State family Planning Plan - OdishaThe Odisha Family Planning 2020 roadmap 2016-17 was developed by the Directorate of Family Welfare, Government of Odisha with support from United

2016-2017

Family Planning Road map Odisha

The Odisha Family Planning 2020 roadmap 2016-17 was developed by the

Directorate of Family Welfare, Government of Odisha with support from

United Nations Population Fund.

Family Planning Road Map

Odisha

2016-2017

Message

Over the past few years the central role of family planning in reducing the maternal

and child mortality has gained momentum with the world leaders getting together at the

London Summit on Family Planning in 2012.

The State Government has undertaken several initiatives to expand range and reach of

reproductive health services in the state where women are able to decide freely, whether,

when and how often to give birth. The emphasis is to provide services for both limiting and

spacing methods, engage men in family planning and timely plan births through information,

choices and quality services.

The State Family Planning 2020 road map 2016-17 is an annual action plan developed

through decentralized planning process involving the district teams aimed to achieve the FP

commitments by the year 2020.

I would like to congratulate the district and the state level teams for their efforts in

putting together the roadmap under the leadership of the Director, Family Welfare. I would

like to appreciate the contribution of the United Nations Population Fund for their technical

assistance towards formulating the plan.

I look forward to effective implementation of the plan and monitoring its progress.

Best wishes!

Ms. Arti Ahuja, IAS

Principal Secretary

Health & Family Welfare Department

Government of Odisha

Ms. Arti Ahuja, IAS

Principal Secretary

Department of Health and

Family Welfare


Phone: +91-0674-2536632 Fax: +91-0674- 2390674 Email: [email protected] Website: www.health.odisha.gov.in

mailto:[email protected]

Message

Odisha has played a pioneering role in developing district wise family planning plans

since 2011-2012. Following the commitments at the London summit the Government of India

initiated the development of FP 2020 road maps for the first time in the year 2013 in the

country. The State was able to easily formulate its road map building on its district FP service

delivery plans where the budgetary requirements are reflected in NHM PIP.

The FP 2020 road map of Odisha provides insights into the operationalization of fixed

day service centers, human resource management, availability of infrastructure and

equipment, supply of contraceptives through the reproductive health commodities logistics

management system and a strengthened programme for delivery of contraceptives by

ASHAs.

As per the FP2020 commitment of India, Odisha has to achieve its share of additional

19 lakh new users of contraceptives by 2020. The state endeavors to take up all measures by

expanding, strengthening and ensuring quality reproductive health services with focus on

providing basket of choices for contraceptives.

I sincerely hope that the plan will be effectively implemented.

Ms. ShaliniPandit, IAS

Mission Director

National Health Mission


Phone/Fax: +91-0674-2392479/80 Email: [email protected] Website: www.nrhmorissa.gov.in

Ms. ShaliniPandit, IAS Mission Director

National Health Mission


mailto:[email protected]

Acknowledgements

The state of Odisha has taken up several proactive measures to strengthen family

planning program through improved planning and monitoring, quality assurance, a robust

reproductive health commodities logistics management system (RHCLMIS), community and

facility based counseling and by strengthening ongoing interventions such as the home

delivery of contraceptives by ASHAs.

The State Family Planning Road map 2020 is an outcome of intensive efforts by

district teams where a detailed analysis was undertaken on availability of infrastructure,

equipment and service providers for developing need based and realistic district plans. I

would like to thank the district teams especially Additional District Medical Officer Family

Welfare (ADMO-FW), Deputy Manager - Maternal and Child Health (DMRCH) and District

Data Managers (DDMs) for their active involvement in finalizing the district plans.

I would like to appreciate the efforts of the State Family Welfare Cell for intensively

following up, reviewing and facilitating development of feasible district plans and finally

compiling the district plans into the state road map for the year 2016-17. I would like to

specially thank the United Nations Population Fund for their continued technical support not

only in the formulation of FP2020 roadmaps but in all endeavors for improving the Family

Planning Programme through innovations and actions.

I hope that the road map will be successful implemented in the state.

Date: 08/ 07/ 2016

Dr. Nirmala Kumari Dei

Director of Family Welfare


Tel Office: (0674) 2391625

2391112 (Fax)

Email:

[email protected]

Website: www.orissa.gov.in

Dr. Nirmala Dei, MD (Ped)

Director of Family Welfare

Health and Family Welfare Department


Contents

1. Introduction 03

2. Reproductive Health 2.1 Background

2.2 Reproductive health scenario in Odisha

2.2.1 Eligible couple

2.2.2 Total fertility Rate

2.2.3 Unmet Need

2.2.4Male engagement in family Planning

2.2.5 Marriage and Fertility patterns

2.2.6 Teenage Pregnancy

04-09

3. State FP 2020 roadmap for 2016-17 3.1 Status of FDS centers

3.2 Human Resource providing Family Planning services

3.3 Instrument and equipments

3.4 Logistic and Supply System for Family Planning Commodities

3.5 Quality Assurance Plan

3.6 Issues and Challenges in Family Planning

10-15

4. Family Planning Budget (NHM PIP) 2015-16 16-26

5. References 27

6. Annexure I. District wise Eligible couples

II. Accredited clinics in the State

III. Compilation of District FP 2020 roadmaps

28-37

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A brief about State FP 2020 Road Map2016-17

The Family Planning Summit held at London in 2012 was a watershed event in the history of

the Family Planning Programme where governments, donors, multilaterals, private sector,

and civil society organizations committed to bring back family planning programme on track

and to support reproductive rights of women to decide, freely and for themselves, whether,

when and how many children they will have.

The world leaders committed to address issues of funding, service delivery, socio-cultural

barriers and other factors that affect women’s access to contraception, information, services

and supplies. The FP 2020 contributes to attaining the third and the fifth Sustainable

Development Goal and aims to reach an additional 120 million users globally with

contraceptives by the year 2020. India’s share contributes to 40 percent of the global

commitment which translates to an estimated 48 million additional users of contraceptives by

the year 2020. In line with the national commitment, the state of Odisha is committed to

reach an additional 1.9 million (19lakh) users with family planning services and sustain

current usage of contraceptives by 3.2 million (32 lakh) users in the state.

Following the Government of India’s FP 2020 commitments the Ministry of Health and

Family Welfare initiated the process of developing district and state road maps in the country

during 2013. Odisha with an advantage of having developed district wise FP plans since the

year 2011 was able to easily draw district and state Family Planning 2020roadmaps as per the

ministry’s guidelines. The road map is an annual action plan aimed at operationalizing health

facilities to provide quality family planning services by expanding fixed day services through

community health facilities; ensuring availability of skilled human resource, adequate

infrastructure, equipment and uninterrupted supply of contraceptives through an efficient

logistics management system. The state accords high priority to meet unmet need in family

planning, reach young and newly married couples with information and supplies and improve

access to quality family planning services.

The State FP 2020 road map for 2016-17is a compilation of FP district plans of 30 districts in

the state covering status of functional fixed day service centers, empanelled surgeons

providing family planning services, instruments and equipment, training load and functioning

of quality assurance committees.

2 | P a g e

The road map was developed through a decentralized approach wherein each district

undertook detailed situational analysis including data analysis before drafting need based

plans for the district. The district plans were then reviewed by the Directorate of Family

Welfare through state level workshops inviting district teams compromising of Additional

District Medical Officer Family Welfare (ADMO-FW), Deputy Manager - Maternal and

Child Health (DMRCH) and District Data Managers (DDMs). Finally, the state FP 2020 road

map was compiled with an aim to expand reach and range of family planning services. Thus,

the State FP 2020 road map is an important document for the state to track progress of family

planning services in the state. The State has developed Family Planning plans for five

consecutive years starting from 2011-12 to 2016-17.

3 | P a g e

1. INTRODUCTION

The population of Odisha is 42 million were youth constitute one fifth of its population. The

state has achieved the goal of reaching TFR of 2.1. However, the unmet need for family

planning continues to be high at 19%. The modern contraceptive prevalence rate in Odisha is

46.3 percent [6]

. Among the states of India, Odisha has the fourth highest MMR (222)[2]

and

third highest IMR (49)[3]

.One quarter (25.9 percent) of currently married women aged 15 – 49

years were married before the legal age of 18 years in the state with 7.2 percent teenage

births[4]

.The family planning programme needs to take into consideration the population

composition and address the growing demand for spacing methods in addition to services for

limiting. Out of 30 districts in Odisha, 10 districts namely Nuapada, Koraput,

Rayagada, Nabarangapur, Malkangiri, Kandhamal, Boudh, Gajapati, Bolangir and Kalahandi

are designated as high priority districts (HPD) for focused RMNCH+ A interventions[5]

.

Odisha has launched an accelerated IMR and MMR reduction strategy with a view to

expediting faster reduction in IMR and MMR. The emphasis is on ensuring services to the

most difficult areas mapped out based on a composite index. A continuum of care approach is

adopted by the state covering RMNCH+A, where family planning is one of the important

pillars in reducing maternal and infant mortalities.

4 | P a g e

2. REPRODUCTIVE HEALTH

2.1 Background

Health as a state of complete physical, mental and social well-being and not merely the

absence of disease or infirmity within which is the reproductive health which encompasses

reproductive processes, functions and systems at

all stages of life. Reproductive health, therefore,

implies that people are able to have a responsible,

satisfying and safe sex life and that they have the

capability to reproduce and the freedom to decide

if, when and how often to do so[7]

. With reference

to this all men and women have the right to be

informed and to have safe, effective, affordable and acceptable methods of family planning of

their choice, and the right to access appropriate health care services that will enable women to

go safely through pregnancy and childbirth.

Reproductive health is an important component of overall health and plays a pivotal role in

human development not only physical but also psychological. It impacts the health of the

present generation as well as that of the next generation for example the health of the

newborn is largely an outcome of the mother’s health and nutrition status. According to

UNFPA, reproductive health at any age profoundly affects health later in life[9]

. Reproductive

health is of universal importance with maximum importance for women especially during the

reproductive years.

As per International Conference on Population and Development1994, reproductive choice is

a basic human right and that will be only delivered when access to relevant information

and services areprovided to every individual[10]

.

Family planning saves lives by helping women prevent unintended pregnancies, delay early

childbearing, and space births. Addressing the unmet need for family planning reduces

fertility rates thereby contributing to improvements in women’s and children’s health and

wellbeing.

Ensuring access to voluntary family planning is critical to the development of health of

women, families and communities, and has far-reaching social and economic benefits. In

India, there is a widely recognized need for strengthening access to contraceptive choices

with accurate information to prevent early, unplanned and unintended pregnancies.

32.80%

0.30%

11.00%1.60%

0.40%16.10%

0.10% Family Planning Method Mix in Odisha

http://www.unfpa.org/rights/index.htm

5 | P a g e

2.2Reproductive health scenario of Odisha

2.2.1. Eligible couple

An eligible couple refers to a married couple wherein the wife is in the reproductive age,

which is generally assumed to be between the ages of 15-49 years. There will be at least 170

to 200 such couples per 1000 population in Odisha. These couples are in need of family

planning services.

