common review mission

Welcome

Presented toThe 9th Common Review Mission

team

Anantapuramu

District Review

Glimpses

Situated in Rayalaseema region

Largest district in Andhra Pradesh_

19,130,000 sq.Kms

52nd largest district in India

Fifth largest populated district in AP

Hub of educational activity

Ranked 10th in GDDP among 13 districts

Historical Background

ᇹGot its name from 'Anantasagaram',

a big tank, which means "Endless Ocean“

ᇹFormed in the year 1882 having been separated from Bellary District

ᇹIn the year 1956, the present

district was carved out

ᇹPresently with 5 revenue divisions,

63 mandals, 7 Municipalities ,

5 Nagara Panchayathis

.

Ô It is bounded by Bellary, Kurnool District on the North, Cuddapah and Kolar Districts of Karnataka on South East and North respectively.

Ô The District is roughly oblong in shape, the longer side running North to South with a portion of Chitradurg District of Karnataka State intruding into it from west between Kundurpi and AmarapuramMandals.

Geopolitical Picture

2 Parliamentary Constituencies

14 Assembly Constituencies

2 Legislative Council Constituencies

Administrative Divisions

Others

Gram Panchayats

• 1003

Villages

• 964

Habitations

• 3411

Number of Colleges = 49

Number of Schools = 3983

Number of AWCs = 5126

Prasanthi nilayam,Puttaparthy Gugudu

Lephakshi Iskcon Temple

Yogi Vemana Samadhi Jambu Dweepa

Dharmavaram Sarees Kasapuram Anajaneya Swamy

Thimamma Marri Maanu, Guttibavala, Kadiri

Other places to visit

#Sri Kadiri Laxmi Narasimha Swamy Temple

# Chintala Venkataramana Temple ,Tadipatri

# Doddeswara Swamy temple built during the Pallava Reign, Hemavathi

# Sri Ranganatha Swamy Temple,Alurkona

#"Degurla Narasimha Swamy“ temple,

Pennaahobilam

# Rayadurg fort

# Gooty fort

ORGANOGRAM

DMHO

DIO ADMHO DTCO DPMO DC-RBSK DMO PODTT DPM-DBCS AO(Admin)

AddlDMHO

DMHO with Hon’ble CM

Demographic Profile

Description Total Rural Urban

Population 4,081,148 2,935,437 1,145,711

71.93% 28.07%

Male 2,064,495 1,489,157 575,338

Female 2,016,653 1,446,280 570,373

Population growth 12.10%

Density/km2 213

Proportion to AP Population 4.83%

Sex Ratio 977 971 991

Child sex Ratio 927 928 926

Census 2011

Demographic Profile

Description Total Rural Urban

Average literacy 63.57 59.21 74.69

Male 73.02 69.41 82.32

Female 53.97 48.77 67.06%

Total Child Population 445,956 323,884 122,072

Male 231,369 167,977 63,392

Female 214,587 155,907 58,680

Child proportion 10.93% 11.03% 10.65%

Boys 11.21% 11.28% 11.02%

Girls 10.64% 10.76% 10.29%

CBR 18.7

CDR 7.3

Census2011

Urban Demographics

Urban Agglomerations inside Anantapur

Population Male Female

Anantapur(Urban Agglomerate) 341,895 172,414 169,481

Cities inside AnantapurDistrict

Population Male Female

Anantapur 262,340 131,506 130,834

Hindupur 151,835 76,625 75,210

Guntakal 126,479 62,695 63,784

Dharmavaram 121,992 62,186 59,806

Tadipatri 108,249 54,027 34,222

Census 2011

Urban Profile

Name of area Population

No.. of HH

Notified slums

Non Notified slums

Slum Population

Slum HH

Total HH

Anantapuramu 2,68,503 68,245 51 09 1,01530 22,563 90,817

Guntakal 1,26,479 28,106 48 02 56,652 12,589 40,695

Dhamavaram 1,21,992 27,109 35 05 70152 15,589 42,698

Tadipatri 54,041 12,509 33 01 33538 7,452 19,961

Hindupur 1,51,835 33,741 40 13 72075 16,016 49,751

722850 169710 207 30 333947 74209 243922

Census 2011

Infrastructure

18

CHNCs

Rural

Public

Health

Facilities

SC 586

PHC 80

CHC 15(5-DH, 10 APVVP)

AH 2

DH 1

Map ShowingHealth Facilities

PHCs

CHCs

AH

DH

Urban

Public

Health

Facilities

PPU 4

UFWC 8

MCH_Municipality

4

UHCs 19

GGH 1

CD hospital 1

CEmNOC 8

FRUs 5

AYUSH

Public

Health

Facilities

Type Number

NRHM 43

State Owned 53

Co-located _NRHM 43

Co-locatedState Owned 33

Rented buildings 0

State owned Not co-located-Rent free

20

AYUSH_type

Type StateOwned

NHM Total

Ayurvedic 28 22 50

Unani 13 06 19

Homeo 12 13 25

Naturopathy

0 2 02

Sidda 0 0 00

GrandTotal

53 43 96

PrivateType of facility Number

Nursing Homes 182

Dental hospitals 29

Clinics 48

Polyclinics 07

Diagnostic centres_Basic 89

Diagnostics_ Advanced O6

Physiotherapy 02

RDT Hospitals(Reputed Intl.NGO) 02

RDT-Super Specialty Hospital 01

Satya Sai Hospitals 01

Satya Sai Super Specialty Hospital 01

Health

Facilities

Facilities in district_Current scenario

Type of facility

Number As per population norms

Number functional

Number deficit

% of deficiency

SC 587 586 1 0.17

AWC 4224 5126 +902 #

PHC 98 80 18 18.36

UHC 23 19 4 17

CHC 25 15 10 40

AH(FRU) 9 2 7 78

DH 01 01 0 0

Sub centres

Service delivery

Service delivery in SCs

Bed strength * Doctors for population

Total number of beds available in Public health facilities

1914

Beds per 1000 population 0.46

Doctors per 1000 population(In public Health facilities)

0.4

Health Admn & Deliverance

PHCs per CHNC

As per norms 4-6

Existing 2-8

Average 4

PHCs per CHCAs per norms 4-6

Existing 2-8

Average 5

As per norms 6

Existing 3-18

Average 7

SCs per PHC Average habitations covered

Per SC 6

Per PHC 42

Per CHC 227

Average Rural population

covered by SC/PHC/CHC

Type of facility Population covered

SC 5009

PHC 36693

CHC 195696

Facility wise population Number %

SCs more than 5000 294 50%

PHCs more than 30,000 53 66%

CHC > 1,20000 11 73%

Average rural area covered in Sq

kms

Type of facility Area in Sq kms

SC 23.51

PHC 172.26

CHC 918.73

Time to care from village to PHC

Time to care Number %

Within 30 mins 91 9.51

more than 30 minsLess than 1 hour

360 37.65

More than I hour 505 52.82

0 – 5 kms 6 – 10 kms More than 10 kms

91 360 505

Average radial distance between PHCs and Villages in kms

Vulnerability Score _ NHSRC

Vulnerability Rank

Score SCs PHCs CHC,AH,DH

Number % Number % Number %

V0 0-10 112 19.11 04 5 12 66.66

V1 11-20 465 79.35 76 9 6 33.33

V2 21-30 8 1.36 0 0 0 0

V3 31-40 1 0.17 0 0 0 0

V4 .>40 0 0 0 0 0 0

Building Status

Type of facility

Total Govt % Private Rented

% Govt. rent free

Sub Centres

586 294 50.1 292 49.9 0

PHCs 80 79 98.75 1

CEmNOCs

1 Tadipatri

2 Gooty

3 Uravakonda

4 Kalyanadurg

5 CK Palli

6 Penugonda

7 Kadiri

8 Madakasira

Blood Banks & Storage Centres

1 Anantapur

2 Ananthapur

3 Bathalapalli

4 Kadiri

5 Puttaparthy

6 Hindupur

Blood Bank

Blood Storage centers

1 Gooty

2 Guntakal

3 Tadipatri

4 Dharmavaram

5 Kalyandurg

6 Madakasira

Pvt Govt

2 4

FUNCTIOL

FRUs

1 GGH

2 Hindupur

3 Penukonda

4 Guntakal

5 Kadiri

FBNC

SNCU _ Anantapur, GGH

NBSU = 111 Tadipatri

2 Gooty

3 Guntakal

4 Uravakonda

5 Rayadurg

6 Kalyanadurg

7 Madakasira

8 Hindupur

9 Penugonda

10 Dharmavaram

11 Kadiri

NBCC = 73

Ultra Sounds

1 Tadipatri

2 Gooty

3 Guntakal

4 Anantapur

5 Dharmavaram

6 Kadiri

7 Penugonda

8 Hindupur

9 Madakasira

USGMachines

RNTCP InfrastructureType Number

DMCs 47

Govt 45

NGO 2

PHIs 110

TUs 19_Govt

Medical

college01

• District TB control centre is located in Government General hospital,Campus

RNTCP infrastructure

Sl.no Equipment Number Status

1. X-Ray plant 01 Working

2 Microscopes 59 47 working12 non functional

3 LED Microscopes 4 Working

4 Xerox 01 Working

5 Computer System 02 Working

6 Air Conditioners 02 Working

Infrastructure Infrastructure

Type of facility Number

Government 07

Private _ NGO based hospitals 01

Number of Ophthalmic Surgeons available

10

Number of PMOAs 19

Program Response (Facilities)

HIV Counseling & Testing Centers

Stand alone ICTCs 18

FI-ICTCs (PHC) 80

FI-ICTCs (PPP) 09

Mobile ICTC 01

Care, Support and Treatment

ART Centers 03

Link ART Plus 03

Link ART Centers 05 (4 Newly Sanctioned)

CSC Vihaan 03

District Level Network 01

Targeted Interventions

Core composite 10

FSW 01

Pehchan 01

Link worker Scheme 01

Blood Safety

Blood Banks 06

Blood Storage Centers 6

STI clinics

DSRCs 04

TI-STI Clinics/PHCs 6 +24

IEC

Permanent Hoardings 17

FICTCs -82

Mandal wise distribution of Existing ICTCs

Stand alone ICTCs - 18

Mobile ICTC - 1

FI-ICTC (PPP) - 09

ART Centre -3

Link ART Plus Centre - 3

Link ART Centre - 5

Newly Link ARTs - 4

CSC Vihaan - 03

Blood Banks

Blood Storage Centres

DSRCs

Mandal wise distribution of Existing Facilities

Infra


District Office 01

Urban leprosy centers 6

Immunization

Cold Chain System

EQUIPMENT Number

Number of WIC 0

Number of WIF 0

Number of ILRs at District CCMU 6

Number of DFs at District CCMU 5

Number of functional Peripheral CCPs in the district

119

Gap in CCPs in periphery 04

IDSP _ Infrastructure

Equipments Located

Equipment

existing Functioning

(Y / N)

Data Centre Equipments

DSU Yes Yes

MC Yes No

Training Centre

Equipments

DSU Yes Yes

MC Yes No

Broadband Connectivity Yes Yes

Inter wise Yes Yes

1075 Connectivity Yes Yes

SRL – STATE REFERENCE LABORATORY-AMC-IDSP

Department of Microbiology

Under SRL

ICTC Centers - 28

PPTCT Centers - 04

Blood bank Centers - 08

CD4 Counts - 01

Virology

o Viral Research Diagnostic Laboratory (VRDL) is under process.

o ICMR team has visited the department of Microbiology for starting VRDL.

o ICMR team satisfied with space, location and staff pattern

o Memorandum of Agreement (MOA) has approved

o Awaiting for process from ICMR.

