draft pip of lucknow

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Lucknow City

Program Implementation Plan

National Urban Health Mission

NATIONAL URBAN

HEALTH MISSION

Programme Implementation Plan

of

Lucknow 2013-14

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Prepared by District Health Officials with support from Urban Health Initiative

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TABLE OF CONTENT

Preamble 3

Acknowledgement 4

Acronyms 5

City Profile 6-47

Health Scenario 48-57

Key Issues 57-58

Strategies, Activities & Work plan under NUHM 58-64

Programme Management Arrangements 64-65

City level targets & indicators 66

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PREAMBLE

National Urban Health Mission aims to improve the health status of urban population in general and the

poor and other disadvantaged sections in particular. This would be made possible by facilitating

equitable access to quality health care through a revamped primary public health care system, targeted

outreach services and involvement of the community and urban local bodies. Under the scheme, the

government proposes to strengthen and enhance the health care service delivery in urban areas with

targeted focus on urban poor and the disadvantaged.

Lucknow with a population of 28,15,601 (Census: 2011), is one of the fourteen districts in Uttar Pradesh

(UP). An estimated 11,32,000 of the said population is poor. The current sex ratio for the urban areas is

915 females per thousand males which is an area of grave concern. The AHS-2010-11 reports that

institutional deliveries are around 81.2 % in the city and the IMR is 33 % (AHS 2011-12) with MMR at

330 (AHS 2011-12) which again is a matter of concern. Complete immunization status of the district is

around 57.4 % (AHS 2010-11) and if we see the 3+ANC, it is as low as 76.2% (AHS-10-11) at the district

level. Unmet need for family planning services at the district level is 27.4 (AHS-10-11) and if we further

examine the data, 18.4 % is for limiting and 9 % for spacing methods.

The health indicators for Lucknow show are way behind in so many aspects and the launch of National

Urban Health Mission, the efforts for improving the health parameters will complement towards

betterment of urban population and in particular to the urban poor & slum dwellers.

The NUHM planning for this financial year based on the data, surveys and available information at city

level and hoping that we will initiate the process very systematically so that we can make the difference

in improvement of quality life of urban people specially by reaching the unreached areas.

HUP – PFI deserves a very special mention for providing generous technical support in preparation of

City PIP.

Dr. S.N.S.Yadav Anurag Yadav (IAS)

Chief Medical Officer District Magistrate

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Lucknow Lucknow

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ACKNOWLEDGEMENT

Considerable efforts have been made by the team in preparing this Project Implementation Plan for

Lucknow under the newly announced National Urban Health Mission. This has been possible through

dedication, perseverance and hard work. This exercise of planning would not have been complete

without the help and support of the team.

We do not have hesitation in saying that this work would not have come up without the valuable support

and continuous encouragement of Shri Anurag Yadav (IAS), District Magistrate, Lucknow. His great

confidence in team and spurred us into action.

My special gratitude goes to Dr. S. N. S. Yadav, Chief Medical Officer, Lucknow, a dynamic and enthusiastic

professional. He has always been a source of great encouragement for us. The initiation and completion

of this work has been possible due to his sincere and able guidance, expertise, precious opinion, keen

attention, constructive suggestions and constant help. His critical reading of all the parts of the work has

helped shape the NUHM planning in its present form.

I express my gratefulness to Shri. Amit Kumar Ghosh, IAS, Mission Director, National Health Mission &

Mr. Shashank Vikram, IFS, Additional Mission Director, NUHM for overarching support and building the

thoughts in our mind.

I owe my sincere gratitude to Dr. M. R. Gautam (General Manager), Dr. Usha Gangwar, (Deputy General

Manager-NUHM) and HUP-PFI who have helped us immensely by providing relevant information and

valuable suggestions. This planning work got accomplished with their valuable support and eagerness to

help.

I am privileged to have such good city level team especially Shri Rajaram Yadav (Div.PMU), Shri. Arshad

Ansari (DPM NRHM), who have supported and helped in contributing their great efforts towards

planning of this city level plan under the NUHM.

I would also like to appreciate the precious help and motivation which I received from government line

department - DUDA, ICDS, Nagar Municipal Corporation, Education department, CMS & DTO.

Last but not the least; I would like to thanks all those people who were involved in the planning process

directly or indirectly.

Dr. D. K. Chaudhary

Add. Chief Medical Officer &

Nodal Officer- NUHM, Lucknow

August 2013

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Acronyms

ANM Auxiliary Nurse Midwife

ASHA Accredited Social Health Activist

AWC Aanganwari Center

AWW Aanganwari Worker

BSGY Bal Swasthya Guarantee Yojna

BSUP Basic services for urban poor

BSA Basic Shiksha Adhikari

CDPO Child Development Project Officer

DH District Hospital

DHS District Health Society

DUDA District Urban Development Authority

ICDS Integrated Child Development Scheme

IDSMT

Integrated Development of Small &

Medium Towns

IDSP Integrated Diseases Surveillance Program

IHL Individual House level

IMR Infant Mortality Rate

KFA Key Focus Area

LHV Lady Health Visitor

LT Lab Technician

MAS Mahila Arogya Samiti

MMR Maternal Mortality Ratio

NHM National Health Mission

NPP Nagar Palika Parishad

NPSP National Polio Surveillance Program

NRHM National Rural Health Mission

NUHM National Urban Health Mission

OD Open Drainage

RSAP Remote Sensing Application Center

UA Urban Agglomeration

UCHC Urban Community Health Center

UFWC Urban Family Welfare Center

UHI Urban Health Initiative

UHP Urban Health Post

UPHC Urban Primary Health Center

SAM Severely acute Malnourishment

http://urbanindia.nic.in/programme/ud/integrateddevelopment.pdf

http://urbanindia.nic.in/programme/ud/integrateddevelopment.pdf

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National Urban Health Mission- Programme Implementation Plan

Lucknow 2013-14

1. Lucknow Profile

Lucknow is the capital city of Uttar Pradesh. It has always been a multicultural city. Lucknow district has

the second highest urban population (over 66%) in the State. Also Lucknow city is one of the six million

plus cities of the State. This metro city is the administrative headquarters of Lucknow

District and Lucknow Division. The high rate of urbanization is attributed to its administrative, trading,

tourism based economic activities. Lucknow is a fascinating amalgam of scenic beauty, old historic city

and modern urban planning. Courtly manners, poetry, music, and fine cuisine patronized by the Persian-

loving Shia Nawabs of the city are well known amongst Indians and students of South Asian culture and

history. Lucknow is popularly known as the City of Nawabs. It is also known as the Golden City of the

East, Shiraz-i-Hind and The Constantinople of India.

Lucknow today presents a multi-faceted profile; the old city with its marketplaces and fine old mosques

and palaces still bears the aristocratic imprint of its former rulers. Equally impressive is the new city

with its verdant, exquisitely laid out parks and gardens, broad avenues and streamlined modern edifices.

It is one of the clean cities in the country.

The city of Lucknow has witnessed many changes since it was found. The city has been through many

phases, gentle as well as turbulent, prosperous as well as disastrous. Lucknow has been a city in which

one finds traces of cultures as different as those of Hindus and Moguals, both have been blended to

perfection, providing Lucknow a distinct identity.

1.1 Lucknow District

As per census 2011, the urban population of Lucknow district is 3,037,718 which is over 6.8 percent of

the total state’s urban population. About 66 % population of Lucknow is urban. The urban sex ratio is 910

females per 1000 males. The average literacy rate in Lucknow urban is 84.1 percent, 87.3% for males and

80.5% for females.

Table.1: Lucknow District and Lucknow Urban in Census 20111

Description Lucknow District 2011

Lucknow Urban 2011

Actual Population 4,588,455 3,037,718

Male 2,407,897 1,590,547

Female 2,180,558 1,447,171

1 2011 census (P)

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Description Lucknow District 2011

Lucknow Urban 2011

Population Decadal Growth Rate 25.8 30.9

Density/km2 1815

Sex Ratio (Per 1000) 906 910

Child Sex Ratio (0-6 Age) 913 902

Average Literacy (%) 79.33 84.08

Male Literacy (%) 84.27 87.34

Female Literacy (%) 73.88 80.50

1.2. Lucknow City

Lucknow City is one of the six million plus cities in Uttar Pradesh. Lucknow Urban Agglomeration (UA)

has the second highest population. As per provisional reports of Census India2, population of Lucknow

City is 2,815,601. The sex ratio of Lucknow City is 915 per 1000 males, whereas Child sex ratio is 901 per

1000 boys.

The effective literacy rate in respect of seven plus population of the city in 2011 is 84.72%. The male

effective literacy rate is 87.81 and the female effective literacy rate is 81.36 percent.

Table 2: Demographic profile of Lucknow City

Total Population of city (in lakhs) 28,17,105 Source: Census 2011

Slum Population (in lakhs) 10,97,110 Source: RSAC

Slum Population as percentage of urban population 40.20%

Number of Notified Slums 610 Source: DUDA

Number of slums not notified 104 Source: RSAC

No. of Slum Households 2,26,400 Source: RSAC

No. of slums covered under slum improvement

programme (BSUP, IDSMT,etc.) NA

Number of slums where households have

individual water connections* NA

Number of slums connected to sewerage network* NA

Number of slums having a Primary school 610 Source: BSA Deptt.

