 4

Dr. Deedar Abbasi 1 24 1 6 2

Dr. Dost Mohammad Bughio 1 18 1 12 10

Dr. Fayaz Ahmad Panhwar 1 10 1 6 4

Dr. Hidyatullah Chandio 1 16 1 3 2

Dr. Irshad Ahmad Shah 1 31 1 3 3

Dr. Khalid Hussain Laghari 1 17 1 5 5

Dr. Manzoor Ahmad Saryo 1 22 1 7 2

Dr. Mohammad Akram Soomro 1 16 1 4 3

Dr. Mohammad Azam Chandio 1 20 1 6 6

Dr. Mohammad Waseem Arain 1 16 1 2 1

Dr. Mohammad Naeem Mahessar 1 11 1 10 6

Dr. Mujahid Hussain Saand 1 17 1 7 4

Dr. Nizakat Ali Sahar 1 18 1 5 3

Dr. Nizam u Din Abro 1 16 1 6 5

Dr. Qamar Din Kalhoro 1 18 1 5 3

Dr. Shams Din Kalhoro 1 13 1 3 3

Dr. Sayed Lal Shah 1 21 1 13 7

Dr.Afshan Memon 2 72 2 13 11

Dr.Ameena Bughio 2 58 2 7 7

Dr Fahmeda Shaikh 2 60 2 11 5

Dr.Fareeda Noonari 2 35 2 5 4

Dr.Farhana Shah 2 65 2 6 5

Dr Farzana Jokhio 2 66 2 18 9

DR. Kalsoom Janwari 2 59 2 2 9

Dr.Mehnaz Soomro 2 50 2 15 10

199

Dr. Meena Kumari 2 48 2 4 4

Dr.Naheed Akbar 2 42 2 9 5

Dr. Naheed Shaikh 2 36 2 5 3

Dr. Rehana Joyo 2 36 2 8 4

Dr. Rubeena Tahir 2 31 2 18 8

Dr, Shahida Solangi 2 55 2 12 6

Dr. Shabnam Gorar 2 44 2 16 5

Dr Uzma Soomro 2 43 2 6 4

Dr.Zakia Larik 2 26 2 15 10

59 1281 57 309 198


a) CSG demanded that the Ultrasound facility may be provided at uncovered areas.

b) CSG members demanded that health facilities may be repaired.


A) Prevention of Scabbies

b) Prevention of Diarrhea

c) Increase awareness regarding the prevention of Malaria.

d) Precaution of Acute respiratory Infection.


c Prevention of Diarrhea

b) Prevention of Polymylitis

c) Prevention of Family Planning

d) Prevention of Maleria

200


Sr. No. Topics

1 Measles

2 Health & Hygiene

3 Malaria

4 Hygiene

5 Hand Wash


S # Topics

1 Measles

2 Measles Vaccine

3 Asthma

4 Breast Feeding


The DSM urged the MOs and FMOs to conduct regular monthly meetings with CSG/ CHS/ SHS and send a copy of

minutes of the meeting to DSU for record purpose. He further directed keep record of the same and focus on the

staff regularity and punctuality.

10. Health Camps: Number Held: 0. Number of Patients: 00



I Sanitation - - -



Iv Prevention of

- - -



Vii Environmental

- - -

Viii Others - - -

201


1. OPD*




92207 1851 94058


S # BHU OPD BHU OPD

1 BHU Wahi Pandhi 5936 GD G.M. Jatoi 349

2 BHU Phulji Station 4003 GD Mureed

b

742

3 BHU Allahyarani 3576 GD Murad

J li

863






1 ARI 21446 2 DIARRHOEA / DYSENTERY 7933 3 SKIN DISEASE 7819 4 SUSPECTED MALARIA 7152 5 EYE/ENT 2033


1 Respiratory Disease 86

2 DIARRHOEA 42

3 MALARIA 12

4 SCABBIES 6

5 EYE INFECTION 26

202


No. of Patients








S # Tests Number

1 Pregnancy Tests 484 2 Blood Sugar Tests 298 3 Haemoglobin 79 4 X-Rays (if available) 0 5 Ultra Sound 1109 6 Others (please specify) 492






Follow up result

Hepatitis B 200 25 - - -

Hepatitis C 200 4 - - -


Receiving Treatment


Under Diagnosis

53 7 37

203

9. Referrals



2 - - - - - -

3 - - - - - -

4 - - - - - -




2 - - - - - -

3 - - - - - -

4 - - - - - -



40 42 64 146



1 MCH Khudabad FMO demanded repair of

Work has been done

2 BHU Allahyarni MO demanded supply of

Pipe has been supplied

3 BHU Wahi Pandhi MO demanded winding

f l

Work has been done


1. Medicines available for ……………… Weeks

2. Impotant Issues raised relating to Medicines, etc. during MRM

Few Doctors pointed out that the quality of medicine may be improved and also increase the quantity of medicine. The DSM apprised the medical officers that 10 items of medicine were procured from multinational companies and rest of the items are also of good quality and efficacious.

204



Status / Remarks

1 BHU Aminani Completed MB recorded Completed

2 BHU Ibrahim Panhwar Completed MB recorded Completed

3 BHU Khanpur Completed MB recorded Completed

4 BHU Makhdoom Bilawal Completed MB recorded Completed

5 BHU Pyaro Goth Completed MB recorded Completed

6 BHU Kolachi Completed MB recorded Completed

7 BHU Allahyarani Completed MB recorded Completed

8 BHU Bahawalpur Completed MB recorded Completed

9 BHU Gozo Completed MB recorded Completed

10 BHU Betto Completed MB recorded Completed

11 BHU Kamal Khan Lund Completed MB recorded Completed

12 BHU Phakka Completed MB recorded Completed

13 BHU Samtani Completed MB recorded Completed

14 BHU Qazi Arif Completed MB recorded Completed

15 BHU Boriri Completed MB recorded Completed

16 BHU Thallo Completed MB recorded Completed

17 BHU Haji Khan Completed MB recorded Completed

18 BHU Thareri Mohabat Completed MB recorded Completed

19 BHU Moundar Completed MB recorded Completed

20 BHU Dhani Bux Bughio Completed MB recorded Completed

21 BHU Phulji Station Completed MB recorded Completed

22 GD G.Mohammad Chandio Completed MB recorded Completed

23 BHU Sita Village Completed MB recorded Completed

24 BHU Essa Khan Thebo Completed MB recorded Completed

25 BHU Burera Completed MB recorded Completed

26 BHU Wahi Pandhi Completed MB recorded Completed

27 BHU Baid Completed MB recorded Completed

28 BHU Patt Completed MB recorded Completed

29 BHU Dogar (Tender) Completed MB recorded Completed

30 GD Nawab jo Patt (Tender) Completed MB recorded Completed

31 BHU Aghamani (Tender) Completed MB recorded Completed

32 GD Jatt Shahdad Completed MB recorded Completed

33 GD K. B. Chakkar Khan Work Completed Completed

34 BHU Fareed Abad Work Completed Completed

205

35 Bhu Purano Dero Work Completed Completed

36 BHU Chorr (Tender) Work Completed Completed

37 GD Gul Mohammad Jatoi Work Completed Completed

38 GD Paryo Jamali Work Completed Completed

39 GD Murad Jamali Work in Progress 40%

40 MCH Khudabad Work in Progress 30%

41 MCH Fareed Abad Work in Progress 30%



---- ---- ----



On Staff Matters:

• Involve of PPHI staff in NIDs .

• Regularity and punctuality.

• HF Record updated.


• The DSM emphasizes the regular CSG Meetings and CHS Meeting.

• Keeping the view the Polio Drops, the awareness of this disease was on top priority.

• Establish the Wastage Pitch.

• Role on awareness rising about vaccination and it was shared with the forum that DSU-PPHI Dadu has

appointed the 10 vaccinator for said purpose.

On Curative Health:

• Properly usage of laboratory machine, Pregnancy strips, Nabulizer Machine and Glucometer strips.

• The DSM emphasize on the properly Keeping Record and HF cleanliness.

206


• Female Deliveries.

• The DSM appreciate the increase in Vaccination.

• Ensure the fully participation in NIDs

Other Matters:

The DSM stressed upon furnishing the record of inverse cases of HB / HC.


Date /Time for Next MRM: On 09 March at 10:00 am.


• Repair of the HFs.

• Provided ARVs / ASVs

• Provided Water Connection at HFs

• Maintaince of HFs Record

• Regularity and Punctuality of Staff

• Established link with Community Support Group and meeting there and tell them about PPHI and there Services at HFs.

MOULA BUX SOLANGI


207


OF DISTRICT NAUSHEHRO FEROZE

57th Monthly Review Meeting (MRM) of District, Naushehro Feroze for the Month of January-2013 was held on 12th-Feb-2013 at DC-Committee room NF. Written invitations to participants were sent to the DC, the DO (H), the DO (F&P) and District Incharge of EPI, notable of CSG members and Incharge of all other National Programs as usual. The list of participants is as follows:

List of Participants: (Enclosed as annex.)



1 Dr Sajjad Hyder Absent 2 Dr Hassan Amur Polio 3 Dr Rafiq Jalbani C/L 4 Dr Nasir Khoso S/L

5 Dr Gulam Abbas Leave 6 Dr Khalid Masood Polio 6 Dr Ali Raza Polio duty 7 Dr Rafiq Mangrio Polio 8 Dr Manzoor Dahri LWP 9 Dr Gul Bibi Absent

N. HFs WITH PPHI

BHUs: 44 Dispensaries: 5 MCHCs: Others: ______

TOTAL: 49


BB. STAFF STRENGTH

Sanctioned Posts (Govt.)