Serology Services offered

1. Dengue ELISA test

2. Chikungunya ELISA test

3. HBsAg

4. RPR Flocculation test

5. ASO

6. CRP

7. WIDAL

8. RA

9. ICTC, PPTCT, CD4 counts

Infra structure _ Urban

Number of UHCs In Government Buildings

In Private buildings

19 13 06

Constructions under NHMType of facility 2009 - 10 2010-11 2011-12 2012-13

SC 11/11 17/23 4/9 10/25

CHNCs 0/5

SNCUs 1/1

NBSUs 11/11

NRC 1/1

PHCs 12/12 1/2

FRUs 5/5

Training building

DEIC 1/1

DWH 1/1

Trauma Centre(2) 2/2

Constructions _ NHM

Facility Amount in Rs.

Central Ware House

_ Phase 1

Rs.1,76,00000

Central Ware House _

Phase 2

Rs.1,44,60000

Year Type of facility Number

2007-08 CEmNOC 7/7

NHM- Total expenditure-Constructions

Year Amount in Rs

2007-08 91,00000

2008-09 1,36,00000

2009-10 1,28,39,500

2010-11 65,41000

2011-12 2,039,3000

2012-13 2,997,6000

2013-14 2,828,4794

2014-15 1,911,9617

2015-16 48,00438

Total 14,46,54,349

Baby Friendly Hospital Services

At DH, Hindupur

National accreditation for breastfeeding counseling

Human

Resources

HR _ DoPHFW(Static)-PHCs

Cadre Desired

Sanctioned

In position Vacancy%on desire

d

% Vacancy on Sanctio

ned

Regular

Regular

Contract

Total

MO 160 144 87 22 109 32 24.3

SN 164 101 90 67 157 4.26

LT 80 109 31 28 59 26.25 46

Pharmcist

80 89 53 12 65 18.75 27

HR in 24x7 PHCs – 42

Cadre As per norms

Sanctioned In position Vacancy%on set norms

% Vacancy on Sanctioned

Regular Contract Regular Contract

MO 84 82 NA 46 11 32% 30%

SN 126 54 84 50 67 7% 5%

LT 42 28 0 12 12 43% 14%

Pharmacist 42 42 0 23 6 31% 31%

Watchmen 42 NA 42 0 41 2% 2%

ContingentWorker

42 NA 42 0 42 0 0

Sr. Asst 42 42 NA 35 0 17% 17%

HR In CEmNOC

Name &Type of Facility

Specialist(GynObs) Staff Nurses Theatre Assistants

Sanctioned InPosition

Sanctioned

In Position

Sanctioned In Position

CHC Tadipatri 01 00 03 02 02 00

CHC Uravakonda 01 00 03 01 02 00

CHC Madakasira 01 00 03 01 02 00

CHC Gooty 01 00 03 03 02 00

CHC Dharmavarm 01 00 03 03 02 00

CHC Kalyandurg 01 00 03 02 02 00

PHC Gorantla 01 00 03 03 02 00

AH Kadiri 01 00 04 02 02 00

Total(8) 08 00 25 17 16 00

HR under NHM

Cadre Number Place of positioning

Medical officers 4 2 in NRC2 in SNCU( in place of specialists in SNCU)

Specialists(Paediatricians) 1/4 1 in SNCU

MPHA(F)s_ANM 472/586 SCs

ASHAs 3003/3057 Villages

AYUSH_MOs_NHM 14 AYUSH dispensaries at Mandals

AYUSH_Compunders 31 AYUSH dispensaries at Mandals

AYUSH_SNO 37 AYUSH dispensaries at Mandals

Contingent workers 83/84 24x7 PHCs

HR under NHM

Cadre Number Place of working

Staff nurses 134 67/84 in 24x717/25 in CEmNOC14/14 in SNCU3/3 in NRC31/33 in NBSU

DPMU

DPM 1 HQS

DAO 1 HQS

MISO 1 HQS

Jr Asst 1 HQS

DEO_RCH 1 HQS

On Foreign Service deputation to

NHM

Cadre Positioned as

From

Dy.CS DPMO_NHM APMHS

Dy.CS DC_RBSK APMHS

HR trainings

PODTT

DPHNO Sr. Asst HEO

All in position

HR in RNTCP

Designation Sanction Positioned Vacancy

DTCO 01 00 01

MO 01 01 00

DPC 01 00 01

DTBSA 01 00 01

TBHIV Supervisor 01 01 00

DPPM Coordinator 01 00 01

DTB counsellor 01 00 01

DOTS + Supervisor 01 01 00

DEO 01 01 00

HR in RNTCP

Designation Sanction Position Vacancy

STS at clusters 19 07 12

STLS 09 09 00

LT at DMCs 11 09 02

TBHV 9 7 2

Radiographer at dist 01 01 00

LT at dist 02 01 01

Lab Attendant(dist) 01 00 01

Sr.Asst(dist) 01 01 01

Jr.Asst (dist) 01 00 01

HR –MCH team-in Medical College

Cadre Sanction Position Vacant % of vacancy

Gynecologist 11 08 3 27%

Pediatrician 8 7 1 13%

Anesthetist 9 7 2 22%

General Medicine 11 10 1 9%

General Surgery 11 7 4 36%

Specialty-AMC


Orthopaedician 6 6 0 0

Chest diseases 4 2 2 50%

ENT 5 4 1 20%

Ophthalmology 6 4 2 33%

Radiotherapy 3 2 1 33%

Dermatology 5 4 1 20%

Psychitrty 4 2 2 50%

Teaching HR


Anatomy 8 3 5 62%

Physiology 8 6 2 25%

Biochemistry 6 5 1 17%

Pharmacology 6 5 1 17%

Pathology 9 8 1 11%

Microbiology 7 7 0 0

Forensic Medcine 7 4 3 43%

SPM 7 7 0 0

HR RBSK

Cadre Number in position

Dist Coordinator _ RBSK 1

DEO 1

HR in NLEP

District HQS

Cadre Sanctioned In position Vacancy

AddlDMHO 1 0 1

Nucleus MO 1 1 0

PMO 1 1 0

Physiotherapist 1 1 0

HEO 1 1 0

DPMO 1 1 0

DyHEOs 2 2 0

LT 1 1 0

HR in NLEP

Peripheral

Designation Positioned at

Sanctioned In position Vacancy

DPMO ULCs 5 5 0

APMO ULC 1 1 0

DSO ULC 1 1 0

DPMO CHNC 18 18 0

HR NVBDCP

Cadre Sanctioned Positioned Vacant

DMO 1 1 0

AMO 2 2 0

MPHEO 1 1 0

MPHS(M) 7 7 0

MPHA(M) 21 4 17

MPHA(M)/LT 7 2 5

Lab Attendant 1 1 0

Field worker 4 2 2

HR in HIV/AIDS

Designation Sanctioned Positioned Vacant

Addl DMHO 01 00 01

DPM 01 01 00

Dist ICTC Supervisor 01 01 00

Dist Asst Acounts 01 01 00

Dist Asst M& E 01 01 00

Dist Asst Program 01 01 00

HR in IDSP

DSO Addl.DMHO

DEO 01

DM 01

Dist Epidemiologist 01

HR in Cold Chain Unit

Designation Position Status

DIO 01 Regular

SO(UIP) 01 Regular

Supply chain managers

02 On deputationNo sanctioned post

s

Refrigerator Mechanic

01 On Contract

DEO 01 On Contract

AYUSH HR

Medical Officers Compounders SNOs

Sanctioned

Positioned

Vacant Sanctioned

Positioned

Vacant Sanctioned

Positioned

Vacant

96 49 47 96 75 21 67 42 25

Type Medical Officers Compounders SNOs

Sanctioned

Positioned

Vacant

Sanctioned

Positioned

Vacant

Sanctioned

Positioned

Vacant

State 53 35 18 53 44 09 24 5 19

NHM 43 14 29 43 31 12 43 37 6

HR in Blood Bank - GGHCadre Sanctione

dInposition APSACS

Supported(Yes/No)