2 www.census2011.co.in/city.php

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No. of slums having AWC 386 Source: ICDS Lucknow & BSUP

No. of slums having primary health care facility NA

Table 3: Population, Literacy Rate & Sex Ratio – Lucknow City3

Description Total Male Female

Population 2,815,601 1,470,133 1,345,468

Literates 2,147,564 1,161,250 986,314

Children (0-6) 280,817 147,690 133,127

Effective Literacy Rate

(7+Population) %

84.72 87.81 81.36

Sex ratio 915

Child Sex ratio 901

Table 4: Decadal Growth

1.3 Work Participation & Occupation Structure4

3 Census of India, 2011

4 http://en.wikipedia.org/wiki/lucknow

-

5,00,000

10,00,000

15,00,000

20,00,000

25,00,000

30,00,000

Decadal Growth in Population

http://en.wikipedia.org/wiki/Bhubaneswar

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The work participation rates for urban Lucknow district (Proxy to Lucknow city) is 27.6% (45.7% for

males and 7.2% for females) as per 2001 census.

Lucknow is the political and administrative capital of Uttar Pradesh.

Lucknow has seven universities and the same have been listed below:

Lucknow University, Babasaheb Bhimrao Ambedkar University, Integral University, G.B

Technical university, imamia university, Amity University, Shakuntala Mishra Muk Baghir

Vishwidyalaya and Dr. Ram Manohar Lohia National Law University

Lucknow has eleven research institutes and the same have been listed below:

Central Drug Research Institute, National Botanical Research Institute, Indian Institute of Toxicology

Research, Indian Institute of Sugarcane Research, National Bureau of Fish Genetic Resources, Central

Institute for Sub-Tropical Horticulture, Central Institute of Medicinal and Aromatic Plants, Birbal Sahni

Institute of Paleobotany, Institute of Judicial Training and Research, Research Designs and Standards

Organization (RDSO, Indian Railways) and Nadwa Research and Publication Centre , Nadwa Lucknow

The economy of Lucknow city was earlier based on the tertiary sector with about majority of the

workforce being employed as government servants. Large-scale industrial establishments are low

compared to other north Indian state capitals like New Delhi and Chandigarh. Currently the economy is

growing with the contributions from more professionals in the fields of IT, Manufacturing and processing

and Medical/Bio-Technology. Business-promoting institutions have a presence in city. Lucknow has good

potential for job-creation. Lucknow has a great potential in handicraft sector and it accounts for about

60% of the total exports from the state. The major export items are marble products, textiles, handicrafts,

art pieces, gems and jewellery, textiles, electronics, software, computer, hardware & software,

apparel, brass work, silk, leather and leather goods, glass items, art metal, chemicals.

1.4 Urban Poor & Slums5

The UP Slum Areas (Improvement and Clearance) Act, 1962, considers an area a slum if the majority of

buildings in the area are dilapidated, are over-crowded, have faulty arrangement of buildings or streets,

narrow streets, lack ventilation, light or sanitation facilities, and are detrimental to safety, health or

morals of the inhabitants in that area, or otherwise in any respect unfit for human habitation. It mentions

factors such as repairs, stability, extent of dampness, availability of natural light and air, water supply;

arrangement of drainage and sanitation facilities as considerations. Based on the definition, estimates of

slum population vary, so much so that the Census 2001 originally did not report any slums and then later

revised its findings. DUDA follows the definition as stated in the UP Slum Areas (Improvement &

Clearance) Act 1962; SUDA/UNCHS do not follow this definition but define poverty in terms of

vulnerability as does Oxfam.

5 State of Urban Health in Uttar Pradesh, 2006

http://www.bbauindia.org/

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DUDA’s estimation of slum population is a conservative increase over the Census estimation. However, a

survey report released by Oxfam Trust (India) in 2005 indicates that there are 787 poor settlements in

the city that can be categorized as slums - authorized and unauthorized (map overleaf). This classification

is on the basis of tenure. An authorized slum is one where there is security of tenure with the cluster

being either an outcome of a government resettlement programme or being located on private/own land.

Unauthorized settlements are those that have emerged on available vacant plots, mainly railway land or

on encroached areas. Slum clusters on the riverbanks or on drains are classified as unauthorized. In 2009,

NRHM did the GIS mapping through RSAC for the planning of NUHM. The most recent information on

slums available in Lucknow is from the RSAC GIS mapping of 2009 and this plan has mainly used this

information, partly on the advice of SUDA. Other sources of information have been cited mainly to point

out the range in the available data that will impact the earmarking of resources for this group.

Approximately 11 lakh 32 thousand people are living in slums with few basic civic amenities.

6 DUDA Survey 2005

Table 5: Selected indicators of slum conditions in Lucknow6

Characteristic Percentage of people/families

Water Supply Facilities

Individual tap 48.68%

Community tap 38.84%

Others 6.06%

Sanitation

Individual toilet facility 50.12%

Community toilet facility 20.98%

Others 28.30%

Employment

Employed 9.78%

Unemployed 7.97%

Self employed 81.91%

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GIS Map and Listing of Slums in Lucknow as Per RSAC