PPHI Contract

Vacant

(Sanc-Govt) MOs 51 45 22 23 29 WMO 3 03 00

FMOs 00 25 00 25 00

LHVs 3 00 00 22 3


Dispensers/Vacci: 4 67 36 31 00

208

CC. CLUSTERS OF HFs WITH ONE MO

WITH ONE FMO


1. First Session: During MRM i. Capacity Building of LHVs / Dispensers During Month under Review


Date Venue Topic No. of N/A





o. of Doses of Immunization Administered to Children at Health Facilities. 5522



Total vaccination / immunization for the month 6416















209

Dates of NIDs Target of coverage Actual coverage Percentage of January -28-30-2013 264349 269864 102%


S # Service Number 1 Passive Case Detection (PCD) Slides - 2 Active Case Detection (ACD) Slides - 3 Visits to Check Sanitation (individual house holds + streets) - 4 Notices issued against Poor Sanitation - 5 Challans sent to Court against Poor Sanitation - 6 Patients Nebulized 119



1. Female Health N ame of FMO Neo-Natal Postnatal Other OPD Total OPD

Dr. Asma Memon 6 9 0 738

Dr. Amber Khehro 0 7 25 654

Dr. AQeela Qureshi 8 15 192 642

Dr. Arfeen Korai 1 4 273 820

Dr. Fozia Abbassi 3 2 214 839

Dr. Ghulam Qubra Buriro' 0 4 132 746

Dr. Ghulam Zaineb 82 21 126 969

Dr. Khoula Naz 7 13 200 831

Dr. Marya Khaskheli 3 17 135 1941

Dr. Shaista Qurban 1 8 128 1048

Miss: Sanam Perween 1 3 93 616

Dr. Nusrat Parween 1 7 191 841

Dr. Nuzhat Anwar 2 9 71 851

Dr. Ruqaya Samo 0 14 30 746

Dr. Sadia Shah 0 2 367 1025

Dr. Kainat 0 1 156 704

Dr. Safia Memon 10 10 57 905

Dr. Salma Amjad 0 5 109 1010

Dr. Shamsunisa 0 2 65 785

Dr. Rehana Sardar 0 3 10 1021

Dr. Sughra Badar 1 18 59 1459

210

Dr. Tabbasum Buriro' 4 3 58 275

Dr. Usha 0 0 87 931

Dr. Shahzadi Sarwat 3 15 310 1311

Dr. Azra 7 2 408 1753

Dr. Zareena 7 43 196 1181

Dr. Fahmida Abro 0 6 134 760


S # Service Number 1 Deliveries Assisted at HFs 45 8 D&Cs 2 Deliveries Assisted at Homes


S # Test Number





5 Other -





Oral Pills 75

IUCDs 20

Injections 342

Others-Condoms 100

Total 1416





211





No: No: of Participants

Zubair Ahmed Memon 12 0 205 5 139

Waheed Bhatti- 8 0 137 7 127

Munawar Kaleri- 10 0 170 6 298




Sessions Participants Sessions Children Examined

Children Treated

All MOs and FMOs 78 1800 60 2743 251

Totals 78 1800 60 2743 251


• Importance of vaccination especially of Measles and family planning • Involvement of CSG members in polio campaign • Increasing mobility of Ambulance at MCHCs • Owner ship of the HF and the assets like ambulance by CSG members • Presiding of the meeting by CSG members emphasized. • Coverage of PPHI- EPI centers and working of the new appointed EPI vaccinators • Facility utilization at MCHCs • Encouraging support group members to help during NIDs. • Floating the message of PPHI service to the people of respective catchment area. • Arranging of awareness sessions at their respective villages • Developing greenery at HFs


• Importance and awareness of Measles

• Vaccination and immunization

6. Important Points during CHSs • Importance of measles

• TT vaccination

212

• Family planning

• EPI vaccination and its importance

• Polio vaccination


Sr. No. Topics

1 Measles

2 Vaccination

3 Immunization

4 Polio campaign

5


S # Topics

1 Importance of Measles

2 TT Vaccination

3 Family planning

4 EPI and Polio vaccination


• Awareness regarding measles

• Mobilization of members for arranging awareness sessions at their villages on vaccination and measles

• Sensitization to CSG members about Polio vaccination and NIDs emphasized

• Role of CSG members in Polio Campaign

• Monthly meeting with CSG members and proper updating of the minutes

• Identification and information of missed children from vaccination of Polio

• Formal invitation to the CSG members for monthly meeting

• Effective Mobilization of female CSGs and developing their ownership @ hf.

• Community mobilization area should be strengthened.

10. Health Camps: Nil.

213



i Sanitation

ii Drainage / sewerage

iii ……… drinking water

iv Prevention of

v Tree Plantation

vi Roads and infrastructure

vii Environmental

viii Others


1. OPD*


Follow-up patients treated during the

month

Total OPD during the month

(New+Old)

83961 1998 85959 2.

Maximum OPD** Minimum OPD**

S# Name of BHU OPD Name of BHU OPD

1 Bhiria Road 4761 Molidino Larik 1068 2 Lakha Road 4331 Molidino Rajper 1068 3 Ghair Gaju 3187 Palhano 1060 4 Phull 3027 Mehmood Chandio 748 5 Kundha Khahi 2850 Ali Mohammad Phariro 686



1 ARI 80


3 Diarrhea 45

4 Scabies 37

5 Dermatitis 27

Total 251

214





1 ARI 19166


3 Diarrhea 5483

4 Scabies 3148

5 Dermatitis 3415


Names No. of Patients


ARV vial used/ Administered 226

ARV Available Ampules 325








4 X-Rays (if available) 2 Units 04 5 Ultra Sound 1620

6 Others (please specify) -


215





Follow up result

Hepatitis B 7 1 1 0 Nil-

Hepatitis C 9 5 2 0 Nil-

48. TUBERCLOSIS

Patients


Under Diagnosis

00 15 -

9. Referrals

S.No

Totals Cases Referred To


1 15 15 0 0 10 3 2

2

3




2 0 0 0 0 0 0 0

3

4




46 59 137 242



01 N/A N/A N/A N/A

216


1. Medicines available for --55--- Weeks





1

Repair and Renovation work of all assigned HFs have been completed satisfactorily.



N/A N/A N/A



On Staff Matters:

• Updating of the personal files of staff

• Getting proper history of patients

• Wearing of aprons by all staff members

• Proper timing and facilitation of patients

• Regularity and punctuality of the staff

• Proper updating and reconciliation of the record especially stock and daily expense register

• Daily visit of the MO and FMO of the medicine store

• Medicine management


217

• Proper planning of measles sessions before holding it in schools and colleges of catchment area

• Awareness of measles through pamphlets and banners

• Getting proper history of the patients

• Arranging of quality CHS and SHS on Measles

• Agenda of the sessions must be with planning and in simple language.

• Cleanliness of the HFs on regular basis.

On Curative Health:

• Provisional diagnose should be according to the case definition

• Classification of diseases

• Efficient use of Medicine at HF

• Lab: tests at HFs

• Medicine must be properly managed

• Proper and legible record also maintained and reconciled

• Discouraging pricking

• House keeping of the HFs is must.

• X-Ray and Ultrasound facility


Other Matters:


Next 58th MRM shall be held on 7th March-2013 at 10:00 am.


218

MINUTES OF THE (53rd) MONTHLY REVIEW MEETING

OF DISTRICT SUKKUR

Monthly Review Meeting (MRM) of District, Sukkur for the Month of January, 2013 was held on 13th February, 2013 at Circuit House Sukkur. Written invitations to participate were sent to the DC, the DHO, the RPD RSU IV, the District Incharges of all vertical programs (EPI, TB Dots, LHWs, and all other National Programs as usual, DPWO, DHCSO-UNICEF & DSO WHO. The list of participants is as follows:



1 Mr. Nasimuddin Mirani DSM Sukkur 33 Dr. Muhammad Naqi

2 Mr. Syed Haider Ali Shah EO (M&E) 34 Dr. Saifullah Qureshi

3 Dr Abdul Kareem Baloch THO (DHO Office) 35 Dr. Ali Gul Shah

4 Dr. Mehmood Qureshi DDO (DHO Office) 36 Dr. Mushtaque Mahar

5 Dr Goutam 37 Dr. Zahid Hussain Mahar

6 Dr Nazeer baloch 38 Dr. Abdul Ghaffar Khoso

7 Dr Ashok Kumar 39 Dr Ghulam Murtaza Jatoi

8 Dr Mahjabeen 40 Dr. Noorunisa

9 Dr. Tanveer Hussain Abbasi 41 Dr. Sanam Qazi

10 Dr. Muhammad Javed Baloch 42 Dr. Najma Shah

11 Dr. Girdhari Lal 43 Dr. Zaibunisa Qazi

12 Dr. Abdul Sami Shaikh 44 Dr Abdul Wahab Buriro

13 Dr. Noor Ahmed Soomro 45 Dr Shahid Shahani

14 Dr. Rizwana 46 Dr. Abida Gilani

15 Dr. Tahir Hussain Abbassi 47 Dr Musarat Qureshi

16 Dr. Munawar Kalwar 48 Dr. Farzana Talpur

17 Dr. Salahuddin Shah 49 Dr. Muhammad Hussan Indhar

18 Dr. Nusrat Dharejo 50 Dr. Imtiaz Qureshi Pediatrician THQ rohri

19 Dr. Nadeem Ahmed 51 Dr Zubair Mangi.

20 Dr. Ghulam Muhammad 52 Mr. Faisal Sheikh Assistant Admin

21 Dr. Mir Perveez 53 Mr. Zubair Ahmed Sahito SO I

22 Dr. Ahsanullah Dayo 54 Mr.Ghulam Akbar SOII

23 Dr. Khuram Hayat 55 Dr Feroz Dharejo Project Coordinator 24 Dr. Shazia Memon 56 Dr. Hayee Khoso

25 Dr. Amanullah 57 Dr. Sajjad Gillani

26 Dr.Shazia Mangi 58 Dr. Mujeeb Rehman

27 Dr. Shaista Mahar 59 Dr. Imtiaz Sarki

28 Dr. Ghulam Zuhra 60 Mr.Mehtab Ahmed

29 Dr. Aneela Haseeja 61 Sohail Ahmed

30 Dr. Suneel Kumar 62 Dr Mumtaz Bullo

219

31 Dr. Kaneez Fatima 63 Dr Ghulam Qadir

32 Dr. Rasool Bux Shah



1 Dr Abdul Waheed C/Leave 3

2 Dr Basher Ahmed Absent 4

5 Dr farzana chachar CL 6

7 Dr Zakia Mahar CL 8

9 Dr Abida simiar CL 10

O. HFs WITH PPHI

BHUs: ___26____ Dispensaries: ___7____ MCHCs: ___1____ Others:__1____

TOTAL: ___35____


DD. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant

(Sanc-Govt)

MOs 31 32 08 24 23 WMO 0 0 0

FMOs 22 18 0 18 4

LHVs 27 24 14 10 3


Dispensers/HT 52 54 37 17 0

EE. CLUSTERS OF HFs WITH ONE MO








220

WITH ONE FMO



Persons with dates Date Venue Topic No. of

Participants

Nil - - - -

Nil - - - -

Presentation on EDEWS mobile system Presented By: Dr Nazer Baloch SO WHO

Presentation on Case Definitions of Communicable diseases

Presented By: Dr. Imtiaz Husain Qureshi Pediatrician Taluka Hospital Rohri.