MO 2 2 No

SN 3 3 NO

LT 6 6 4_Yes2_No

Counselor 1 1 Yes

LA 1 1 No

MRA 1 1 No

Attender 1 1 Yes

HR 69 Employees

Cadre Number

Pharmacists 23

LTs 23

Drivers 23

SNCUNBSU-HR

SNCU

Cadre Sanction Position Vacant

MO* 4 3 1

SN 14 14 0

LT 1 1 0

DEO 1 1 0

Security 3 3 0

Supportingstaff

4 3 1

NBSUs

SN 33 29 02

4 MOs should be Specialist PaediatriciansOne is specialistOther 2 MBBS

NRC _ HRCadre Sanction Position Vacant

MO 2 2 0

SN 3 3 0

Nutrition Counsellor

2 2 0

MSW 1 1 0

Cook cum caretaker

2 2 0

Attender &Cleaner

2 1 1

NRC-Akshaya

HR GGH

Cadre Sanction Position Vacant

Medical Superintendent

01 00 01

Civil Surgeon Specialist

08 01 07

DCS 4 0 4

Asst RMO 01 01 0

CAS 17 15 02

Chief radiographer 2 2 0

Radiographer 3 3 3

HR GGH

Cadre Sanction Position Vacnt

Head Nurses

38 37 1

Staff Nurses 78 71 7

LT 5 5 0

OT Asst 3 2 1

HR NPCB

Cadre Sanction Position Vacancy

Civil Surgeon 01 01 00

Opthal Asst 1 1 0

Staff nurse 1 1 0

MNO 1 1 0

OT Assit 1 0 1

Driver 1 0 1

HR PP Unit

Cadre Sanction In position Vacant

CAS 2 2 0

MPHA(F) 2 2 0

SN 1 1 0

FNO 2 1 1

HR _ MPHW(F) Training college

Cadre Sanction position Vacant

Principal 1 0 1

Sister tutor 2 2 0

PHN 4 2 2

MPHEO 1 1 0

Warden 1 0 1

Sweepers 2 1 1

Cook 2 0 2

HR in APVVP facilities-Specialists

Cadre Essential Position %Vacancyon Essential

Regular Contract

Gynecologist 16 08 00 50%

Paeditrician 16 09 00 43.75%

Anaesthetist 16 04 00 75%

HR in APVVP facilities

Cadre Essential Sanction

Position %Vacancyon Essential

%Vacancy of Sanctioned

Regular Contract

SN 183 155 109 00 40.43 29.67

LT 34 16 06 07 61.76 18.75

Radiographer 14 12 07 04 21.42 8.33

Pharmacist 21 26 20 03 -9.52 11.53

GDMO 45 78 38 31 -53 11.53

SC with ANM, without both

47

180

359NO ANM

1 ANM

2 ANM

PHCs without MO, LT, Pharmacist, SN

3

11

24

23

Without SN

Without Doctor

Without LT

Without Pharmacist

HR in UHCs

Cadre Sanctioned Position Vacant

MO 19 16 03

ANMs 38 38 00

MO Asst 19 19 00

CO 19 19 00

Watchmen 19 17 02

Sweeper 19 19 00

NUHM not yet launched

Equipment

status

Availability of equipment in delivery points

Item Percentage of availability

Labour table 98%

OT Table 97%

Electrical Suction Machine 98%

Boyle apparatus 32%

Pulse Oxymeter 57%

Autoclave 97%

Waste shredder 13%

Availability of equipment in delivery points

Item % of availability

Waste autoclave 20%

Minilap Kit 93%

IUCD kit 97%

C-Sec Delivery kitFRUs

100%

Semi Auto analyzer 10%

Centrifuge 70%

Microscope Binocular

97%

Equipment _ SNCUName of equiupment Available Working

Ventilator 0 0

Portable X Ray 1 1

Blod Gas Analyser 0 O

Infantometer 1 1

Single Surface Phototherapy 6 6

Double sided light Phototherapy 2 2

Double outlet Oxygen concentrator 0 0

Pulse Oxymeter 11 10

Controlled Slow Suction 0 0

Servo controlled radiant warmer 21 21

Generator 0 0

Infusion pump 8 8

Specialty Diagnostics

• Available at GGH, and DH,Hindupur

• Radiologist not available at Hindupur

• X-Ray available at 11/13 APVVP facilities

• ECG facility available at all APVVP facilities

Equipment status_Blood bank

Name Equipment Quantity Status

Donor coach 3 2 not working

Incubators 4 2 not working

Blood collection monitor 2 Working

Digital calorimeter 1 Working

Coagulameter 1 Working

ELISA reader 2 1 not working

ELISA washer 2 1 not working

VDRL Rotator 1 Working

Equipment status _ Blood bank

Name Equipment Quantity Status

Refrigerator water bath 1 Working

Cell counter 1 Working

Platelet agitator 1 Working

-40 Refrigerator 1 Working

-80 Refrigerator 1 Working

Plasma thawing bath 1 Working

Blood bank refrigerators 2 Working

Micro channel Pipette 6 Working

Equipment NVBDCP

Item name Total Quantity in field Quantity at District

Stirrup pumps 47 43 7

Knapsac Sprayers 40 39 1

Power sprayers 08 08 00

Fogging machines 11 10 1

Fit Pumps 31 30 01

Health

Indicators

INFANT MORTALITY RATE

40 3931

2112

S.no Description Status

1 Anantapur 45

2 Srikakulam 47

3 Vizianagaram 45

4 Visakapatnam 39

5 Prakasam 37

6 Nellore 35

7 East Godavari 34

8 West godavari 28

9 Chittor 35

10 Kurnool 43

11 YSR Kadapa 38

12 Krishna 25

13 Guntur 31

Source : SRS 2013/CHFW Office

Progress

Reduction

in IMR

6160.3

47

45

0

20

40

60

80

2005 2006-072012 2013

SRS SRS SRSRCH -2Baseline

NRHM S

NCU

MATERNAL MORTALITY RATIO

INDIA AP KARNATAKA TAMILNADU KERALA

167

92133

7961

Source : SRS 2010-12

S.no Description Status

1 Anantapur 98

2 Srikakulam 98

3 Vizianagaram 107

4 Visakapatnam 115

5 Prakasam 87

6 Nellore 77

7 East Godavari 74

8 West godavari 80

9 Chittor 86

10 Kurnool 108

11 YSR Kadapa 85

12 Krishna 79

13 Guntur 83

Progress

Reduction in

MMR

154134

11798

0

20

40

60

80

100

120

140

160

180

2004-06 2007-09 2010-12 2011-13

SRS SRS SRS SRS

NRHM M

DR

Below 20%

Between 20% - 40%

Between 40% - 60%

Between 60% - 80%

Above 80%

Measles Vaccine -1 Coverage

DLHS-4

Immunization %(Children 12-23mnths)

66.2

97.4 81.8 84.4 85.871.2

97.9

92.8 94.7

79.5

0

20

40

60

80

100

120

FI BCG 3 doses of DPT MCV 1 Vit.A

dlhs 4

dlhs 3

Full immunization(2013-14)

Source: CHFW

TFR

4.9

3.9

2.4

1.7

0

1

2

3

4

5

6

1981 1991 2001 2012

TFR

RMNCH+A ranking-(13-14)[14-15]

Indicators

Composite Index

Overall Index Pregnancy care Child BirthPostnatal maternal &

new born careReproductive age group

2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14

1 Anantapur 0.3134 0.4679 0.28 0.4012 0.2356 0.2618 0.4838 0.7431 0.163 0.3267

2 Chittoor 0.3912 0.4726 0.3681 0.4863 0.0976 0.3444 0.6694 0.6627 0.2594 0.2613

3 Cuddapah 0.3968 0.5401 0.5291 0.5683 0.4598 0.5605 0.4212 0.5277 0.0726 0.4934

4 East Godavari 0.5167 0.5826 0.5051 0.7311 0.5597 0.7904 0.476 0.422 0.5612 0.3948

5 Guntur 0.4123 0.4486 0.1453 0.2076 0.2385 0.6052 0.5997 0.527 0.7189 0.5627

6 Krishna 0.5889 0.5496 0.5345 0.5663 0.9334 0.6667 0.5484 0.5396 0.4026 0.4213

7 Kurnool 0.2639 0.2849 0.3172 0.3515 0.2075 0.3752 0.2981 0.1614 0.1743 0.2896

8 Nellore 0.3211 0.3761 0.2962 0.3437 0.3247 0.3916 0.2771 0.4086 0.4325 0.3606

9 Prakasam 0.2417 0.2835 0.043 0.0088 0.1891 0.3782 0.4599 0.5091 0.262 0.2704

10 Srikakulam 0.3352 0.4889 0.3224 0.414 0.3466 0.5967 0.3576 0.4694 0.3076 0.5387

11 Vishakapatnam 0.3161 0.5954 0.2399 0.5987 0.2872 0.6783 0.3545 0.5002 0.4079 0.6657

12 Vizianagaram 0.6782 0.5546 0.8837 0.5868 0.5631 0.5246 0.5565 0.5598 0.6535 0.5221

13 West Godavari 0.4416 0.5312 0.4368 0.552 0.489 0.6306 0.4533 0.5173 0.3827 0.4202

MCTS Progress From : 1/4/2015 Upto the Month Of : September, 2015

S.NoName of the District

Mother Services

Child Services

Ante-Natal Care Intra-Natal Care Post-Natal Care

ANC Registrations against ELA1

High Risk identified against ANC registration

Received MO Checkup (2nd & 4th ANC)against ANC registration

Pregnant women transported through 108 vs ELA 3

Total Live Births / Child Registration against ELA 2

Delivery outcome reported against ANC registration

Deliveries in Public Institutions against Live births

Home Deliveries against Live births

C-Sections out of Institutional Deliveries

Breast feeding within 1 hr against Live births

48 hours Stay in Hospital against institutional deliveries

Postnatal care against Live births

Total Live Births / Child Registration against ELA

Zero Dose against Live births

3rd Dose against Live births

Full Immunization against Live Births

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1 Anantapur 92 18 47 0 88 75 47 1 27 61 58 80 88 93 39 0.11929

