FORM-I Monthly Performance Report on Technical Activities Regional Office of Health & Family Welfare Name of the Regional Office: Raipur Report for the Month of: January 2013 LIAISON & COORDINATION (Give details in Form 1.1) i. National Level Meeting attended ii. State level Meeting attended iii, Is RD a member of State level Task Force Committee iv. Court cases being coordinated v. visits of VIP/High Dignitaries coordinated vi. Issues addressed/sorted out including UCs vii. Instts. Visited to assess feasibility for initiatives/programmes viii. Sample (items) collected for quality check. ix. central monitoring teams coordinated x. Other Liaison activities undertaken Participated/ ROH Relevant issues Coordinated addressed 1 0 1 New NIL NIL 1 2 Total 2 Institutes Visited and Reviewed for IPHS Institution Visited 2.1 States & District HQs visited for review of NRHM States HQ (Give details in Form - 2.1) i. ii. Districts HQ (Give details in Form -2.1) iii. Districts visited for review of NLEP special activities 2.2 Peripheral Instts visited for Review of IPHS i. ii. iii. iv. v. 3 3.1 i. ii. iii. iv. v. vi. vii. viii. Ix NO NIL NIL NIL NIL DH & SDHs (Give details in Form - 4.1) CHCs (Give details in Form - 4.2) PHCs (Give details in Form - 4.3) SHCs (Give details in Form - 4.4) NGOs & Other Instts (Give details in Form - 4.1) Total Review Of National Health Programme At District & State Level (Give details in Form - 3.1) Routine Existing NHP NRHM NVBDCP RNTCP NLEP NBCP NACP IDSP NIDDCP HMIS Total -//1//- Institution have 50% IPHS Standards - NIL NIL NIL - Instts. Visited Instts. Have 50% IPHS Standards 0 0 0 0 0 0 Distts Visited for Program as per Progs review guidelines 0 0 0 0 0 0 0 0 0 0 -//2//Review of Newer Initiatives by GOI (NCD) (Give details in Form – 3.2) i. Tobacco control ii. Cancer control iii. CVD & Diabetes control iv. Mental Health v. Injuries & trauma vi Oral Health Total 3.2 TRAINING PROGRAM ORGANIZED i. Malaria microscopy ii. CBHI iii. NRHM 4 Training Batches given training Nil Nil Nil Dist. Visited for Progs Program as per review guidelines Nil Trainees given training iv. Other trainings 6 v. AIR and TV Recordings for IEC purpose and to create awareness in general public 2 Total 8 NATIONAL LEPROSY ERADICATION PROGRAM (NLEP) Conducted 5 days Training Course on Leprosy for DLO/BMO conducted at this Institute during the period from 7-11 January 2013. Imparted one week internship training in Leprosy to Pt. Jawaharlal Nehru Memorial Medical College (Government Medical College), Raipur- 4 BPT students has been imparted training. HEALTH MANAGEMENT INFORMATION SYSTEM (HMIS) Dr. S.V. Gitte, Dy. Dir. (Epid.) delivered lecture on HMIS indicators and its importance in Public Health to 1st batch of training organized by State Institute of Health and Family Welfare, Raipur (C.G.) on 18 January 2013 in which 77 Nos. of trainees attended the training program Dr. S.V. Gitte, Dy. Dir. (Epid.) delivered lecture on HMIS indicators to 2nd batch of training organized by State Institute of Health and Family Welfare, Raipur (C.G.) on 21 January 2013 in which 78 Nos. of trainees attended the training program. Dr. S.V. Gitte, Dy. Dir. (Epid.) delivered lecture on HMIS indicators and its importance in Public Health to 3rd batch of training organized by State Institute of Health and Family Welfare, Raipur (C.G.) on 24 January 2013. Dr. S.V. Gitte, Dy. Dir. (Epid.) delivered lecture on HMIS indicators, its uses and interpretation to 4th batch of training organized by State Institute of Health and Family Welfare, Raipur (C.G.) on 30 January 2013 in which 68 Nos. of trainees attended the training program. Dr. R.N. Sabat, Sr. Regional Director delivered talk on Leprosy for All India Radio, Raipur on 15.01.2013 Dr. R.N. Sabat, Sr. Regional Director delivered talk on Leprosy for Doordarshan, Raipur on 17.01.2013 5 RESEARCH STUDIES UNDERTAKEN i. Therapeutic Efficacy studies undertaken ii. Entomogical Studies undertaken Nil Nil iii. CBHI studies undertaken Nil iv. Nil RET Studies Study on endemicity