154.9

167.8

150.4

164.7

160.9

158.8

151.8

183

156.7

151.9

162.9

138.2

164.9

172.7

148.3

150.8

152.7

160.8

171.95

157

145.2

164.1

170.8

109.8

156.4

138.6

150.4

155.9

100.1

160.9

0 50 100 150 200

Anugul

Balasore

Bhadrak

Bolangir

Deograh

Jagatsinghpur

Jajpur

Kalahandi

Koraput

Kendrapara

Malkangiri

Mayurbhanj

Nabarangpur

Nuapada

Cuttack

Bargarh

Boudh

Dhenkanal

Gajapati

Ganjam

Jharsuguda

Kandhamal

Keonjher

Khurda

Nayagarh

Puri

Sambalpur

Sonepur

Sundergarh

Rayagada

EC PER THOUSAND POPULATION 2015-16

6 | P a g e

2.2.2. Total Fertility Rate

Odisha has recorded a significant decline in

total fertility rate (TFR) from 2.3 to 2.1

between 2010 and 2013 (SRS). Districts

having high TFR are Boudh, Koraput,

Nabarangpur, Nuapada with TFR of 3.5, 2.9,

2.8 and 2.7 respectively. Districts such as

Angul, Puri, Bargarh, Jharsuguda and

Jagatsinghpur have TFR of 1.9, 1.9, 1.9, 1.8,

and 2.0, respectively.

Thus, indicating considerable inter district

variations. Fourteen districts have achieved

TFR of <2.1, whereas 16 districts have TFR

above 2.2 (AHS12-13). Use of modern

contraceptives among currently married

women aged 15 – 49 years is at 46 percent in

the state. However, the unmet need for

contraception continues to be high at 18.9

percent (limiting: 10.1 and spacing: 8.8). The

method mix indicates that female sterilization

is at 32.8 percent, male sterilization at 0.3

percent, 0.4 percent IUCD, 11 percent oral pill

users and only 1.6 percent Condom users as

per the AHS 2013.

The state will continue focus on increasing

access to a wide range of quality

contraceptive products and services, promote

spacing methods, reach out to young and

newly married couples and increase male

participation in family planning program.

AHS 2010 AHS 2011 AHS 2012 AHS 2013

2.3 2.3

2.2

2.1

TFR Trend of Odisha

0 1 2 3 4

Jharsuguda

Angul

Baragarh

Puri

Balasore

Deogarh

Jagatsinghpur

Jajpur

Khurda

Sambalpur

Sundargarh

Cuttack

Ganjam

Kendrapara

ODISHA

Keonjhar

Mayurbhanj

Bhadrak

Dhenkanal

Gajapati

Kalahandi

Nayagarh

Bolangir

Kandhmal

Rayagada

Sonepur

Malkangiri

Nuapada

Nawarangpur

Koraput

Boudh

1.8

1.9

1.9

1.9

2

2

2

2

2

2

2

2.1

2.1

2.1

2.2

2.2

2.2

2.3

2.3

2.3

2.3

2.4

2.5

2.5

2.5

2.5

2.6

2.7

2.8

2.9

3.5

Source: AHS 2102 -13

District wise TFR

7 | P a g e

0 10 20 30

Jharsuguda

Gajapati

Jajpur

Deogarh

Bargarh

Anugul

Kendrapara

Dhenkanal

Bolangir

Balesore

Jagatsinghpur

Keonjhar

Mayurbhanj

Sambalpur

bhadrak

ODISHA

Ganjam

cuttack

Rayagada

Nawarangpur

Sundergarh

Malkangiri

Khurda

Nuapada

Koraput

Kandhamal

Sonepur

Nayagarh

Kalahandi

Puri

Boudh

4.2

4.5

4.5

4.8

5.4

5.5

5.6

6.1

6.6

6.6

7.9

8

8

9

10.1

10.1

11.6

12

13.5

14.7

15.4

15.8

16.2

19.2

19.7

21.1

21.2

21.4

21.7

21.8

29.6

District wise Unmet Need for Limiting

0 20 40 60

Jharsuguda

Jajpur

Angul

Deogarh

Kendrapara

Dhenkanal

Baragarh

Balasore

Jagatsinghpur

Mayurbhanj

Bolangir

Gajapati

Keonjhar

Sambalpur

Bhadrak

ODISHA

Cuttack

Ganjam

Khurda

Sundargarh

Rayagada

Nayagarh

Nawarangpur

Puri

Nuapada

Kalahandi

Sonepur

Malkangiri

Kandhmal

Koraput

Boudh

8.5

9.6

9.8

10.1

10.5

12.2

12.8

13.5

13.5

13.5

14.5

15.2

15.4

15.7

17.6

18.9

19

22.9

23.7

25.4

25.7

29.4

30.4

30.7

30.9

34.8

36.3

37.1

40.4

44.1

48.4

District Wise total Unmet Need

0 10 20 30

Anugul

Jharsuguda

Kendrapara

Jajpur

Deogarh

Mayurbhanj

Jagatsinghpur

Dhenkanal

Sambalpur

Balesore

cuttack

Bargarh

bhadrak

Keonjhar

Khurda

Bolangir

Nayagarh

ODISHA

Puri

Sundergarh

Gajapati

Ganjam

Nuapada

Rayagada

Kalahandi

Sonepur

Nawarangpur

Boudh

Kandhamal

Malkangiri

Koraput

4.3

4.3

4.9

5.1

5.3

5.5

5.6

6.1

6.7

6.8

7

7.4

7.5

7.5

7.5

8

8

8.7

8.9

10

10.7

11.3

11.6

12.1

13.1

15

15.7

18.8

19.4

21.3

24.5

District wise unmet need for spacing

2.2.3. Unmet Need

The unmet need for family planning is a relatively complex indicator because it could change

as a result of trends in either supply or demand, or a combination of both. Women from the

wealthiest households, living in urban areas and with higher levels of education tend to

experience lower levels of unmet need[8]

.The total unmet need of Odisha is 18.9 %, with 19.0

and 18.2 percent unmet need for rural and urban Odisha, respectively. (AHS 12-13).

Significant disparities were found among districts with some districts showing high unmet

need while some showing low unmet need. From the total unmet need the percentage share

for spacing is 8.7 % and for limiting is 10.1 % (AHS 12-13).

Source: AHS 2012-13 Source: AHS 2012-13 Source: AHS 2012-13

8 | P a g e

2.2.4. Teenage Pregnancy

Teenage pregnancy and motherhood is an important subject in the settings where themarriage

of girls takes place at very young ages. This is not only important from the fertility

perspective but also its consequent implication on the health of the mother and child. Teenage

pregnancy has serious implications on the educational, social and economic state of young

girls. Teenage pregnancy is generally associated with high rates of maternal mortality,

morbidity, and increased incidence of low birth weight babies and increased infant mortality

rate. Teenage pregnancy in Odisha is 43.4% (43.1% rural and 46.1%urban (AHS 12-13).

Keeping this in the backdrop delaying the age of marriage of girls up to 18years of age and

avoiding first pregnancy upto minimum 2 years after marriage are key components of family

planning services.

2.2.5.Male engagement in Family Planning

Despite availability of simple and safe

procedures for men to adopt, family planning

has largely remained the responsibility of

women. Women are often burdened with the

responsibility of regulating fertility. The state

has recorded 0.3% per cent male sterilization

against 32.8% percent female sterilization

(AHS-2012-13). This indicates very poor male

participation in family planning matters. Very

low level of male involvement in the family planning program can be attributed to wide

prevalence of gender inequality and gender norms. Low acceptance of male sterilization is

due to gaps in availability services; and myths and misconception around vasectomy.To

increase demand for vasectomy services, there is a need to provide correct information to

eligible clients about all available family planning methods including vasectomy and

encourage them to choose from the basket.

In recent years, the Department of Health and Family Welfare, Government of Odisha has

taken up pilot interventions to promote male involvement in family planning programs. The

results of these pilots are quite encouraging. Efforts have been made to sensitize front line

health workers including Health Worker- female, Health Worker- male and ASHAs on ways

to enhance male engagement in the entire RMNCH+A gamut of services. Further, other

community level key stakeholders like SHG leaders, PRI members, and federations of men

2012-13 2013-14 2014-15 2015-16

2397

19232065

2374

Vasectomy in Odisha( In Numbers)

Source: HMIS

9 | P a g e

(milk, fishermen, weavers etc.) are being involved to create an enabling environment to

address the socio-cultural barriers affecting acceptance of NSV/CV among male clients. A

Plan of action is developed for training more surgeons on NSV/CV to cater to increased

demand for the services.

2.2.6 Marriage and Fertility Patterns

Age at marriage is important indicator of birth rates, fertility of women and also her health

profile. A multiple set of factors contributes to the persistence of the phenomenon: gender

norms and expectations, traditional practices around marriage, safety concerns and family

honor, poverty, limited education and livelihood opportunities and weak implementation of

the law. Currently married women aged 20-24 years married before the legal age (18 years) is

25.9 % (rural 26.3 % and urban 22.3%). Age at marriage, has a direct impact on child bearing

as women marrying early have on an average a longer period of exposure to pregnancy and a

greater number of lifetime births.

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3. STATE FP 2020 ROADMAP FOR 2016-17

The FP 2020 commitment of India is to add 4.8 crore new users of Family Planning methods

(40% of the global goal of 12 crores) by the year 2020. As part of national commitment,

Odisha needs to add 19 lakhs new users by the year 2020 (which is 3.9% of India’s

commitment) by strengthening family planning service delivery with quality, while

minimizing regional variations for reproductive, maternal, new-born and child and adolescent

health (RMNCH+ A) services through integrated, focused and participatory public health

interventions. As part of FP 2020 commitment, the state needs to add two times its earlier

achievement, i.e. 19 lakh new users within period (2012-2020) of 8 years.

In order to achieve the state FP 2020 commitment and to provide quality family planning

services, the district specific FP 2020 roadmaps of all the 30 districts of Odisha are being

developed. Further, progress of district FP 2020 roadmaps implementation is being tracked

and reviewed periodically by the Directorate of Family Welfare with follow up actions taken

to accelerate implementation of planned activities.

Components of the State FP Plan

The key components of the plan includes operationalization of health facilities as FDS

centers, Human resource, instruments and equipment, contraceptive logistics management

and Quality Assurance, which are detailed out:

3.1 Status of FDS centers

There is a focus on family planning service delivery through fixed day static service approach

to ensure adherence to standard operating procedures and protocols laid down by

Government of India. The family planning sterilization services is being provided on fixed

days at designated FDS centers across the state. In the state, there are 244 designated FDS

centers providing minilap sterilization services and 38 designated FDS centers providing

laparoscopic sterilization operation as on June 2016.

The plan for 2016-17 is to operationalize additional 79 facilities for providing Minilap

sterilization service and 32 new facilities for laparoscopic sterilization (as per district road

map).

Number of Functional FDS Centres 2015-16

Number of New Facilities to be operationalized2016-17

IUCD PPIUCD Minilap NSV Laparoscopic IUCD PPIUCD Minilap NSV Laparoscopic

3045 328 244 109 38 823 186 79 47 32

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3.2 Human Resources for providing family planning services

Keeping in view the number of health facilities to be made operational with skilled HR, the

family planning training plans for the districts weredeveloped. The state training

requirements is being incorporated in the NHM PIP for budgetary support. During 2015-16, a

total of 670 MO/Staff Nurse (SN) were trained in PPIUCD, 39MOs in Minilap, 44 in NSV

and 18 in Laproscopic sterilization and an additional 30 Medical Officers, 90 AYUSH MOs,

90 SNs and 650 ANM/LHV were trained in IUCD.

Trained Human Resource available till 2015-16

IUCD PPIUCD MINILAP NSV LAPAROSCOPY

6568 1830 544 313 177

Human Resource Trained in 2015-16

IUCD PPIUCD

MINILAP NSV LAPAROSCOPY MO

AYUSH

MO SN ANM/LHV MO /SN

30 90 90 650 670 39 44 18

There is a proposal for training of 1400health functionaries in IUCD, 680 in PPIUCD, 99 in

Minilap, 56 in NSV and 45 in Laparoscopy during 2016-17.