1. Vaccination / Immunization Descriptions Number

Doses of Immunization Administered to Children at HFs. 5330

TT vaccines administered to pregnant women at HFs. 978

Immunization & Vaccination Administered by outreach EPI Teams 4196

Total Vaccination / Immunization for the Month January 2012 10504


Dates of NIDs Target of coverage Actual coverage Percentage of Nil - - -







221


S # Service Number



3 Visits to Check Sanitation (individual households + streets) 0






1. Female Health


Neo-N atal Cases

Other OPD

Total OPD

1 Dr. Ghulam Zuhra 318 33 834 1185

2 Dr. Abida Simair 302 8 1660 1970

3 Dr. Nusrat Dharejo 279 10 715 1004

4 Dr. Kaneez Fatima 309 7 1234 1550

5 Dr. Shazia Mangi 156 7 1344 1507

6 Dr. Shazia Aamir 211 5 2839 3055

7 Dr. Zaibunisa 98 5 1633 1736

8 Dr. Rizwana 182 4 1251 1437

9 Dr. Najma Shah 208 3 1341 1552

10 Dr. Sanam Qazi 150 2 881 1033

11 Dr. Shaista Mahar 181 2 846 1029

12 Dr. Farzana Naz 115 2 917 1034

13 Dr. Anila Hasija 151 1 1444 1596

14 Dr. Noor un nisa 162 5 703 870

15 Dr. Zakia Mahar 116 2 961 1079

16 Dr. Farzana Chachar 53 0 826 879

17 Dr. Afshan Soomro Maternity leave

18 Dr. Niaz Bhatti Report not submitted

Total 2991 96 19429 22516

222

2: Deliveries Assisted

S # Service Number




S # Test Number





5 Other 0

42. Important Discussion on Mother and Child and Reproductive Health during MRM No new thing was discussed on this issue.


Consultation / Advice 760 Oral Pills 652 IUCDs 8 Injections 391 Others 177

Total 1988

8



1. Number of Male SGs: -----34------------- Number of Female SGs: ----02----------






DSM 0 0 0 02/1 30/50

Syed Haider Ali Shah EO M&E 02 0 36 1/0 20/0

223

Zubair Ahmed Sahito SO I 0 0 0 0/2 0/38

Total 02 0 36 3/3 50/88





Children Treated

Dr. Ghulam Zuhra 2 20 2 30 17

Dr. Abida Simair 2 64 2 10 9

Dr. Najma Shah 2 92 1 10 5 Dr. Nusrat Dharejo 2 85 2 15

Dr. Anila Hasija 2 38 2 10 5 Dr. Kaneez Fatima 2 60 2 15 7

Dr. Shazia Aamir 2 30 0 0 0

Dr. Shazia Mangi 2 22 1 10 5

Dr. Sanam Qazi 2 4 2 27 15

Dr. Zaibunisa 2 22 1 43 20

Dr. Noor un nisa 2 26 2 16 7

Dr. Rizwana 4 200 2 40 14

Dr. Zakia Mahar 2 30 0 0 0

Dr. Shaista Mahar 2 25 0 0 0

Dr. Farzana Chachar 1 20 1 15 7

Dr. Farzana Naz 2 61 2 25 0

Dr. Niaz Bhatti 0 0 0 0 0

Dr. Shahid Hafeez 0 0 0 0 0

Dr Abdul Sami 1 13 1 6 0

Dr. Zahid Mahar 1 25 1 15 12

Dr. Basheer Ahmed 1 30 1 30 17

Dr. Salahuddin Shah 0 0 0 0 0

Dr Tanveer Hussain 1 32 0 0 0

DR Girdhari Mal 2 40 1 20 0

Dr Mujeeb Rehamn 2 24 2 15 4

Dr. Naqi 0 0 0 0 0

Dr. Meer Parveez 0 0 0 0 0

Dr. wahab 2 44 0 0 0

Dr. Ghaffar Khoso 0 0 0 0 0

Dr. Munwar 1 60 0 0 0

Dr. rasool Bux 0 0 0 0 0

Dr. Saifullah 0 0 0 0 0

Dr. Waheed 1 16 1 15 0

Dr Khuram 2 47 1 10 10

Dr. Tahir Abbasi 2 35 2 33 20

224

Dr. Noor Ahmed 1 8 1 12 0

Dr.. Ghulam Muhammad 2 60 2 13 13

Dr. Faisal Qazi 0 0 0 0 0

Ghulam Mrtaza 2 26 2 13 0

Dr. Ahasan Dayo 1 26 0 0 0

Dr. Javeed Baloch 1 13 1 21 4

Dr Mushtaque Mahar 3 75 2 10 7

Dr. M Hasan 0 0 0 0 0

Dr. Nadeem Mangi 1 12 1 5 0

Dr. amanullah 0 0 0 0 0

Dr Ghula Qadir 1 25 1 15 8

Dr Ali Gul Shah 2 25 1 10 2

Dr. Sunil Kumar 1 12 1 4 0 Total 64 1447 44 513 177


In Community Support group Meetings, it was suggested by community members that both MOs & FMOs should conduct joint health sessions. It was planned that during next month all MOs and FMOs will conduct sessions in the catchments areas of their respective facilities. (The plan has been circulated by DSU)


In school health sessions the focus of all doctors was on Diarrhea & suspected malaria. They advised children to take care of both fatal diseases during upcoming month of September.


The Doctors imparted prevention measures against Diarrheal and Malarial disease to participants. The way to avoid outbreak of both diseases


Sr. No. Topics

1 • ARI Infections & its prevention.

2 • Diarrhea types & its prevention

3 • Health Awareness and its importance

4 • Quakes & its effects on society

5 • Obstetric problems and its complications.

225

6 • Skin infection & its prevention (Scabies).


S # Topics

1 • ARI Infections & its prevention.

2 • Diarrhea types & its prevention

3 • Health Awareness and its importance

4 • Quakes & its effects on society

5 • Obstetric problems and its complications.

6 • Skin infection & its prevention (Scabies).

7 • Poliomyelitis its complication & preventions.

8 • Vaccination & its importance.

9 • Malaria its complications& its prevention.


We should take all possible measures to sensitize community to own our program

10. Health Camps: Number Held: ---01---. Number of Patients: --415--



I Sanitation N/A N/A N/A

Ii Drainage / sewerage N/A N/A N/A

Iii ……… drinking water N/A N/A N/A

Iv Prevention of

N/A N/A N/A

V Tree Plantation N/A N/A N/A

Vi Roads and infrastructure N/A N/A N/A

Vii Environmental

N/A N/A N/A

Viii Others N/A N/A N/A

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIE

1. OPD*




226


S # BHU OPD BHU OPD

1 BHU Newpind 5859 GD Village Sehta 1111 2 BHU Qasimpur 5023 BHU Samo Chacher 1254 3 BHU Dadloi 4894 GD Jaffarabad 1260 4 BHU Salehpat 4189 BHU Fakirabad 1412 5 BHU Abad 4034 BHU Dubar 1518

3. Top Five Diseases Treated during School Health Sessions/Camp



4. Top Four Diseases during OPD


1 ARI

22325

2 Diarrhea

4893

3 Susp: Malaria

2664

4 Skin Diseases

4730




ARV Available Doses at DSU 218





1 URTI 135


3 Diarrhea 25

4 Scabies 06

Total 167

227


S # Tests Number



3 Hemoglobin 381


5 Ultra Sound 2051

6 Others (please specify) -






Follow up result




Receiving Treatment


Under Diagnosis

63 10 51

9. Referrals


1 TB DOT Deliveries Others RHCs/HF THQs DHQs

2 164 36 5 123 9 35 120

3

4


1 ARV ASV Others RHCs/HF THQs DHQs

2 49 48 0 1 3 2 44

3



228

DSM EX: M&E Other Staff Total

30 46 30 106



BHU Dodanko Notables / complain for

SCN issued to Doctors Sensitized

BHU Gagro Water pump NF/

E(M/E) to get it fixed Water motor collected to get fi it

GD Village Sehta Water Motor NF E(M/E) to get it fixed

BHU Haji Khan Chachar Found closed during

Explanations

-


1. Medicines available for …………53……………. Weeks

2. Important Issues raised relating to Polio Campaign & UPEC Meeting, etc. during MRM

All UC MO provided refresher on role & responsible regarding UC MO & also importance of UPEC Meeting



Status / Remarks

1 BHU Patni 100% Completed

2 BHU New pind 100% Completed

3 BHU Salehpat 100% Completed

4 BHU Qasimpur 100% Completed

5 BHU Arore 100% Completed

6 BHU Nouraja 100% Completed

7 BHU Dadloi 100% Completed

8 BHU Dubar 100% Completed

9 BHU Hingoro 100% Completed

10 BHU Tando Thatti 100% Completed

11 BHU Gagro 100% Completed

12 BHU Darawhan 100% Completed

13 BHU Kandowahan 100% Completed

14 BHU Sultan pur 100% Completed

15 GD Mubarkpur 100% Completed

16 BHU Cheechro 100% Completed

229

17 BHU Haji Khan Chachar 100% Completed

18 BHU Thikratho 100% Completed

19 GD Naseerabad 100% Completed

20 BHU Nirch 100% Completed

21 BHU Abad 100% Completed

22 BHU Faqeerabad 100% Completed

23 BHU Thariri 100% Completed

24 BHU Lutaf Ali Jagrani 100% Completed

25 BHU Hussain Kalwar 100% Completed

26 BHU Samo Chachar 100% Completed

27 BHU Dodanko 100% Completed

28 BHU Kandri 100% Completed

29 GD Ali Wahan 100% Completed

30 GD Riazabad 100% Completed

31 GD Village Sehta 100% Completed



Dr. Riaz Ahmed Memon PD

BHU Salehpat/ Darawahan Found satisfied with our Dr A Sattar Chandio PHS BHU Saleh pat/Darawahan Ensure proper record

Dr Sagheer Ahmed Minister

BHU Salehpat Push us to do more

Mr Haleem Adil Shaikh

BHU Salehpat Likes us to offer territory Dr. Nasrullah Baloch (MPA)

BHU Salehpat Appreciated our services

Mr Aftab Khatri (Secretary:

BHU Salehpat Work in coordination with

Dr. Feroz Ahmed Memon (DG

BHU Salehpat Likes us to ensure services



On Staff Matters:

• The work of Vaccinators strictly be monitored & reported • Most focus on UPEC Meeting & ensure that all members fulfill their role & responsibilities • CHS & SHS ratio are not up to the mark. • CSG Meetings must be conducted at all Health Facilities. • Pay special Attention on Polio SNID & polio monitoring checklist must be filled and submit at DHO office

and collect acknowledgement for the same.

230


• Punctuality and performance of all vaccinators should be monitored strictly and ensure perfect work by them in all UCs supported by record.