S. No. Name of Slums Population

1 Fataha Purva 900

2 Takrohi 4200

3 DK Colony 600

4 Jarahara 1500

5 Pandit Purva 900

6 Ramdin Purva 350

7 Badshah Khera 650

8 Amrohi Gaon 5000

9 Matyari 5000

10 Hardasi Khera 2500

11 Risaha Purva 750

12 Husaria 1600

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13 Jhalia Purva 800

14 Behanan Purva 1500

15 Nawab Purva 1000

16 Gulam Hussain Purva 1500

17 Belha 250

18 Budhan Pur Railway Colony 500

19 Chinhat 750

20 Chinhat Bazar 7800

21 Pakka Talab 650

22 Kumharan Mandir 300

23 Lovedales 800

24 Chinhat Patri 150

25 Kanchan Pur 7500

26 Maan Khera 60

27 Bara Barwara 1200

28 Thakwa 1500

29 Kathouta 1500

30 Kathouta ka Purva 150

31 Kathouta Purva Sahjadpur 150

32 Vijaye Pur 1000

33 Rawat Purva 400

34 Naya Gaon 250

35 Ujarion 270

36 Gawari Tola 2500

37 Choti Jugouli 5000

38 Badi Jugouli 1000

39 Lodh Purva 2000

40 Gadarian Purva (V-4) 250

41 Gadarian Purva (V-3) 200

42 Badi Jugouli Nai Basti 2000

43 Digdiga 1150

44 Gazipur 2000

45 Chamroukha 1500

46 Kharak Pur 1200

47 Near Kharak Pur 1 560

48 Near Kharak Pur 2 480

49 Shivaji Pur 1300

50 Kamta 2100

51 Ismile Ganj 4000

52 Pani Gaon 450

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53 Shekh Pur (Kasela) 1000

54 Kailash Kunj 700

55 Gandhi Gram 100

56 Pratap Nagar 600

57 Shakti Nagar 1250

58 Lav Kush Nagar 1500

59 Bastoli 3000

60 Munshi Purva 1000

61 Tika Purva 1200

62 Chandan Gaon 0

63 Dindayal Puram (Mayawati Colony) 0

64 Jhuggies Near Manas Vihar Colony 0

65 Assamia Basti Near Chandan Gaon 0

66 Faridi Nagar 0

67 Mallhour Gaon 0

68 Ibrahimpur 1000

69 Bhagwant Nagar 1500

70 Barauli 3500

71 Chiraiyabagh 1800

72 Rewatapur 1500

73 Durgapuri 1500

74 Hawatmau Mayaiya 5000

75 Iswari Khera 800

76 Nai Basti 1500

77 Uteratia 3500

78 Neelmatha 2500

79 Shital Khera 800

80 Pancham Khera 700

81 Kataharai Bagh 300

82 Neelmatha Bazar 2500

83 Nut Khera 1000

84 Subhani Khera 4000

85 Kumhar Mandi 6000

86 Pasiyana 5000

87 Mohri Bagh 1500

88 Gosiyana 3000

89 Munnasai Ki Kutiya 1100

90 Chamrahi 250

91 Nepalganj 2000

92 Gopal Nagar 4000

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93 Bangali Tola 400

94 Brahman Tola 1500

95 Khan Colony 150

96 Nai Tola 150

97 Bheem Tola (Chamrai) 600

98 Longa Khera 1800

99 Telibagh Bazar 150

100 Munsi Khera 1500

101 Behasa 2500

102 Naya Godara 350

103 Kila Mohammdi 3000

104 Tonde Khera 300

105 Biryani Khera 450

106 Orangabad Khalsa 250

107 Orangabad Jageer 250

108 Khwajapur 350

109 Baldi Khera 2500

110 Badali Khera 7500

111 Ali Nagar Sunahra 2500

112 Basant Khera 500

113 Ganga Deen Khera 200

114 Lodan Khera 350

115 Topovan Nagar 750

116 Gauri 2500

117 Gahru 1500

118 Jairaj Puri 750

119 Rahimabad 1000

120 Navin Gaouri 2500

121 Behatwa 400

122 Hanuman Puri 2500

123 Gouri Vihar 125

124 Vishnu Nagar 250

125 Hindu Khera 3000

126 Amausi 7500

127 Ajad Nagar 1500

128 Fatehali Talab 1000

129 Anand Nagar 5000

130 Firangi Khera 1500

131 Piprouli 2000

132 Devi Khera 1500

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133 Saleh Nagar 5000

134 Badrookh 1400

135 Sarpot Ganj 500

136 Avadh Nagar 200

137 Subhash Nagar 100

138 Dwarika Puri 100

139 Telibagh 2500

140 Kuber Bagiya 700

141 Usari 800

142 Ambedkar Nagar 250

143 Koghar 400

144 Barigawa 100

145 Pakri Khera 900

146 Bargwan 400

147 Madari Khera 300

148 Choti Pakari 1250

149 Chillawa 2250

150 Chillawa Chamrahi 250

151 Sambal Khera 1000

152 Jaiprakash Nagar 4800

153 Sardari Khera 5000

154 Nut Khera 105

155 Sundar Nagar 200

156 Suzanpura 750

157 Kariyana 1500

158 Chota Barha 2500

159 Mavaiya Jhoparpatti 175

160 Bara Barha 2500

161 Ramprasad Khera 3500

162 Mangal Khera 2500

163 Puran Nagar 2000

164 Jodha Khera 1250

165 Amrudhi Bagh 1000

166 Doanda Khera 1250

167 Gopal Puri 1800

168 Bhillawa 1800

169 Azad Nagar 7000

170 Hasanpur 800

171 Ambedkar Nagar 1000

172 Pakri Gaon 250

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173 Krishna Palli 1500

174 Om Nagar 4000

175 Chandan Nagar 700

176 Guru Nanak Nagar 750

177 Prem Nagar 1250

178 Sneh Nagar 2000

179 Damodar Nagar 400

180 Vishwesher Nagar Malin Basti 250

181 Vishwesher Nagar Purni Murdhi 180

182 Kanosi 1000

183 Kesari Khera 600

184 Ganga Khera 400

185 Devpur 5000

186 Pandit Khera 250

187 Baldev Khera 250

188 Dondha Khera 500

189 Chamrai 250

190 Shahi Masjid 350

191 Choto Majid K Peche 150

192 Daldhara Khera 200

193 Thari 2500

194 Kanhai Khera 400

195 Sadrouna 2000

196 Harijan Basti 1000

197 Peer Bakka 0

198 Kala Pahar 1000

199 Deepti Khera 700

200 Para 3500

201 Pitambar Khera 1500

202 Jalalpur 7000

203 Mardan Khera 1600

204 Narpat Khera 900

205 Munna Khera 900

206 Haider Cannal 2500

207 Dr. Khera 550

208 Badshah Khera 1800

209 Chunnu Khera 600

210 Devpur Railway Crossing 1400

211 Sri Nagar 2500

212 Shyam Nagar 1000

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213 Vikram Nagar 1000

214 Bahadur Khara 5000

215 Bhola Khera 2500

216 Rajni Khand Sec-8 4000

217 Chandrodaya Nagar 1500

218 Bibi Ganj 1800

219 Aaga Sahab Ki Bagiya 250

220 Lakarmandi 1000

221 Shahdat Ganj 200

222 Harshpuram 600

223 Shekhpur 1000

224 Noorbegh Hata 3000

225 Khanna Ki Takiya 300

226 Samenan Bagicha 1800

227 Baraura Hussain Bari 1700

228 Sardar Nagar 5000

229 Madavpur 900

230 Faridi Nagar 2000

231 Bargaria Khera 1000

232 Ahiran Khera 175

233 Near Bagaria Village 150

234 Near Balaganj Chauraha 800

235 Barawankala Khurd 2000

236 Barwankala 5000

237 Chandoia Khera 2000

238 Chamroi 300

239 Top Khana 2500

240 Hadia Bazar 4000

241 Goshala Road 3000

242 Chandoia 2000

243 Sarfaraz Ganj 2000

244 Jal Nigam Road 350

245 Balaganj 2000

246 Peer Nagar 500

247 Hayat Nagar 3000

248 Mushahid Ganj 1500

249 Gaughat 1300

250 Mishri Bagh-1 1200

251 Mishri Bagh-2 1000

252 Barf Khana 2000

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253 Mallahi Tola 1800

254 Nanda Khera 1500

255 Karehata 1500

256 Saripura 625

257 Kagaji Tola 800

258 Haidar Ganj 800

259 Mohd. Ganj Bawali 1250

260 Bailwari 250

261 Patthar Kata 200

262 Murav Tola 1250

263 Ashiyamau 1000

264 Mini Stadium Ke Pechhe (Rajajipuram) 1000

265 Ramganj Khanti 1500

266 Mubarak Ka Hata 700

267 Jakar Bagh 1000

268 Pajwa Ahmad Ganj 1800

269 Daulat Ganj 1100

270 Ikbal Nagar Khanti 2500

271 D.P.Bora Ka Plot 2000

272 Rajbh Ganj 2000

273 Vaidan Tola 2000

274 Krishna Puri 900

275 Garhi Peer Khan 7000

276 Karim Ganj 1200

277 Wazir Bagh 6500

278 Mojjam Nagar 900

279 Jharia Talab 1400

280 Ekta Nagar 6000

281 Yasin Ganj 4000

282 Ramganj (Ram Nagar) 1800

283 Nibati Tola 2000

284 Daulat Khera 250

285 Naubasta (Shahdat Ganj) 300

286 Khala Bazar (Dhobi Sarai) 250

287 Mahendi Ganj 5000

288 Bhawani Ganj 5000

289 Bramahi Tola (Jhawaru Mohalla) 6000

290 Jalalpur 5000

291 Purani Chungi 6000

292 Rajajipuram-A 385

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293 Rajajipuram-B 250

294 Rajajipuram-C 400

295 Rajajipuram-D 350

296 Gayatri Nagar 5000

297 Naubasta 900

298 Fahjullah Ganj 500

299 Fahjullah Ganj Purwa 3000

300 Sherwani Nagar 500

301 Goudhi 500

302 Gourmeet (Mahndi Bagh) 600

303 Rahim Nagar Dudouli 800

304 Bharat Nagar 3200

305 Kakouli 1100

306 Daud Nagar Purana 700

307 Daud Nagar Naya 1000

308 Gazipur 800

309 Mohibullapur 1000

310 Asamia Basti 1200

311 Loni Katra 1500

312 Shankarpur 700

313 Khadari 1500

314 Sikandarpur 1000

315 Rani Khera 500

316 Gudiyan Purwa 650

317 Sultanpur 275

318 Khalilabad 270

319 Rampurwa 400

320 Choudhari Purwa 250

321 Radheshyam Purwa 650

322 Madiyaon 6000

323 Near Vishal Hospital 200

324 Near Harsh Hospital 100

325 Ahivaranpur 650

326 Indra Nagri 1100

327 Ahivaranpur Jhopar Patti 900

328 Shiv Bank Colony Ke Piche 700

329 Purania-A 1500

330 Purania-B 600

331 Kabaria Tola 600

332 Purania Crossing Jhopari 600

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333 Near Vidhyanchal Mandir Sec-K 100