2 Chittoor 87 13 34 0 85 78 62 0 28 60 66 79 85 83 39 0.11997

3 East Godavari 88 10 32 0 86 85 41 0 48 46 67 77 86 75 39 0.10288

4 Guntur 80 17 47 0 88 95 29 0 47 47 80 85 88 89 40 0.11194

5 Kadapa 90 11 44 0 87 78 31 2 37 53 42 82 87 88 41 0.1673

6 Krishna 90 15 44 0 95 89 34 0 54 40 64 86 95 90 41 0.12109

7 Kurnool 92 8 34 0 83 73 47 9 29 62 46 71 83 65 39 0.11441

8 Prakasam 83 15 43 0 87 85 27 0 42 50 64 82 87 87 42 0.15754

9Sri Potti Sriramulu

Nellore 86 15 41 0 87 79 33 1 42 48 68 75 87 79 42 0.18708

10 Srikakulam 95 14 43 0 93 82 49 0 48 44 60 77 93 85 41 0.18763

11 Visakhapatnam 88 13 43 0 83 75 63 7 30 61 65 72 83 78 40 0.13139

12 Vizianagaram 99 16 37 0 92 81 61 0 38 58 57 81 92 89 40 0.20701

13 West Godavari 90 12 32 0 95 92 42 0 59 37 67 83 95 81 41 0.13177

MCTS Progress From : 1/4/2015 Upto the Month Of : September, 2015

Ante-Natal Care

S.NoName of the Health Block

Mother ServicesChild Services

Intra-Natal Care Post-Natal Care

ANC Registrations against ELA1

High Risk identified against ANC registration

Received MO Checkup (2nd & 4th ANC)against ANC registration

Total Live Births / Child Registration against ELA 2

Delivery outcome reported against ANC registration

Deliveries in Public Institutions against Live births

Home Deliveries against Live births

C-Sections out of Institutional Deliveries

Breast feeding within 1 hr against Live births

48 hours Stay in Hospital against institutional deliveries

Postnatal care against Live births

Total Live Births / Child Registration against ELA

Zero Dose against Live births

3rd Dose against Live births

Full Immunization against Live Births

1 2 3 4 5 7 8 9 10 11 12 13 14 15 16 17 18

1 Gooty 89 17 44 89 85 64 3 31 65 36 91 89 97 40 5.77181

2 Pamidi 98 27 47 88 75 58 2 32 61 46 86 88 90 40 4.1456

3 Konakondla 188 28 44 170 62 48 4 33 51 75 71 170 95 38 2.14067

4 Tadipathri 88 32 49 89 80 44 1 30 60 57 80 89 98 40 2.27503

5 Singanamala 116 20 44 117 80 52 0 31 58 46 77 117 93 40 2.88397

6 Anantapur 79 38 41 82 84 51 0 33 59 51 83 82 85 40 2.16272

7 Uravakonda 99 32 54 89 75 53 0 24 67 57 85 89 96 39 5.81395

8 Dharmavaram 92 49 45 102 82 37 1 26 59 48 76 102 93 38 2.50458

9 C.K.Palli 87 27 40 94 78 55 0 25 59 60 74 94 95 40 5.84329

10 Kalyandurg 100 27 60 102 86 36 0 10 82 79 91 102 97 40 1.86461

11 Kanekal 126 19 40 109 66 30 2 15 69 49 75 109 81 40 2.75908

12 Rayadurg 113 31 52 104 62 36 3 10 63 25 70 104 93 37 3.14327

13 Penukonda 93 45 40 93 74 60 0 26 58 55 75 93 94 40 1.8617

14 Nallamada 94 38 52 88 69 35 0 31 55 58 79 88 98 39 2.56257

15 Tanakallu 93 41 59 81 71 58 0 23 68 69 85 81 98 40 5.22134

16 Kadiri 89 21 48 85 74 50 0 22 65 65 81 85 96 39 2.48411

17 Hindupur 92 55 39 82 77 67 3 28 66 61 87 82 92 39 2.14435

18 Madakasira 88 23 49 81 71 61 1 25 54 65 69 81 96 38 1.85029

19Urban Health Facilities 73 29 48 72 77 37 2 34 57 57 82 72 91 39 0.58988

Comparative analysis based on RMNCH +A indicators

SHISD report

Month Rank in AP

Sept 2013 6th

Sept 2014 6th

Sept 2015 3rd

ELAs/Demographic denominators

Year Projected population

EstimatedECs

Birth rate

IMR DeliveriesExpected/Live births

ExpectedInfants

TT(PW) 2yearsChildren Estimated

Source Projected 17% of total population

SRS SRS Derived Derived Derived Derived

2013-14 4,130,592 702,201 18.6 47 73,767 74,569 86,307 71,164

2014-15 4,175,000 709,750 18.8 47 78,462 74774 86308 72075

2015-16 4,224,000 718,080 18.7 45 78,925 75374 86818 72730

RMNCH+A IndicatorsProgress & Performance

RMNCH+A Indicators _ ANCYear ANC registrations

against ELAHigh Risk identified againstANC registered

Received MO check up(2nd & 4th ) against ANC registrations

2013-14 91 10 45

2014-15 96 13 64

2015-16 92 18 47

91

10

45

96

13

64

92

18

47

ANC Vs ELA HR PW VsANC MO 2nd & 4th

2015-16

2014-15

2013-14

RMNCH+A Indicators _ Intra natalYear Total live

births/Child registrations against ELA

Delivery outcome reported against ANC registrations

Deliveries in Public Institutions against live births

Home deliveries against live births

C-Sections against Institutional deliveries

2013-14 79 44 40 3 24

2014-15 100 72 45 2 25

2015-16 88 75 47 1 27

79

44 40

3

44

100

72

45

2

25

88

75

47

1

27

LB Vs Child birth ELA

Delivery outcome Vs

ANC

Delivries in PHIs Vs LBs

HD Vs LBs C-Sec Vs IDs

2015-16

2014-15

2013-14

RMNCH+A _ PostnatalYear Breastfeeding within 1 hour

against live births48 hours stay against institutional deliveries

Postnatal care against live births

2013-14 41 37 47

2014-15 55 58 68

2015-16 61 58 80

41 3747

55 58

68

61 58

80

Breastfeeding in 1 hour

48 hrs stay PN care

2015-16

2014-15

2013-14

RMNCH+A _ Child Services

Year Total live births/Childregistrations ELA

Zero dose against live births

3rd dose against live births

Full Immunizations against live births

2013-14 102% 87% 95% 88%

2014-15 110% 87% 95% 86%

2015-16 87% 93% 2% 72%

Sources

Reproductive Health

Anemia in Women 15-49 years

63.267.9

12.4 14.8

0

10

20

30

40

50

60

70

80

Anemia_Total Anemia_Rural Severe anemia_Total Severe anemia_Rural

DLHS 4

Awareness on RTI/STI-HIV/AIDS

31.4

23.4

81.5 78.5

10.3 10.4

25.3 22.123.319.8

71 68.3

7.8 9.2

45.5 41.6

0

10

20

30

40

50

60

70

80

90

Total Rural Total Rural Total Rural Total Rural

Women heard about RTI/STI Women heard about

HIV/AIDS

Women who had symptoms

of RTI/STI

Women who underwent

testing HIV/AIDS

dlhs 3

dlhs 4

RTI/STI _ HMIS

Year Total OPDTotal RTI/STI

cases - Male

Total RTI/

STI cases

- Female

Total RTI/STI

cases

RTI/STI ca

ses as %ge

of Total O

PD

Number of

wet mount

tests condu

cted

2012-13 4,246,460 704 581 1,285 0.030% 16

2013-14 3,946,344 280 170 450 0.011% 46

2014-15 5,591,196 4971 11365 16336 0.29% 481

2015-16 3,502,623 4176 4803 13979 0.39% 369

Performance and Progress

MATERNAL and CHILD HEALTH

ANC

Antenatal

Care

Focused ANC with Dedication

Patient amenities

Recording Height & Weight

ANC Package & Infant Weighing

Waiting Place & Transportation

Counseling & Health Education

AN Care _dlhs

0

10

20

30

40

50

60

70

80

90

100

any ANC 1st tri 30r>ANC 100 IFA Full ANC

98.8

80.288.2

45.4 43.2

98.8

64.8

86.1

40.7 36.3 dlhs 4

dlhs 3

ANC HMIS_NRHM

109%

82% 82%91%

110%

90%86%

97%102% 103%

89%

108%

0%

20%

40%

60%

80%

100%

120%

ANC reg Vs Expected

pregnancies

3 ANC chckups Vs

ANC reg

TT booster Vs ANC

reg

100 IFA Vs ANC reg

2013-14

14-15

15-16

ANC HMIS_NHM

54 5662

70%

89 89

99

107

84 8285.4

89.3

0

20

40

60

80

100

120

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

First trimester

3 ANC Vs estimated

TT/TT booster Vs registration

ANC_MCTS

Indicator 2011-12

2012-13 2013-14

2014-15

2015-16

Total ANC registration 96 99 99 100 91

PW registered in 1t trimester 31 61 56 46 24

ANC 3 68 68 73 83 44

TT 2 91 89 91 99 75

IFA tablets 100 53 62 73 84 58

Full ANC 39 47 60 72 20

Anemia in PW

Anemia Status by Haemoglobin Levels in % _ DLHS 4

74.7

82.4

18.3

19.4

0 10 20 30 40 50 60 70 80 90

PW with Anemia_total

PW with Anemai_Rural

PW with Severe Anemia_total

PW with Severe Anemia_Rural

Anemia _ HMIS-NHM

16704 16387

29939

22412

0

5000

10000

15000

20000

25000

30000

35000

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

PW-Anemia Number

19.2 18.9

31.3

50.1

0

10

20

30

40

50

60

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

% of PW with Anemia

918

766833

299

0

100

200

300

400

500

600

700

800

900

1000

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

Severe Anemia-treated in facility-number

1.1

0.9 0.87

0.6

0

0.2

0.4

0.6

0.8

1

1.2

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

Severe Anemia-treated in facility- in %

Delivery care

Delivery care

82

42.5

39.5

5.9

21

14.7

66.7

36.2

30.5

2.9

9.8

31.7

0 10 20 30 40 50 60 70 80 90

ID

GovID

PvtID

CS Gov

CS Pvt

HD

dlhs 3

dlhs 4

Deliveries on Estimated _ HMIS NHM

YEAR Home SBA Home NSBA IDs Total reported deliveries

Unreported deliveries on estimated

2012 -13 2% 1% 50% 53% 47%

2013-14 1% 1% 20% 22% 78%

2014-15 2.7% 0.5% 20% 27.4% 72.8%

2015-16 0.4% 0.4% 32% 32.6% 67.4%

Deliveries on Reported _ HMIS NHM

Year ID(Pub) ID(Pvt) Home SBA Home NSBA

2012-13 45.9 49.2% 3.9% 1%

2013-14 93.3% Not reported 4.3% 2.4%

2014-15 96% Not reported 2.4% 1.9%

2015-16 97% Not reported 1.4% 1.4%

Intranatal

Delivery Services

And

Care

Delivery points


24x7 42

CHC 15

AH 2

DH 1

GGH 1

PHCs 28

99

Delivery Care_HMIS-NHM

21.9

20.5

93.3

1.5

6.7

1.7

28.5

27.3

95.5

1.25

4.4

6%

32.8

31.8

97.1

0.94

2.8

12.6

0 20 40 60 80 100 120

Reported Vs Expected

ID Vs Estimated

ID Vs Reported

HD Vs Estimated

HD Vs Reported

CS Vs IDs(Pvt+Pub)

2015-16

2014-15

2013-14

Deliveries' benchmarks

Type of hospital Benchmark

Director of Public Health & Family Welfare

PHC 25 -30

CHC 50

APVVP

CHC(30 beds) 50

CHC(50 beds) 75

AH(100) 150

DH(300) 500

CHFW

Delivery performance of 24x7 PHCs

Parameter 2013-14 2014-15 2015-16

Total deliveries 5689 5899 2522

Average Deliveries per month all facility 479 491 420

Average deliveries per month per facility 11 12 10

RDHMIS

Mean deliveries in 24x7

0

2

4

6

8

10

12

14

16

1 to 5 6 to 10 11 to 15 16 to 20 20 to 25 > 25

Min Outlier Max Outlier

Number 2013-14 2014-15 2015-16

1 to 5 7 6 9

6 to 10 15 10 15

11 to 15 10 14 10

16 to 20 6 6 4

21 to 25 4 6 4

> 25 0 0 0

RDHMIS

Deliveries _ MCTS-in%

Indicator 2011-12

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

Total deliveries

66 68 76 81 75

IDs 94 95 96 97 98

Public 34 38 43 47 40

Private 60 57 53 50 52

Home 4 3 3 2 1

C-Sec 15 18 20 25 27

C-Sec against Reported

Institutional deliveries

6.8 6.9

4.8

0.20

1

2

3

4

5

6

7

8

15-16 14-15 13-14 12 to 13

13

6

11.1

9.16

0

2

4

6

8

10

12

14

15-16 14-15 13-14 12 to

13

Complicated Pregnancies against Reported Institutional

deliveries

HMIS-NHM

87.6

94.2

89.4

91.2

84

86

88

90

92

94

96

15-16 14-15 13-14 12 to 13

Normal against Reported Institutional

deliveries

HMIS-NHM

PNC

76.9

73.1

77.7

73.8

77.8

79.880.6

82.9

68

70

72

74

76

78

80

82

84

Total Rural Total Rural

PNC Within 48 hours of ID PNC Within 14 days of ID

dlhs 4

dlhs 3

Discharge after minimum stay of 48 hours

59.2

57.1

56 56.5 57 57.5 58 58.5 59 59.5

Total

Rural

Dis

char

ge a

fter

min

imu

m s

tay

of

48

ho

urs

dlhs 4

PNC _ MCTS

Indicator 2011-12 2012-13 2013-14

2014-15

2015-16

PNC within 48 hours 41.83% 40% 49% 49% 37%

PNC after 7 days 9.43% 9% 9% 12% 9%

No postnatal visit 18.98% 27% 19% 14% 31%

PNC Complications in % Vs

reported deliveries

0.2 0.2

2.2

0.9

0

1

2

3

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

PNC complications

HMIS-NHM

Quality of ANC_ Anemia in PW

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

ANC having Hb less than 11 19.2% 18.9% 31.3% 50%

ANC having Hb less than 7 treated at Institutions

1% 0.9% 0.8% 0.6%

HMIS_NHM

JSY

Year PublicDeliveries

JSY paid

% JSYPaid

1000 %1000paid

600 %600paid

SC %SC availed

ST % ST availed benfit

2012-13

17789

14887 83.6% 12,538 84.2% 2349 15.8 2388 16 982 6.7

2013-14

18,181

17,423 95.8% 15,137 86.8% 2276 13.2 2913 16.7 1008

5.7

2014-15

20,418

22,324 109.3 19,377 86.8% 2944 13.2 3959 17.7 1339

5.9

2015-16

12,375

10,693 86.4% 9915 92.7% 1578 7.3 1603 15 662 6.2

JSSK

Component Number of beneficiaries'