• Report of Immunization (EPI) should be submitted on weekly bases by Incharge MOs at DSU Sukkur to forward the same to PSU.

On Curative Health:

• The RTI was the top diagnostic diseases during the month of January and it may further increased in

next month so more ARI medicine will be provided to the HFs.


Total 113 NVDs were conducted by PPHI staff during the month of January 2013. The contraceptive materials are Available, so family planning cases & deliveries must be increased.

Other Matters:


12/03/2013


Target for the Month of February

Installation of 2 Gas connections at MCHC Salehpat & Qasimpur Sangi (Pano-Akil), push doctors for more family planning services to visit clients & increase the ratio of Deliveries. E(M/E) to coordinate for issuance of demand note for gas connections at both HFs.

Establishing MCHC centre’s in Taluka Sukkur

R&R work of Three Health Facilities

Start pathological Labs in Sukkur & Pano Aqil Talukas.

Achievement for the Month of January

To Combat the Measles outbreak during last month we established fix sites at all HFs to vaccinate 6 months to 10 years old children.

Started day night services at all HFs of Taluka Slaehpat

Started Ambulance service to refer suspected cases to Sukkur city hospitals for indoor.

We organized Mobile camps at various villages of taluka Saleh pat & Rohri.

231

MINUTES OF THE 33rd MONTHLY REVIEW MEETING

OF DISTRICT Ghotki@Mirpur Mathelo.

Monthly Review Meeting of District, Ghotki@MirpurMathelo for the Month of January, 2013 was held on

15th Feb- 2013 at DC Committee Hall Mirpur Mathelo. Written invitations to participate were sent to the DC, the DHO, and District Incharge of EPI, LHW and all other National Programs as usual.

The list of participants follows:

List of Participants:

S # Names/Designation Designation S # Names/Designation Designation

1 Mr. Danish Afzal DSM 35 Dr. Hidayatullah Cardiologist

2 Mr. Sanaullah Mangi Ex.M&E 36 Dr. Basheer Bhutto Medical Officer

3 Mr. Ahsan Masood EX.F&A 37 Dr. Zulfiqar Shah Medical Officer

4 Dr Qadir Bux General surgeon 38 Dr. Mouz ud Din Medical Officer

5 Dr. Mumtaz Ahmed Pediatrician+ 39 Dr. Amanullah Mahar Medical Officer

6 Dr.Rafiq Ahmed Medical Officer 40 Dr. Abdul Latif Naich Medical Officer

7 Dr. Asma Samreen Dental Surgeon 41 Dr. Ghulam Rasool Medical Officer

8 Dr. Raj Kumar Anesthetist 42 Dr. Amar Lal Medical Officer

9 Dr. Raj Kumar Cardiologist 43 Dr. Muhammad Yaqoob Medical Officer

10 Dr. Manoj Kumar Medical Officer 44 Dr. Shah Pasand Medical Officer

11 Dr. Zakir Hussain Cardiologist 45 Dr. Imran Hussain Medical Officer

12 Dr. Pershotam Dental Surgeon 46 Dr. Rabia Raheem Sonologist

13 Dr. Imtiaz Ahmed General surgeon 47 Dr. Samina Asif Sonologist

14 Dr.Altaf Hussain Dental Surgeon 48 Dr. Samina Shaikh Sonologist

15 Dr. Qurat-ul-Ain Gaynecologist 49 Dr. Roopa Bai FMO

16 Dr. Amna Khokhar FMO 50 Dr. Afsana Zulfiqar FMO

17 Dr Suresh Kumar Ultrasound

51 Dr. Salma Parveen FMO

18 Dr Mukesh ENT Specialist 52 Dr. Nizam Shah Medical Officer

19 Dr Ali Mohammad Anesthetist 53 Dr. Nusrat Noor FMO

20 Dr Bharat kumar Medical Officer 54 Dr. Hina Mumtaz FMO

21 Dr Deena Nath Medical Officer 55 Dr. Sadia Mahar FOM

22 Dr Suneel Kumar Medical Officer 56 Dr. Ishrat FMO

23 Dr.Ratan Medical Officer 57 Dr. Nazeer Ahmed Medical Officer

24 Dr. Umesh Lal Medical Officer 58 Dr. Mufakir Mian Medical Officer

25 Dr. Asif Hakeem Medical Officer 59 Dr. Fas-u-din Medical Officer

232

26 Dr. Parshotam Lal Medical Officer 60 Dr. Muneer Ahmed Medical Officer

27 Dr. Nisar Ahmed Soomro Medical Officer 61 Dr. Irfan Baloch Orthopedic

28 Dr. Imtiaz Ahmed Mirani Medical Officer

29 Dr. Shankar Lal Medical Officer

30 Dr. Majid Rahim Medical Officer

31 Dr. Sanaullah Medical Officer

32 Dr. Majid Rahim Medical Officer

33 Dr. Sanaullah Medical Officer

34 Dr. Sajjad Hussain Medical Officer

All the MOs / WMOs / FMOs attended the meeting, except the following, for reasons mentioned against each:

S # Names/Designation Reasons for absence

1

A. HFs WITH PPHI

BHUs: 31 Dispensaries: 10 RHC: 03 DCDs: 7

TOTAL: 51

B. Population of the Catchment Area: 666535

STAFF STRENGTH

Sanctioned

Posts As per PPHI


PPHI Contract Vacant

MOs

31 44 27 3 24 4

W/FMOs

12 25 10 0 10 2

LHVs

13 16 13 5 12 0

43 22 44 31 13 -1

Dispensers

5 0 5 5 0 0

GG. CLUSTERS OF HFs WITH ONE MO



233

WITH ONE FMO



Nil


Nil



Nil Nil Nil Nil Nil








Total vaccination / immunization for the month Jan -2013 30121

Clusters of 5 HFs Clusters of 5 HFs -






Clusters of 5 HFs ( Ultrasound) Clusters of 6 HFs

Clusters of 4 HFs - Clusters of 4 HFs


Clusters of 2 HFs 8 Clusters of 2 HFs


234



- - -


S # Service Number









1. Female Health

2. Deliveries Assisted S # Service Number 1 Deliveries Assisted at HFs 21



Neo-Natal

Other OPD Total OPD

1 Dr. Roopa 15 0 1046 1061

2 Dr. Rashida Shaikh 0 0

3 Dr. Afsana Zulfikar 135 2 937 1074

4 Dr. Sadia Nisar

0 0

5 Dr. Salma Qureshi 88 5 871 964

6 Dr. Amna Khokhar 51 0 431 482

7 Dr Nusarat Noor 23 1 488 512

8 Dr. Hina Mumtaz 107 5 1186 1298

9 Dr. Sadia Mahar 43 2 691 736

10 Dr.Ishrat 37 0 618 655

Total 349 15 6268 6782

235


S # Test Number





5 Other


Nil




2 Oral Pills 609

3 IUCDs 10

4 Injections 671

5 Others 103

Total 2493









11 117 60 2164

Total 0

236

3. School Health Sessions & Community Health Sessions S # Name of Medical Officer CHS SHS

CSG

No.

of

Mee

tings

Part

icip

ants

No.

of s

essi

on

Part

icip

ants

Exam

ined

Trea

ted

1 Dr. Umesh Kumar 1 50 1 50 20 20 1

2 Dr. Nisar Ahmed Soomro 1 45 1 40 30 20

3 Dr. Sanaullah 2 62 1 175 35 33 1

4 Dr. Bashir Ahmed Bhutto 5 186 2

5 Dr. Zulfikar Ali Shah 2 50 2 55 50 45

6 Dr. Asif Hakeem 1 85 1 30 0 0 1

7 Dr. Imtiaz Ahmed 1 22

8 Dr. Gh: Rasool 1 13 1 37 21 12 1

9 Dr. Imran Hussain 1 25 1 22 14 12 1

10 Dr. Abdul Latif Naich 1 26 1 37 30 22 1

11 Dr. Majid Rahim 1 47 47 15

12 Dr. Shah Pasand Khan 1 18 1 5 50 22

13 Dr. Moizuddin Jatoi 1 18 1 29 11 6

14 Dr. Shankar lal

15 Dr. Pershotam lal 1 20 1

16 Dr.Mohd yaqoob mahar 1 13 1 83 26 17

17 Dr. Amanullah Khan Mahar 1 35 1

18 Dr Sajjad Hussain Mahar 2 72 1 39 3 1 1

19 Dr. Amar Lal 1 27 1 70 65 65

20 Dr Manoj Kumar 1 30 2 88 78 78

21 Dr.Rafiq Ahmed 1 17

11

S # Name of FMO

CHS SHS

No.

of

Mee

tings

Part

icip

ants

No.

of s

essi

on

Part

icip

ants

Exam

ined

Trea

ted

1 Dr. Roopa 3 39

237

2 Dr. Rashida Shiakh

3 Dr. Afsana Zulfikar 1 20 1 30 25 20

4 Dr. Sadia Nisar

1 28

5 Dr.Amna Khokhar 2 66 2 28 16 8

6 Dr. Salma Qureshi 2 70 2 86 20 10

7 Dr. Nusrat Noor 1 21

8 Dr. Hina Mumtaz 1 30 1 25 5 5


Nil


Nil


Nil


Sr. No. Topics

1 Measles

2 Cleanleeness

3 Maleri


S # Topics

1 Antenatal and post natal care

2 Measels

3 Scabies


Nil

238

10. Health Camps: Number Held: Nil . Number of Patients: Nil.



i Sanitation Nil Nil Nil

ii Drainage / sewerage Nil Nil Nil

iii ……… drinking water Nil Nil Nil

iv Prevention of

Nil Nil Nil

v Tree Plantation Nil Nil Nil

vi Roads and infrastructure Nil Nil Nil

vii Environmental

Nil Nil Nil

viii Others Nil Nil Nil


1. OPD*




2.


S # BHU OPD BHU OPD

1 BHU Umer Daho 3762 DCD Chatto Kot 594

2 BHU Khambhra 2800 BHU Bago Daho 511

3 BHU Raunti 2589 BHU M. Y.M 488

4 RHC Adil Pur 2577 GD Pir Jo Goth 480

5 BHU Qadirpur 2478 DCD Pirzada

442





1 Nil Nil

239



1 ARI 8,015

2 Fever due to other causes 4,132

3 Scabies 3,527

4 Peptic ulcer 2407

5 Dia/Dys >5 2,319


No. of Patients


ARV Administered

ARV Available Doses


ASV Vaccine Administered

ASV Vaccine Available Doses


S # Test Number





5 Other






Follow up result

Hepatitis B

Nil Nil Nil Nil

Hepatitis C Nil Nil Nil Nil Nil

240


Receiving Treatment


Under Diagnosis

19 7 5

9. Referrals



329 20 309 12 111 206




2 5 3 2 5




15 21 145 181



1 Nil Nil Nil Nil



21. Important Issues raised relating to Medicines, etc. during MRM DSM discussed with all MOs regarding medicine consumption and control on misuse of medicine.