334 Nizamuddin 1000

335 Samauddi Purwa 1000

336 Akbarpur Purana 4500

337 Akbarpur Naya 500

338 Maurya Tola 700

339 Lodhi Purwa 2000

340 Nai Basti Back of Badshah Nagar 600

341 Rahim Nagar 4000

342 New Rahim Nagar 1000

343 Gosiyana Rahim Nagar 650

344 Amhi Purwa 400

345 Kabari Basti Near Kukrail 500

346 Bani Ganj 450

347 Atrouli 900

348 Ganne Ka Purwa 900

349 Mohd. Pur Khattri 750

350 Khurram Nagar 2000

351 Kanhaiyalal Purwa 900

352 Choiya Purwa 650

353 Bahadurpur 500

354 Kalyanpur 500

355 Jahira Purwa 200

356 Chetan Purwa 300

357 Adil Nagar 1100

358 Near Janaki Plaza 800

359 Akilapur 4000

360 Sabouli 6000

361 Nandpur 400

362 Lohia Nagar 5000

363 Vikas Nagar Sec-B 1000

364 Galla Bazar 2000

365 Charakwali Gali 300

366 Rahis Nagar 1500

367 Peer Bukhara 5000

368 Juta Bazar 250

369 Langar Khana 1000

370 Hussainabad Road Near Gomti 900

371 Shivpuri 3000

372 Hata Sitara Begum 2000

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373 Loniyan Tola 1300

374 Mohani Purwa Kuan-4 800

375 Near Mohani Purwa 1700

376 Near Kuria Ghat 135

377 Mohani Purwa Kuan-3 2200

378 Yogi Nagar 3000

379 Ekta Puram 800

380 Shivlok 4000

381 Alok Nagar 1500

382 Madayganj New 1100

383 Mahendi Tola 3500

384 Lakarmandi 5000

385 Lohar Ganj 2000

386 Takiya Munshi Ganj 800

387 Guditan Purwa 1500

388 Choudhari Ka Tola 2000

389 Mirzapur 250

390 Nikat Loha Bhandar 180

391 Chapartala 1900

392 Bara Chand Ganj 2600

393 Pandey Tola 7000

394 Paltan 3000

395 Batha 1500

396 Beligard 1500

397 Katra 1280

398 Ramleela Maidan 3000

399 Dindayal Nagar 1000

400 Khadra 5500

401 Makka Ganj 5000

402 Shukla Garia 2000

403 Purana Takia 2300

404 Madey Ganj-A 5000

405 Madey Ganj-B 1450

406 Baba Ka Purwa 2200

407 Shiv Nagar-A 2000

408 Zannati Masjid 900

409 Masalchi Tola 2000

410 Shiv Nagar-B 2100

411 Ali Nagar 1500

412 Madey Ganj New 6500

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413 Chandganj Garden 2400

414 Fatehpur Sec-E 6500

415 Aliganj-E 700

416 Mirzabagh 200

417 Shankar Nagar 3850

418 Lal Colony 1400

419 Umarau Ka Hata 800

420 Purana Mahanagar 1400

421 Ghosiyana 1500

422 Gopal Purwa 900

423 Asfaq Nagar 300

424 Purani Bansh Mandi 750

425 Bagh Shahji 650

426 Jhavjhali Mohalla 2000

427 Misti Tola 1600

428 Daliganj Rly Stn 600

429 Tikaitganj/Kandaha 750

430 Harijan Basti 520

431 Ram Nagar (Sudarsanpur) 400

432 Tilak Nagar 400

433 Bakal Mir 1100

434 Kajuha 1250

435 Guljaar Nagar 300

436 Sanjay Nagar 3500

437 Arti Nagar 7000

438 Garhi Kanoura 6000

439 Bharat Puri-A 1000

440 Haddi Khera 250

441 Prem Vati Nagar 1000

442 Bharat Puri-B 1750

443 Shram Vihar Nagar Kanjar Basti 1500

444 Shram Vihar (Safeda) 500

445 Vijayi Khera 500

446 Aishbagh Pani Ki Tanki 250

447 Shramik Basti 5000

448 Aishbagh East 6000

449 Kheel Khana 250

450 Bagh Sheer Jang 1000

451 Tazi Khana 1000

452 Astabal Charbagh 1000

Page | 25


453 Kumhran Pull 800

454 Kasri Khera 500

455 Nayi Basti 500

456 Maqbul Ganj 2500

457 Bhusa Mandi 1250

458 Kasai Bara 2000

459 Nut Khera 425

460 Kurmi Tola 2800

461 Chachi Kuon 350

462 Puri Tola 500

463 Nal Bandi Tola 250

464 Thathori Tola 1300

465 Bawarchi Tola 750

466 Aaga Mir Dhayodhi 1250

467 Chaudari Ghadiya 1400

468 57-Jagat Narain Road 500

469 Bhadevan 500

470 Bheri Mandi 1500

471 Gyuin Ganj 3000

472 Sulaiman Kadara Ka Hata 2000

473 Bhussa Mandi 1000

474 Hari Nagar 2000

475 Rath Khana 1500

476 Ghoss Nagar Nala 750

477 Chamar Tolia 400

478 Ghoss Nagar 750

479 Janta Nagri 1000

480 Dyupti Ka Imambara 250

481 Nayi Basti 2250

482 Mallahi Tola 2000

483 Goss Ganj 1250

484 Wazir Ganj 3000

485 Pull Kumharan 1500

486 Daliganj Pul 250

487 Near Christian College 200

488 Dhobi Ka Hatta 100

489 Bashirat Ganj 2500

490 Durgvijay Ganj 2500

491 Bheri Mandi 500

492 Rani Ganj 3000

Page | 26


493 Angurri Bagh 750

494 Katra Bijan Beg 170

495 Thathar Wali Colony 1000

496 Ramasrey Maidan 200

497 Bagh Wali Masjid 100

498 Naya Nazaf Road 5000

499 Jhawai Tola 2500

500 Takia Hazi Nusrat 3500

501 Kashmiri Mohalla 7500

502 Kayam Khera 500

503 Dhobi Ghat 500

504 Patra Colony 150

505 Niwaz Khera 1750

506 Arya Nagar 1250

507 Nehru Nagar 1250

508 Burf Khana 350

509 Mata Din Ka Hatta 2500

510 Sarju Prasad Ka Hatta 6000

511 Iswari Dayal Ka Hatta 200

512 Bheem Nagar 2500

513 Shaukat Ali Ka Hatta 500

514 Gali Shah Chara 1250

515 Thawai Tola 850

516 Bagh Makka 1500

517 Bagh Makka (Takia) 480

518 Katra Abuturab Khan 3000

519 Gazi Mandi 350

520 Kodhaywali Gali 1000

521 Chamar Tola 800

522 Tat Patti 500

523 Asharfabad 2500

524 Asharfabad Balda 500

525 AP Sain Road 100

526 Pan Dariba 2500

527 Lokman Ganj 500

528 Chobeyji Ka Hatta 200

529 Jagdish Prasad Ka Hatta 250

530 New Malin Basti 3000

531 Pandey Ka Talab 5000

532 Moti Jheel 250

Page | 27


533 Chitta Khera 2500

534 Shital Khera 750

535 Polo Khera 200

536 Daru Godam 3000

537 Charenda Purwa 750

538 Habib Nagar-A 200

539 Durga Puri 7500

540 Kasai Bara 5000

541 Kanpur Taxi Stand 150

542 Blant Chauraha, Haidar Canal 500

543 Hathi Khana 275

544 Rassi Batan 600

545 Victoria Street 1300

546 Dariya Tola 1250

547 Chirimaar Tola 800

548 Nawab Ganj 600

549 Nadan Mahel 1250

550 Kundari Raqabganj 1000

551 Nawab Ganj 750

552 Raqabganj Kadeem 1500

553 Ekti Mohalla 500

554 Billoujpura 2500

555 Sarai Aaga Meer 625

556 Cheekdas Purwa 750

557 Chamran Tola 400

558 Rly Kinare Ki Basti 1000

559 Chamrahi (Chamran Tola) 400

560 Angara Shah Takia 750

561 Rouza Bagh 1000

562 Shamsudin Ka Hata 100

563 Fazil Nagar 1750

564 Shahganj 1500

565 Balda 1100

566 Asharafabad 1000

567 Hata Sangi Begh 800

568 Tappe Wali Gali 1500

569 Nur Baddi 2500

570 Chote Sahab Alam Road 1500

571 Sahanshah Jafar Colony 500

572 Dari Wala 750

Page | 28


573 Ghanta Beg Gadaiya 750

574 Mansoor Nagar 4000

575 Takiya Peer Gaib 4000

576 Katra Vaffa Beg 1000

577 Hasan Puriya 2500

578 Pull Gulam Hussain 5000

579 Kajmain 150

580 Hardvad 150

581 L H Khan Maidan 1000

582 Niwaj Ganj 3000

583 Kanghi Tola 900

584 Gullu Ka Takiya 550

585 Katra Mohd Ali Khan 3300

586 Begum Wadi 800

587 Chappra Bandhan 125

588 Gadhiyali Mohalla 2500

589 Tahseen Ganj 1000

590 Dargi Ke Bagiya 800

591 Naai Bara 1000

592 Baba Ka Purwa 1050

593 Bhikhampur 2400

594 Chakkar Purwa 1000

595 Balmiki Nagar 150

596 Naya Baba Ka Purwa 700

597 Bandaria Bagh 250

598 Haidar Canal 1750

599 Martin Purwa 4500

600 Pipraghat 2000

601 Jiyamau 2500

602 Nayi Basti 1250

603 Barf Khana Purana 2500

604 Murad Ali Lane 2500

605 Havlok Road 500

606 Hata Rasool Khan 5000

607 Kundan Lal Ka Hata 250

608 Nahar Kinara U.M. 750

609 Nahar Kinara (Chitwapur) 4000

610 Nangu Thekedar Ka Hata 250

611 Raghubardas Ka Hata 500

612 Dalibagh 500

Page | 29


613 Raja Oil Kothi 500

614 Bapu Nagar 425

615 Ravidas Nagar 2500

616 Sanjay Gandhi Nagar 1000

617 Jai Prakash Nagar 1000

618 Mallahpur 1250

619 Uchchwan 350

620 Balu Adda Basti 1000

621 Machchu Mia Hata 110

622 Sikandar Nagar-1 3750


624 Ramaiyaji Puram 2700

625 Bairal 100

626 Eklavya Nagar 800


628 Ambedhkar Palli -4 Mall Avenue 2500

629 Shivpuram-7 Mall Avenue 1500

630 Ramleela Maidan 3000

631 Raja Nagar 1000

632 Shahid Nagar 600

633 Lodh Purwa 500

634 Lalbagh Ayodhaya 250

635 Bhediwali Khothi 150

636 Laplas 250

637 Baildari Lane Lalbagh 2500

638 Maqbara Lalbagh 200

639 Taigore Marg 6000

640 Baroulia 4000

641 Chamrai 1000

642 Mukarim Nagar 1000

643 Joshi Tola 800

644 Ambedhkar Nagar 650

645 Qutub Nagar 5000

646 Nehru Nagar 850

647 Kabarian Tola 1500

648 Mankamaneshwar Mandir Jhopar Patti 1000

649 Ramtirath Marg 1400

650 Narahi 290

651 Takia 490

652 Radha Krishna Mandir 625

Page | 30


653 Peerpur Square (Bhuian Devi Mandir) 350

654 Babu Banarasi Das 3000

655 Mahavir Puri 2000

656 Sudama Puri 1000

657 Suggha Devi Marg 5000

658 Rampur 1500

659 KKC Pani Ki Tanki 750

660 Pratap Nagar 1000

661 River Bank Nala 300

662 Jholal Pull (Hata Fhakeer) 750

663 Takia Falass 625

664 Merhahi Ka Purwa 1500

665 Chota Chandganj 5000

666 Hasanganj Charahi 2000

667 Baba Ki Bagiya 1300

668 Babuganj 2500

669 Sarai Hasanganj 7000

670 Halwasia Ka Hata 200

671 Hanuman Setu Ke Peche 1100

672 New Hyderabad 4800

673 Old Hyderabad 6000

674 Kalan Ke Lath 3000

675 Haider Mirza Road 1250

676 Laissu 250

677 Maqbara Aliya 400

678 Machli Wala Fatak 150

679 Safdal Bagh 3500

680 Juliyan Tola 1000

681 Shutur Khana 5000

682 Hata Khwaja Gohar 1000

683 Adgadda 750

684 Passi Tola 350

685 Tilpurwa 1400

686 Bagh Ana Bibi 2500

687 Gani Khanka Hata 750

688 Bhuian Kabir Bagh 200

689 Kamta Prasad Ka Hata 1300

690 Talab Gangani Shukl 2500

691 Machchli Mohal 750

692 Jambor Khana 2500

Page | 31


693 Phull Bagh 3750

694 Purana Takia 1200

695 Shivaji Nagar 500

696 Near Gomti Pull 450

697 Azad Nagar 250

698 Laiya Wali Gali 3000

699 Laxman Das Ka Hata 700

700 Khayaliganj 6000

701 Kakori Hata/Kothi 750

702 Mairis Hata/Kothi 750

703 Peer Jalil (Kesarbagh) 3500

704 Agaa Sahab Ka Hata 150

705 Ghasiyari Mandi 1250

706 Machli Mandi 625

707 Fatima Manzil 400

708 Bagh Mannu 1000

709 Khaleel Mia Ka Hata 330

710 Peerpur Square 2000

711 Purani City 350

712 Fire Station Ke Piche 300

713 Collector Compound 100

The rapidly growing urban population poses great challenge to the efforts of the state government

towards improving the health of the urban poor.