2013-14 2014-15 2015-16

Given diet one day 1707 2735 712

Given diet two days 5806 7001 2888

Given diet five days 2613 3349 1604

Given free Home to facility 22063 14105

Given Facility to HomeReverse Transportation

532 1137

USG MoUs under JSSK

Number of Healthfacilities MoU with Scanning centres

Number of Scan centers under MoU

Number of beneficiaries'

83 33 4957

Free scan under JSSKInitiated from July 2015

JSSK @ Rs.1000 for Private Specialist Doctors”

Number of beneficiaries' 668

MDRs

Indicator Number expected

Numberconducted

% of performance

13-14

14-15

15-16

13-14

14-15

15-16

13-14

14-15

15-16

Number of DC_MDR meetings conducted

12 12 12 12 07 00 100 58 00

Number of Sub committee meetings held

12 12 6 12 12 6 100 100 100

Number of CBMDRs

58 85 30 58 85 30 100 100 100

Number of FBMDR

51 79 26 15 20 03 29 25 20

MDR Analysis{14-15},(15-16/Sept)

Description 2013-14 2014-15 2015-16

No % No % No %

Apprehended 87 85 77

Notified 73 95 33

Maternal deaths 58 85 30

CBMDR 58 100 85 100 30 100

FBMDR 15 34.9 20 32.3 3 14.3

Home 07 12 06 7.5 04 13.3

Transit 08 13.8 17 20 5 16.6

Facility 43 74.1 62 72.9 21 70

MDR Analysis-2014-15-.pptx



MDR-2015-16.ppt

MDR-2015-16.ppt

MDR-2015-16.ppt

Births

Newborn

Care

Births and New Born

57

2.6

72

4

7457.6

1.25

83.1

4.5

85

52.4

3.1

99.1

6.6

90.1

0

20

40

60

80

100

120

live births

reported Vs

estimated

Still births VS

reported 1000LB

New borns

weighed VS

reported LB

Newborns weghed

< 2.5 Vs new born

weighed

Newborns

breastfed within 1

hour VS reported

LBs

2013-14

2014-15

2015-16

908

920

900

890

895

900

905

910

915

920

2013-14

2014-152015-16

Sex Ratio …

SEX RATIO AT BIRTH

HMIS-NHM

Birth weight & LBW

87.8

4

dlhs 4

% Weighd at birth LBW % among weighed

Child Health

75.7

76.4

22.6

23.7

0 10 20 30 40 50 60 70 80 90

6 to 59 mnts_Anemia(total)

6 to 59 mnts_Anemia(Rural)

6-59 mnts_severe anemia(Total)

6-59 mnts_severe anemia(Rural)

Anemia Status by Hb levels (6-59 months)in % dlhs 4

Anemia {6 -9 years}_ dlhs 4

Males Females

0

10

20

30

40

50

60

70

80 66.172.1

17.2 20.9

0

10

20

30

40

50

60

70

80

79.6 78.2

13.1 16.9

Anemia (6-14 years)_ dlhs 4

Males Females

65.171.2

15.418.9

0

10

20

30

40

50

60

70

80

Anemia(Total) Anemia(Rural) severe anemia(Total)

severe anemia(Rural)

74.2 77.6

10.7 14.4

0

10

20

30

40

50

60

70

80

90



Anemia 10 – 19years _ dlhs 4

Males Females

60.5

67.8

1114.8

0

10

20

30

40

50

60

70

80



69.977.1

11.6 13.4

0

10

20

30

40

50

60

70

80

90



Immunization performance, Progress

Year Full Immunization Complete Immunization

DLHS 3 DLHS 4 HMIS MCTS HMIS MCTS

2007 -08 55%

2012-13 66.2% 108% 85% 102% 79%

2013-14 96% 87% 88% 80%

2014-15 102% 89% 39% 74%

2015-16 100% 66% 76.7% 15%

DPT 5_ NHM HMIS

DPT 2nd booster

63% 59.50%71.20%

85.50%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

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

DPT 5

Drop 0ut Rates

YearDropout from BCG

to DPT3

Dropout from BCG

to Measles

Dropout from DPT3 to

Measles

2012-13 -2% 0% 3%

2013-14 0 11 11

2014-15 0 0 0

2015-16 3% 1% 0.7%

Sessions

Year SessionsPlanned

Sessionsheld

% of sessions held Vs planned

Sessions ASHA present

% Sessions ASHA absent

2012-13 34,807 33,859 97.2% 28,403 83.8%

2013-14 34,311 33,310 97% 25,903 77.7%

2014-15 43,834 42,989 98% 36,436 84.7%

2015 -16 26,673 26,519 99.4% 23,283 87.7%

ORS + Zinc promotion

IYCF practices promotion

Awareness in Mothers

on Diarrhea & ARI danger signs

69.1

56.8

77.2

28.4

0

10

20

30

40

50

60

70

80

90

Mothers Awareness on child

diarhoea

Mothers awareeness on

danger signs of ARI

dlhs 4

dlhs 3

Childhood diseases

3

75

4.7

80

50

4.6

45.5

2.9

82.4

0

0 10 20 30 40 50 60 70 80 90

Prevalance of diarhoea

Chidren with diarhoe recived ORS

Prevalence of ARI

Children with ARI sought treatment

Children with diarhoea given Zinc +ORS

dlhs 3

dlhs 4

IYCF

81.1

54.4

41.8

58.6

34.4

54

0

10

20

30

40

50

60

70

80

90

0 to 5 exclusively

breastfed

6 to 9 reciving

solid/semisolid

feeding along with

breastmilk

12 to 23 months

complementary

feeding with

breastfeeding

Children under 3

years breastfed

within one hour

dlhs 4

dlhs 3

IDCF report 2015_IYCF week

Conducted in August 3/2015 – August 15/2015

Indicator Number

Number of villages covered 3411

No.of viallages IYCF counselling is conducted by ASHA

3411

Households visited by ASHA for conduction of IYCF counselling

723484

No. Of U 5 screened 353455

No. Of children detected by ASH as undernourished

754

No. Of villages VHSNC was conducted on sanitation

1003

IDCF report 2015_ORS+Zincweek

Conducted in August 3/2015 – August 15/2015

Indicator Number

No.children given ORS 1628

No.Children reportedw with diarhoeaduring the week

1628

No of children given Zinc 1628

No of ORS+Zinc corners established 2025

No of schools hand washing demonstrated

2986

No of slums/H2R areas covered 86

Mission Indradhanush _ Phase 2

Indicator Number

Number of sessions planned 732

Number of sessions conducted 732(100%)

No. Of children vaccinated 2134(99.9)

No. Of children vaccinated for first time in life 238(11%)

No. Of PW vaccinated 368

No of children fully vaccinated 507(24%)

No of children completly vaccinated 430(20%)

No of ORS distributed 3232

No, of Zinc tablets distributed 3060

VITAMIN A CAMPAIGN

• Conducted in the year 2014

• Two rounds

• 1st round =14/7/2014 to 19.07.2014

• 2nd round = 15/12/2014 to

30/12/2014

Vitamin A performance

Dates ELA Covered % Rural % Urban %

1st round 357000 189189 53% 169028 89.34 20161 10.66

2nd round 357000 262308 73% 225617 86.01 36691 13.99%

Family Planning

FP

2013-14 2014-15 2015-16

Number of FP camps organized 378 381 74

Number of IUCD camps organized 0 0 0

FP Accredited private centres 49 51 51

FP trainings_MOs 15 06 00

RMNCH+A Counsellors 0 0 0

FDS for FP 14 14 11

FDS for IUCD 5 5 5

Status of PPIUCD service provision 00 01 01

FP Service centres for Camps 18 18 18

Permanent Sterilizations _ HMIS-NHM

Indicator 2014-15 2015-16

Public Pvt Total Public Pvt Total

NSV 05 00 05 01 00 01

Laproscopic 5798 00 5798 552 00 552

Minilap 3697 00 3697 1888 00 1888

Post partum 3099 00 3099 1135 00 1135

Female 12594 00 12594 3575 00 3575

FP performance - RDHIMS

Sterilizations

32,000_ELA 30,000_ELA ELA-13,533(27,067)

2013-14 2014-15 2015-16

Number % Number % Number %

29,171 91.2 27,449 91.5 9531 70.4

FP performance - RDHIMS

Sterilizations -Male

Year ELA Male ELA

Male

Public Private %

2013-14 32000 1280 41 11 0.16

2014-15 30000 1200 4 11 0.05

2015-16 27067 541 00 01 0.007

% based

Female sterilizations

Year ELA Achievement Female

Public Private

Total Total %

Mini % DPL % Total% Mini % DPL %

2013-14

32000 29119 58.6 6234 36.6 10824 63.4 41.4 7570 62.7 4491 37.3

2014-15

30000 27434 64.1 6746 38.3 10829 61.7 35.9 5950 60.3 3909 39.7

2015-16

27067 9530 47.9 3822 83.7 742 16.3 52.1 3207 64.5 1759 35.5

RDHMIS

FP Performance

Spacing

IUCD OP Users CC Users

Year ELA Ach % ELA Ach % ELA Ach %

2013-14

22000 18961 86.1 25000 2851 11.4 37000 14136 38.2

2014-15

22000 19625 89.2 24000 3294 13.7 37000 14956 40.4`

2015-16

874517490

8799 100 27484 6127 22.2 39094 5616 14.3

ASHA initiative

Home delivery of Contraceptives by ASHA

Initiated in the year 2013-14

Stocks supplied from State

Trainings given to ASHAs

No acceptance from the community _ as they are insisting on free supply

rather than with payment

Quality Assurance _ FP

YEAR Number

2013-14 02

2014-15 02

2015-16 01

Number of FP deaths

Abortions

Indicator 2014-15 2015-16

MTP up to 12 weeks 62 80

MTP more than 12 weeks 26 40

Abortions(Spontaneous/Induced)

648 592

Abortion rate against reported pregnancies

0.67% 1.32%

Abortions/Still births_MCTS

Indicator 2011-12 2012-13 2013-14 2014-15 2015-16

Abortions 0%(226) 1%(446) 1%(900) 2%(1177) 2%(136)

Still births 2%(1602) 3%(2638) 4%(3273) 6%(47) 5%(2071)

