Transcript Nagaur - National Rural Health Mission

Key findings
District Nagaur
October 23-27, 2013
National Rural Health Mission
Consultant -plan
Health facilities Visited
S.NO
Type of
facility
NO. of
facility
Name of facility
1
CHC
4
Khinwsar, Maulasar,
Basni, and
Nimbijhodha
2
PHC
7
Deh, Karod, Alay,
Roll, Dangawas,
Padukala, Lampoli
3
Sub-center
5
SC-Ahmadpura, SC
shinodh, SC-Ratong,
SC-begsar, SCbadana
4
School visit
4
Rajkiya uch
madyamic vidhyalaya
Bakrod, Butati, Roll,
padukala
District observation
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District had functional labour rooms but the
quality of care was found variables ,privacy
,absence of separate toilet in PHCs Deh,
Bakrod and lampoli
Awarness lacking about programs among
community and befeneficiary. few pregnant
/mothers interviewed had made own
arrangement to the deliveries.
Some PHCs don’t have separate JSY ward.
Infection prevention practices appeared
poor at labour and JSY ward.
Community ownership found at CHC basni
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48hrs stay after delivery not practiced at most
PHCs Padukala, deh and bakrod.
Grievance redressal box not established at
facilities
As regards WIFS scheme, low level of awareness
are found among the ASHAs about roll out the
program.
In 2 Govt school giving IFA tablet out of 4 visited
and no awareness about program.
Utilization of funds low at PHC and sub-centre.
District vigilance and monitoring committee
established but not any meeting held.
Most visited sub-centers listed in delivery point
but don’t have any delivery in last three months.
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Pharmacists were not available at most health
facilities. Drug stores were being handled by male
nurse
Payment of JSSY and sublakhmi yojna in time but
sublakhmi yojana payment along with JSY payment at
time of discharge.
Infection prevention practice appeared to be poor at
labour room and JSY wards.
Rational deployment of available staff for optimum
utilization need to be worked out on case load basis.
Only MMV deployed in the districts , all MMVs are
functional and done 930 camps. Strickering was done
Out of 24 only 15 Ambulance 108 are functional,
stickering work was not done but in process
ASHA Payment chart related to all programs was
prepared by district
Branding at CHC khinsar
Branding at Subcenter Ahmendpura
Cleanliness issue at CHC maulasar
Cleanliness issue at toilet
Garbage bin under
patient’s bed
JSY at PHC ALAYI very clean but no bed
in JSY ward
Cleanliness condition at Labour Room
PHC ALYAI
Findings at CHCs
 Radiant warmer and weighing machine not
available at labour room khinwasar, maulasar
 hot food was being given as per schedule expect
PHC Roll
Branding was done in all CHCs/PHCs/Subcenters
Infection prevention practices appeared to be poor
at labour and JSY ward except Basni CHC
In Basni CHC, sitting seats provided by local
community and cleanliness was good.
No Functional OT found at facility
Grievance redressal box not established at
facilities
Low utilization of funds at khinwasar, maulasar
Findings at PHC
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infection prevention practices appeared to be poor at labour
and JSY ward. Alay, Lampoli and Roll PHC
48 hrs stay not practices in most PHCs, padukala, Alay and
bakrod and lampoli
PHC has two room at lampoli only one doctor and one ANM
placed
No Bank A/C at PHC lampoli, only ANM has account
beneficiaries were refer to other PHC for JSSY payments .
Average 10 deliveries per month in PHC Lampoli.
No management for Bio medical waste at lampoli.
MO are not aware about utilization of available funds
Labour table was soiled with blood in all visited PHCs
Low utilization of funds at facility
National Rural Health Mission
Findings at Sub-center
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No facility at the sub center although there is
SBA trained ANM at ahmedpura, ratong and
begsar
Running water is a major problem in all subcenters
There is no toilet facility nor electricity at
ahmedpura .
Labor room is found unhygienic
Only shinodh ANM stay in night
There is no mattress on labor table,
No delivery in last two months in ahmedpura,
ratong.
There is leakeage at roof of sub-centre budilding
ahmedpura and brick wall
Low utilization of funds
National Rural Health Mission
Thanks