1.5 Urban Governance7

There are multiple agencies responsible for urban governance and provision and management of

infrastructure and services. While, the Lucknow Nagar Nigam (LNN), Lucknow Jal Sansthan (LJS),

Lucknow Development Authority (LDA) and UP Jal Nigam (UPJN) are the key urban service providers,

other agencies include the Housing Board, Central and State Public Works Departments (CPWD and

PWD), Transport Department, Industries Department and the Department of Environment. There is

significant overlap of roles and responsibilities and fragmentation in service provision and management

of infrastructure, which makes it difficult to hold institutions accountable and to coordinate.

7 Lucknow City Development Plan 2006

Page | 32

Table 6: Urban Governance and Service delivery institutions

City Level

Lucknow Nagar Nigam (LNN) Local level governance; Primary Collection of Solid Waste; Maintenance of Storm

Water Drains; Maintenance of municipal roads; Allotment of Trade Licenses under

the Prevention of Food Adulteration Act; O&M of internal sewers and community

toilets; Street lighting; O&M of water supply and sewerage assets; Collection of

water tariff

Lucknow Development

Authority (LDA)

Preparation of Master Plans for land use; Development of new areas as well as

provision of housing and necessary infrastructure

District Urban Development

Authority (DUDA)

Implementing agency for plans prepared by SUDA.

Responsible for the field work relating to community development – focusing on

the development of slum communities, construction of community toilets,

assistance in construction of individual household latrines, awareness generation

etc.

State Level

UP Jal Nigam (UPJN)

Water supply and sewerage including design of water supply and sewerage

networks. In the last two decades ‘pollution control of rivers’ has become one of

their primary focus areas

State Urban Development

Authority (SUDA)

Apex policy-making and monitoring agency for the urban areas of the state.

Responsible for providing overall guidance to the District Urban Development

Authority (DUDA) for implementation of community development programmes

UP Awas Vikas Parishad

(UPAVP)

Nodal agency for housing in the state. Involved in planning, designing,

construction and development of almost all types of urban development projects

in the state. Autonomous body generating its own resources through loans from

financial institutions

UP State Transport

Corporation (UPSTC)

Provides intra-city and state wide public transport; maintenance of buses, bus

stands

Public Works Department

(PWD)

Construction of main roads and transport infrastructure including construction

and maintenance of Government houses and Institutions

State Tourism Department

(STC)

Promotion of tourism

Archaeological Survey of India

(ASI)

Maintenance of heritage areas and monuments

UP Pollution Control Board

(UPPCB)

Pollution control and monitoring especially river water quality and regulating

industries

Page | 33

Town and Country Planning

Department (TCPD)

Preparation of Town Plans including infrastructure for the state (rural and urban)

Office of Commissioner

Lucknow Division

Coordination of activities of various institutions

1.6 Access to Public Facilities8

Infrastructure development has not been commensurate with the growth of the city and there are

problems confronting the city in terms of access and coverage in key infrastructure sectors – water

supply, sewerage, housing, drainage, and transport. Overall service levels are inadequate and the

situation is worse for the urban poor.

1.7 Housing

Lucknow has witnessed a radial growth – greater along the Faizabad Road and the Trans Gomti area and

in recent years, the city is witnessing a real estate boom with a large number of private developers

entering the market. The latter has not been factored into the Master Plan – the formal basis for

Government panning. Estimates of infrastructure requirements and population projections are therefore

likely to be conservative.

The position of the City as the only large urban centre amidst a number of small towns in the surrounding

districts makes it an attractive destination for job seekers and people in need of education and health

facilities. One of the features of the city’s growth has been an increase in the number of slums but

disagreements about the definition of slums and about data hamper efforts to address service delivery

challenges in these areas.

Table 7: Housing Characteristics9

INDICATOR %

Households living in a Pucca House (%) 91.2

Households living in a Owned House (%) 69.9

Households treating water to make it safer for drinking (%) 26.6

Households having access to toilet facility (%) 92.9

Households sharing toilet facility (%) 17.8

Households having access to electricity (%) 96.6

Households using Electricity (%) 95.7

Households using Firewood/Crop Residues/Cow Dung Cake (%) 14.6

Households using LPG/PNG (%) 81.4

Availability of Kitchen

Households having a separate Kitchen (%) 77.3

8 Lucknow City Development Plan 2006

9 AHS 2010-11

Page | 34

INDICATOR %

Households having Computer/laptop with or without Internet Connectivity (%)

25.0

Households having Telephone/Mobile (%) 89.7

1.8 Water Resources

Aside from water resource issues such as pollution of the River Gomti and the declining quality of

groundwater, Lucknow carries a burden of old infrastructure and the absence of metering makes it

difficult to estimate costs and leakages. Information about assets in physical and functional terms is also

inadequate. Overlapping institutional roles make it difficult to hold the institutions clearly accountable.

Table 8: Water Supply Indicators10

Water Supply Indicators

Coverage of water supply connections (100%)

Per capita supply of water (1351pcd)

Extent of metering of water connection (100%)

Continuity of water supply (24 Hours)

63 158 0 5

1.9 Sewerage and Sanitation Facilities

Lucknow has seen no major investment in sewage infrastructure after the proposals in the 1948

Sewage Master Plan. Taking into consideration the service latrines, latrines discharging into nallas,

existing public toilets and open defecation about 40% of the population do not have access to adequate

sanitation. Informal sewers connecting a few households and discharging into nearby open drains are

also seen. The existing main network therefore is for the most part not able to handle additional load

leading to the sullage being discharged directly into the River Gomti. In many places the sewers have

been choked by the disposal of solid waste in them as well as encroachment in sections. This does not

allow complete cleaning of the network and aggravates the problem of discharge.

The lack of current data and information on assets severely impacts planning. While in the newly

developed and developing areas, networks are being provided by developers, coordination with the state

planning process is tenous.

Table 9: Sewage Management (Sewerage and Sanitation)11

Sewage Management (Sewerage and Sanitation)

Coverage of toilets (100%) Coverage of sewage network service (100%)

Adequacy of sewage treatment capacity (100%)

68 57 100

10

SUDA 11

SUDA

Page | 35

Drainage

While in general, the City is good drained, there are local pockets of water logging especially in areas

where the carrying capacity of the drains has been reduced either due to encroachment or blockage. Such

flooding has been observed in Hazratganj crossing and at Mawaiya Bridge crossing almost each year

during rains. In the newly developed areas, while the developer is responsible for the provision of

internal surface water drainage, the linking of these drains to the larger local drains and nallahs is

neglected, causing waterlogging problems at some places. Maintenance of drains is ‘reactive’ with the

common practice to desilt the drains and dump the sludge near the edge of the drains to dry out before

lifting. In practice, sludge either gets blown away or ends up in open drains.

Table 10: Storm Water Drainage Indicators12

Storm Water Drainage Indicators

Coverage of storm water drainage network (100%) Incidence of water logging/flooding (0%)

74 583

Solid Waste Management

The present solid waste management system is not synchronized. There are some pockets where door-

to-door collection has been introduced largely on the initiative of the local residents; there is no system of

collection, transportation and disposal nullifies efforts at the household level. The numbers of existing

waste depots are inadequate for the quantum of waste generated and are also located far from the city,

which encourages indiscriminate dumping. Behavioural patterns pose health risks and therefore pose

health risks for those working in this sector as well as residents living around waste depots. The

indiscriminate dumping results in garbage finding its way back into sewers and contributing to their

choking.

Table 11: Solid Waste Management Indicators13

Solid Waste Management Indicators

Household level coverage of solid waste management services (100%)

Extent of segregation of municipal solid waste (100%)

Extent of municipal solid waste recovered (80%)

41 53 4

1.10 Health Infrastructure

Unlike in the rural areas, where the health department has a wide network of primary health care

facilities providing reproductive and child health services, the urban slums lack basic health

infrastructure and outreach services. Thus, they are often bypassed even by national programmes

providing immunization, safe motherhood and family planning services. The sparse health coverage

12

SUDA 13

SUDA

Page | 36

provided by health facilities like urban family welfare centers, health posts, and maternity homes in cities

is used more for emergencies and curative services. Often these facilities are far from their service area,

poorly staffed, with inadequate space and supply of medicines and equipment. Urban local bodies like

municipal corporations and nagar panchayats are also expected to provide health care, but resource

scarcity restricts them to only providing sanitation services. NGOs and private trusts are also few and far

between.