Progress and Performance

HMIS indicators

Key Performance Indicators

ANM related

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

HMIS MCTS HMIS MCTS HMIS MCTS HMIS MCTS

% of ANC registered Vs Expected

106 99 110 99 110 100 102 91

% ANC in 1st Trimester Vs Reported PW

54 61 56 56 62 46 70 24

% 3 ANCs Vs reported 87 68 89 73 99 83 107 44

% HTN in reported 2 1.7 1.5 1.3

% Severe anemia in reported ANC

1 0.07 0.9 0.1 0.87 0.5 0.6 0.4

% PNC visits within 48 and 14 days Vs total deliveries

96 40 114 49 126 49 157 37

NHM-HMIS

ANM related KPIs

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

HMIS MCTS HMIS MCTS HMIS MCTS HMIS MCTS

% DPT3 immunisationagainst Estimated Live Births

104 107 94 95 99 95 115 80

% Measles Immunization against Estimated Live Births

101 90 83 89 96 87 103 73

% Full immunisation against Estimated Live Births

109 86 99 88 103 86 100 72

TT(PW)% against reported PW

106 89 85.4 91 110 94 102 75

NHM-HMIS

ASHA related

Parameter 2012-13

2013-14

2014-15

2015-16

% Newborns weighed at birth against Estimated live Births

70 41% 48 52

% of Newborns having weighed less than 2.5 kg against newborns weighed

3 4% 5% 7

% Newborns visited within 24 hrs of Home deliveries

60 131% 106 91

% ASHAs present during immunisationSessions

84 78% 85 88

NHM-HMIS

Facility related

0

10

20

30

40

50

60

70

ANC for Pregnancy

complications

for Post delivery

complications

for Vaginal

discharge

for children with

diarhoea

for children with

ARI

55.2

45.9

31.325

70

50

dlhs 4

dlhs 3

NA NA

Facility related KPIs

Measure 2012-13

2013-14

2014-15

2015-16

OPD per 1000 population 1028 955 1339 829

IPD per 1000 population 33 44 52 40

Major surgeries per lakh population. 44 52 251 503

Institutional deliveries against estimated deliveries.

50% 20% 20 32

Institutional deliveries against Reported deliveries.

45.9 93% 96 97

NHM-HMIS

Facility KPIs

Parameter 2012-13

2013-14

2014-15

2015-16

% C- Section against Institutional Deliveries

9.2% 1.7% 6 13

Abortion Rate against Reported pregnancies

0.9% 0.2% 1 2

Total sterilization done per 1000 eligible couples

24 13 4.97 17.75

Total IUD inserted per 1000 eligible couples

15 6.11 7.44 9.84

PW with Anemia 19.2% 31.3% 18 5

PW with Severe Anemia 1.1% 0.9% 10 7.4

NHM-HMIS

AEFI

Indicator 2013-14 2014-15 2015-16

Abscess 0 0 157

Deaths 0 1 3

Others 3 24 44

AYUSH Services

Parameter 2012-13 2103-14 2014-15 2015-16

OPD 260,607 215,270 258726 181900

As % of OPD 6.1% 5.5% 4.6% 5.1%

NHM-HMIS

Facility related-HMIS NHM

ZERO DOSE IMMUNIZATION Vs Reported Live births

2013-14 2014-15 2015-16

BCG 91% 96% 88

OPV 86% 88% 75

Hep B 2% 37% 60

Lab ServicesTotal

PopulationTotal HB tested Total HIV tested

Total

VDRL

Tested

Total

Widal

Test

Condu

cted

Blood Smear

Examined

2012-13 4,130,592 47,828 69856 5042 3853 240,023

2013-14 4,130,592 63,330 47,0566,269 4,592 168,160

Total OPD

HB test

conducted

as %age of

OPD

HB<7gm

as %age of

HB tested

HIV test

conducte

d as %age

of OPD

HIV

positiv

e as

%age

of HIV

tested

VDRL test

conducte

d as %age

of OPD

Widal

test

condu

cted

as

%age

of

OPD

Blood Smear

Examined as % of

Population

2012-13 4,246,460 1.1% 8.6% 1.6% 2.3% 0.1% 0.09% 5.81%

2013-143,946,344

1.6% 8.3% 1.2% 2.5% 0.2% 0.12% 4.07%

NHM-HMIS

Lab ServicesTotal

PopulationTotal HB tested Total HIV tested

Total

VDRL

Tested

Total

Widal

Test

Condu

cted

Blood Smear

Examined

2014-15 4175001 109475 62248 5225 16691 237987

2015- 16 4224011 138843 4655410653 21172 187892

Total OPD

HB test

conducted

as %age of

OPD

HB<7gm

as %age of

HB tested

HIV test

conducte

d as %age

of OPD

HIV

positiv

e as

%age

of HIV

tested

VDRL test

conducte

d as %age

of OPD

Widal

test

conduc

ted as

%age

of OPD

Blood Smear

Examined as % of

Population

2014 - 15 5591196 2% 5.2% 1% 4% 0.09% 0.2% 5.7%

2015 - 163502623

4% 4% 1.3% 4% 0.3% 0.6% 4.4%

NHM-HMIS

Grievance

Redressal

Mechanism

Grievance Redressal Mechanism

Mee Kosam Website

Weekly Praja Vani at District HQS_ attended by the DMHO

Weekly Praja Vani at Mandal HQS _ attended by the Medical Officer

Mobile numbers of DMHO,MO wall written on all the facilities and DMHO office

Suggestion/Complaint boxes

IMEP practicesAt Patnam PHC

Teachings

Trainings

Coaching New Skills

Trainings/Capacity building(1)2014-15

Sl.no

Trainingprogramme

Objective Category trained

Numbertrained

Durationdays

1 IMNCI Reduce NMR,IMR

MPHA(F) 72 08

2 BEmNOC Reduce MMR,IMR

MOs, 4 10

3 SBA Reduce MMR,IMR

MPHA(F) 44 21


SNs 12 21

5 NSSK Reduce NMR,IMR

MPHA(F) 35 02

Sl.no

Trainingprogramme


Numbertrained

Durationdays

6 ARSH Adolescent Health

MPHA(F)MPHS(F),HE

100 05

7 STI/RTI Reduce RTI/STI

Mos,LTs 58 02

8 MAARPU ISC in IMR,MMR reduction

ICDS_Supervisors,MPHA(F),CRP,APMs

472 06

9 MiniLap Quality FP services

MOs,SNsOT Techs

06 12

10 CDAC POs,Pharmacists,DEOs

192 01



Sl.no

Trainingprogramme


Numbertrained

Durationdays

11 PPIUCD MMRreduction

MOsSNs

16_MOs20_SNs

05


Sl.no

Trainingprogramme


Numbertrained

Durationdays

1 IMNCI Reduce NMR,IMR

MPHA(F) 24 8

2 Safe birth Checklist Reduce MMR,IMR

MOs,SNs 41 3


MPHA(F) 12 21


SNs 7 21

5 NSSK Reduce NMR,IMR

MPHA(F) 36 02

Sl.no

Trainingprogramme


Numbertrained

Durationdays

1 BEmNOC Reduce MMR,IMR

MOs 4 10

2 MDR_Avni Reduce MMR,IMR

Deputy DMHOs/ DEOs

33 01

3 ASHA ToT_HBNC Strengthen MCH services

PHNMPHS(F)

128 02

4 Reorientation on MCTS_Use of Tablet PCs

Strengthen MCH services

Deputy DMHOs,MO,DEOs,MPHA

82 01


Total trainedSl.no

Name of training

Cadre trained

Trained

To be trained

Training load

%

1NSSK

MOs 131 50 181 72%

SNs 300 10 315 95%

MPHA(F) 179 782 961 19%

2SBA

SNs 302 03 315 96%

MPHA(F) 93 868 961 10%

3 IMNCI MPHA(F) 336 625 961 35%

4 BEmNOC MOs 38 76 114 33%

5 Minilap MOs 36 78 114 32%

6 CDAC MOs 192 24 216 89%

Pharmacists 155 61 216 72%

Total trained(2)Sl.no Name of

trainingCadre trained

Trained

Untrained Training load

%

7 MAARPU_dist ICDS SupervisorsMPHA(F)sCRPs, APMs

615 78 693 89%

8 RTI/STI MOs 50 64 114 44%

SNs 22 115 137 16%

LTs 30 30 60 50%

9 ASHA 6 & 7 ASHAs 2729 328 3057 89%

10 Safe Child BirthChecklist

MOs 30 151 181 17%

SNs 62 253 315 20%

Total trained(3)

Sl.no

Name of the training Cadre trained

Number trained

Number to be trained

Training load

%

11 ARSH MPHS(F) 33 47 80 41%

MPHA(F) 107 854 961 11%

HEs 10 09 19 53%

12 Re-Oreintation on MCTS_Distribution of Tablet PCs

DdmhosMOsDEOs

82 0 82 100%

13 MDR Avni Cluster staff

33 0 33 100%

14 ASHA ToT_HBNC PHNMPHS(F)

128 0 128 100%

Other trainings

• LSAS training – 4 members trained

• RCH portal trainings

• HMIS trainings

• MCCD trainings

Free

Diagnostics

Medall.pptx

108

CRM- 108 Ananthapuramu 1.pptx

Ambulance Services

Eight Ambulances in APVVP

Sl.no

Stationed at Type of facility

1 Hindupur DH

2 Penukonda CHC

3 Uravakonda CHC

4 Dharmavaram CHC

5 Gooty CHC

6 Kadiri AH

7 CK Palli CHC

8 Rayadurg CHC

104 PHC Mobile

104PHCMobile

104 PHC Mobile _ Performance

Year Number of patients treated

OPD per 1000population

2013-14 4,96,823 120.2

2014-15 4,42.826 106

2015-16 2,41,541 57Year Number of

Lab tests conducted

Tests per 1000population

2013-14 2,94,614 71.3

2014-15 2,31.437 55.4

2015-16 90,541 21.4

Each vehicle covers 2 villages per dayConducts to OPD clinics23 Vehicles functional