of Leprosy and This office is undertaking an Indian Council of Medical utilization of health services in selected areas Research (ICMR) funded study on the Endemicity of Leprosy of Chhattisgarh – Mahasamund district and utilization of health services in the selected areas of v. Research Studies undertaken Chhattisgarh (Mahasamund and Sarguja district). For the study purpose, the staff of the project visited Mahasamund District during the period from 8-11 January 2013 and collected Samples of 6 patients. The team has collected 6 Nos. of Slit sample, Patient area soil sample-30 Nos., Common Drainage soil sample-18 Nos., Non Patient area soil sample-12 Nos., Patient area water sample-12 Nos., Common Drainage water sample-18 Nos., for further laboratory investigation The collected samples has been sent to JALMA for further laboratory investigation and study 6. NVBDCP/MOFRS related Activities at ROH HQ Blood slides 6.1 Malaria Clinic: i. Blood slides collected in malaria clinic ii. Blood slides tested in Malaria clinic iii. Blood Slides Found Malaria Positive iv. Malaria + ve cases given Radical Treatment 6.2 Cross-checking of blood slides: Positive slides i. Blood slides received at ROH-HQ NIL ii. Blood slides Cross-checked NIL iii. Blood Slides with discrepancies NIL iv. % discrepancies Not Applicable 6.3 i. ii. iii. iv. v. Discrepancies Variation/ Remarks Nil Nil Nil Nil Negative slides NIL NIL NIL Not Applicable Total - Other anti-malaria activities Units Visited Districts visited for Rapid fever surveys Nil Peripheral laboratories monitored for quality services Nil Therapeutic Efficacy studies undertaken. Nil teams of IRS for Malaria control activities Monitored Nil Distts./Instts. Where Epidemiological & Entomological Reviews Nil undertaken 7. REGIONAL EVALUATION TEAM-FIELD VERIFICATION 7.1 Clients verification of Clients Discrepancies Observed Genuineness of Acceptors of Contacted CC methods i. Ecs Under gone sterilization Operations ii. Ecs consuming Oral pills as CC Methods iii. Ecs have got IUDs inserted iv. Ecs practicing Barrier methods (condom) Total - - - -//3//- -//4//7.2 i. Field Verification of Clients ANC cases Field verified ii. RCH Clients Contacted Observations/Discrepancies Observed - - INC cases Field verified - - iii. PNC cases field verified - - iv. JSY cases field verified - - v Children verified immunization for fully Total - - - - Community Satisfaction Studies Undertaken for quality 7.3 of work done by Health workers i. Sarpanch’s of PRI contacted ii. Mothers contacted to assess work of ASHAs iii. Mothers contacted to assess work of ANMs iv. patients contacted for care satisfaction v. Staff contacted for job satisfaction SUBJECTS Interviewed - - O.P.D. Section Total attendance of new leprosy patients Total attendance of old leprosy patients Break-up of old Leprosy patients (i) For getting MDT (ii) Type-I Reaction/Neuritis (iii) Type-II Reaction (iv) RCS cases (for review) (v) Grade-I Deformity (vi) Grade-II Deformity (including ulcer cases) Total (old cases) Staff General Patients Polio affected patients examined for Surgery/check up Grand Total (including old, new and general cases) Break-up of new leprosy cases Category of patients Male Adult-MA Female Adult-FA Male Child-MCh Female Child-FCh Total Break-up of old leprosy cases Category of patients Male Adult-MA Female Adult-FA Male Child-MCh Female Child-FCh Total 55 313 25 124 93 9 0 62 313 20 173 0 561 MB 24 9 1 1 PB 10 8 1 1 Total 34 17 2 2 35 20 55 MB 8 4 3 1 16 PB 4 2 1 2 9 Total 12 6 4 3 25 Out of the total 55 new leprosy cases detected in the OPD of RLTRI, Raipur, 49 cases were referred to the nearest available Health facility from where the patient belongs, only 6 cases have been registered at this Institute for further treatment. -//5//Total Deformity & Reaction status in new cases DEFORMITY Grade-I MB PB 2 0 Deformity & Reaction status in old cases DEFORMITY Grade-I MB 0 PB 0 Grade-II MB PB 13 5 REACTION TypeType-II I/Neuritis MB PB 5 4 1 Grade-II MB PB 49 13 REACTION TypeType-II