First and Second Tier Health Services

The Government of Uttar Pradesh has committed itself to make provisions for health care services to its

population. Though the efforts have been rural centric some efforts have also been made to improve the

delivery of primary health care services to the population living in urban areas. It has established D Type

health centers and dispensaries for providing family welfare services and OPD facilities. The Urban Local

bodies and Department of Health and Family Welfare are the two main stakeholders for managing these

services. In urban areas of UP, first tier health services are available through D-type health centers, the

family welfare centre, health post and PP centers14. Second tier health services are provided in urban

areas through District Male and Female or Combined Hospitals.

Table12: Health Structure in Lucknow

Sl. No.

Name & Type of Facility (DH,

Maternity

Home, CHC, other ref.

hospital UFWC, UHP,

PHC,Dispensary etc.)

Managing Authority (Municipal

Council, State Health Department,

facilities functioning

on PPP basis)

Location of Health Facility

Population Covered

by the

Facility

Services Provided

Human Resources available

(List Type and Number

of HR available i.e. ANM, LT, SN,

MOs, Specialists

etc.

No. and Type of

Equipment

Available (X-ray

machine, USG,

autoclave etc.)

1 Sanjay Gandhi Post Graduate

Institute

State Health Department

Raebareilly Road,

Mohanlalganj, Lucknow.

N/A Super Specialist and Tertiary Care

Not Available Not Available

2 King George's Medical College


Chowk, Lucknow

N/A Super Specialist and Tertiary Care


3 Queen Mary's Hospital

(Under KGMU)


Chowk, Lucknow

N/A Specialist & Maternity

Care


4 Veerangana Awantibai (Female) Hospital


Golganj, Lucknow


Care


14 Ministry of Health and Family Welf are. 2005 Annual Report 2003-04. New Delhi : MoHFW.

Page | 37

5 Veerangana Jhalkariibai

(Female) Hospital


Hazratganj, Lucknow


Care


6 Balrampur Hospital


Golganj, Lucknow

N/A Specialist & Tertiary Care


7 Dr. Shyama Prasad

Mukherji Hospital


Hazratganj, Lucknow



8 Dr. Ram Manohar

Lohiya Hospital


Vibhuti Khand, Gomti Nagar,

Lucknow



9 Rani Laxmibai Combined

Hospital


Rajajipuram, Lucknow

N/A Specialist & MCH Services


10 Lok Bandhu Raj Narain Hospital


L. D. A. Colony, Kanpur Rd.,

Lucknow



11 Bhau Rao Devras Hospital


Mahanagar, Lucknow



12 District T. B. Hospital


Thakurganj, Lucknow

N/A Specialist Services


13 BMC & PG, Aliganj


Behind Nehru Vatika, Aliganj,

Lucknow

125000-150000

MCH & F. P., Immunization,

Pathology Services inc.

C-Section Delivery

Suptdt.-1, M.O. (MBBS)-1, M.O. (FW)-

1, Sister Incharge-1,

Staff Nurse-4, Pharmacist-1, L.T.-1, UDC-1, LDC-1, Class IVth-6, Ward

Aya-3, Sweeper-3,

Driver-1, HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.

(F)-1

Not Available

Page | 38

14 BMC & PG, Indira Nagar


C-Block, Opp. Eram Deg. Coll.,

Indira Nagar, Lko.

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,


(F)-1

Not Available

15 BMC & PG,

Silver Jubille

State Health

Department

Near D. G. (FW)

Office, Lucknow

125000-

150000

MCH & F. P.,

Immunization, Pathology

Services inc. C-Section Delivery

Suptdt.-1,

M.O. (MBBS)-1, M.O. (FW)-



Aya-3, Sweeper-3,


(F)-1

Not

Available

16 BMC & PG, Chander

Nagar


Chander Nagar Gate, Alambagh,

Lucknow

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,


(F)-1

Not Available

Page | 39

17 BMC & PG, Aishbagh


Near Pili Colony,

Aishbagh, Lucknow

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,


(F)-1

Not Available

18 BMC & PG, Tudiyaganj


Near Khala Bazar P.S.,

Tudyaganj, Lucknow.

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,

Driver-1,

HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.

(F)-1

Not Available

19 BMC & PG, N. K. Road


Near Leela Cinema,

Hazratganj, Lucknow

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,

Driver-1,

HEO-1, H. S. (M)-1, H. S. (F)-1, H. W.

(F)-1

Not Available

Page | 40

20 BMC & PG, Red Cross


Opp. Bus Stand, Kaiserbagh,

Lucknow.

125000-150000



C-Section Delivery




Aya-3, Sweeper-3,


(F)-1

Not Available

21 Urban Family Welfare Centre,

Mahanagar


BRD Hospital Campus,

Mahanagar, Lko.

50000 FP, Counselling,

OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-

1, Partti. Sweeper-1

Not Available


Lalbagh


Dr. S. P. M. Hospital

Campus, Lko.


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available


Sewa Sadan


Tehseenganj, Thakurganj,

Lucknow


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available


Saadatganj


Purana Chabutra,

Saadatganj, Lko.


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available

25 Urban Family

Welfare Centre, Chhitwapur

State Health

Department

Behind City

Mont. School, Chhitwapur,

Lko.

50000 FP,

Counselling, OPD,

Immunization

MO (MBBS)-

1, H.S. (M)-1, H.S. (F)-1,

H.W. (M)-1, UDC-1, LDC-


Not

Available

Page | 41


Rajendra Nagar


Near Railway Line, TB Clinic

K Pas


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available


Naka


Harbhaj Ram Kripa Devi

Trust, Naka, Lko.


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available


Rajajipuram


R. L. B. Hospital Campus,

Rajajipuram, Lko.


OPD, Immunization

MO (MBBS)-1, H.S. (M)-1,

H.S. (F)-1, H.W. (M)-1, UDC-1, LDC-


Not Available

29 Health Post, Saadatganj


Purana Chabutra,

Saadatganj, Lko.


OPD, Immunization

MO (MBBS)-1, PHN-1,

ARO-1,

Not Available

H.S. (F)-3, Ward Aya-1

30 Health Post, Chhitwapur


Behind City Mont. School, Chhitwapur,

Lko.


OPD,

Immunization

MO (MBBS)-1, PHN-1,

ARO-1,

Not Available


31 Health Post, Raja Bazar


Ghode Wali Building, Raja

Bazar, Lko.


OPD, Immunization

MO (MBBS)-1, PHN-1,

ARO-1,

Not Available


32 Urban Health Post, Azad

Nagar


H. No. : 550/287-288 A, Geetapalli, Azad

Nagar, Alambagh, Lucknow.

30000-50000

ANC, PNC, OPD, Immu.,

FP Services & Referral

MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1

BP Inst., Wei. Mach (Adult & Infant), Stetho.,

Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 42

33 Urban Health Post, Barawan

Kalan


H. No.: 268, Barawan Kala,

Thakurganj, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

34 Urban Health Post,

Doulatganj


Near Anandi Mata Ka Mandir,

Doulatganj, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

35 Urban Health Post, Dudauli


Plot no. 1, Gayatri Nagar,

Dudauli (Madiaon),

Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Faizullaganj


Keshavpuram Colony,

Faizullaganj, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

37 Urban Health Post, Garhi

Kanaura


H. No. : 283/63, Harichandpur,

Gari Kanora, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 43

38 Urban Health Post, New

Haiderganj


Bajrang Bihar, Mohan Road,

Buddheshwar Chauraha, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Hussainabad


H. No. : 467/178,

Sheesh Mahal, Husainabad,

Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

40 Urban Health Post, Jugauli


H. No. : 539 B, Badi Jugauli, Gomti Nagar,

Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Kasaibada


H. No. : 138/41, Fatehganj, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

42 Urban Health Post, Kashmiri

Mohalla


H. No. : 395/19, Near Sharga

Park, Kashimiri Mohalla, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 44

43 Urban Health Post, Khadra


H. No. : 538 KA/34/9, Khadra, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Maleshemau


Sub-centre, Maleshemau, Chinht, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Martinpurwa


H. No. : 2/21, Martin Ka

Purwa, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

46 Urban Health Post, Molviganj


H. No. : 155/129, Hata Sulema Qadar,

Molviganj, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

47 Urban Health Post, Mukarim

Nagar


Near Mankameshwar

Mandir, Daliganj, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 45

48 Urban Health Post, Para


Near Para Colony,

Rajajipuram, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

49 Urban Health Post, Pata Nala


H. No. : 220/79, Dariyaai Tola,

Pata Nala, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

50 Urban Health Post, Pipraghat


H. No. : 32, Dilkusha,

Pipraghat, Cantt., Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1

BP Inst., Wei. Mach (Adult & Infant),

Stetho., Sterilizer,

Dress. Drum, Elec.

Syri. Needle

Dest.

51 Urban Health Post, Qila

Mohammadi


H. No. : 537 Ka, Sector-K, Near Sunny Palace,

Ashiyana, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

52 Urban Health Post, Raheem

Nagar


Behind R. L. B. School,

Khurram Nagar, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 46

53 Urban Health Post, Ram

Nagar


H. No. : 433/56/01, Ram Nagar, Azad Nagar Chauraha, Balaganj, Lucknow

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Suggamau


Chandan Gram, Picnic Spot

Road, Suggamau, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

55 Urban Health Post, Ujjariaon


Ujjarioan Gaon, Gomti Nagar,

Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.


Nadarganj


Near Amausi Airport Outlet, Nadarganj, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

57 Urban Health Post, Tagore

Marg


Near Nadwa College, Tagore

Marg, Lko.

30000-50000



MO (MBBS)-1, Staff

Nurse-1, ANM-1,

Swee/Chauk.-1


Sterilizer, Dress.