1104 villages are covered30% of villages are covered

Drug policy & Supply chain management

Medicines budget allocations

Year Annual budget allocated

Expenditure %

2012-13 137788935.4 114806268 83.32038249

2013-14 181619920 141494556 77.90695866

2014-15 164702246 163927761 99.52976658

2015-16 185665960 23620549.2 12.72206774

Budget per facility 2013-14

Budget allocated per facility annually

2013-2014

Type of facility Drugs Surgicals CTS Total

PHC 49112499.54920000

54032499.5

CHC 20708965 5735920 235430 26680315

AH 8390280 2323925 102360 10816565

DH 5644230 1563325 51180 7258735

GGH 48113630 184228605 785570 233127805

Budget per facility 2014-15


2014-2015


PHC 39449960 3891760 43341720

CHC 16567172 4589006 188344 21344522

AH 6712224 1859140 81888 8653252

DH 4515384 1250660 40944 5806988

GGH 52866372 15957392 800000 69623764

Budget per facility – 2015-16


2015-2016


PHC 59666000 7417300 67083300

CHC 19000000 5736000 378000 25114000

AH 6300000 1900000 130000 8330000

DH 3150000 1015000 65000 4230000

GGH 40866370 19597390 1100000 61563760

CDS Medicines

Deliveries in GGH

Year Normal Assisted C-Sec Total

2013-14 3713 0 2115 5828

2014-15 4375 432 2644 7451

2015-16 2405 175 1455 4035

36.29

35.48

36

C-Sec in GGH

63.7

58.71

59.6

Normal

2013-14

2014-15

2015-16

5.794.33

Assisted

2013-14

2014-15

2015-16

EDL

GO on EDL 05102015.PDF

SNCU - Sishu Sanjeevani

SNCU – Sishu Sanjeevani

SNCU _ Sishu Sanjeevani

SNCU performance

Indicator 2013-14 2014-15 2015-16

Total admissions 1228 1253 1149

Admissions per 100 deliveries 21 16.8 28.4

Inborn cases per 100 admissions 51 58 51

% of LBW per 100 admissions 36 37 37

Proportion of very LBW per 100 admissions

14 06 08

Number of beds 20 20 20

Nurse:bed ratio 1:5 1:5 1:5

Specilaist Doctor:bed ratio 1:20 1:20 1:20

BOR 16.8% 17.1% 31.3%

In %

Morbidity data SNCU

8.9

13.6

36.9

26.10.2

30.6

18.8

2014-15

RD

Sepsis

LBW

Birth Asphyxia

Congenital

Malformation

Jaundice

Others

10.512.9

36.3

33.40.0

18.2

25.2

2013-14

RD Sepsis

LBW Birth Asphyxia

Congenital Malformation Jaundice

Others

In %

Morbidity data SNCU

2.4

9.3

37.0

29.1

0.7

19.8

37.8

2015-16

RD

Sepsis

LBW

Birth Asphyxia

Congenital Malformation

Jaundice

Others

Morbidity data SNCU in %

NRC Performance

Indicator 2014-15 2015-16

Admissions 122 148

Gender disaggregated Male Female Male Female

51 71 63 85

ReferredHW/Self/Paediatrician

11/4/45 4/4/67

Target weight gain during stay(%)

34% 51%

Referral rate to higher centre

0.8% 0.7%

BOR 1.6% 4%

Year Total camps

Total collections

Issue to BSC

Issued to GGH

%Isseud to PHFs

2014-15

54 3644 1355 108 40.14%

2015-16

30 1908 646 74 37.73

Indian Red Cross Society Blood BankAnantapuramu

Blood bank services

Blood collections

2014-15

Voluntary blood donations

Replacement blood donations

Total

2724 4219 6943

2015-16

3299 4475 7774

Collected Utilized Discarded

Blood components Sept and October 2015

Platelet concentrate 164 100 40

Fresh frozen plasma 162 40 1

Cryoprecipitate 0

Plasma 17 5 12

APSACS

Chinnari Doctors

Sl.No

. Activity

2014-15 2015-16

Number Achievemen

tReferrals Number

Achievement

Referrals

01.

Schools Screening 3930 3841 (98%) -- 39831,023 (26%)

--

Children 3,88,7323,68,854

(95%)370 3,82,031

90,755 (23%)

17

02Chinnari Arogyam

(Birth – 06 yrs)--

58,732(Only 05yrs

children)-- 306454 304147 7484

03 Vidhyarthi Arogyam

-- -- -- 3983 3415

(85.73%)23718

-- -- -- 3,82,031281400

(73.65%)

•On every Thursday (School Health

Day)

•5-18 years

•Govt. & Govt. Aided Schools & Jr.

Colleges.

•Out of School Children (10-18 yea

rs) at AWCS

•I & FA syrup (3-5 years children)

•Tab. I & FA small (5-9 years)

•Tab. I & FA large (10-18 years)

01. Total No. children treated 2011

02. No. children identified under Arogya Sri 102

03. No. children treated in Arogya Sri 53

04. No. of Children identified Non Arogya Sri 220

05.No. of children treated under Non Arogya

Sri24

06.No. of MR (Mentally Retarded children)

identified for special campaign. 1449

07.No. children identified for Defective Vision

Children & recommended for spectacles1086

08. Spectacles supplied for identified children 1086

09.No. of Nystagmus children identified under

“ Chinnari Choopu”39

10.No. of Nystagmus children identified for

surgery30

11.No. of Nystagmus children surgery

completed02

12. Dental cases treated 102

•No. of Arogya Clubs formed: 1,535

•No. of Chinnari Doctors Identified: 7,384

•Arogya clubs should be form in all Residential mode ,

UP & High schools

AFHCs 18

AH Consultants' 0

AH counselors 16

Peer Educators 9987

AHDs Every Tuesday

Total Clients-2015 8472

RKSK Campaign 2013-14

Group meetings in Schools

1474

Group meetings in AWC 1840

Adolescents attended in Schools

53,962

Adolescents attended in AWCs

22,055

06 Children was identified for cleft lip and palate surgery for cooperation of GSR Institute of Hyderabad

36 Children was identified for Nystagmus surgery for cooperation of Gouthami Eye Institute , Rajamundry, and 02 children surgery completed.

DEIC• Construction completed

• Infrastructure-incomplete

• HR-under process

Year ELA No of children administered

%

2013-14 490877 446446 92%

2014-15 491605 462108 94%

RNTCP PerformanceProgress Indicator 2013 2014 2015

ACDR 113% 47% 63%

Proportion of New sputum +ve out of total New pulmonary cases

113% 151 86

Smear conversion rate 78% 82% 83%

Treatment success rate 82% 67% 90%

Ratio of number of smear negative to smear positive

63% 47% 63%

MDR TB

# Culture & DST samples are identified as criteria wise. Presently district has followed criteria C.

# For smear positive patients samples sending to IRL Vizag.

# For smear negative patients samples sending to CBNAAT Chittoor.

# For follow up patients samples sending to DFIT Nellore.

# For initiation of treatment to DR TB cases using RDT Battalapallias a DOTS PLUS site.

# Presently 8 XDR Cases registered in the district. (4 Died and 4 under Treatment).

DRTBDrug resistant TB status Indicator Number

Number of samples sent to C&DST

3237

Confirmed as MDR 189

Treatment started 166

Not initiated on treatment

23

Referred to other district 10

Died 5

Migrated 2

Refused treatment 6

Malaria-Status

Sl.

No

Activity 2013 2014 2015

1 No of BS Collection 459370 492773 329959

2 ABER % 11.8 12.71 8.81

3 SPR 0.04 0.10 0.12

4 Total Positive cases 222 515 414

PV 155 410 335

PF 67 105 79

5 Total Deaths Due

to Malaria

0 0 0

6 No of High Risk

villages

97 126 132

Dengue StatusSl.No 2013 2014 2015

1 No of Suspected Dengue 51 3184 2264

2 No of Confirmed Dengue 9 330 328

3 No of Deaths 0 0 0

4 No of High Risk Villages 76 169 152

5 No of Villages covered under ALO

operations

357 1097 1245

6 No of Villages covered with

Pyrethrum spray

186 638 465

7 No of villages covered with

fogging operations

75 503 73

8 No of Villages covered with

Malathion WDP25%

102 62 45

Malaria-High Risk

MalariaHighRisk

High Risk

areas

PerformanceSno Year 2014-2015 Year 2015-2016 (upto sep-2015

Programme AnnualTarget

Achievement

% AnnualTarget

Prop. Target

Achievement

%

1 Cataract Blindness 24000 24713 102.97% 26836 13418 10291 76.69%

2 School Children Eye Screening

A Screening 72348 152336 210.56% 72348 36174 35059 96.91%

B Refractive Errors 4341 4633 106.72% 4341 2170 1227 56.54%

C Spectacles Distribution 3350 4566 136.29% 3350 1675 1191 71.10%

3 Eye Ball Collection 90 28 31.11% 90 45 20 44.44%

4 Other Eye Diseases

A Diabetic Retinopathy 400 117 29.25% 400 200 46 23%

B Glaucoma 250 51 20.11% 250 125 46 36.8%

Comparative Month wise Analysis of Physical performance (Cataract Blindness)

Sno MonthYear 2014-2015

Year 2015-2016(upto Sep-2015)

Target Achievement Target Achievement

1 April 2000 2370 2236 2137

2 May 2000 2271 2236 1676

3 June 2000 1977 2236 1768

4 July 2000 1937 2236 1837

5 August 2000 1721 2236 1712

6 September 2000 1661 2236 1181

IDSPPerformance

Progress Reporting Status in %

2013 2014 2015

Indicator S form P form L form

TimelyComplete

97% 95% 98%

Timely Incomplete

0 1 0

Not timelyComplete

0 2 1

IncompleteLate

0 1 0

No reports 3 1 1

IDSP-Performance

Outbreaks

Year Type No Number Investigated

2013 ADD 2 All

Food Poison

2 All

2014 ADD 1 All

2015 ADD 1

Food poison

2

H1N1

Year Suspected Confirmed

Deaths

2013 0 0 0

2014 0 0 0

2015 26 16 5

Responding to Outbreak

NLEPPerformanceProgress

Performance Indicators

Indicator Measure

Prevalence 0.79

New case detection rate 11.11

Proportion of child cases in new cases 0.6

Proportion of disabled among new cases 11.4

Proportion of MB cases among New cases 63.2

Treatment completed rate_MB 99

Treatment completed rate_ PB 99

Proportion of new cases correctly diagnosed 99.5

NACPPerformanceProgress

Indicator 2014-15 2015-16(Sept)

No % No %

Tested for HIV 164093 96% 75718 88%

Found positive 1554 729

ANC tested 76535 104 37282 101

Found positive 100 48

HIV+ mothersdelivered

179 82

General casestested

87558 89 38436 78.4

STI clinic visits 17044 8646`

Episodes treated

9419 55 5751 68

Partners treated

5582 3806

Performance report

Indicator 2014-25 2015-16

No % No %

RPR tests 1015 4126

RPR tests_PW 7183 4618

Pre ART registrations

18993

Alive & On ART 9877

Deaths 2751

Lost to follow up

1412

Missed for follow up

543

HRG tested for HIV

24408 11017

HRG found + HIV

45 14

Situation Analysis (Pregnant)

25695580 7122

10437

19906 21592

29042

38117

49964

68806 66349 68104

76535

37282

1.60

1.000.91 0.90

0.76

0.56

0.88

0.51

0.29 0.25 0.21 0.170.13 0.13

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

ANC Tested ANC Positivity

Situation Analysis (General Cases)