Human resource to be trained in 2016-17

The additional health staff to be trained on various family planning methods during 2016-17

is as follows.

IUCD PPIUCD

(MO & SN) MINILAP NSV LAPAROSCOPY

MO AYUS

H MO SN ANM/LHV

60 450 650 240 680 99 56 45

Efforts have been made to empanel maximum number of surgeons for providing family

planning services.

3.3 Instrument and Equipments

Efforts have been made to equip FDS centers with instruments and equipments for providing

quality family planning services. Procurement of necessary equipments and kits for Minilap,

laparoscopy and NSV/CV, IUCD and PPIUCD will be undertaken at the district level. To

further augment quality of family planning services, 27 sets of insufflators are supplied by

UNFPA are being used at various facilities.

12 | P a g e

LAPAROSCOPES (as on June 2016)

Sl. No

District Available Functional Sl. No

District Available Functional

1 Anugul 6 5 16 Cuttack 3 3

2 Balasore 3 2 17 Khurda 2 2

3 Bhadrak 3 1 18 Gajapati 0 0

4 Bolangir 7 4 19 Ganjam 1 1

5 Deograh 2 1 20 Jharsuguda 2 1

6 Jagatsinghpur 2 1 21 Bargarh 2 1

7 Jajpur 1 1 22 Dhenkanal 1 1

8 Kalahandi 2 2 23 Nayagarh 1 0

9 Koraput 4 4 24 Puri 5 1

10 Kendrapara 2 1 25 Sonepur 1 1

11 Malkangiri 5 2 26 Boudh 0 0

12 Mayurbhanj 4 3 27 Keonjher 4 4

13 Nabarangpur 2 2 28 Kandhamal 1 1

14 Nuapada 0 0 29 Sambalpur 1 1

15 Rayagada 1 0 30 Sundergarh 4 3

3.4 Logistic and supply system for Family Planning commodities

Reproductive Health Commodities Logistics Management Information System (RHCLMIS)

has been introduced in the health system with technical support from UNFPA for ensuing

effective and efficient management of family planning supply chain. RHCLMIS has emerged

as a model for contraceptives supply chain management in the country. The Family Planning

Division of Government of India (GoI) is in the process of replicating the RHCLMIS in other

states. Officials of GoI and from the states of Bihar, MP and Rajasthan had visited Odisha to

study the functioning of the application. Rajasthan has finalized the Odisha model of

RHCLMIS and is planning to launch it soon.

RHCLMIS is an integration of online and text message based application for effective

management of contraceptive supply chain. This includes forecasting and demand based

supply of contraceptives. The commodities which are being managed using RHCLMIS are

condom (CC), Oral Contraceptive Pill (OCP), Emergency Contraceptive Pill (ECP), Intra

Uterine Contraceptive Device (IUCD), pregnancy testing kit and tubal ring ( for laparoscopic

sterilization operation).The special features of RHCLMIS includes real time tracking of

stock availability at various levels starting at sub center levels, data transfer through SMS,

auto alert message and important supply chain related reports can be generated which enables

13 | P a g e

programmatic decision making and addressing supply chain management related bottlenecks

efficiently. Presently, RHCLMIS is operational in all the 30 districts of the state.

Contraceptives Stock Received in 2015- 2016

ITEM SUPPLIED BY GOVT. OF INDIA IN 2015-16

Condom ASHA (in pcs.) 10114300

Condom Free (in pcs.) 2777800

OC Pills ASHA in cycles 1349880

OC Pills Free in cycles 250000

EC Pill ASHA in tabs. NA

EC Pill Free in tabs. 242532

Cu-T (380 A) in pieces 52200

IUD (375 ) in pieces 51960

Tubal ring in pairs 19400

Pregnancy test kit in pieces 998300

3.5 Quality Assurance Plan

The Health and Family Welfare

Department, Government of Odisha has

accorded high priority towards ensuring

standards and quality in providing family

planning services in the state. Department

has issued circulars and communication to

the districts to adhere to standard operating

procedures as prescribed by MoHFW,

Government of India. District Quality

Assurance Committees (QAC) has been formed under the chairmanship of District Collector

cum DM and are functional at all the 30 districts. DQAC members have been oriented on the

recent protocols and guidelines as issued by the MoHFW. The State Quality Assurance

Committees (SQAC) reviews and monitors overall quality in health care, while the

Directorate of Family Welfare focuses specifically on the quality of family planning services.

In order to ensure quality of family planning services in the state, assessment of family

planning services were conducted by engaging Medical College over the last three years with

the support of UNFPA. The gaps of the study for quality assessment have been shared with

the district level service providers and ADMO (FW) through state level workshops for

bringing necessary improvements in service delivery.

Death, Complication and failure following sterilization

Year 2013 - 2014

2014 - 2015

2015- 2016

up to August

Sterilization 138722 105385 45153

Complication 18

(0.01%) 8

(0.007%) 5

(0.01%)

Death 7

(0.005%) 5

(0.004%) 5

(0.01%)

Failure 343

(0.24%) 373

(0.35%) 394

(0.87%)

14 | P a g e

Family Planning indemnity scheme is followed in the state and the claims for different

components (death, failure, complication) are being settled every year through State

Indemnity Sub Committee.

Status of DQAC functioning during 2015-16

Sl. No

District Total DQAC

Meeting Sl. No

District Total DQAC

Meeting

1 Angul 2 16 Kandhamal 2

2 Balasore 3 17 Kendrapara 4

3 Baragarh 4 18 Keonjhar 4

4 Bhadrak 4 19 Khurda 4

5 Bolangir 4 20 Koraput 3

6 Boudh 4 21 Malkanagiri 3

7 Cuttack 3 22 Mayurbhanj 2

8 Deogarh 2 23 Nawarangpur 2

9 Dhenkanal 5 24 Nayagarh 3

10 Gajapati 4 25 Nuapada 2

11 Ganjam 3 26 Puri 3

12 Jagatsinghpur 3 27 Rayagada 3

13 Jajpur 3 28 Sambalpur 4

14 Jharsuguda 4 29 Sonepur 3

15 Kalahandi 3 30 Sundargarh 4

3.6 Issues and Challenges in Family Planning

Odisha is predominantly a rural state where one third of the population is tribal. Young

people (10 to 24 years) and youth (13-33 years) constitute around 30 percent of the total

population. One of the biggest challenges for the state is operationalization ofFDS centers

particularly in regions with difficult geographical terrain. Adequate human resources for

providing family planning service is a major challenge. Nearly 50 percent of the empanelled

surgeons do not perform sterilization operation. Although District Quality Assurance

Committees (DQAC) has been formed in all districts, facility visits by DQAC members need

to be streamlined further. There is frequent turnover of Counselors, out of 35 sanctioned

contractual posts only 19 are in position. Post-Partum sterilization (PPS) is another major

challenge and across the state PPS confines to Cesarean Section and not following normal

deliveries. Counseling services at the facility for promoting PPIUCD and (PPS) also needs

strengthening.

In spite of the above constraints state is trying its best to fill the gaps, achieve the FP 2020

goal and maintain the TFR at 2.1.

Some of the priorities for reproductive health programme in the state are promoting informed

choice and voluntary decision making to clients in Family Planning service by counseling;

provide high quality family planning services in acceptable and affordable form mainly

15 | P a g e

focusing on client satisfaction; promote reproductive health and rights of every women to

make their own decisions; expand the reach and range of Family Planning service for

marginalized population; ensure uninterrupted supply of contraceptives by strengthening

commodity supply system; expand the basket of choice for increase and usage of Family

Planning commodities; promote post-partum family planning services and male involvement

in sexual and reproductive health.

16 | P a g e

4. FAMILY PLANNING BUDGET (NHM PIP) -2016 -17

17 | P a g e

Part I: NRHM + RMNCH plus A* Flexipool (RCH)

Sl. No. Budget Head

Proposed 2016-17 Remarks

Physical Target Financial Target (Rs. In lakhs) State to mention whether the activity

proposed is new or to be continued from previous year. Justification to be given.

Unit of Measure

Unit Cost (Rs)

Unit Cost

(Rs. Lakhs) Qtr-1 Qtr-2 Qtr-3 Qtr-4 Total Qtr-1 Qtr-2 Qtr-3 Qtr-4 Total

A.3 FAMILY PLANNING

919.15 908.80 844.71 823.55 3496.21

A.3.1 Terminal/Limiting Methods

761.30 761.30 761.30 761.30 3045.20

Background: Total ELA - 200000 1.Female Sterilisation - 175000 (88%) 1.1.At Public facilities (95%) - 166250 (PPS - 24936 (15% projected as against 15% achievement in last year) + Other 141314) 1.2.At Private facilities (5%) - 8750 2.Male Sterilization - 25000 (12%)

A.3.1.1 Female sterilization camps Per camp 10000 0

0.00 0.00 0.00 0.00 0.00 Focus is on fixed day static services Activity discontinued A.3.1.2 NSV camps Per camp 15000 0

0.00 0.00 0.00 0.00 0.00

A.3.1.3 Compensation for female

sterilization 0 32495 32495 32495 32495 129980 727.55 727.55 727.55 727.55 2910.20

For details of ELA calculation, refer to Annexure For district wise details of ELA, refer to annexures attached separately Female Sterilisation Achievement by Nov'15 - 47% of ELA Activity continues with revised unit nos. & unit cost

A.3.1.3.1 At Public Sector Per

beneficiary 2000 0.02 24730 24730 24730 24730 98920 494.60 494.60 494.60 494.60 1,978.40

Total cases - 141313 (166250 - 24937) Budgeted for 70% cases i.e.98920 (balance funds shall be proposed if required at supplementary stage)

A.3.1.3.2 At Private Sector Per

beneficiary 3000 0.03 1531 1531 1531 1531 6124 45.93 45.93 45.93 45.93 183.72

Total cases - 8750 (Current achievement43%) Budgeted for 70% cases i.e.6124 (balance funds shall be proposed if required at supplementary stage)

A.3.1.3.3 For PPS at public sector Per

beneficiary 3000 0.03 6234 6234 6234 6234 24936 187.02 187.02 187.02 187.02 748.08 Total cases - 24936

A.3.1.4 Compensation for male

sterilization/NSV Per

beneficiary 2700 0 1250 1250 1250 1250 5000 33.75 33.75 33.75 33.75 135.00

Total cases - 25000 Male Sterilization Achievement by Nov'15 - 11% of Male Sterilization ELA Activity continues with revised unit nos. & unit cost

A.3.1.5

Processing accreditation/empanelment

for private facilities/providers to provide sterilization

services

0

0 0.00 0.00 0.00 0.00 0.00

Accredited insts. Currently available - 106 No additional fund proposed.

18 | P a g e

A.3.2 Spacing Methods

125.75 34.13 34.13 34.13 228.12

Total ELA - 250000 1.At Public facilities (90%) - 225000 (PP IUCD - 67500 (30% projected as against 28% achievement in last year) + IUCD 157500) 2.At Private facilities (10%) - 25000

A.3.2.1 IUCD camps

0

0.00 0.00 0.00 0.00 0.00

A.3.2.2

Compensation for IUCD insertion at health facilities (including fixed day services at SHC

and PHC) [Provide breakup: Public Sector (@Rs.

20/insertion) /Private Sector (@Rs. 75/insertion for EAG states)]

0 40625 40625 40625 40625 162500 8.81 8.81 8.81 8.81 35.25

Achievement by Nov'15 - 83% Activity continues with revised unit nos.