Drum, Elec. Syri.

Needle Dest.

Page | 47

58 State Homeopathic Dispensary,

Aliganj

State Health Department (Direcorate

of Homeopath)

Aliganj Not Available

OPD Services MO (Homeo)-1,

Pharmacist-1, Ward Boy-1, Sweeper-1

Not Available


Rajajipuram


of Homeopath)


Not Available



Not Available

60 State Homeopathic Dispensary, Kaiserbagh


of Homeopath)

Kaiserbagh Not Available



Not Available

61 State Homeopathic Dispensary, Alambagh


of Homeopath)

Alambagh Not Available



Not Available


Indira Nagar


of Homeopath)

Indira Nagar Not Available



Not Available

63 State Homeopathic Dispensary, Thakurganj


of Homeopath)

Thakurganj, Lucknow

Not Available



Not Available


Sadar


of Homeopath)

Sadar, Lucknow Not Available



Not Available

65 State Homeopathic

Disp., Balrampur

Hosp.


of Homeopath)

Golaganj, Lucknow

Not Available



Not Available

65 Govt. Ayurvedic Hosp., Para

State Health Department (Direcorate of Ayur. &

Unani)

Para, Lucknow Not Available

OPD Services MO (Ayurv.)-1,


Not Available

Page | 48

66 Govt. Ayurvedic Hosp., Arya

Nagar


Unani)

Arya Nagar, Lucknow

Not Available



Not Available

67 Govt. Ayurvedic Hosp., Faridi

Nagar


Unani)

Faridi Nagar, Lucknow

Not Available



Not Available

68 Govt. Ayurvedic Hosp., Bungla

Bazar


Unani)

Bungla Bazar, Lucknow

Not Available



Not Available

69 Govt. Ayurvedic Hosp.,

Rajajipuram


Unani)


Not Available



Not Available

70 Govt. Ayurvedic Hosp., Garhi

Kanaura


Unani)

Garhi Kanaura, Lucknow

Not Available



Not Available

71 Govt. Ayurvedic Hosp., Gomti

Nagar


Unani)

Gomti Nagar, Lucknow

Not Available


Pharmacist-1, Ward Boy-1,

Sweeper-1

Not Available

72 Govt. Ayurvedic Hosp., Aliganj


Unani)

Aliganj, Lucknow

Not Available



Not Available


Bhaptamau


Unani)

Bhaptamau, Lucknow

Not Available



Not Available


Ismailganj


Unani)

Ismailganj, Lucknow

Not Available



Not Available

75 Govt. Ayurvedic

Hosp., Madiaon

State Health

Department (Direcorate of Ayur. &

Unani)

Madiaon,

Lucknow

Not

Available

OPD Services MO (Ayurv.)-

1, Pharmacist-1, Ward Boy-1, Sweeper-1

Not

Available

Page | 49

76 Govt. Ayurvedic Hosp., Bastauli


Unani)

Bastauli, Indira Nagar,

Lucknow

Not Available



Not Available

77 Govt. Ayurvedic Hosp., Vikas

Nagar (15 Beds)


Unani)

Vikas Nagar Chauraha, Lucknow

Not Available

OPD/Indoor Services

MO (Ayurv.)-1,


Not Available

78 Govt. Unani Hosp.,

Dubagga


Unani)

Dubagga, Lucknow

Not Available

OPD Services MO (Unani)-1,


Not Available

79 Allopathic Dispensary,

Naval Kishore Road

Municiple Corporation

Nava Kishor Road, Lucknow

Not Available

OPD Services MO (MBBS)-1,

Pharmacist-1, Aya-1,

Sweeper-1

Not Available

80 Allopathic Dispensary, Ganeshganj


Ganeshganj, Lucknow

Not Available

OPD Services MO (MBBS)-1,

Pharmacist-1, Chaukidar-2,

Sweeper-1

Not Available

81 Allopathic Dispensary, Arya Nagar


Arya Nagar, Lucknow

Not Available

OPD Services MO (MBBS)-1, MO (Ayur.-

Cont.)-1, Midwife-1,

Aya-1, Sweeper-1

Not Available

82 Allopathic Dispensary,

Daliganj


Daliganj, Lucknow

Not Available

OPD Services MO (Ayur.-Cont.)-1,

Chaukidar-1, Dresser-1, Sweeper-1

Not Available

83 Ayurvedic Chikitsalaya, Thakurganj


Thakurganj, Lucknow

Not Available

OPD Services MO (Ayur.-Cont.)-1,

Pharmacist-1, Anuchar-1,

Chaukidar-1, Sweeper-1

Not Available

84 Unani Chikitsalaya,

Naka Hindola


Naka Hindola, Lucknow

Not Available

OPD Services MO (Unani-Cont.)-1,

Chaukidar-1

Not Available

The data given in the table above reveals inadequacy of primary health care services. The first tier health

facilities were planned for a population of 50000 but as a result of rapid population growth they are

currently serving a population of more than 75000. The situation gets compounded due to lack of

adequate infrastructure, equipments and medicines. The staff mainly Doctors and ANM is also

inadequate. The high population- staff ratio results in poor service coverage with some areas being

Page | 50

entirely unserved. From the above assessment it becomes evident to consider the poor health indicators

for deciding the norms of staff population ratio. Uttar Pradesh has eight medical colleges and one post-

graduate institute which offer tertiary and superspecialty health services.

Private Health Care providers15

A large network of private providers exists along with a large number of public sector providers. The

total number of private sector doctors is estimated at 1,57,259 (Registered and unregistered all

inclusive). The Dai’s (TBAs) are estimated at 1, 12,259 (Trained and untrained) Commercial outlets

including medical shops, pharmacies etc. number about 6,98,000. Unlike the distribution of public sector

providers, the highest concentration of the private providers is in the western region. The distribution of

health providers understandably has strong bearing on the health care in U.P. Regions with lower

concentration of medical providers (in proportion to population) have lower maternal and child health

care coefficient and higher unmet need for family planning services. .

Lucknow is one of the major health hubs in North India that caters to the health care needs of its people.

Lucknow witnesses a huge inflow of patients from the neighboring cities of the state as well as from

Nepal and the neighborhood state like Bihar, Rajasthan, Madhya Pradesh and Haryana for health care and

treatment. Lucknow is the epicenter of a number of private and government hospitals which are

providing patients with satisfactory diagnostic services and proper medical care at in cost effective

manner.

The standard of health care in Lucknow at present can be compared to the standards in any other

metropolis of the country. Private hospitals in Lucknow try their best to keep pace with emerging trends

of modern treatment. These are diet management, daily check up programmes for ailing patients and

small level insurance, day care and so on. Thus patient gets its money worth by such specialty treatment.

Medical care in Lucknow is readily available through the Government Medical College, Medical Health

Centers that are either undertaken by the State Government or Private medical Care.

2. Health Scenario

Based on the results of AHS the health scenario of Lucknow city (proxy by the urban part of the district)

is presented as below. The detailed tables are given in the annexure.

Indicator %

Marrige below legal age (%)

Among females (below 18 Years) 2.3

Among males (below 21 Years) 4.6

CMW age ( 20-24 Years) married before age 18 years 27.4

CMM age ( 20-24 Years) married before age 21 years 21.1

15

Planning Department. 2004. Annual Plan 2004-05, Lucknow : Planning Department, Gov ernment of Uttar Pradesh

Page | 51

Indicator %

Mean Age at Marriage

Male 26.8

Female 23.3

Morbidity and Health issues

Number of disable persons (1000,000 populaiton)

Person 901

Male 955

Female 841

Number of Injured Persons by type of Treatment received (Per 100,000 Population)

Severe

Person 175

Male 235

Female 109

Major

Person 173

Male 228

Female 113

Minor

Person 513

Male 659

Female 351

Persons Suffering from any kind of Acute Illness (Per 100,000 Population)

Diarrhoea/Dysentery

Person 420

Male 401

Female 441

Acute Respiratory Infection (ARI)

Person 181

Male 194

Female 166

Fever (All Types)

Person 2540

Male 2385

Female 2712

Any type of Acute Illness

Person 3593

Male 3418

Female 3787

Taking treatment from Any Source (%)

Page | 52

Indicator %

Person 98.5

Male 98.0

Female 98.9

Taking treatment from Government Source (%)

Person 14.7

Male 14.7

Female 14.6

Having Any kind of Symptoms of Chronic Illness (Per 100,000 Population)

Person 4008

Male 3561

Female 4503

sought Medical Care (%)

Person 94.2

Male 94.7

Female 93.7

Diagnosed for (Per 100,000 Population)

Any kind of Chronic Illness

Person 4833

Male 4489

Female 5216

Diabetes

Person 969

Male 1121

Female 800

Hypertension

Person 1564

Male 1332

Female 1822

Tuberculosis (TB)

Person 138

Male 156

Female 117

Asthma/Chronic Respiratory Disease

Person 232

Male 251

Female 211

Arthritis

Person 470

Male 241

Female 724

Page | 53

Indicator %

Getting Regular Treatment (%)

Person 70.5

Male 70.7

Female 70.4

Getting Regular Treatment from Government Source (%)

Person 27.1

Male 27.0

Female 27.3

FERTILITY

Total Fertility Rate (TFR) -

Women aged 20-24 reporting birth of order 2 & above (%) 33.9

birth of order 3 & above (%) 26.6

Women with two children wanting no more children (%) 64.5

Median age at first live birth of Women aged 15-49 years 52.9

Median age at first live birth of Women aged 25-49 years 24.5

Women age 15-19 who were already mothers or pregnant at the time of the survey (%)