1327 3483 6120 9369

24646

349043810145370

50212

6241267007

78021

87558

38436

22.83

14.53

12.0612.54

8.448.24

7.355.93 4.62

3.623.45 2.18 1.66 1.77

0.00

5.00

10.00

15.00

20.00

25.00

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

100000

Non ANC Tested NON ANC Positivity

• ASHA PBIs _ Mode of payment

• Online

• Paid up to Sept’2015

ASHA

Description Number

Number of ASHAs desired 4100

Number of ASHAs recruited/Sanctioned

3057

ASHAs dropped out 54

ASHA in position(Urban & Rural) 3003

ASHA trained –Induction training 3057

ASHA Module 6 & 7 2729 -1st round 2723, 2nd round- 27233rd round-199

HBNC trainings 180

HBNC Kits 2983

ASHA Kits 3057

ASHA Grievance Redressal

• Grievance redressal

committee constituted in 2013-14

• 7 meetings conducted so far

• 7 Grievances addressed

• ASHA day meetings conducted at PHC level every 1st Tuesday

ASHA supportive Structure

• PHC level ASHA facilitators from within the system = 128-MPHS(F),Sr. ANMs

• At Cluster level 18 Block Community Mobilizersidentified – PHNs/CHOs

• Conducted ASHA facilitators training & HBNC

• ASHAs oriented on HBNC by ASHA facilitators during ASHA day meeting

• Generating HBNC monthly reports

VHSNC

Number of GPs 1003

Number of VHSNC constituted 1003

Percentage of constitution 100

2014-15 2015-16

Number of meetings expected 12,036 6,018

Number of meetings conducted 9,989 5536

Periodicity of meetings Once monthly every GP, First Saturday

% of conduction of meetings 82% 92%

VHSNCs

VHSNC & ISC

PHC Convergence meetings

Number of PHC convergence committees constituted

80

Expected 80

Periodicity Once monthly, 1oth

Number expected 480

Number conducted 320

% of performance 66%

PHC HDS meetings

Number of HDS committees constituted

98

% Constituted 100%

2014-15 2015-16

Meetings conducted 278 70

Meetings expected 392 196

Periodicity Once in 3 months

% Performance 71% 36%

DHS/DLVMC meetings

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

Number 00 02 00 00

No DLVMC meeting is conducted so far

Internet connectivity

% of PHCs having internet connectivity

91% (73/80)

% of CHCs having internet connectivity

80% (12/15)

% of CHNC having internet connectivity

100% (18/18)

% of MOs having Tablet PCs with SIM on CUG

100%

% of MPHA(F)s having Tablet PCs with 3G SIM on CUG

100%

% of PHCs having Laptops

100%

% of CHCs having desktops

100%

HMIS_NHM

Data entry status-Sept’15

SC PHC CHC AH DH

99% 94% 67% 71% 50%

Facility Progress over years

2012-13

2013-14

2014-15

2015-16

SC 99 100 100 100

PHC 68 68 85 96

CHC 92 92 92 91

AH 71 86 71 86

DH 100 100 100 100

MCTS

• MCTS analysis and feedback is done regularly and periodically

• Now the field staff are uploading immediately after the service delivery as they are provided with Tablet PCs

Tablet PCs distribution to field staff by our JD MHN

Video Conferencing by the District CollectorSKYPE review

Using Tablet PCs

• Implemented in all health facilities

• Online indenting

• Doorstep delivery

QAC • KayaKalp Guidelines

• AEFI Committee

• FPQAC

IEC/BCC/SBCC

Our Hon’ble CM at our Exhibition stallat Guttlur Village

Our Independence day Tableaux Vivant

Independence day –Tableaux vivant

IT Minister IPPI Civil Supplies minister in IPPI

MDR with JC - II Promoting Male participation -DC

World Population Day 2015 with JC-II World Malaria Day 2015

Anti leprosy day with JC RCH portal trainings-Ddmho

• HMIS Reorientation WorkshopIEC activity book

Citizen Charter

IEC/BCC Activities

Sl.no

Type of activity Topic Number

1 Kalajathas NVBDCPWater borne

150

2 Kalajathas Pentavalent 100

3 Meetings Age at Marriagr

586

4 Exhibitions

Financial management NHM

2013-14

Component Allocated Expenditure %

RCH Flexi 181018261 147958058 81.74

Additionalities 187687370 82220720 43

Immunization 7005214 2517270 35.93

IPPI 10580686 10365352 97.96

2014-15


RCH Flexi 173277362 144256756 83.25

Additionalities 149269907 93437048 62.60

Immunization 14401989 3267729 22.69

IPPI 101677781 10164160 95.19

2015-16


RCH Flexi 99093334 58731280 59.27

Additionalities 100074779 45011599 44.98

Immunization 15501956 5771159 37.23

JSY/JSSK-Financial performance

JSK

Year Allocated Expenditure %

2013-14 30744150 16513500 53.71%

2014-15 39757229 21134500 53.16%

2015-16 35684417 10061800 28.20%

JSSK


2013-14 3577155 513275 14.35%

2014-15 6576372 2292409 34.86%

2015-16 4283962 2496895 58.28%

FP -Financial performance

Family Planning


2013-14 41516577 25780112 62.09%

2014-15 37341269 20662485 55.33%

2015-16 29331784 4464455 15.22%

HDS -Financial performanceHDS


2013-14 35921362 10479407 29.17%

2014-15 55392997 17963733 32.43%

2015-16 37429264 9967816 23.61

JSY/JSSK-Financial performanceSC Untied


2013-14 5081466 3428525 67.47%

2014-15 1675893 806910 48.15%

2015-16 868983 58621 6.75%

VHSNC


2013-14 16896136 9967553 58.99%

2014-15 22242174 13058585 58.71%

2015-16 9183589 1073044 11.58%

NRHM funds utilization

43.53

19.46

37Salaries

ASHA

Programs

2013-14

35

17

47Salaries

ASHA

Programs

2014-15

27.48

31.91

40.59 Salaries

ASHA

Programs

Financial management report

RNTCP as on 30.09..2015

Budget received Expenditure Balance % performance

10154293 5092793 5061500 50%

Financial HIV/AIDS 2014-15

01.04.2015 to 31.03.2015

DBS & GFATM-II funds

item Releases APSACS Expenditure %

Total 685,500 554,153 81%

Financial report _ HIV/AIDS

01.04.2014 to 31.03.2015

DBS(Domestic budgetary Source)

Item Releases from APSACS

Expenditure %

DSRC contingency 20000 20000 100

Candle light memorial day

10000 10000 100

Operational Expenses

342000 352052 100%

IEC 120000 120000 100

World AIDS day 40000 39998 100

VBD camps 113500 00 0

Financial report HIV/AIDS

01.04.2014 to 31.03.2015

GFATM-funds

item Releases APSACS

Expenditure %

World blood donation day

20000 6531 0.3%

VBD camps 20000 5572 0.27%

Financial report HIV/AIDS

01.04.2015 to 23.10.2015

DBS funds

item Releases APSACS

Expenditure %

Candle light memorial day

5000 4960 99%

Blood transportationvan

35000 0 0%

DSRC counsellorsOutreach activity

30000 16460 55%

Financial performance

Sno YearBudget Relea

sedBudget util

isedBalance ava

ilablePending dues to NGOs

1 2013-2014 Rs.47,04,000 Rs.22,33,250 Rs.24,70,750

Rs.31,11,500/-Submitted to District Collector for approval

2 2014-2015a) By ROPb) JBMV-I

Total

Rs.32,13,500Rs.38,44,900Rs.70,58,400

Rs.22,54,065 Rs.48,04,335

Grand Total Rs.1,17,62,400 Rs.44,87,315 Rs.72,75,085

Financial report_Trainings

OB Receipts Unspent surrendered

Released to other depts

Total Expenditure

Balance %

1356369 2491283 38070 382490 3466952 1872249 1212213 54%

Training Unspent amt Head Unspent amt

SBA 142480 Interest 348657

NSSK 49118 IOH 421911

IMNCI 220262

BEmNOC 21310

Minilap 8610

Financial report _ IDSP

Year Allocated funds Expenditures Balance % of Expenditure

2013-14 736423 723882 12531 98.29

2014-15 955417 769469 185948 80.53

2015-16 539201 305942 233259 56.73

Financial Report _ NVBDCP

2015-16

Allocated Expenditure Balance %

26,59,090 4,33,518 22,25,572 16.30%

Financial report RBSK


2013-14 449902 415393 92.32%

2014-15 2133016 118189 5.54%

2015-16 46220 13006 28.13%

104 Mobile Financial report


2013-14 27346627 26405027 96.55%

2014-15 28325472 24065515 87.57%

2015-16 21964535 11576378 52.70%

MonitoringSupportive Supervision

• GPS fixed to Deputy DMHOs vehicles

• Supportive supervision Checklists for SC / PHC / CHC /CHNO

• Session monitoring(UIP)

• House to House monitoring

• RMNCH+A Supportive Supervision checklist

Monitoring/Supervision

• PCPNDT Checklist

• SKYPE review with clusters

• MCTS analysis - feedback

• HMIS analysis - feedback

• Daily SMS alerts to Deputy DMHOs & Pos on MCTS status

• Daily OPD/IPD/Deliveries performance

Monitoring and Supervision

• Deputy DMHOs review once in 15 days

• ASHA nodal officers monthly meeting

• Mandatory monitoring of ANC day every Friday by all POs

• Quarterly ZP general body meetings

• DDRC meetings

Monitoring MCTS uploading

Review by our Principal Sec’ &CHFW & DoPH&FW

Supportive Supervison

Evening meetings

CRM preparedness meetings

Supportive Supervison

Supportive e SupervisionBuilding Skills

Teaching them-Supportive Supervision

MH Guidelines

MagSulf & Calcuim Gluconate

Teaching & Learning

Monitoring and Supervision

• Mobility support by NRHM

Deputy DMHOs(18)

DPMU_1

RBSK Coordinator_1

DIO mobility(POL)_1

PCPNDTImplementation Status

Performance

Sl.no

Activity Number

1 Scan centers Registered 152

2 Scan centers _ Renewed 79

3 Scan centers closed 28

4 Functioning as on 26.10.15 128

APPAMCEA 2002

Activity Number

Nursing Homes registered 182

Dental hospitals registered 29

Clinics registered 48

Polyclinics 07

Physiotherapy clinics 02

Diagnostics_basic 89

Diagnostic Centres_Hi End 06

Prevalence of Chronic Conditions 10

6.5

7.5

22.8

Respiratory CVD DM HTN

22.8 % of Hypertensive's(18 and above)10% _Chronic Respiratory disease6.5% _CVD7.5% _ DM(18 and above)

Reported prevalence of Chronic Diseases

DLHS_4

HIGH PRIORITY AREAS

Sl.no

Name of the area/cluster

1 Madakasira2 Penugonda3 Nallamada4 Dharmavaram5 Tadipatri6 Hindupur

Good practices

• Focused ANC care day –Every Friday

• Escort activity for HR pregnancies

• Strengthening ISC

• Social Media Usage-Twitter, Whatsapp, Telegram

Free food sponsored by staffs every Friday-PHC, N.S.Gate

Escort activity-intensifying efforts to reduce MMR

CHALLENGESCONSTRAINTS • Vehicles provided are more

than 15 years old

• POL is inadequate

• Lack of adequate managerial ,logistics support for the Ddmhos

• Inadequate rental to SCs

• Old computer systems

• HR in DPMU

Challenges & Constraints

Dearth of ICT and mass internet connectivity compounded by a paucity of ICT related knowledge and skills limiting capacities of the HMIS and MCTS to generate, analyze and disseminate information for use in local decision making

Constraints

Lack of operational research

Lack of local surveys and evaluations

GAPS

• HR

• Equipment for ideal labourroom

• Knee jerk activities

Way Forward• Incorporating primary care

strategies having symbiotic relationship with secondary and tertiary level of clinical care and all stakeholders

• Integrated Comprehensive MCH approach

Thank You

Thank You very much

common review mission

Healthcare