A.3.2.2.1 At Public Sector Per case 20 0.0002

39375 39375 39375 39375 157500 7.88 7.88 7.88 7.88 31.50

Total cases - 157500 (Achievement upto November -2015, 85%) Budgeted 90% coverage i.e. 141750 cases (balance funds shall be proposed if required at supplementary stage)

A.3.2.2.2 At Private Sector Per case 75 0.00075

1250 1250 1250 1250 5000 0.94 0.94 0.94 0.94 3.75

Total cases - 25000 (Achievementup to Nov'15 <5%) Budgeted 20% coverage i.e. 5000 cases (balance funds shall be proposed if required at supplementary stage)

A.3.2.3 PPIUCD services (Incentive to

provider @Rs 150 per PPIUCD insertion)

Per case 150 0 16875 16875 16875 16875 67500 25.31 25.31 25.31 25.31 101.25 Total cases - 67500 Activity continues with revised unit nos. & unit cost

A.3.2.4

Processing accreditation/empanelment

for private facilities/providers to provide IUCD services

0

0.00 0.00 0.00 0.00 0.00

Integrated empanelment process would take into account JSY, IUCD &Streilisation services. Budgeted in A.3.1.5

A.3.2.5

One day refresher training for ASHA on family planning for effective implementation of

HDCA & ESB schemes at sector level

Per ASHA 200 0 45812

45812 91.62 0.00 0.00 0.00 91.62 Orientation training has been taken up for existing ASHAs in the FY 2013-14. Budget shifted from A.3.5.5.7.1

A.3.2.6 Dissemination of FP manuals

and guidelines 0 0 0 0 0 0 - - - - 0.00

A.3.2.6.1

For newly trained Doctors at State level including urban

areas for existing 63 UPHC/UCHC

0

0 0.00 0.00 0.00 0.00 0.00 Activity completed no new proposal.

A.3.2.6.2

For newly trained Paramedics (SN) at State level including urban areas for existing 63

UPHC/UCHC

0

0 0.00 0.00 0.00 0.00 0.00 do

19 | P a g e

A.3.3

POL for Family Planning/ Others (including additional

mobility support to surgeon's team if required)

Lump sum

200000 2 1

2.00 0.00 0.00 0.00 2.00

POL provision for transporting contraceptive commodities from State to district - Supply chain management from state warehouse to district level will be ensured through this funding.

A.3.4 Repairs of Laparoscopes

0

0.00 0.00 0.00 0.00 0.00

Existing State Equipment maintenance wing to manage. State has planned to outsourced the maintenance services of all medical equipment / instruments in 2016-17

A.3.5 Other strategies/activities:

16.98 100.25 36.16 15.00 168.39

A.3.5.1 Orientation workshop,QAC

meetings 0

0 0.00 0.00 0.00 0.00 0.00 Funds budgeted under QA initiatives

A.3.5.2 FP review meetings Per

participants

500 0.005

0

0.00

To be met out of programme management budget under A.10. One day review cum reorientation of programme officials &supervisory staff on the progress of HDCA, ESB & RHCLMIS at district level Targeted districts - 16 (The activity in rest 14 districts were completed in 2015-16 with support from UNFPA)

A.3.5.3 Performance reward if any Per

district 50000 1

30 30 0.00 0.00 0.00 15.00 15.00

Felicitation of surgeons & other service providers, insts. for promotion of fixed day services Activity continues as previous year

A.3.5.4

World Population Day’ celebration (such as mobility, IEC

activities etc.): funds earmarked for district and block level activities

0 0 660 0 0 660 - 88.00 - - 88.00 Activity continues as previous year.

A.3.5.4.1 At State level

0

A.3.5.4.1.1 State level function and

documentation Lumpsum 300000 3

1

1 0.00 3.00 0.00 0.00 3.00

A.3.5.4.1.2 Monitoring & Supportive Supervision (for State Officials,

Nodal Officers and Consultants) Lumpsum 200000 2

1

1 0.00 2.00 0.00 0.00 2.00

A.3.5.4.2 At District & Sub district

level 0

A.3.5.4.2.1 District level function and

documentation Per dist. 15000 0.15

30

30 0.00 4.50 0.00 0.00 4.50

A.3.5.4.2.2 IEC Van Per block 15000 0.15

314

314 0.00 47.10 0.00 0.00 47.10

A.3.5.4.2.3 Hoardings, Posters and

leaflets Per block 10000 0.1

314

314 0.00 31.40 0.00 0.00 31.40

A.3.5.5 Other strategies/activities

(such as strengthening fixed day services for IUCD &Sterilization, etc.)

16.98 12.25 36.16 0.00 65.39

A.3.5.5.1 Printing of FP Manuals,

Guidelines, etc. 0 53900 0 0 0 53900 15.40 - - - 15.40

20 | P a g e

A.3.5.5.1.1 Manuals for FP Indemnity

Scheme Per

booklet 150 0.0015 100

100 0.15 0.00 0.00 0.00 0.15

A.3.5.5.1.2 AMAR reporting register Per

register 15 0.00015 50000

50000 7.50 0.00 0.00 0.00 7.50

A.3.5.5.1.3 ParibarKalyanPustika

0

0 0.00 0.00 0.00 0.00 0.00 Not proposed in current year

A.3.5.5.1.4

Myths & misconceptions on FP(Male Sterilization),Three fold

leaflet on FP methods, IUCD client information

0

0 0.00 0.00 0.00 0.00 0.00 do

A.3.5.5.1.5

Male /female sterilization medical Record checklist including consent form &

Certificate

0

0 0.00 0.00 0.00 0.00 0.00 do

A.3.5.5.1.6 IUCD Card

0

0 0.00 0.00 0.00 0.00 0.00 Budget shifted to B.10.7.3

A.3.5.5.1.7 100 page EC survey register

for ASHAs 0

0 0.00 0.00 0.00 0.00 0.00 Not proposed in current year

A.3.5.5.1.8 Standards & Quality

Assurance in Sterilization services

Per book 200 0.002 600

600 1.20 0.00 0.00 0.00 1.20

Provision would be for all facilities as per given norms DHH @ 2 booklets x 32 = 64, SDH @2 booklets x 26 = 52, CHC @ 1 booklets x 316 = 316, DTU @ 2 booklets x 30 = 60, ANMTC/GNMTC/LHVTC @ 2 booklets x 28 = 56, State - 10) Total booklets = 558 + buffer = 600 Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.1.9 Reference Manual for Male

Sterilization Per book 200 0.002 300

300 0.60 0.00 0.00 0.00 0.60

To trained persons : 88 to be trained in 2015-88 x 1 = 88 To Districts : 30 x 2 = 60 To ANMTC/GNMTC/LHVTC : 28 x 2 = 56 To State level inst - 10 Total book = 214 + buffer = 300 Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.1.10 Reference Manual for Female

Sterilization Per book 220 0.0022 350

350 0.77 0.00 0.00 0.00 0.77

To trained persons : 189 to be trained in 2015-189 x 1 = 189 To Districts : 30 x 2 = 60 To ANMTC/GNMTC/LHVTC : 28 x 2 = 56 To State level inst - 10 Total book = 315 + buffer = 350 Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.1.11 IUCD Reference Manual for

AYUSH doctors Per book 250 0.0025 250

250 0.63 0.00 0.00 0.00 0.63

To trained persons : 160 to be trained in 2015-160 x 1 = 160 To Districts : 30 x 2 = 60 To State level inst - 10 Total book = 230+ buffer = 250 Could not be printed in 2015-16 & thus proposed in 2016-17

21 | P a g e

A.3.5.5.1.12 IUCD Reference Manual for

Medical Officers and Nursing Personnel

Per book 250 0.0025 1100

1100 2.75 0.00 0.00 0.00 2.75

To Districts : 30 x 2 = 60 To ANMTC/GNMTC/LHVTC : 28 x 2 = 56 To State level inst - 10 Total book = 1075+ buffer = 1100 Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.1.13 IUCD register (PPIUCD / Interval IUCD Insertion

register &Follow-up resister )

Per booklet

150 0.0015 600

600 0.90 0.00 0.00 0.00 0.90

Provision for 435 DPs upto CHC level as per given norms. DHH @ 2 booklets x 32 = 64, SDH @2 booklets x 26 = 52, CHC @ 1 booklets x 377 = 377) Total booklets = 493 + buffer = 600 Each booklet contains 100 pages for 1000 beneficiaries entry Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.1.14 Sterilization register Per

booklet 150 0.0015 600

600 0.90 0.00 0.00 0.00 0.90

Provision for 435 DPs upto CHC level as per given norms. DHH @ 2 booklets x 32 = 64, SDH @2 booklets x 26 = 52, CHC @ 1 booklets x 377 = 377) Total booklets = 493 + buffer = 600 Each booklet contains 100 pages for 1000 beneficiaries entry Could not be printed in 2015-16 & thus proposed in 2016-17

A.3.5.5.2 Strengthening Fixed day

through PPP/Mobile team/ empaneled surgeon

0

0 0 0.00 0.00 0.00 0.00 0.00

Activity dropped because of following reasons 1.There is limited scope for PPP mode 2.Focused on training of existing manpower

A.3.5.5.3

Contingency cost for functional fixed day centers

(for site preparedness, POL DOL cost for mobilization of empaneledsurgeon

from the system etc.)

0 298 298 298 298 1192 - - - - 0.00

State/district to note that the budget proposed for static centers are already covered under various heads like viz. infrastructure, IEC etc.

A.3.5.5.3.1 At DHH/SDH Per qtr. 4800 0.048 58 58 58 58 232

0.00

A.3.5.5.3.2 At CHC Per qtr. 3000 0.03 240 240 240 240 960

0.00

A.3.5.5.4 Observation of World

Vasectomy Week 0 0 0 660 0 660 - - 25.48 - 25.48 Activity continues

A.3.5.5.4.1 At State level

0

A.3.5.5.4.1.1 State level function and

documentation Lumpsum 100000 1

1

1 0.00 0.00 1.00 0.00 1.00

A.3.5.5.4.1.2 Monitoring & Supportive Supervision (for State Officials,

Nodal Officers and Consultants) Lumpsum 100000 1

1

1 0.00 0.00 1.00 0.00 1.00

A.3.5.5.4.2 At District & Sub district level

0

A.3.5.5.4.2.1 District level function and

documentation Per

district 5000 0.05

30

30 0.00 0.00 1.50 0.00 1.50

22 | P a g e

A.3.5.5.4.2.2 IEC Van Per block 5000 0.05

314

314 0.00 0.00 15.70 0.00 15.70

A.3.5.5.4.2.3 Hoardings, Posters and

leaflets Per block 2000 0.02

314

314 0.00 0.00 6.28 0.00 6.28

A.3.5.5.5 Provision for dropping back

of the beneficiaries after sterilizationoperation

Per beneficiary

250 0.0025

0 0.00 0.00 0.00 0.00 0.00 Budget shifted to B12.2.1

A.3.5.5.6 FP Data validation & analysis

0

0 0.00 0.00 0.00 0.00 0.00 Activity dropped as per GoI recommendation

A.3.5.5.7 HDCA

0.00 9.73 8.86 0.00 18.59

A.3.5.5.7.1

One day refresher training for ASHA on family planning for effective implementation of

HDCA & ESB schemes at sector level

0

0 0.00 0.00 0.00 0.00 0.00

Orientation training has been taken up for existing ASHAs in the FY 2013-14. Budget shifted to A.3.2.5

A.3.5.5.7.2

One day review cum reorientation of program

officials &supervisory staff on the progress of HDCA, ESB &

RHCLMIS at district level

0

0 0.00 0.00 0.00 0.00 0.00

Targeted districts - 16 (The activity in rest 14 districts were completed in 2015-16 with support from UNFPA) Budget shifted to A.3.5.2

A.3.5.5.7.3 Engagement of HW(M) to

strengthen HDCA & RHCLMIS 0 0.00 0.00 0.00 0.00 0.00

A.3.5.5.7.3.1 One day state level ToT for

master trainers for the orientation of HW(M)

Per participants

2000 0.02

90

90 0.00 1.80 0.00 0.00 1.80 Participant per district - 3 x 30 dists = 90

A.3.5.5.7.3.2 One day orientation of HW(M) at district level

Per participants

500 0.005

1586 1772

3358 0.00 7.93 8.86 0.00 16.79

A.3.5.5.8 One day state level

orientation of ICA on FP data reporting

30/batch 60000 0.6

1

1 0.00 0.60 0.00 0.00 0.60

A.3.5.5.9

One day state level orientation of SN from FDS

center (where RMNCH+A counsellors

not sanctioned) on PPFP counselling

Per participants

2000 0.02 79 96 91

266 1.58 1.92 1.82 0.00 5.32

A.3.5.5.10

One day state level orientation of MO I/c & SN of

46 UPHC on RH, PPFP services & FP counselling

under NUHM

0

0 0.00 0.00 0.00 0.00 0.00 Budgeted under NUHM

23 | P a g e

A.3.6 Family Planning Indemnity

Scheme Per case 50 0 26250 26250 26250 26250 105000 13.13 13.13 13.13 13.13 52.50

SterilizationAchievement in 2012-13 : 147880; 2013-14 : 138724 2014-15 : 104690; 2015-16 : 105000 (estimated) Proposedtarget : 105000 For details refer Annexure-VI Activity continues with revised unit nos.