1 BHU Qadirpur R&R 100% 2 BHU Umer Deho R&R 100% 3 BHU Bago Bhutto R&R 100%

241

4 BHU Dad Laghari R&R 100% 5 BHU Soi Sharief R&R 100% 6 BHU Kamo Shaheed R&R 100% 7 BHU Ali Mahar R&R 100% 8 BHU Ayoub Lakhan R&R 100% 9 BHU Hussain Beli R&R 100%

10 BHU Syed Pur R&R 100% 11 BHU Jahanpur Sharief R&R 100% 12 BHU Saleh Mahar R&R 100% 13 BHU Noor Abad R&R 100% 14 BHU Ahmed Ali Pitafi R&R 100% 15 BHU Darwaish Naich R&R 100% 16 BHU Taj M.Ruk R&R 100% 17 GD M.Pur R&R 100% 18 GD Changlani R&R 100% 19 GD Khadwari R&R 100% 20 BHU Ghulam Hyder Leghari R&R 100% 21 GD Hayat Pitafi R&R 100% 22 BHU Lohi R&R 100% 23 GD Qazi Badal R&R 100% 24 GD SIjawal Dhaundhu R&R 100% 25 BHU Abdul Sattar R&R 100% 26 BHU Haso Daho R&R 100% 27 BHU Raunti R&R 100% 28 BHU Sanghri R&R 100% 29 GD Chak Shahbaz Pur R&R 100% 30 GD Pir Jo Goth R&R 95% 31 BHU Bago Daho R&R 85% 32 BHU Gh: Hussain Leghari R&R 100%



- - -


Expected Date of next MRM 12th march-2013

242

MINUTES OF THE (52nd) MONTHLY REVIEW MEETING

OF DISTRICT JACOBABAD

Monthly Review Meeting (MRM) of District, Jacobabad for the Month of January 2013 was held on 6th February 2013, at Zila Nazim council Hall Jacobabad. Written invitations were sent to the DC, DHO, DPWO, DSO (WHO), SO (DEWS)-WHO, SO UNICEF), and District In charge of EPI, LHW, Distt Coordinator, TB DOTS, DHIS and all other National Programs as usual. The list of participants follows:


1. Mr. Zulfiqrar Ali Langah District Support Manager, Jacobabad/ Umar Kot

2. Mr. Abdul Rasool Golo District Support Manager, Sanghar/Jacobabad

3. Mr. Muhammad Tahir Lashari E.O (M&E)

4. Mr. Muhammad Iqrar Veesar S.M DSU Jcd.

5. Mr. Haq Nawaz Lashari S.M DSU Jcd.

6. Mr. Noor Muhammad Bhangar S.M DSU Jcd.

7. Dr. Sajjad Ahmed Burriro I/C M.O G.M Jakhrani

8. Dr. Shoukat Ali Soomro I/C M.O Jumo Dasti

9. Dr. Kishore Kumar I/C M.O, Imam Bux Kehar

10. Dr. Ghulam Mohammad Dasti I/C M.O GD Welfare Dispensary AMS

11. Dr. Ghulam Muhammad Talani I/C M.O BHU Madadpur

12. Dr. Inayatullah Dayo I/C M.O Sheran Pur

13. Dr. Nusrat Soomro FMO Welfare Dispensary Ahmed Mian Soomro

14. Dr. Naila Soomro FMO GD Abad / BHU Mubarakpur

15. Dr. Farida Qureshi FMO GD Police Head Quarter

16. Dr. Ruqqaya Abro FMO BHU NM Pathan / BHU SK Rind

17. Dr. Saima Patujo FMO BHU Madadpur / BHU Bahadurpur

18. Dr. Saeeda Solangi FMO MCHC Jaffarabad

19. Dr. Farzana FMO MCHC Jaffarabad

20. Dr. Aziz Ahmed Soomro I/C M.O BHU Udi

21. Dr. Naeem Ahmed Sarki I/C M.O GD Naseer Khan Bhangar

22. Dr. Zulfiqar Ali Golo M.O BHU Bachro

23. Dr. Abdul Fattah Khoso ` I/C M.O BHU Bachro

24. Dr. Abdul Ghafar Babar I/C M.O Dodapur

25. Dr. Baqa Muhammad Panhwar I/C M.O Banlow Syedan

26. Dr. Kashif Ali Pahore I/C M.O BHU Joungal

27. Dr. Azizullah Talani I/C M.O GD Police H/Q

28. Dr.Abdul Ghafar Rind I/C M.O BHU Sohno Khan Rind

29. Dr. Safiullah Bhutto I/C M.O BHU Mubarakpur

30. Dr. Zafar Ali Pathan I/C M.O GD Abad

31. Dr. Ashok Kumar Sangitiani I/C M.O BHU Karim Bux Khoso

32. Dr. Amar Lal M.O BHU Karim Bux

33. Dr. Irfan Ahmed Khoso I/C M.O BHU Bangul

243

34. Dr. Saeed Ahmed Odhano I/C M.O DCD Abdul Rasool Khoso

35. Dr. Fazalullah Brohi I/C MO Muhammad Pur Odho

36. Dr. Muzaffar Ali IC/MO Hashmat Abad

37. Dr. Azeem Shah IC/MO Jumo Dhakan

38. Dr. Sajjad Ahmed Soomro IC/MO GD Adam Khan

39. Dr. Sheerin Soomro FMO GD Adam Khan & BHU Banglow Syedan

40. Dr. Abdul Basit Pahore MO BHU Buxan Pahore

41. Dr. Fouzia Khoso FMO/Sonologist MCHC Jaffarabad

42. Mr. Nadeem Ahmed Dispenser BHU Bahoo Khoso

43. Mr. Abdullah Ansari Dispenser DCD Gulsher Kandrani

44. Mr. Ghulam Hussain Assistant Accounts

45. Mr. Mehmood Ali Roongho Sub-Engineer PPHI

46. Mr. Shehryar Abro Assistant General

47. Mr. Shuhab Ali Sehto Store Manager

48. Mr. Asif Ali Assistant Store Manager

49. Mr. Abdul Wahid Bhayo Assistant Admin



1 Dr. Wahid Bux Laghari - 2 Dr. Resham Naseer Leave

3 Dr. Shazia Rasheed Leave 4

P. HFs WITH PPHI

BHUs: __24____ Govt Dispensaries: ___09____ MCHCs: ___01____ Others:__ 03

TOTAL: __37__


HH. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant

(Sanc-Govt)

Mos 42 36 7 29 6 WMO 0 0 0 0

FMOs 20 14 1 13 6

LHVs 20 02 1 1 18

MTs/MAs Male 09 07 07 0 02 Female 0 0 0 0


244

II. CLUSTERS OF HFs

WITH ONE MO

WITH ONE FMO


1. First Session: During MRM In the first session of MRM new DSM and two new female Officers were introduced with participants.


eDEWS refresher / training was conducted during the second session of MRM.

Capacity Building of LHVs / Dispensers During Month under Review



0

0














245





No. of Doses of Immunization Administered to Children at Health Facilities. (Only 3rd Penta valent &

l ) 1035


No. of Immunization & Vaccination Administered by outreach EPI Teams – (Govt

-





S # Service Number









1. Female Health

Name of FMO Ante Natal Cases

Natal Cases Other OPD Total OPD

DR. FARIDA QURESHI 269 16 2023 2308

DR. FARZANA KHOSO 107 12 1573 1692

DR. SHEERIN SOOMRO 72 4 1549 1625

DR. SHAZIA JAMALI 177 9 1294 1480

DR. ASYA SOLANGI 180 13 1252 1445

246

DR. SAEEDA SOLANGI 171 17 1245 1433

DR. RUKKAYA ABRO 49 0 1303 1352

DR. NAILA MAJID SOOMRO 144 3 1042 1189

DR. SAIMA PATUJO 59 0 972 1031

DR. RESHAM NASEER 32 0 874 906

DR. HASEENA JAAN 49 0 798 847

DR. NUSRAT SOOMRO 21 10 130 161

Total 1330 84 14055 15469


S # Service Number




S # Test Number





5 Other -


Following points were discussed:

• Issuance of Antenatal cards • Family Planning Cards • Deliveries & D&Cs (during the month) conducted by FMOs / LHVs / CMWs-name wise

evaluation. • Contraceptive clients-FMO wise. • School Health Sessions / Community Health Sessions. • Ultrasounds examinations by FMOs.

