Tour Report
District Baran
(23-27 Oct, 2013)
Lalit Kumar Tripathi
Consultant-Training
Places/Blocks Visited
S. No
1
2
3
4
5
6
7
8
9
10
11
12
13
Facility
Atru
Kelwada
Kishanganj
Anta
Koyala
Palayata
Bhanwargarh
Type
CHC
CHC
CHC
CHC
PHC
PHC
PHC
Block
Atru
Shahbad
Kishanganj
Anta
Baran
Anta
Kishanganj
Bamla
Miyada
Bada
Mandola
Eklera
Nareda
PHC
SC
SC
SC
SC
SC
Baran
Baran
Baran
Baran
Baran
Baran
Remarks
All are
Delivery Point
Delivery Point
May be developed
Major Findings
Institutional branding (L1, L2
and L3) tender is still pending. Although CMHO
and DAM committed in meeting organized under
the chairpersonship of PD-NRHM in 07 Oct, 2013
to complete it before 25th Oct 2013
 Branding Tender:
 Training Tender: Same with training tenders
(Residence and Food)
Branding not done
till the date although it is part of PIP conditionality
 Branding on 108/JE/MMV:
MMU & MMVs
 MMU-2 (Chabada and Kishanganj)
 MMV-3 (Shahbaad, Chhipabarod and
Atru).
Non-functional EquipmentsXray machine, Portable ECG (CHC
Kelwada) , AC, Glucometre Generator
RecommendationsBranding is still pending
 State may revisit /check each MMU/
on MMVs
MMV camp plan.
 State may try to club camp day with MCHN session or fix
day approach may also adopt.
 MMU/MMVs may also used as contraceptive depot.
104- Janani Express
Branding still pending on JE
Contd…..
Cleaning Tenders:
District office transferred the amount to Block
office but tender is still pending. Matter was
discussed with DPM/MOI/c but not a single
facility accountant was available although posted
and not on leave.
RecommendationFinance section should guide for all types of
tenders.
Issues of Labour Room
Rusted labor table used in Labour Room
PHC - Bhanwargarh
CHC-Atru
Issues of Labour Room
 Mekthantosh were not available or in very bad
conditions.
 Dirty bad sheet
 No proper cleaning
PHC Bhanwargarh
Institutional deliveries
Deliveries
Target
Achievement
%
23621
12758
39.11
Home Delivery
-
106
-
-
Private
-
236
-
-
12864
12186
94.72
Institutional
Deliveries
JSY
Payments
Remarks
Seems under
reporting
Only 678 are
pending
Contd…..
Under Reporting in PCT softwareEntries in PCTS are under reported. Discussed
with DPM and DNO they ensured but the matter is
pending since long time.
Recommendation:
Accountants and Asha Supervisors must be posted
at delivery points and this should be done in
defined time.
Contd…..
Delivery Points must be equipped with SBA
trained staffs –
Many SBA trained staffs are posted at non-delivery points
. State office has sent two letters to district – vide no-3379
dated 31/07/2013 and 5799 dated 04/10/2013 for
deploying SBA staff only to delivery points.
Recommendation:
SBA trained staffs should be posted at only delivery
points, and this may be a regular part of DHS agenda
DPM requested to replace some delivery points, as already
identified delivery points are underutilized.
Contd…..
MCHN dayImmunization is ongoing, ANM was giving Immunization to
pregnant women, child.
Due listDue list was available with Asha-Sahoyogini
ILRTemperature log-book was maintaining in almost all facilities.
Kalewa SchemeFood is given by ICDS.
Payments –
JSY payments and Shubh laxmi payments are given on time.
Complaint Box
Complaint Box found but not operational
Contd…..
 Doctors/Contractual Staffs: Staff posts are vacant.
Post
Sanction
Posted
BPM
7
3
Accountants
36
21
Asha Supervisiors
36
26
 FRUs: Many FRUs are not functional due to un-availability
of Trained MOs (EmOC and LSAS). Only Kelwada
functioning as FRU.
Recommendation: Staffs should de deployed as per
sanctioned post. DPM is sending nomination for EmOC and
LSAS training as per requirement.
Contd…..
Establishment of 104 call centre:
 Call centre established at DH with two
desktops and one staffs.
 Landline
phone is not working since 3-4
months
 4 JE is off road out of 8 JE in the district.
 No GPRS on JE
RecommendationCall centre staff may be used in some other
programme like PCTS entry in DH as she is
having less work.
JE Performance
No of
JE
Period
No of Trips
Avg trip per
Remarks
JE/day
(Per trip cost)
8
1-15 Sep
354
2.95
8
16-30 Sep
258
2.15
8
1-15 Oct
163
1.358
Bio Medical Waste
 CTF connectivity in CHCs but only one
CHCs having log-book or register. (Copy)
 Pollution board certification is under
process
 Dustbin Buckets are not available or not
with the colored plastic bag.
Bio medical Waste
Dump Bio medical Waste in open at PHC-koyala
Bio medical Waste
CHC Atru
WIFS Programme
Schools: Visited three Govt Secondary Schools (Koyala,
Mandola (found red strips tablets) and Nareda
(not received).
 Koyala Secondary School sending monthly
report to BEO (Copy).
 De-worming was done in all schools.
AWCs WIFS tablets were available in AWC (Miyada).
Contd…..
Child Health
 NBSU: Established in Kelwada but not
function- due to non availability of
Pediatrician and nursing staff
 In Anta- will established in a one month
– work is in progress
 5 Radiant warmers found packed in store
at Kishanganj CHC.
Contd…..
Malnutrition Treatment Corner (MTC)
 MTCs functional in Atru, Kelwada and
Kishanganj
 Asha-Sahayogini motivational amount is not
paid to Asha-Sahayogini.
 Records editing /duplication in Atru MTC
Contd…..
Radiant warmer dumped in store at
Kishanganj CHC
Family Welfare
 Family welfare camp plan made, but till date not
started even at a single facility.
Activity
Target
Achievement
Percentage
Vasectomy
788
7
0.89
Tubectomy
7088
149
0.51
 OCP and Emergency Pills were not available at
almost all facilities.
Good practices
 C- section and CAC (MTP) was performing by
CHCs-Kelwada (C-Section-43 and CAC-14)
 Dr. Ravi Goyel (MO) of Kelwada providing
one dress to each female child.
 Since Nerada-SC have very good building,
premises and two SBA trained staff posted
who used to conduct 15-20 per month 3-4
months back, so this SC may be developed as
delivery point.
Contd…..
Cleaning work after OPD timing at Kelwada-CHC
Thank You….