Sub-total Family Planning

Compensation 795.43 795.43 795.43 795.43 3181.70

Sub-total Family Planning (excluding compensation)

123.72 113.38 49.29 28.13 314.51

A.9 TRAINING

A.9.6 Family Planning Training

48.83 91.07 42.50 20.64 203.04

A.9.6.1 Laparoscopic Sterilization

Training 0.00 2.88 2.88 2.88 8.64

A.9.6.1.1 TOT on laparoscopic

sterilization 0

0 0.00 0.00 0.00 0.00 0.00

A.9.6.1.2 Laparoscopic sterilization

training for doctors (teams of doctor, SN and OT assistant)

3 / batch 57570 1

5 5 5 15 0.00 2.88 2.88 2.88 8.64

Total trg. Load: For 95 FRUs -152 teams (32 DHH*2=64 + 25 SDH*2=50 + 38 CHC*1=38) x 3 per team =501 persons Cumm. Trained team 91*3=274 persons (Upto 2015-16) Remaining load 501 - 274=227 (76 teams) Load for2016-17=45 person (15 teams) Duration - 12 days training

A.9.6.2 Minilap Training

0.00 6.06 6.06 6.06 18.18

A.9.6.2.1 TOT on Minilap

0

0 0.00 0.00 0.00 0.00 0.00

A.9.6.2.2 Minilap training for medical

officers 3 / batch 55090 1

11 11 11 33 0.00 6.06 6.06 6.06 18.18

Total trg. Load at DPs-(FRUs-95*2=190 + L2- 418 *1 = 418) = 608. Cumm. Trained -446 (148 batches) Remaining Load-608-446=162 person Load 2016-17 =99 MO (33 batches) including New MBBS recruits during 2016-17 key priority under FP by GOI. Duration - 12 days training Activity proposed with revised unit nos

A.9.6.3 Non-Scalpel Vasectomy

(NSV) Training 0.00 0.00 4.59 0.00 4.59

A.9.6.3.1 TOT on NSV 4 / batch 35000 0

1

1 0.00 0.00 0.35 0.00 0.35

5 days State Level TOT on NSV, 1 batch ToT will be planned for 2016-17. Activity proposed with revised unit nos& cost

A.9.6.3.2 NSV Training of medical

officers 4 / batch 32600 0

13

13 0.00 0.00 4.24 0.00 4.24

5 days NSV Training of medical officers Total training Load - 32 DHH+25 + SDH=57 *2 = 114 +3 14 Block CHCs*1 = 428 Cumm. Trained= 263 (66 Batches) Load 2016-17=52 (13 batches) including New MBBS recruits during 2016-17 key priority under FP by GOI

24 | P a g e

Activity proposed with revised unit nos

A.9.6.4 IUCD Insertion Training

25.43 25.43 22.98 4.90 78.73

A.9.6.4.1 TOT

0

0 0.00 0.00 0.00 0.00 0.00 Completed

A.9.6.4.2 Training of Medical officers 10 / batch 77960 1 2 2 2

6 1.56 1.56 1.56 0.00 4.68

Total trg. load : 2252 (32 DHH+25 SDH x 2= 114 +377 CHC x 2+=754 + 1226 PHC(N) x 1 = 1226 + 79 OH x2 =158 Total trained =1026 in DP & NDP till 2014-15 + 236(JHPIEGO) +20 NHM (2015-16)=1282 Remaining load= 970 person Load-16-17= 60 person (6 batches) 60 MOs (@ 2 /batch) to be trained from 30 istricts during 16-17 by NHM funding. Batch size: 10/batch comprising 2.8 (MOs: SN) Duration - 5 days training. Activity proposed with revised unit nos

A.9.6.4.3 Training of AYUSH doctors 10 / batch 61225 1 15 15 15

45 9.18 9.18 9.18 0.00 27.55

5 days training of AYUSH Doctor of DPs in IUCD insertion at dist. level (Total load - 935) Trained-70 persons (14-15)+ 60 persons(2015-16)= 130 Remaining Load=805 Training load for 2016-17= 450 (45 batches)(Functional DPs 580- Trained 130 till 2015-16)= 450 AYUSH, to be functionalisation of 580 DPs. ) Activity proposed with revised unit nos

A.9.6.4.4 Training of staff nurses 10 / batch 61060 1 8 8 8

24 4.88 4.88 4.88 0.00 14.65

Total trg. load: 1197 (57 DHH+SDH x 5=285 + 377 (CHC) x 2 = 754 + 79 OH x 2 = 158). Total trained =881 in DP & NDP till 2014-15 + 438(JHPIEGO) +32 NHM (2015-16)=1351 Remaining load= 0 Load-16-17= 384 person (6 batches) JHPIEGO supporting 18 SDH x8 SNs=144 SNs (18 batches @ 8 per batch)) from 118 high case load facilities of 18 SDH of 24 districts at no cost to NHM. Load 2016-17: 240 SN (New recruitment) 240 SNs in remaining 9 SDH & 215 CHC (314-99 Covered by JHPIEGO 2015-16) 30 districts of 24 batches of trg. for SNs will be conducted during 2016-17 funded by NHM. Batch size: 10/batch comprising 2.8 (MOs: SN)Duration - 5 days training Activity proposed with revised unit nos

25 | P a g e

A.9.6.4.5 Training of ANMs / LHVs 10 / batch 49000 0 20 20 15 10 65 9.80 9.80 7.35 4.90 31.85

Total trg. Load -10933 (ANM 9705 (Sanctioned -7907 + NHM -471 + Newly Created -1327) + LHV 1228. Total Trained 2236 + 1201 (HLFPPT)+ 570 person (14-15)+ 600 NHM (15-16) +286 Jhpiego-2015-16 = 4893 Remaining load- 10933-4893=6040 Load for 2016-17=650 person (65 batches) Duration - 5 days training Activity proposed with revised unit nos

A.9.6.5 PPIUCD insertion training

7.20 7.20 6.00 6.80 27.20

A.9.6.5.1 TOT

0

0 0.00 0.00 0.00 0.00 0.00 Comprehensive IUCD also includes PPIUCD during 15-16.

A.9.6.5.2 Training of Medical officers 10 / batch 40000 0 18 18 15 17 68 7.20 7.20 6.00 6.80 27.20

Total state load- MO-668 & SNs-1406 Cumm. Trained till 2015-16- MO-120+96=216, SNs-170+384=554 Remaining load- MO= 668-216=452, SNs= 1406-554= 852 Load for 16-17= MO-136& SNs-544= 680(68batches) The batches will consist of Doctors & SN in ratio 2:8 of Load 16-17 as 136:544 ratio. Activity proposed with revised unit nos

A.9.6.5.3 Training of AYUSH doctors

0

0 0.00 0.00 0.00 0.00 0.00

A.9.6.5.4 Training of Nurses

0

0 0.00 0.00 0.00 0.00 0.00 The batches will consist of Doctors & SN in ratio 2:8. merge with A9.6.5.2

A.9.6.6 Other family planning

training (please specify) 16.20 49.50 0.00 0.00 65.70

A.9.6.6.1 1 day State level ToT of

District MT on Injectable & Oral Pills

30/ batch 75000 1 4

4 3.00 0.00 0.00 0.00 3.00

State Load: 27 DHH x 3person (1 MO & 2SN=81 (1 Team per Dist.) + 3DHH x 9 person(MO & SNs)=27 (3 Team each for Ganjam, Mayurbhanj&Sundergarh)+ 12 state participants=120 Load 2016-17: 120 (4 batches) New activity

A.9.6.6.2

1 day training for Mos& SNs of DHH on injectable

Contraceptives at District level

30/batch 33000 0 40

40 13.20 0.00 0.00 0.00 13.20

State Load:1786(Mos-902+SNs 884) of DHH Load for 2016-17- 1200 person (40 batches) @ 30/batch. Unit no changed as per GoI recommendation. Activity new as per GoI Guideline

A.9.6.6.3 1 day training for Mos& SNs of all levels on oral pills at

District level 30/batch 33000 0

150

150 0.00 49.50 0.00 0.00 49.50

State Load: 6810(Mos-3025 +SNs3785) of all levels Load for 2016-17-4500 person (150 batches) @ 30/batch based on inposition Unit no changed as per GoI recommendation. Activity new as per GoI Guideline

A.9.6.7

0

0 0.00 0.00 0.00 0.00 0.00

A.9.6.8 Training of RMNCH+A/ FP

Counsellors - 4 days induction training

0

0 0.00 0.00 0.00 0.00 0.00 Completed

26 | P a g e

Part I: NRHM + RMNCH plus A* Flexipool (Additionalities under NRHM)

Sl. No. Budget Head

Proposed 2016-17 Remarks

Unit of Measure

Unit Cost (Rs)

Unit Cost (Rs.

Lakhs)

Physical Target Financial Target (Rs. In lakhs) State to mention whether the activity proposed is new or to be continued from previous year. Justification to be given. Qtr-1 Qtr-2 Qtr-3 Qtr-4 Total Qtr-1 Qtr-2 Qtr-3 Qtr-4 Total

B1 ASHA

B1.1.3 Performance Incentive/Other

Incentive to ASHAs (if any)

B1.1.3.3 ASHA Incentives under family

planning (ESB/PPIUCD/ Others) 116.31 116.31 116.31 116.31 465.24

B1.1.3.3.1 ASHA PPIUCD incentive for accompanying the client for

PPIUCD insertion Per ASHA 150 0 10000 10000 10000 10000 40000 15.00 15.00 15.00 15.00 60.00

Target - 67500 cases (No. of PPIUCD services given at Public inst.). Budgeted for 40000 cases. (Revised as per GoI recommendation) Activity continues with revised unit nos.