247



Oral Pills (clients) 142

IUCDs 11

Injections 241

Others 17

Total 893



1. Number of Male SGs: ------37--------- Number of Female SGs: --------------






Muhammad Iqrar Veesar 0 0 0 06 114

Haq Nawaz Lashari 01 0 14 16 172

Noor Muhammad Bhangar 01 0 13 15 153

Total 0 0 27 37 439


S.No Name of M.O / F.M.O CHS SHS


Children Treated

1 Dr. Fazalullah Brohi 2 23 2 31 28

2 Dr. Ashok Kumar Sangitiani 2 28 2 42 14

3 Dr. Veer Bhan 2 18 2 13 8

4 Dr. Tara Chand 2 14 2 23 11

5 Dr. G.M Dasti 2 19 2 22 9

6 Dr. Zulfiqar Ali Golo 3 29 0 0 0

7 Dr. Azizullah Talani 2 18 1 41 6

8 Dr. Inayatullah Dayo 2 85 0 0 0

9 Dr. Saeed Ahmed Odhano 2 45 0 0 0

248

10 Dr. Irfan Ali Khoso 2 18 0 0 0

11 Dr. Naeem Ahmed Sarki 2 12 0 0 0

12 Dr. Jai Chand 2 35 0 0 0

13 Dr. Baqa Muhammad Panhwar 2 45 0 0 0

14 Dr. Ghulam Muhammad Talani 2 34 0 0 0

15 Dr. M. Ishaque Malik 2 24 0 0 0

16 Dr. Saeeda Solangi 2 40 0 0 0

17 Dr. Farzana Khoso 2 28 0 0 0

18 Dr. Asya Solangi 2 30 0 0 0

19 Dr. Nusrat Soomro 2 35 0 0 0

20 Dr. Kashif Pahore 2 20 0 0 0

21 Dr. Rano Mal 2 23 0 0 0

22 Dr. Abdul Basit Pahore 2 29 0 0 0

23 Dr. Abdul Ghaffar Babar 2 45 0 0 0

24 Dr. Naila Soomro 2 31 0 0 0

25 Dr. Shazia Rasheed 2 45 0 0 0

26 Dr. Amar Lal 2 40 0 0 0

27 Dr. Rukkaya 2 24 0 0 0

28 Dr. Saima Patujo 2 43 0 0 0

29 Dr. Safiullah Bhutto 2 18 0 0 0

30 Dr. Sheerin Soomro 2 35 0 0 0

31 Dr. Habib-ur-Rehman Jakhrani 2 41 0 0 0

32 Dr. Resham Naseer Soomro 2 28 0 0 0

33 Dr. Haseena Jaan 2 18 0 0 0

34 Dr. Abdul Ghaffar Rind 2 31 0 0 0

35 Dr. Zafar Ali Pathan 2 35 0 0 0

36 Dr. Muzaffar Khaskheli 2 43 0 0 0

37 Dr. Veer Singh 1 25 0 0 0

38 Dr. Kishore Kumar 1 8 0 0 0

39 Dr. Sajjad Buriro 1 13 0 0 0

40 Dr. M. Azim Shah 1 16 0 0 0

41 Dr. Shoakat Soomro 1 21 0 0 0

42 Dr. Abdul Fattah Khoso 1 19 0 0 0

43 Dr. Aziz Ahmed 1 11 0 0 0

44 Dr. Habib-ur-Rehman Khoso 1 24 0 0 0

45 Dr. Farida Qureshi 1 33 0 0 0

46 Dr. Sajjad Ali Soomro 1 15 0 0 0

249

47 Dr. Aqeela Shoaib 0 0 0 0 0

48 Dr. Vijay Kumar 0 0 0 0 0

49 Dr. Muhammad Aslam Abbasi 0 0 0 0 0

50 Dr. Wahid Bux Laghari 0 0 0 0 0

Total 83 1314 11 172 76


• Importance of immunization of children. (Special Measles Vaccination) • Progress Review of DHIS indicators. • Importance of community Health Sessions in catchment areas of the H.F. • Participation of CSG members during special Polio campaign.


• Importance of Immunization • Diarrhea • Malaria


• Importance of Immunization • Diarrhea • Malaria


Sr. No. Topics

1 ARI

2 Malaria

3 Importance of Immunization


S # Topics

1 ARI

2 Malaria

3 Importance of Immunization


250

10. Health Camps: Number Held: --------0--------. Number of Patients: ------0-----.



I Sanitation



Iv Prevention of

V Tree Plantation


Vii Environmental

Viii Others

(IV) CURATIVE SERVICES DURING THE MONTH UNDER REVIEW1. OPD*





S # BHU OPD BHU OPD

1 MCH Jaffarabad 9247 BHU GM Jakhrani 528

2 Welf Dispensary AMS 7756 GD NK Bhangar 612

3 BHU Mubarakpur 7295 BHU Uddi 763

4 GD Police Dispensary 4693 BHU Bahoo Khoso 813



1. ARI 216

2. Scabbies 134

3. Malaria 2

4. Unexplained fever 7

5. Fever (Clinical Malaria) 6

251





1 Acute Respiratory Infection 17449

2 Scabies 7218

3 Diarrhea 5834

4 Fever(Clinical Malaria) 10046

5 Cough More than 2 weeks 155


No. of Patients


ARV Administered (vials) 328

ARV Available Doses(Vials) 708





S # Tests Number



3 Hemoglobin 37


5 Ultra Sound 1401

6 Others (please specify) M l i ICT / Mi i

167






Follow up result

Hepatitis B 170 13 13 136 0

Hepatitis C 173 68 68 589 0

252


Receiving Treatment


Under Diagnosis

9. Referrals


TB DOT Deliveries Others BHU/RHCs THQs DHQs

1 155 155 0 0 34 15 106

2

3




1 190 190 0 0 8 13 169

2

3



49 83 150 282



1

2

3


253

1. Medicines available for …14.3…. Weeks




Status / Remarks

1





• OPD BHU wise. Comparison of OPDs of Last month corresponding years ie 2006, 2007, 2008, 2009, 2010, 2011, 2012 & 2013.

• ARV cases during the month. • Various tests during the month under review i.e Blood sugar, malaria, pregnancy test,

hemoglobin test HBs HCV etc. • Ultrasounds cases / X-Ray cases. • EPI-performance BHU wise. Issues relating to cold chain maintenance. Shortage of BCG

at EPI centers throughout the month. • TB referrals during the month. • Monthly progress of FMOs, deliveries, D&Cs, FP cases, ANC registrations etc. • School Health Sessions / Community Health Sessions. • Community Support Group meetings. • Repair & renovation of BHUs.

• Contraceptive material.

• Increase in NVDs


Date /Time for Next MRM: 8th March, 2013 will be the tentative dates.


254

INUTES OF THE (48th ) MONTHLY REVIEW MEETING

OF DISTRICT KASHMORE

Monthly Review Meeting (MRM) of District, Kashmore @ Kandhkot for the Month of January-2013 was held on 13th February, 2013 at District Complexl Kandhkot. Written invitations to participate in the MRM were sent to the Deputy Commissioner Kashmore, Additional Deputy Commissioner-1 Kashmore, the DHO (Health) and District In charge of EPI, LHW and all other National Programs including MOs, FMOs, and othrs relevant I/Cs of BRHFs of PPHI.


S # Names/Designation Designation S # Names/Designation Designation

1 Ghulam Ali Soomro RPD-RSU IV 21 Dr.Sajid Shah MO

2 Abdul Ghaffar Surahio DSM 22 Dr. Rukhsana FMO

3 Muhammad Tahir EO M&E 23 Muhammad Paryal MT

4 Abdul Waheed Soomro EO F/A 24 Jahangir Khan Store Manager

5 Dr. Nazir Ahmed Shah MO 25 Ahad Jan Assistant Admin

6 Dr. Javed Khan MO 26 Mohsin Ali Medicine 7 Dr. Mansoor Malik MO 27 Mumtaz Ali Dispenser

8 Dr. Yougesh Kumar MO 28 Ayaz Ali Attendant

9 Dr. Shishpal Das MO 29 Sabir Illahi N/Q

10 Dr,Bithlal MO 30 Ghulamullah Assistant 11 Dr. Gulab Din MO 31 Hazoor Bux S/W

12 Dr,Satyapal MO 32 Jaro Khan Plumber

13 Dr. Aftab Ahmed Soomro MO 33 Abdul Latif Driver

14 Dr. Hafeezullah MO 34 Hazoor Bux Driver

15 Shamas Din Khoso MT 35 Zahid Hussain Dresser

16 Abdur Razzaque MT

17 Abdul Samad Hyder MT

18 Qutub Din Hyder MT

19 M.Rafique SO

20 Abdul Ghani SO


S # Names/Designation Reasons

1 Dr.Mumtaz Malik Due to fever

2 Dr,Sumera Soomro Domestic Problem

3 Dr.Saleem Khoso Absent

255

4 Dr.Anwar Ali Burriro Polio Tam Training

5 MT Abdur Rasool Absent

6 MT Muhammad Rafique Absent

7

Q. HFs WITH PPHI

BHUs: 21 Dispensaries: 16 MCHCs: 1 Others: 1

TOTAL: 39

B. Population of the Catchments Area: Approximately One Million

JJ. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant

(Sanc-Govt)

MOs 25 15 0 15 10

FMOs 17 3 0 3 14

LHVs 8 5 0 5 3

M.Ts Male 25 25 25 0 0

Female 0 0 0 0 0

Dispenser Male 25 22 0 22 3

Female 0 0 0 0 0

KK. CLUSTERS OF HFs WITH ONE MO








256

WITH ONE FMO



DSM Kashmore has welcomed to all participants and discussed issues, decisions taken in last MRM.


RPD RSU-IV have shared last month performance with all incharge MOs, in the presence of respectable DSM Kasshmore.

Executive (M&E) Kashmore have addressed to all participants and also thanks to all participants in MRM.



- - - - -

- - - - -

- - - - -





No. of Doses of Immunization Administered to Children at Health Facilities. 9346 No. of TT vaccines provided to pregnant / Child Bearing Age Women at Health Facilities. 100 No. of Immunization & Vaccination Administered by outreach EPI Teams 0 Total vaccination / immunization for the month Nov- 2012 9446







257



1. Female Health

2 . Deliveries Assisted

S # Service Number




S # Test Number





5 Other 0



2 Oral Pills 15

3 IUCDs 0

4 Injections 10

5 Others 0

Total 60

(II) COMMUNITY PARTICIPATION


Neo-Natal Cases

Other OPD Total OPD

1 Dr. Sumera Soomro 241 7 2132 2373 2 Dr. Rukhsana 21 1 242 243 3 Dr. Mumtaz Malik 62 2 60 406 4

258


1. Number of Male SGs: --------39-------- Number of Female SGs: --------00----





No. No. of

Participants

Abdul Ghani 8 0 115 0/0 0/0

Muhammad Rafique 4 0 92 0/0 0/0

Abdul Ghafoor 6 0 125 0/0 0/0

Abdullah Baloch 6 0 98 0/0 0/0

Total 24 0 469 0/0 0/0

CGS meetings conducted by SOs lacked effectiveness and coherence; they were warned to conduct session more interactively and with specific time line




S.no Sessions Participants Sessions Children

Children 1 Dr. Javed Ahmed 2 57 1 10 0

2 DR GULAB U DIN 2 25 1 10 10

3 DR ABDUL GHAFOOR 2 32 1 8 0

4 DR SALEEM KHOSO 2 21 1 8 1

5 DR AFTAB SOOMRO 3 56 1 5 2





Abdul Ghani 8 0 115 0/0 0/0

Muhammad Rafique 4 0 92 0/0 0/0

Abdul Ghafoor 6 0 125 0/0 0/0

Abdullah Baloch 6 0 98 0/0 0/0

Total 24 0 469 0/0 0/0

259

6 Dr. Anwar Ali 0 0 0 0 0

7 Dr. Mansoor Malik 2 30 1 7 7

8 DR ZULFIQAR 2 25 2 10 0

9 Dr. Nazeer Ahmed Shah 2 24 2 12 0

10 DR IRSHAD LANGHA 2 20 1 2 0

11 Dr. Shishpal Das 2 22 2 21 11

12 DR ANEEL 2 19 1 9 1

13 Dr HAFEEZULLAH 0 0 0 0 0

14 Dr. Yougesh Kumar 2 18 1 2 0

15 Dr. Mumtaz Malik 2 40 0 0 0

16 DR. Rukhsana 1 20 1 10 2

17 Dr. Sumera 0 0 0 0 0

18 Abdul Razaque (M.T) 1 15 0 0 0

19 MT SHAMAS KHOSO 1 15 1 8 0

Total 30 439 17 122 34

Important Decisions during MRM.