I/Neuritis MB PB 93 92 32 IN-DOOR SECTION # Sanctioned Bed strength (i) Patient already admitted as on 31.12.2012 (ii) Patients admitted during the reporting month (iii) Total patients discharged during the reporting month (iv) No. of death in the ward during the reporting month (v) No. of patients admitted as on 31.01.2013 Break-up of admitted cases Ulcer treatment Erythema Nodosum Leprosum RCS and Physiotherapy Polio Affected patients Total 75 17 42 28 0 31 30 Total 279 (2 PMR patients) 11 20 49 2 82 OPERATION THEATRE SECTION (INCLUDING MINOR OPERATION) at RLTRI LEPROSY Foot Drop (TPT + TAL) 2 Lasso 4 F Claw hand 2 Lasso 2 F Claw hand 0 Lasso 1 F Claw hand 0 Open TAL 0 RCS CAMP 0 Release contracture & skin grafting PUSHPA HOSPITAL, DIST. BALOD 0 Claw Thumb (opponence replacement sublimus)/ Opponens plasty using ring finger Excision of any part Lagopthalmos (TMT) I&D Amputation skin grafting/ectrion correction/ wound debridment/soft tissue release 0 0 0 0 1 Currettage & suturing of ulcer T.P.T. + T.A.L. (Foot) Total 0 0 5 24-25 JANUARY 2013 No. of patients found fit for surgery Leprosy (No. of patients operated) 2 No. of procedures conducted 2 4 Splints applied during camp No. of patients found fit for surgeryPMR (No. of patients operated) No. of procedures conducted 5 11 -//6//PHYSIOTHERAPY SECTIONA. B. C. 74 69 8 19 42 0 0 0 0 No. of patients attended for Physiotherapy (B + E) Sitting attendance Wax bath Oil Message, hydro-oiling therapy Exercise (Active and Passive) Electric vibrator message Short Wave diathermy Lumbar Traction, cervical traction I.R. Splint, P.O.P. applied and others (IPD-29 + OPD-45) (IPD-24 + OPD-45) (IPD-11 + OPD-8) (IPD-5 + OPD-37) 69 POP Splint Application-20 Spiral Splints issued-03 Other Splints issued-00 D. E. M.C.R. foot wear issued R.C.S. Physiotherapy (post operative) Claw finger Operated-Lasso procedure Claw hand, Lasso sublemus-Lasso procedure Foot drop, TPT Claw thumb, Opponence replace Lagophthalmoos, TMT Others-(CR S.G./Amputation)/PMR LABORATORY REPORT 1 Micro-biological investigation (SSS) 0 5 2 0 2 1 0 0 150 Old Pt. No. of Positive smear No. of Negative Smear 2 3 8 5 114 47 67 27 291 Clinical Pathological Investigations (Urine, TLC, DLC etc.) Blood Urine Bio-chemical investigations (Blood sugar etc.) Total New patients 19 118 Total 27 123 Workshop/Conference/Meeting/Training/Any other activity Conducted NLEP Training for DLO/DNT/MO during the period from 7-11 January 2013 - 11 officers attended the training. 3 officers from Gujarat State, 6 officers from Maharashtra State, 1 from Gujarat and 1 from Madhya Pradesh attended the training program. Dr. R.N. Sabat, Director delivered talk on Leprosy for All India Radio, Raipur on 15.01.2013 Dr. R.N. Sabat, Director delivered talk on Leprosy for Doordarshan, Raipur on 17.01.2013 4 Interns students of BPT, Pt. J.N.M. Medical College, Raipur has been imparted one week training in leprosy. 8. HIFU PERFORMANCE 8.1 Strengthening & Monitoring Health Information system Numbers i. ii. iii iv Health Sector-Policy Reform databases (HS-PROD) sets collected. Batches given CBHI related training trainees given training Health Related NEWS Appeared in Newspapers Nil Nil Nil Nil 8.2. i. ii. Liaison with State Health Authority to expedite the flow of information States from where Annual Reports on health Statistics are collected Other health related information (specify) Numbers - -//7//8.3. i. ii. 9 i. ii. iii. Conduct specific studies Instts. Visited to conduct studies i.r.t. Health Information System (HIS) Reviews undertaken to assess effectiveness of the of specific Health Program Items reported UNUSUAL EVENTS REPORTED Newer Diseases/epidemic reported Malaria (fp) Nil CGD Nil DFD Nil H1N1 cases Nil Encephalitis like Illnesses Nil Other New cases (specify) Nil Epidemics investigated Nil Fever epidemic Nil Diarrhea epidemic Nil Nil Other epidemics (specify Natural disasters Nil Nil Floods Nil Storms & lightening Nil Earth quacks Nil Fire accidents Nil Tsunamis Nil Accidents Nil Others (specify) Numbers Nil Nil