B1.1.3.3.2 ASHA incentive under ESB

scheme for promoting spacing of births

Per ASHA 500 0 5012 5012 5012 5012 20048 25.06 25.06 25.06 25.06 100.24

Total achievement up to Nov'15 as per FMR - 12151 Expected coverage 2016-17 - Avg. achievement p.m. i.e. 1519 x 12 months + 10% = 20048 Activity continues as previous year

B1.1.3.3.3

ASHA Incentive under ESB scheme for promoting

adoption of limiting method upto two children

Per ASHA 1000 0 7625 7625 7625 7625 30500 76.25 76.25 76.25 76.25 305.00

Total achievement up to Nov 2015 as per FMR -18485 Expected coverage 2016-17 - Avg. achievement p.m. i.e. 2311 x 12 months + 10% = 30500 Activity continues as previous year

B.16 PROCUREMENT

B16.1 Procurement of Equipment

B16.1.3 Procurement of equipment: FP

12.00 0.00 0.00 0.00 12.00

B16.1.3.1 NSV kits

0

0 0.00 0.00 0.00 0.00 0.00 Procurement yet to be completed for provisions made in 2015-16 PIP. Hence no new proposal for FY 2016-17.

B16.1.3.2 IUCD kits

0

0 0.00 0.00 0.00 0.00 0.00 do

B16.1.3.3 minilap kits

0

0 0.00 0.00 0.00 0.00 0.00 do

B16.1.3.4 laparoscopes

0

0 0.00 0.00 0.00 0.00 0.00 do

B16.1.3.5 PPIUCD forceps

0

0 0.00 0.00 0.00 0.00 0.00 do

B16.1.3.6 Other (please specify)

12.00 0.00 0.00 0.00 12.00

B16.1.3.6.1 Telescope with 2 ring

applicators for laparoscope 0

0 0.00 0.00 0.00 0.00 0.00

B16.1.3.6.2 5 ltr. Medical grade carbon

dioxidecylinder with connector

Per unit 10000 0 120

120 12.00 0.00 0.00 0.00 12.00 Provision of 4 cylinders per district for laparoscopicsterilization proposed.

27 | P a g e

References

1. Registrar general of India, Government of India. Census 2011. 2011.

2. Sample registration system, Government of India, Registrar general of India. Bulletin on

maternal mortality ratio. 2013.

3. Sample registration system, Registrar general of India, Government of India. SRS

bulletin-2014. 2016.

4. Government of India, Registrar general of India, office of the census commissioner.

Annual health survey 2012-13 fact sheet Odisha. 2013.

5. National Health Mission, Government of India. District ranking_Odisha [Internet]. 2013

[cited 2016 Jun 19]. Available from:

http://www.nrhmorissa.gov.in/writereaddata/Upload/Documents/District%20Ranking.pdf

6. National Family Health Survey-III [Internet]. Mumbai, India: International Institute for

Population Sciences; 2005 [cited 2015 Nov 10]. Available from:

http://rchiips.org/nfhs/nfhs3.shtml

7. World Health Organization. Reproductive health [Internet]. Geneva, Switzerland:

Available from: http://www.who.int/topics/reproductive_health/en/

8. UNFPA. Universal access to reproductive health- Progress and challenges. 2016.

9. UNFPA. Adolescent pregnancy- a review of the evidence. New York: 2013.

10. UNFPA. Choices not chance UNFPA Family planning strategy 2012-2020. 2013.

28 | P a g e

Annexure -I

District Wise Eligible Couple

Sl.NO.

DISTRICT TOTAL

POPULATION

TOTAL ELIGIBLE COUPLES

No. OF ELIGIBLE

COUPLE WITH 0 CHILD

No. OF ELIGIBLE COUPLE WITH 1 CHILD

No. of ELIGIBLE COUPLE WITH 2

CHILDREN

No. OF ELIGIBLE COUPLE

WITH > 2 CHILDREN

1 Angul 1318427 204278 17751 37852 48364 100311

2 Balasore 2438472 409232 27642 40923 205010 135657

3 Baragarh 1567201 236370 16254 22174 98786 99156

4 Bhadrak 15,06,522 2,38,439 17195 44721 64871 111652

5 Bolangir 1794267 295624 23897 58638 78882 134207

6 Boudh 469221 71682 7867 13580 19003 31192

7 Cuttack 2618708 388439 35237 78150 102329 171371

8 Deogarh 330524 53326 4986 11290 14100 21987

9 Dhenkanal 12,63,000 203161 19176 37232 43861 102892

10 Gajapati 577817 99357 12321 20498 29707 36831

11 Ganjam 3688669 579183 59574 116584 162203 240822

12 Jagatsinghpur 11,36,604 1,80,548 17890 45159 55463 62036

13 Jajpur 18,26,275 277388 23158 98114 88593 67523

14 Jharsuguda 5,79,716 88,642 6706 17746 24019 40171

15 Kalahandi 16,52,694 302449 36933 62438 80424 122654

16 Kandhmal 7,94,287 130385

17 Kendrapara 15,00,380 225885 32918 92618 108627 47818

18 Keonjhar 1926921 329216 36213 72427 118518 102057

19 Khurda 22, 51, 673 247311 20138 54244 64414 108515

20 Koraput 13,76,000 224746 21748 37461 46640 118897

21 Malkangiri 657682 107170 9165 22134 27450 48421

22 Mayurbhanj 2519738 348268 27133 75832 104192 141111

23 Nawarangpur 13,05,524 2,15,411 31542 42565 52580 88724

24 Nayagarh 10,04,022 172807 13287 49241 56817 53462

25 Nuapada 6,70,000 115744 13696 23116 37236 41696

26 Puri 16,97,983 245450 48203 58811 65986 72450

27 Rayagada 10,05,454 1,55,535 13065 26335 33240 82895

28 Sambalpur 10,41,099 161786 12926 31731 50701 66452

29 Sonepur 627951 97924 2938 5975 49941 39170

30 Sundargarh 2080664 221128 15567 41358 56879 107324

29 | P a g e

Annexure -II

List of Accredited Private Clinics in the state (As on 30.06.2015)

Sl. No.

District Name of the Institution Method Remarks

1

CUTTACK

Life Polyclinic & Nursing Home, Nuapatna, CTC. St., IUD & MTP

2 Popular Nursing Home, Ranihat, CTC St., IUD & MTP

3 City Nursing Home, Madhusudan Marg,CTC St., IUD & MTP

4 Sun Clinic, Tulashipur, CTC St., IUD & MTP

5 Orissa Nursing Home, Ranihat, CTC St., IUD & MTP

6 General Nursing Home, Mangalabag, CTC St., IUD & MTP

7 Ladies Nursing Home, Nimasahi, CTC St., IUD & MTP

8 Welfare Nursing Home & Research centre, CTC Str. & IUD

9 Nursing Home, Niali Bazar St., IUD &MTP

10 Sarangi Clinic & Research Centre, Link Road, CTC Str. & IUD

11 Surakhya Nursing Home, CTC Str. & IUD

12 Santi Hospital & Research Centre, Cuttack. Str. & IUD

13 New Grand Nursing Home & Research Centre, Badambadi, Cuttack.

Str. & IUD

14 Sanjukta Curatives, Bajrakbati Road, Str. & IUD

15 M.M.Medicare Pvt. Ltd., Rajendra Nagar, Madhupatna, Cuttack-10

Str. & IUD

16 HEALTH CARE, At-Sapanpur, Po- Sisua, Salipur, Dist- Cuttack

Str. & IUD No. 3193/FW-BT-II-

20/2015, dt.10.06.2015

17 HEALTH HOME, At- Sapanpur, Po- Sisua, P.S.-Salipur, Dist- Cuttack


42/2015, dt.22.12.2015

18 Jagatpur Nursing Home , Cuttack Str. & IUD

19

PURI

Nilachal Clinical Hospital, Puri. Str. & IUD

20 SANJEEVANI HOSPITAL, At/Po- Bus Stand Out Gate, Dist-Puri-2


03/2015, 06.02.2015

21 SEVA NURSING HOME, At/Po- Gop, Dist- Puri Str. & IUD No. 1734/FW-BT-II-

12/2015, dt.19.03.2015

22

KHURDA

Sri Satysai Nursing Home, Tangi. Str. & IUD

23 Deepak Clinic & Nursing Home, Saheed Nagar, BBSR.

St., IUD & MTP

24 Kalyani Maternity Hospital, Nag Tangi, BBSR - 2 St., IUD & MTP

25 Sunflower Nursing Home, Bhubaneswar. St., IUD & MTP

26 Panda Nursing Home & Heart Clinic, Unit-3 St., IUD & MTP

27 Kar Clinic, A-32, Unit-4, Bhubaneswar. Str. & IUD

28 ParivarSebaSanstha, Bhubaneswar. St., IUD & MTP

29 Orissa Nursing Home, Nayapalli, Bhubaneswar. Str. & IUD

30 Maternity Care, Sahidnagar, Bhubaneswar. St., IUD & MTP

31 Kalinga Hospital, Bhubaneswar. St., IUD & MTP

32 Swarna Nursing Home, IRC Village, BBSR St., IUD & MTP

30 | P a g e

Sl. No.


33 Apex Hospital, Baramunda, Bhubaneswar. Str. & IUD

34 Biswanath Nursing Home, Jatani. Str. & IUD

35 Nilachal Hosp., Kharvel Nagar, Bhubaneswar. Str. & IUD

36 Institute of Medical sciences, Sum Hospital, KalingaNagar, Bhubaneswar.

Str. & IUD

37 Khurda Nursing Home, New Bus stand, Khurda Str. & IUD

38 Pradyumna Bal Memorial Hosp.(KIMS), Patia, Bhubaneswar.

Str. & IUD

39 Laxmi Hospital & Research Centre, Pokhariput, Bhubaneswar.

Str. & IUD

40 Vivekanada Medical Mission, A-54, Fire Stn.Sqr.,Baramunda, Bhubaneswar.

Str. & IUD

41 Immortal Clinic & Nursing Home, Mahatab Road, Bhubaneswar.

Str. & IUD

42 Hitech Medical College & Hosp., Pandara, Rasulgarh, Bhubaneswar.

Str. & IUD

43 Satayu Hosp. & Diabetic Research Centre, Old Stn. Bazar, Bhubaneswar

Str. & IUD

44 Saswat Clinic & Research Centre, 33, Forest Park, Bhubaneswar-9

Str. & IUD

45 Sanjita Maternity Care &Hosp. Plot No.1, Ekamra Marg, Unit-6, Bhubaneswar

Str. & IUD

46 Gandhi Hosp., Aiginia, Bhubaneswar. Str. & IUD

47 Usthi Hosp. & Research Centre, IRC Village, Bhubaneswar.

Str. & IUD

48 Maa Sakti Hospital, Ekamra Marg, Unit-6, Bhubaneswar.

Str. & IUD

49 Global Health Care, 429, Old Town, Bhubaneswar

Str. & IUD

50 ShatabdiGynaec Research Clinic, Plot No.8, Madhusudan Nagar, Unit-IV, Bhubaneswar

Str. & IUD

51 VIKASH HOSPITAL, A-6,B.J.B. Nagar, Bhubaneswar-14

Str. & IUD

52 JaganathSevaSadan, 164, Bapuji Nagar, Bhubaneswar

Str. & IUD

53 Padma Hospital, 210/1320, Sarala Nagar, Laxmisagar Chaka, Bhubaneswar, Dist- Khurda

Str. & IUD No.7416/26.09.2011

54 RUDRANEE HEALTH CARE, Sardar Patel Marg, Jatni, Dist- Khurda.

Str. & IUD No.5407/FW-BT-II-

25/2012, dt.12.06.2012

55 M/s. CHATURBHUJA JENAMANI MEMORIAL HOSPITAL, At- Hospital Road, Po/Dist-Khordha


41/2014, 15.10.2014.

56 M/s. SAHAJOG HOSPITAL, At.Mangala Nagar, Po/Dist- Khordha.


42/2014, 15.10.2014.