• Every I/C MO/M.T should send leave application of last month of all employees with monthly reports to DSU Office.

• Three days leave can be granted by I/C MO/M.T of BRHF employee. • Every I/C MO/ M.T should maintained DHIS Tools properly. • FMOs should increased ANC and PNC. • Every I/C MO/ M.T should inform near expiry medicine before one month to DSU Office. • I/C should visit EPI center before sitting of his chair and every child should be stamped from EPI. • I/C MO/M.T should send daily OPD to concerned SO. • I/C MO should possess key of main medical store with him. • I/C should maintain DHIS record and submit on 2nd of every calendar month. • I/C MO/ FMO/ M.T should increase routine immunization at their catchment of Health Facility. • I/C MO/ M.T should maintain leave record, Personal Files of staff (PPHI, Govt) and other relevant record at

Health Facility. • I/C MO should write OPD register at his own. • I/C MO should conduct Two (02) Community Health Session and Two (02) School Health Session every

month; Advance schedule should be submitted to DSU on 1st of every calendar month. • I/C MO should send EPI (Monthly) reports on prescribed format at the end of every month. • FMO should emphasize upon the increase of delivery at Basic Health Facility.


The following issues were discussed during the support Group Meetings:

260

• EPI centre facility • Repair and Renovation work. • Staff shortage at health facilities • Female Staff appointed at health facilities

5. Important Points during SHS’s

• Gastro enteritis • Dengue Fever • Diahhorea • Malaria • Measles

6. Important Points during CHS’s

• Antenatal Checkup • RTI • Boil Water • Prevention of Scabies • Personal Hygiene


Sr. No. Topics

1 • Gastro Intitus

2 • Dengue Fever

3 • Diahhorea

4 • Malaria

5 • Hygiene (Personal Domestic Food, environmental)


S # Topics

1 • Gastro Intitus

2 • Dengue Fever

3 • Diahhorea

4 • Malaria

5 • Hygiene (Personal Domestic Food, environmental)

261


• Realizing community of the responsibility to feel ownership of their health facility. • Effective communication with the PPHI staff, cooperating with the monitoring staff and with the staff of

health facility and responding to the various initiatives introduced by the PPHI for the betterment of the health facility and its functioning.

• To impart feelings of ownership to the community, it was decided to make useful interaction and communication through social organizers and MOs.

• It was also discussed to invite some CSG members to MRM to make them abreast of PPHI role in primary health care and also to have an interaction on larger scale to address general issues.

• Various methods were discussed to make community more interested in the maintenance of their HF through frequent visits and close interaction with the Doctors.

• It was also decided to apprise community through CSG meetings about the recent trends in primary health care and various tools/methods to promote healthy habits which ultimately would lead to healthy society.

• Apprising community of the various interventions being made by the PPHI and the difference made in the functioning of the HFs after the PPHI takeover.

10. Health Camps: Number Held: ----------0-------. Number of Patients: ----00------.



I Sanitation - - -



Iv Prevention of adulteration - - -



Vii Environmental Improvement - - -

Viii Others - - -


1. OPD*




19,925 990 20915

262


S # BHU OPD BHU OPD

1 Mchc kashmore 2373 BHU Diyani 170 2 BHU Khewali 1575 GD Mehrab Mazari 227 3 BHU Darri 1459 GD Gous Bux Bangwar 253 4 GD Kashmore colony 1293 GD Rahmatullah Bijarani 289 5 BHU Mohammad

h 998 BHU Zorgarh 305






1 ARI 4543 2 Malaria 2422 3 Scabies/Skin 1804 4 Diahhorea 1046 5 Pneumonia 578









1 ARI 0

2 Fever (clinical Malaria) 0

3 Diarrhea 0

4 Scabies 0

5 Dysentery 0

263


S # Tests Number



3 Hemoglobin 0


5 Ultra Sound 275

6 Others (please specify) MP Test 34






Follow up result

Hepatitis B -

- - - -

Hepatitis C

- - - -

60. TUBERCLOSIS

Patients

Receiving Treatment


Under Diagnosis

0 0 3

9. Referrals


1 TB DOT Deliveries Others RHCs/HF THQs DHQs

2 0 0 0 0 0 0

3 - - - - - - -

4 - - - - - - -

264



1 ARV ASV Others RHCs/HF THQs DHQs

2 248 248 0 0 248 0 0

3 - - - - - - -

4 - - - - - - -




41 41 111 193



1 GD Kashmore Colony Sanitation

2 GD 27 mile Need Repair Building of HF Done

3 GD Azim Golo Need Repair Building of HF Done

3 BHU Sardarabad Hand pump Done

4 GD Mehrab Mazari Boundary Wall In process

5 BHU Malguzar Suhryani Boundary Wall In process

6 GD Hafeezullah Repair and Renovation In progress

7 GD Elahi Bux Khoso Repair and Renovation In process

8 BHU Dari Boundry Wall Done

9 BHU Zorgarh Boundry wall In process

Action:- Sanitation work would be completed before the next MRM at 9 HFs. Approval has been sought from the program director to do sanitation work. Similarly R & R work would be given priority as soon as PC-1 stage

of that HFs reached.


1. Medicines available for …………102……………. Weeks


265

• Non clearance of DTL of some items • Extra Supply of Capsule Amoxicillin and Syrup Calpol • Shortage of essential items • Shortage of Equipments (B.P Apparatus, Thermometer, Stethoscope, baby weight scale, Nebulizer,

etc. • Proper maintenance of store at Health facility • Shortage of FMO and LHVs.



Status / Remarks

1 MCHC Kashmore Tiles Work, Co lour, Repair, Carpenter,

Completed

2 BHU Sher Muhammad

Tiles Work, Co lour, Repair, Carpenter,

Completed

3 BHU Pir Jan Bajkani Tiles Work, Co lour, Repair, Carpenter,

Completed

4 GD Ghous Bux


Completed

5 GD Kashmore Colony-


Completed

6 GD Nasrullah Bijarani Tiles Work, Co lour, Repair, Carpenter,

Completed

7 BHU Gullanpur Tiles Work, Co lour, Repair, Carpenter,

Completed

8 GD Mehrab Mazari Tiles Work, Co lour, Repair, Carpenter,

Completed

9 BHU Khewali Tiles Work, Co lour, Repair, Carpenter,

Completed

10 BHU Dari Tiles Work, Co lour, Repair, Carpenter,

Completed

11 GD Sardaroo Khoso Tiles Work, Co lour, Repair, Carpenter,

Completed

12 BHU Sardarbabad Tiles Work, Co lour, Repair, Carpenter,

Completed

13 BHU M.K Mazari Tiles Work, Co lour, Repair, Carpenter,

Completed

14 BHU Diyani Tiles Work, Co lour, Repair, Carpenter,

Completed

15 BHU Badani Tiles Work, Co lour, Repair, Carpenter,

Completed

16 BHU Din Muhammad


Completed



- -

- -


On Staff Matters:

YES

266


YES

On Curative Health:

YES


YES

Other Matters:

YES


10th March- 2013, 10:00 am


• OPD challan fee and its timely deposit.

• Doctor’s responsibility to prepare medicine indent by themselves.

• Stock register and proper store maintenance of store data.

• Hard area allowance

• Proper store keeping

• Attendance/absenteeism

• Importance of MRM in the overall working of PPHI

• Realizing staff of the importance of their attachment with an institution like PPHI, a motivated and functional

organization in the health sector unlike the dormant public sector.

• Emphasis on community session and school sessions

267

Though the shortage of FMOs is chronically an old issue but its importance cannot be

overemphasized. After making all out efforts to recruit and attract new lady doctors for the HFs of DSU Kashmore

and experiencing little success in this endeavor, now we are shifting our emphasis to the recruitment of Staff

nurses, LHVs/Midwives, so we could provide primary services to the poor women of the area as MCH issue is of

very important nature and cannot be ignored anymore owing to the want of FMOs.

We are having acute shortage of funds as we are intervening warmly in the provision of primary health care to all the

people of community, but our share of total health budget is mere 16 %, while we are managing 85 % of total district health facilities.

Paucity of funds always is a great hurdle in the execution of ours progressive approach to upgrade community health. I hope sanity will

prevail and people who are at the helm of affairs, especially at the ministry of finance, will realize the services being provided by the PPHI in

the remote and backward areas of the district where public health sector never imagined and intended to reach out.

(Abdul Ghaffar Surahio)


Cc:

1. Secretary to Sindh, Health Department Karachi for his kind information, 2. Program Director, PPHI, Sindh, Karachi. 3. Regional Program Director, RSU III Larkana. 4. Director General (Health), Hyderabad. 5. Deputy Commissioner Kashmore @ Kandhkot. 6. District Health Officer Kashmore @ Kandhkot. 7. District Population Welfare Officer, Kashmore @ Kandhkot. 8. DHCSO UNICEF, Kashmore @ Kandhkot. 9. District Coordinator National Program, Kashmore @ Kandhkot. 10. District Project Manager, Marrie Stopes Society, Kashmore @ Kandhkot. 11. All I/C MOs/ FMOs/ M.Ts of BRHF under the management of PPHI Kashmore @ Kandhkot.

268

MINUTES OF MONTHLY REVIEW MEETING (40th)

OF DISTRICT SHIKARPUR

Monthly Review Meeting (MRM) of District, Shikarpur for the Month of January, 2013 was held on 16th February, 2013 at DHDC (Meeting Hall) Shikarpur. Written invitations for participation were sent to the DC, DHO, DO (R), DO (F&P) and District In charge of EPI, District Coordinator National Program, District Officer Population Welfare and representative of WHO. The participants list is given below.