57

SUNDARGARH

Santi Memorial Hosp., Rourkela Str. & IUD

58 Sudha Nursing Home, M-28, Basanti Colony, RKL.

Str. & IUD

59 Zina Hospital, ZiniNagar. Str. & IUD

60 Rourkela Lifeline (Pvt.) Ltd., D/10, Civil Township, Rourkela

Str(BTL) & IUD

61 OM APPOLO HOSPITAL, At-UU-10, Civil Town Ship, Rourkela-769004, Dist- Sundargarh.

Str. & IUD No.2459/FW-Bt-II-

17/2012, 16.03.2012

31 | P a g e

Sl. No.


62 AMBICA BIRSA MUNDA HOSPITAL, At/Po-. D-4/9, Civil Township, Rourkela, Dist- Sundargarh

Str. & IUD No- 1263/FW-BT-II-

04/2015, dt.10.03.2015

63 M/s. ASHADEEP HOSPITAL, At/po- G.E.L.Church Compound, Rajgangpur, Dist- Sundargarh-770017

Str. & IUD No- 7441/FW-BT-II-

57/2014, dt.01.12.2014

64

SAMBALPUR

J.Pujari Maternity Hospital, Sambalpur Str. & IUD

65 NirogdhamChikistyalaya, V.S.S.Marg Sambalpur. Str. & IUD

66 Janani Maternity Nursing Home, Modipada. Str. & IUD

67 Samaleswari Nursing Home, Burla. Str. & IUD

68 Sruti Maternity & Nursing Home, Budharaj, Sambalpur.

Str. & IUD

69 M/S Amrita Health Care, At.Majhipali, Po/Ps.Sason, Dist-Sambalpur

Str. & IUD

70

BARGARH

Kishori Nursing Home & Research Centre, N.H.-6, Bargarh

Str. & IUD

71 Behera Nursing Home, N.H.-6, Bargarh Str. & IUD

72 Purhit General Hospital & Research Centre, Bargarh

Str. & IUD

73

ANGUL

Pradhan Nursing Home, Misrapada, Angul. Str. & IUD

74 NALCO Hospital Nalco Nagar, Angul. Str. & IUD

75 KarunakarSebasadan, Talcher Town, Angul. Str. & IUD

76 Subhalaxmi Nursing Home & Research Center, Jagannathpur,Talcher, Angul

Str. & IUD

77 Krishna Clinic, BallaharaChhak, Talcher, Dist. Angul

Str.(Mini-lap only) & IUD

78 ChandanNurshing Home, Similipada, Angul Str. & IUD No.266.11.01.2010

79 Jena and Jena Hurshing Home, Amalapada, Talcher, Angul

Str. & IUD

80 NeheruSatabdi Central Hospital, Talcher, Dist-Angul


30/11, dt.14.10.2011

81 M/S. Samal Care Pvt. Ltd, Banarpal, Angul Str. & IUD No. 6848/FW-BT-II-23/13, dt.20.09.2013

82 M/S. Sanjeevani Clinic & Nursing Home, Talcher, Dist- Angul.


52/13, dt.06.02.2014

83 Mis. ARETE CARE PVT. LTD, At- Amalapada, Po/Dist-Angul

Str. & IUD No. 6150/FW-BT-II-04/2014, 13.10.2014

84

GANJAM

Christian Hospital, Berhampur. Str. & IUD

85 Bansadhara Hospital, Courtpeta Square, Berhampur.

Str. & IUD

86 The Berhampur Nursing Home, Parlakhemundi. Str. & IUD

87 Amit Institute of Medical Science &Hospital, Berhampur

Str. & IUD No.9351/ 06.08.2009

88 Redcross Maternity Hospital, Berhampur St., IUD & MTP

89 Mis. AMIT HOSPITAL, At/Po- Canal Street, Gate Bazar, Berhampur, Dist- Ganjam.

Str. & IUD No. 5962/FW-BT -II-33/2014, 27.09.2014

90 BALASORE

ParivarSeva Clinic,218,old Stn. Rd., Balasore. Str. & IUD

91 Durga Nursing Home & Research Centre, Balasaore.

Str. & IUD

32 | P a g e

Sl. No.


92 Surakhya Nursing Home, At-DeuliPanchughanta,

Po- Jaleswar, Balasore. Str. & IUD

No.3403/FW-BT-II-24/24.06.2015.

93 Sriram Hospital, Suelpur, ( Near Town Hall, Balasore-756003, Dist-Balasore

Str. & IUD No.10062/FW-BT-II-28/2011, dt.24.12.2011

94 KENDRAPARA Bhagabati Hosp. & Research Centre, Tinimuhani, kendrapara.

Str. & IUD

95

JAGATSINGHPUR

Shakti Nursing Home, Jagatsingpur. Str. & IUD

96 Cure well clinic-cum-Nursing Home, Town Hall, Jagatsinghpur.

Str. & IUD

97 M/s. Swastic Clinic & Nursing Home, Town Hall Road, At. Panisalia, Po/Dist. Jagatsinghpur

Str. & IUD

98 L & P Hospital & Research Centre, Rahama

Str. & IUD No.7478/FW-BT-II-

55/07 dt.21.04.2008

99

DHENKANAL

DeulaberaColliary Hospital, Talcher. Str. & IUD

100 KarunakarSevasadan, Dhenkanal St., IUD &MTP

101 Kalyani Poly clinic, At- JayagopalSahi,Dhenkanal Town

Str. & IUD

No. 12118,Dt.29.06.2002, Order No.5507, dt.11.09.2014

102 Sanjeevani Nursing Home, At. Town Planning Colony, Dhenkanal Town, Dist. Dhenkanal

Str. & IUD

103 M/s. SHREE JAGANNATH HOSPITAL, Gopabandhu Bazar, Po/Dist- Dhenkanal

Str. & IUD

No. 5132/FW-BT-II-29/2014, 25.08.2014

104 RAYAGADA Christian Hospital, Bisamcuttack, Rayagada. Str. & IUD

105 KALAHANDI

Uma Clinic, Kesinga. Str. & IUD No. 5623/FW-BT-II-

33/2014, 12.09.2014

106 LIFE WORTH HOSPITAL, At/Po- Bhawanipatna, Dist- Kalahandi

Str. & IUD No. 7942/FW-BT-II-58/2014, 26.12.2014

107 KORAPUT

Nalco Hospital, Damanjodi. Str. & IUD

108 Hindustan Aeronautics Limited ( HAL) Hospital, At/Po- Sunabeda-2

Str. & IUD No. 5502, dt. 11.09.2014.

109

MAYURBHANJ

Orissa Nursing home, Baripada St., IUD & MTP

110 Durga Nursing Home, Ananda Bazar, Baripada,Mayurbhanj

Str. & IUD

111 NAYAGARH Krishna Clinic, At. Kalpana Complex, College Road Str. & IUD

112 KEONJHAR KeonjharNurshing Home, Mining Square, Str. & IUD

113 JHARSUGUDA Jagnyaseni Hospital, Behermal, Dist-Jharsuguda. Str. & IUD

33 | P a g e

Annexure III Compilation of District Plans

Sl.No

District Type of Facility

Total Facilities

Total Delivery Points

Number of Functional Facilities Number of New Facilities to be

operationalized in 2016-17 Number of Additional Providers to be trained in 2016-17

IUCD PPIUCD

Minilap NSV Laparoscopic

IUCD PPIUCD

Minilap NSV Laparos

copic

IUCD PPIUCD

Minilap NSV Lapaoscopic MO AYUSH

ANM/SN/LHV

MO AYUSH ANM/SN/LHV

1 Kandhamal

DH 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 15 14 14 0 0 6 0 0 0 0 0 0 4 2 11 12 7 21 2 1 0

PHC 32 5 2 0 0 0 0 3 0 0 0 0 6 6 5 1 2 2 0 0 0

SC 172 5 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL

220 25 17 1 1 7 0 7 0 0 0 0 10 8 11 13 9 23 2 1 0

2 Khurda

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 3 0 1 5 0 0 0

SDH/CHC 12 11 11 11 9 9 0 0 0 0 0 0 0 7 0 2 6 5 0 0 0

PHC 50 6 50 3 0 0 0 0 3 0 0 0 4 29 0 4 6 5 0 0 0

SC 202 0 202 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0

TOTAL

265 18 264 15 10 10 0 0 3 0 0 1 4 36 19 7 13 15 0 0 0

3 Nayagarh

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 1 0 3 0 1 1

SDH/CHC 12 12 9 8 9 4 0 3 4 2 4 0 7 9 14 7 0 25 2 4 0

PHC 37 0 7 1 0 0 0 9 6 0 0 0 3 3 12 4 0 7 1 0 0

SC 166 1 27 0 0 0 0 22 0 0 0 0 0 0 0 0 0 1 0 0 0

TOTAL

216 14 44 10 10 5 0 34 10 2 4 1 10 12 26 12 0 36 3 5 1

4 Jharsuguda

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 10 0 0 0 0 0 1

SDH/CHC 6 6 6 5 6 2 2 0 1 0 4 4 0 0 0 2 0 1 3 0 0

PHC 16 12 4 1 0 0 0 12 15 1 0 0 0 0 5 0 0 3 0 0 0

SC 66 4 57 0 0 0 0 9 4 0 0 0 0 0 5 0 0 4 0 0 0

TOTAL

89 23 68 7 7 3 3 21 20 1 4 4 0 0 20 2 0 8 3 0 1

5 Subarnapur

DH 1 1 1 1 1 0 0 0 0 0 1 1 2 0 6 2 0 6 0 1 1

SDH/CHC 6 6 6 5 3 0 0 0 0 2 1 1 8 0 16 10 0 16 0 0 1

PHC 20 14 1 0 0 0 0 13 0 0 0 0 2 0 7 0 0 0 0 0 0

SC 89 2 58 0 0 0 0 26 0 0 0 0 0 0 25 0 0 0 0 0 0

TOTAL

116 23 66 6 4 0 0 39 0 2 2 2 12 0 54 12 0 22 0 1 2

6 Sambalpur

DH 1 19 1 1 1 1 1 0 0 0 0 0 1 0 4 1 0 4 0 0 0

SDH/CHC 13 8 10 3 3 0 0 3 5 6 1 1 4 0 14 4 0 14 4 1 0

PHC 32 4 2 1 1 0 0 2 3 3 0 0 2 0 2 2 0 4 2 0 0

SC 167 0 26 0 0 0 0 40 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

213 31 39 5 5 1 1 45 8 9 1 1 7 0 30 7 0 22 6 1 0

34 | P a g e

Sl.No


Total Facilities




IUCD PPIUCD


IUCD PPIUCD

Minilap NSV Laparos

copic

IUCD PPIUCD


ANM/SN/LHV

MO AYUSH ANM/SN/LHV

7 Puri

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 4 0 1 0

SDH/CHC 16 13 14 11 11 1 0 0 4 2 3 0 4 0 27 10 0 25 3 3 0

PHC 41 1 8 0 0 0 0 7 2 1 0 0 3 0 4 0 0 0 0 0 0

SC 241 0 15 0 0 0 0 14 0 0 0 0 0 0 6 0 0 0 0 0 0

OH 4 3 1 0 0 0 0 1 2 1 0 0 1 0 0 0 0 4 1 0 0

TOTAL

303 18 39 12 12 2 1 22 8 4 3 0 8 0 37 11 0 33 4 4 0

8 Boudh

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 5 2 0 4 1 1 1

SDH/CHC 5 5 5 1 3 2 0 0 1 0 0 0 4 3 9 4 0 6 3 3 4

PHC 10 9 3 0 0 0 0 0 0 0 0 0 2 1 5 0 0 4 0 0 2

SC 67 1 36 0 0 0 0 1 0 0 0 0 0 0 17 0 0 0 0 0 0

TOTAL

83 16 45 2 4 3 0 1 1 0 0 1 6 4 36 6 0 14 4 4 7

9 Rayagada

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1

SDH/CHC 12 12 12 8 5 4 0 0 5 11 5 0 9 6 15 12 0 17 4 5 0

PHC 38 21 11 2 0 0 0 0 14 0 0 0 0 11 15 0 0 0 0 0 0

SC 236 11 52 2 0 0 0 34 0 0 0 0 0 0 31 0 0 0 0 0 0

TOTAL

287 45 76 13 6 5 0 34 19 11 5 1 9 17 61 13 0 17 4 5 1

10 Bargarh

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 15 0 12 6 6 1 0 1 7 3 3 1 8 8 25 1 0 9 3 3 1