1 Mr. Javed Ahmed Abro DSM 2 Dr. Altaf Ahmed Abbasi DHO

3 Mr. Zia Ahmed Jalbani Ex (F&A) 4 Mr. Mohammad Ramzan Ali Ex: M&E

5 Mr. Tariq Hussain Mahar SO 6 Mr. Waqar Ahmed Mangi S Manager

7 Dr. Athar Hussain Shah MO (HQ) 8 Dr. Nisar Ahmed Brohi MO

9 Dr. Rahim Bux Bhutto MO 10 Dr. Abdul Hafeez Jakhro MO

11 Dr. Sahib Khan Brohi MO 12 Dr. Manzoor Channa MO

13 Dr. Naeem Ahmed Pathan MO 14 Dr. Tanveer Memon Sonologist

15 Dr. Imdad Ali Mahar MO 16 Dr. Zulfiqar Mahar MO

17 Dr. Saiqa Soomro FMO 18 Dr. Shahjahan Malik MO

19 Dr. Rifat Khalil FMO 20 Dr. Maida Siddiqi FMO

21 Dr. Hafeezullah Shah MO 22 Dr. Saima Hajano FMO

23 Dr. Majid Soomro Soomro MO 24 Mr. Khalil Ahmed Sohu SO

25 Dr. Jawed Shaikh MO 26 Dr. Allah Bux Sanjrani MO

27 Dr. Faiza Kanwal FMO 28 Mr. Salahuddin Soomro A/A

29 Dr. Nadar Panhwar MO 30 Dr. Antonia Maria FMO

31 Dr. Jawed Soomro MO 32 Dr. Saifullah Mahar SMO

33 Dr. Marvi Qazi FMO 34 Dr. Ghulam Murtaza MO

35 Dr. Akhtar Memon MO 36 Dr. Imran Shaikh MO

37 Dr. Sanobar Abbasi FMO 38 Dr. Fida Soomro MO

39 Dr. Tahira Solangi FMO 40 Dr. Reshman Sheikh Sonologist

41 Dr. Israr Ahmed Daudpoto MO

A. HFs WITH PPHI

BHUs: 18 Dispensaries: 07 MCHCs: ___01___ others: ___Nil___

TOTAL: ___26____

269


B. STAFF STRENGTH

Sanctioned



PPHI Contract

Vacant

(Sanc-Govt) MOs 29

0

26 9 17 3

0 SMO 0 0 0

FMOs 18 14 0 14 4

LHVs 19 16 2 14 3

MTs/MAs Male 15

0

15 7 8 0

0 Female 0 0 0


C. CLUSTERS OF HFs WITH ONE MO

D. WITH ONE FMO















270

1. First Session: IMPROVEMENT OF HEALTH CARE SERVICES AT HF

Mr. Javed Ahmed Abro DSM Shikarpur on the occasion through a presentation briefed the participants by reviewing the performance of PPHI DSU Shikarpur and called it a good team work. Meanwhile Targets & Achievements were also briefly discussed. MOs & FMOs were directed to conduct more SHS, CHS & CSG Meetings in their respective areas and made planning with M&E team made for complete organized sessions. He said that with the bless of Allah Pak and support of staff we achieved more ambulances on the basis of work performance in the areas. However we established laboratories, labor rooms with full equipments.

2. Second Session: ACTING DHO Shikarpur.

Dr Altaf Ahmed Abbasi, Acting DHO Shikarpur, said that in Shikarpur district PPHI done his job quiet satisfactory and achieved a great development in Hf services. He said that PPHI DSU Shikarpur team also done a good support at any level during outbreak of measles in the district.




Participants

Mr. Irfan Ali Hakro NA BHU Hamayoon Lab Services 3

Mr. Irfan Ali Hakro NA BHU Wazirabad Lab Services 4

Mr. Irfan Ali Hakro NA BHU Ruk Lab Services 3




1. Vaccination / Immunization No. of Doses of Immunization Administered to Children at Health Facilities. 4669




271


Dates of NIDs Target of coverage Actual coverage Percentage of 28-31 January 2013 N/A N/A N/A


S # Service Number

1 Passive Case Detection (PCD) Slides N/A 2 Active Case Detection (ACD) Slides N/A

3 Visits to Check Sanitation (individual house holds + streets) N/A

4 Notices issued against Poor Sanitation N/A

5 Chillan’s sent to Court against Poor Sanitation N/A




1. Female Health


Cases Neo-Natal

Cases Other OPD Total OPD

1 Dr. Saima Hajano 95 1 3606 3702

2 Dr. Faiza Kanwal 221 35 2299 2555

3 Dr. Rifat Khalil 89 3 1210 1302

4 Dr. Tahmina Memon 116 14 1623 1753

5 Dr. Maida Siddiqi 73 4 1762 1839

6 Dr. Saiqa Soomro 84 4 1465 1553

7 Dr. Antonia Maria 135 10 1410 1555

8 Dr. Deepa Dileep 120 2 2336 2458

9 Dr. Fozia Bano 150 8 2279 2437

10 Dr. Marvi Qazi 81 2 1054 1137

272


S # Service Number

1 Deliveries Assisted at HFs 91 2 Deliveries Assisted at Homes 190


S # Test Number





5 Other (MP) 632

Total 3606

56. Important Discussion on Mother and Child and Reproductive Health during MRM FMOs were also directed to give health education in their respective cluster areas particularly in villages by giving health care services to poor and needy women. FMOs were also directed to update their performance record regularly and guide women for family planning properly.




2 Oral Pills 183

3 IUCDs 11

4 Injections 187

5 Others 63

Total 900

11 Dr. Reshman Shaikh 137 0 271 408

12 Dr. Sanober Noor 38 5 317 360

Total 1477 91 24110 25678

273



1. Number of Male SGs: ------26------------ Number of Female SGs: -----Nil---------





No. No. of Mr. Tariq Hussain Mahar 4 N/A 69 42 1183

Mr. Khalil Ahmed Sohu 2 N/A 70 37 1319

Total 8 139 79 2502



Community Health Sessions

School Health Sessions


Children Treated

Dr. Saiqa Soomro 2 44 2 52 25 Dr. Saima Hajano

2 32 0 0 0 Dr. Faiza Kanwal

2 13 1 31 0 Dr. Tahmina

2 95 2 75 12 Dr. Marvi Qazi

2 58 1 15 13 Dr. Fozia Bano

4 100 0 0 0 Dr. Deepa Dileep

4 62 0 0 0 Dr. Antonia Maria

4 100 0 0 0 Dr. Rafat Khalil

1 18 0 0 0 Dr. Maida Siddiqi

2 44 2 52 25 Dr. Athar Hussain Shah

1 16 2 28 7

274

Dr. Fida Soomro

1 22 1 25 3 Dr. Shahjan Malik

0 0 0 0 0 Dr. Akhatar Mohammad

4 78 1 136 0 Dr. Allah Bux Sanjrani

2 36 1 21 0 Dr. Saifullah Mahar

1 58 1 20 0 Dr. Waseem Lohar

4 175 3 123 12 Dr. Fayyaz Lohar

2 32 0 0 0 Dr. Zulifqar Mahar

1 35 2 45 0 Dr. Rahim Bux Bhutto

2 60 1 21 0 Dr. NadIr Ali Pahnwar

2 48 1 39 27 Dr. Majid Soomro

1 34 0 0 0 Dr. G.Murtaza Seelro

2 66 2 220 5 Dr. Fida Hussain

3 98 2 60 0 Dr. Sahib Khan Brohi

1 11 0 0 0 Dr. Hafeezullah Shah

2 30 0 0 0 Dr. Nisar Brohi

1 17 1 23 0 Dr. Imran Shaikh

1 18 0 0 0 Dr. Latif Dino

1 16 0 0 0 Dr. Manzoor Channa

2 47 1 36 0 Dr. Imdad Mahar

2 26 1 9 0 Dr. Israr Daudpoto

3 45 3 52 0

275

Dr. Javaid Soomro

1 18 0 0 0 Dr. Naeem Pathan

5 50 1 25 7 Dr. A.Hafeez Jakhro

1 21 1 26 3


24 hours service of Health Facility. They also want screening, vaccination of Hepatitis and laboratory services at the Health Facility.


Preventive from Measles and routine vaccination especially in perspective of Measles outbreak.


Routine vaccination, new vaccine awareness and measles vaccinations.


Sr. No. Topics

1 Preventive care from Measles. 2 Measles Vaccinations

3 Routine Vaccinations

4 Cleanliness for better health.


S # Topics

1 Anti Natal Visits & its importance

2 Measles Preventive Care

3 TT Vaccination for CBAs/PWs.

4 EPI & Routine Immunization specially Measles Vaccinations


276

9. Health Camps: Number Held: ------1-------. Number of Patients: ------45------. 10.



i Sanitation 0 0 0

ii Drainage / sewerage 0 0 0

iii Drinking water 0 0 0

iv Prevention of

0 0 0

v Tree Plantation 0 0 0

vi Roads and infrastructure 0 0 0

vii Environmental

0 0 0

viii Others 0 0 0


1. OPD*





S # BHU OPD BHU OPD

1 BHU Wazirabad 5473 BHU M.Hayat Juneto 2697

2 BHU Jahan Khan 5043 BHU Abdoo 2531

3 BHU Hamayoon 2663 BHU M Panhwar 2357




1 Chest infection 25

2 Skin Infection 18

3 Malaria 17

4 Measles 14

5. Fever 7

277


4. Top Five Diseases during OPD S # Disease No. of Patients

1 ARI 17514

2 Diarrhea/Dysentery 3905

3 Skin Infection 4422

4 Susp: Malaria 3385

5 Peptic Ulcer 1253



ARV Administered 64







S # Tests Number



3 Hemoglobin 278


5 Ultra Sound 1355

6 Others (Malaria) 166






Follow up result



278



Under Diagnosis

102 12 12

9. Referrals



2 89 42 19 28 30 21 48

3 0 0 0 0 0 0 0

4 0 0 0 0 0 0 0




2 0 0 0 0 0 0 0

3 0 0 0 0 0 0 0

4 0 0 0 0 0 0 0



37 62 81 180



1 - - - -

2 - - - -

279






Status / Remarks

1 BHU Mehmood Panhwar 100% Work Completed

2 BHU Nim 90% Work in progress

3 BHU Jehagir Thahim 90% Work in progress

4 BHU Dhani Bux Malik 70% Work in progress



Dr. Khursheed Qazi DHO MCHC Jahan Khan Satisfactory

Dr. Khursheed Qazi DHO BHU Wazir Abad Satisfactory



Punctuality: DSM asked MOs & FMOs to ensure punctuality of the time during the HF working hours in the interest of the patients.

On Preventive Health: Family Planning, malnutrition cases and routine Immunization discussed and reviewed the month January 2013.

On Curative Health: Skin Infection, Measles, Malaria preventive and antenatal visits.

On Mother, Child & Reproductive Health: FMOs and LHVs ensure screening of HBV & HCV before assisting he delivery

Other Matters: DSM directed the I/C MOs to update BHU dead stock registers properly.

Date /Time for Next MRM: 16th March 2013

Comments on Targets vs Achievements (by DSM) R&R work completion within given deadline

DSM directed the Executive Construction, to ensure early completion of R&R work at BHU Nim, BHU Jehangir Thahim & BHU Dhani Bux Malik .

Documents

Performance Bulletin, January, 2013