PHC 48 0 14 0 0 0 0 13 1 0 0 0 1 0 0 0 0 5 0 0 0

SC 204 0 21 0 0 0 0 20 0 0 0 0 0 0 0 0 0 3 0 0 0

TOTAL

268 1 48 7 7 2 1 34 8 3 3 1 9 8 25 1 0 17 3 3 1

11 Dhenkanal

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 2 2 2 2 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0

PHC 33 21 0 0 0 0 0 11 0 0 0 0 1 0 11 0 0 0 0 0 0

SC 167 4 4 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

203 28 7 3 1 1 1 21 0 1 1 0 1 0 21 0 0 0 0 0 0

12 Keonjhar

DH 1 1 1 1 1 0 1 0 0 0 0 0 0 0 2 1 0 4 0 1 1

SDH/CHC 19 27 16 15 6 4 14 1 0 0 1 0 1 1 4 3 0 6 0 0 0

PHC 66 4 7 6 0 0 0 8 6 0 0 0 8 8 10 2 0 4 0 0 0

SC 351 11 15 9 0 0 0 1 0 0 0 0 0 0 2 0 0 3 0 0 0

TOTAL

437 43 39 31 7 4 15 10 6 0 1 0 9 9 18 6 0 17 0 1 1

35 | P a g e

Sl.No


Total Facilities




IUCD PPIUCD


IUCD PPIUCD

Minilap NSV Laparos

copic

IUCD PPIUCD


ANM/SN/LHV

MO AYUSH ANM/SN/LHV

13 Koraput

DH 1 1 1 1 0 1 1 0 0 0 0 0 1 0 3 1 0 3 0 1 1

SDH/CHC 17 17 17 15 1 15 1 0 0 0 0 0 5 0 10 5 0 20 0 5 1

PHC 4 6 6 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0

SC 307 0 218 0 0 0 0 86 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

329 24 242 16 1 16 2 94 0 0 0 0 6 0 23 6 0 23 0 6 2

14 Jagatsinghp

ur

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 5 0 0 3 0 0 1

SDH/CHC 9 9 9 9 1 1 0 0 0 4 0 0 4 9 20 4 9 4 4 0 0

PHC 35 9 18 0 0 0 0 17 0 0 0 0 17 0 17 0 0 0 0 0 0

SC 189 0 1 0 0 0 0 25 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

234 19 29 10 2 2 1 42 0 4 0 0 21 9 52 4 9 7 4 0 1

15 Malkangiri

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 8 8 8 8 1 2 0 0 0 4 1 0 2 6 7 8 7 23 3 1 2

PHC 26 7 15 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0

SC 158 1 6 0 0 0 0 0 0 0 0 0 0 0 122 0 0 0 0 0 0

TOTAL

193 17 30 9 2 3 1 0 0 4 1 0 2 6 251 8 7 23 3 1 2

16 Nuapada

DH 1 1 1 1 1 0 0 0 0 0 0 0 2 0 5 0 0 0 1 2 0

SDH/CHC 6 6 6 5 5 0 0 0 1 0 0 0 3 1 15 0 0 0 2 3 0

PHC 17 3 1 1 0 0 0 2 2 0 0 0 0 1 0 0 0 4 0 0 0

SC 96 4 4 0 0 0 0 0 0 0 0 0 0 0 10 0 0 6 0 0 0

TOTAL

120 14 12 7 6 0 0 2 3 0 0 0 5 2 30 0 0 10 3 5 0

17 Bhadrak

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 7 7 7 6 6 4 0 0 1 0 1 2 0 7 3 0 7 4 0 0 1

PHC 52 25 13 2 0 0 0 12 22 0 0 0 3 22 19 0 22 33 0 0 0

SC 178 2 178 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0

TOTAL

238 35 199 9 7 5 1 12 25 0 1 2 3 29 22 0 29 39 0 0 1

18 Cuttack

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 3 2 0 3 0 0 0

SDH/CHC 16 16 16 16 14 2 0 0 0 2 3 0 0 3 2 2 4 3 3 1 2

PHC 57 5 5 5 0 0 0 6 6 6 0 0 4 6 6 3 4 6 1 0 0

SC 332 0 114 0 0 0 0 32 8 0 0 0 0 0 32 0 0 6 0 0 0

TOTAL

406 22 136 22 15 3 1 38 14 8 3 0 4 9 43 7 8 18 4 1 2

19 Deogarh

DH 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 4 2 4 3 1 0 2 0 0 1 0 0 0 2 0 0 0 0 0 0 0

PHC 8 1 8 0 0 0 0 0 1 0 0 0 0 6 0 0 0 0 0 0 0

SC 42 1 25 0 0 0 0 8 0 0 0 0 0 0 7 0 0 0 0 0 0

36 | P a g e

Sl.No


Total Facilities




IUCD PPIUCD


IUCD PPIUCD

Minilap NSV Laparos

copic

IUCD PPIUCD


ANM/SN/LHV

MO AYUSH ANM/SN/LHV

TOTAL

55 5 38 4 2 1 3 8 1 1 0 0 0 8 7 0 0 0 0 0 0

20 Sundergarh

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

SDH/CHC 17 17 17 10 7 4 2 0 0 5 2 0 16 14 20 15 10 15 9 9 2

PHC 42 24 16 0 0 0 0 0 0 0 0 0 12 10 24 12 4 0 0 0 0

SC 226 5 210 1 0 0 0 3 3 0 0 0 0 0 25 0 0

8 0 0

TOTAL

286 47 244 12 8 5 2 3 3 5 2 1 28 24 69 27 14 15 17 9 2

21 Bolangir

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0

SDH/CHC 17 17 17 10 7 4 2 0 0 5 2 0 16 14 20 5 10 15 9 9 2

PHC 42 24 16 0 0 0 0 0 0 0 0 0 12 10 24 12 4 0 0 0 0

SC 226 5 210 1 0 0 0 3 3 0 0 0 0 0 25 0 0 8 0 0 0

TOTAL

286 47 244 12 8 5 2 3 3 5 2 1 28 24 69 17 14 23 9 10 2

22 Mayurbhanj

DH 1 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0

SDH/CHC 31 0 27 18 19 6 0 3 9 0 2 1 3 0 0 9 0 0 3 0 0

PHC 86 0 37 2 1 0 0 7 1 0 0 0 7 0 0 1 0 0 1 0 0

SC 589 0 49 0 0 0 0 40 0 0 0 0 0 0 15 0 0 0 0 0 0

TOTAL

707 0 114 21 21 7 0 50 10 0 2 1 11 0 15 10 0 0 4 0 0

23 Nawarangap

ur

DH 1 1 1 1 1 1 0 0 0 0 0 1 2 0 5 1 0 5 1 1 0

SDH/CHC 11 11 11 6 7 5 0 0 3 2 3 0 9 7 19 12 2 34 8 8 0

PHC 39 13 13 4 0 0 0 20 2 0 0 0 6 12 25 5 7 17 5 5 0

SC 289 6 39 0 0 0 0 56 2 0 0 0 0 0 12 0 0 2 0 0 0

TOTAL

340 31 64 11 8 6 0 76 7 2 3 1 17 19 61 18 9 58 14 14 0

24 Balasore

DH 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SDH/CHC 0 0 16 7 14 0 0 2 0 0 0 7 1 0 4 7 0 15 2 0 0

PHC 0 0 35 0 0 0 0 26 0 0 0 0 5 0 31 0 0 0 0 0 0

SC 0 0 33 0 0 0 0 25 0 0 0 0 0 0 2 0 0 0 0 0 0

TOTAL

0 0 85 8 15 1 1 53 0 0 0 7 6 0 37 7 0 15 2 0 0

25 Kendrapara

DH 1 1 1 1 1 0 1 0 0 0 0 0 0 0 2 0 0 6 0 0 0

SDH/CHC 9 9 9 9 6 1 0 0 0 3 0 0 0 15 0 0 0 20 3 0 1

PHC 45 5 45 0 0 0 0 0 3 0 0 0 0 15 15 0 0 4 0 0 0

SC 227 0 40 0 0 0 0 18 0 0 0 0 0 0 8 0 0 0 0 0 0

TOTAL

282 15 95 10 7 1 1 18 3 3 0 0 0 30 25 0 0 30 3 0 1

26 Anugul

DH 1 1 1 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0

SDH/CHC 12 12 12 12 5 0 1 0 0 1 1 2 10 16 32 8 16 11 6 1 1

PHC 31 17 7 1 0 0 0 11 8 6 0 0 1 12 9 2 6 7 0 0 0

37 | P a g e

Sl.No


Total Facilities




IUCD PPIUCD


IUCD PPIUCD

Minilap NSV Laparos

copic

IUCD PPIUCD


ANM/SN/LHV

MO AYUSH ANM/SN/LHV

SC 175 8 76 0 0 0 0 28 5 0 0 0 0 0 19 0 0 5 0 0 0

TOTAL

219 38 96 14 6 0 1 39 13 7 1 3 12 28 61 10 22 23 6 1 1

27 Jajpur

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 5 0 0 0 0 0 1

SDH/CHC 12 11 11 8 11 0 0 0 3 0 1 0 0 20 5 10 0 0 3 1 0

PHC 59 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

SC 260 0 68 0 0 0 0 40 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

332 16 83 10 12 1 0 40 3 0 1 1 0 20 20 10 0 0 3 1 1

28 Kalahandi

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0

SDH/CHC 17 17 17 16 16 5 0 0 1 1 2 1 0 0 0 2 0 2 3 3 0

PHC 41 23 13 1 0 0 0 5 1 0 0 0 5 5 0 1 0 1 0 0 0

SC 241 8 91 0 0 0 0 19 0 0 0 0 0 0 20 0 0 0 0 0 0

TOTAL

300 49 122 18 17 6 0 24 2 1 2 2 5 5 20 3 0 3 3 3 0

29 Ganjam

DH 1 1 1 1 1 1 0 0 0 0 0 0 0 0 2 2 0 4 0 1 0

SDH/CHC 32 32 30 21 31 2 0 0 3 1 4 0 0 10 10 7 0 10 6 4 0

PHC 89 8 8 0 0 0 0 7 2 2 0 0 0 10 20 2 0 2 2 0 0

SC 460 2 402 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0

TOTAL

582 43 441 22 32 3 0 17 5 3 4 0 0 20 42 11 0 16 8 5 0

30 Gajapati

DH 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 4 0 0 1

SDH/CHC 8 8 8 0 0 0 0 1 8 3 1 0 7 3 7 5 0 9 3 1 0

PHC 21 15 10 0 0 0 0 7 3 0 0 0 1 2 6 0 0 3 0 0 0

SC 136 1 0 0 0 0 0 28 0 0 0 0 0 0 28 0 0 0 0 0 0

TOTAL

166 25 19 1 1 1 0 36 11 3 1 1 8 5 41 5 0 16 3 1 1

38 | P a g e