23.7

Mean number of children ever born to aged 15-49 58.7

Mean number of children surviving to Women aged 15-49 2.4

Mean number of children ever born to Women aged 45-49 2.3

Live Births taking place after an interval of 36 months (%) 3.4

ABORTION to EMW 15-49 Years (%)

Pregnancy resulting in abortion 6.0

Women who received any ANC before abortion 74.8

Married Women who went for Ultrasound before abortion 51.5

Average Month of pregnancy at the time of abortion 2.7

Abortion performed by skilled health personnel (%) 85.9

Abortion taking place in Institution (%) 85.9

Currently Married Pregnant Women aged 15-49 registered for ANC (%)

Current Usage

Any method (%) 53.3

Any modern method (%) 43.9

Female sterilization (%) 16.7

Male sterilization (%) 0.3

Copper-T/IUD (%) 2.6

Pills (%) 3.9

Page | 54

Indicator %

Condom/Nirodh (%) 19.9

Emergency Contraceptive Pills (%) 0.2

Any traditional method (%) 9.4

Periodic abstinence (%) 6.3

Withdrawal (%) 2.5

LAM (%) 0.3

UNMET NEED FOR FAMILY PLANNING

Unmet need for Spacing (%) 14.6

Unmet need for Limiting (%) 16.6

Total Unmet need (%) 31.2

Maternal Health Care

ANTE NATAL CARE

Mothers who received any antenatal check-up (%) 92.5

Mothers who had antenatal check-up in first trimester (%) 73.6

Mothers who received 3 or more antenatal care (%) 76.2

Mothers who received at least one tetanus toxoid (TT) injection (%) 92.0

Mothers who consumed IFA for 100 days or more (%) 21.3

Mothers who had Full Antenatal Check-up (%) 18.7

Mothers who received ANC from Govt. Source (%) 49.7

Mothers whose Blood Pressure (BP) taken (%) 85.5

Mothers whose Blood taken for Hb (%) 84.1

Mothers who underwent Ultrasound (%) 78.1

DELIVERY CARE

Institutional Delivery (%) 81.2

Delivery at Government Institution (%) 38.0

Delivery at Private Institution (%) 42.9

Delivery at Home(%) 18.3

Delivery at home conducted by skilled health personnel (%) 48.0

Safe delivery *(%) 90.0

Caesarean out of total delivery taken place in Government Institutions (%) 22.2

Caesarean out of total delivery taken place in Private Institutions (%) 38.8

Less than 24 hrs. stay in institution after delivery (%) 23.9

Mothers who received Post-natal Check-up within 48 hrs. of delivery (%) 72.6

Mothers who received Post-natal Check-up within 1 week of delivery (%) 77.4

Mothers who did not receive any post-natal Check-up (%) 21.8

Page | 55

Indicator %

New borns who were checked up within 24 hrs. of birth (%) 73.9

JANANI SURAKSHA YOJANA (JSY)

Mothers who availed financial assistance for delivery under JSY (%) 28.8

Mothers who availed financial assistance for institutional delivery under JSY (%) 35.3

Mothers who availed financial assistance for government institutional delivery under JSY(%)

72.3

IMMUNIZATION (%)

No of Children age 12-23 months 87.8

Children aged 12-23 months who have received BCG 91.5

Children aged 12-23 months who have received 3 doses of Polio vaccine 67.3

Children aged 12-23 months who have received 3 doses of DPT vaccine 71.8

Children aged 12-23 months who have received Measles vaccine 81.0

Children aged 12-23 months Fully Immunized 57.4

Children who have received Polio dose at birth 87.7

Children who did not receive any vaccination 6.9

Children Vitamin A dose during last six months 55.5

Children (aged 6 months) who received IFA tablets/syrup during last 3 months (%) 27.2

Children whose birth weight was taken (%) 78.5

Children with birth weight less than 2.5 Kg. (%) 21.9

CHILDHOOD DISEASES

Children suffering from Diarrhoea (%) 7.8

Children suffering from Diarrhoea who received HAF/ORS/ORT (%)

90.8

Children suffering from Acute Respiratory Infection (%) 3.4

Children suffering from Acute Respiratory Infection who sought treatment (%) 95.3

Children suffering from Fever (%) 12.3

Children suffering from Fever who sought treatment (%) 93.5

Child Feeding practices and nutritional staus of children (%)

Children under 3 years breastfed within one hour of birth 45.2

Children (aged 6-35 months) exclusively breastfed for at least six months (%) 25.2

Water 63.0

Animal/Formula Milk 72.1

Semi-Solid mashed food 7.0

Solid (Adult) Food 4.1

Page | 56

Indicator %

Vegetables/Fruits 3.5

Average month of receiving foods other than other than breast milk for children under 3 years

Water 3.0

Animal/Formula Milk 3.3

Semi-Solid mashed food 8.3

Solid (Adult) Food 10.4

Vegetables/Fruits 10.6

BIRTH REGISTRATION

Birth registered (%) 74.2

Children whose birth was registered and received birth certificate (%) 67.9

AWARENESS ON HIV/AIDS

Women who are aware of HIV/AIDS (%) 91.8

Women who are aware of RTI/STI (%) 53.1

Women who are aware of HAF/ORS/ORT (%) 98.2

Women who are aware of danger signs of ARI/Pneumonia (%) 87.6

2.1 Amenities and Living Conditions

About 70% households were living in their own houses. About 9% were still living in Kutcha or Semi

Pucca houses. Though almost all households had access to improved sources of drinking water, but 27%

were treating water to make it safer.

Whereas 18% were sharing toilets, still about 7% were defecating in open. About 97% had access to

electricity. Though 81% were using LPG for cooking, 15% were still using fire wood/dung cakes/ crop

residues for cooking. As high as 90% had telephones/ mobiles and 25% even had computers.

2.2 Maternal Health

Fertility

The Total Fertility Rate for Lucknow city was estimated at 2.4 which is broadly equals mean number of

children ever born to women age 15-49 years. The births of order 3 and above were reported by 26.6%

only and women with 2 children and wanting no more child was as high as 64.5%. Further as high as

59% of births had interval of 36 months or more. The girls marrying below the legal age of 18 years were

only 2.3%.

53% reported using any family planning method. The most common methods of family planning were

female sterilization - 17% and condoms as 20%. The use of IUD was just 2.6% and pills 4%. The

traditional method was reported as being used by 9%. The total unmet need for family planning was

31%, 14.6% for spacing and 16.6% for limiting.

Ante Natal Care

Page | 57

Though mothers receiving any ante natal check up were 93%, only 19% had full ANC. Around 50% of

pregnant women received ANC from Government sources. Of various components of ANC, at least one TT

received by 92%, BP taken 86%, blood examination for Hb 84%, underwent ultrasound 78%. Though

76% pregnant women received 3 or more ANCs, those who consumed IFA for 100 days or more was only

21%.

Delivery Care

About 81% of deliveries in Lucknow were conducted in institutions, of which 38% were in Government

institutions and 43% in private institutions. The home deliveries were only 18% of which 48% were

conducted by skilled health personnel. Caesarian cases were as high as 61%, about two-third being

conducted in private institutions.

It is important to note that because of high demand on beds for institutional deliveries, in about 24% of

the cases the stay in the hospital after delivery was less than 24 hours. About 74% mothers received post

natal care and new born were also checked.

Importantly, 29% of mothers availed financial assistance for deliveries under JSY and 72% of mothers

availed financial assistance for government institutional delivery.

2.13.1 1.14 Child Health

Child Immunization

About 57% of children were fully immunized. Those who received Vitamin A dose were 56%.

Birth Weight

In 79% cases birth weight of the child was taken and based on that 22% of children were low birth

weight (<2.5Kg). About 74% of births were registered and 68% had birth certificates.

Childhood Diseases

Children with diarrhea, Acute Respiratory Infection and fever were reported as 8%, 3% and 12%

respectively. Those suffering from fever who sought treatment were 94%.

Brest Feeding

Only 25% of children were exclusively breast feed.

Infant & Child Mortality

The IMR was 33 per 1000 live births. The Neo Natal Mortality Rate was high at 19 and Post Neo Natal at

13. Under 5 Child Mortality Rate was 38.

2.13.2 1.15 General Health & Health Seeking Behaviour

Morbidity

Page | 58

As per the AHS 2010-11, the morbidity rate for acute illness in Lucknow was estimated at 3.6% it being

higher for females (3.7%) as compared to males (3.4%) as to the specific acute illnesses the prevalence of

fever was estimated at 2.5% (higher for females 2.7% compared to males 2.4%). The prevalence of

Diarrhea/ dysentery was estimated at 0.4% for Acute Respiratory Infection as 0.2%. It is observed that

for acute illnesses 99% in Lucknow took treatment of which 15% from government sources.

The symptoms related to chronic illnesses were reported by 4% in Lucknow, it being significantly higher

for females (4.5%) as compared to males (3.6%). Of these about 94% were reported as diagnosed. As to

specific chronic illnesses Hypertension was reported by 1.6% and Diabetes by 1%. The prevalence for

Hypertension lifestyle disease was higher among females as compared to males. The problem of Arthritis

and Asthma was reported by 0.5% and 0.2% respectively. The problem of arthritis was much higher

among females as compared to males. Tuberculosis was reported more by males as compared to females,

the prevalence being 0.16% in males. For chronic illnesses 71% reported taking regular treatment of

which 27% was from Government Sources.

Injuries

Little less than 0.9% of the population had injuries due to accidents of which 20% were severe where

individual had to be kept in ICU and another 20% major requiring hospitalization.

Table 12: Disease/Cause of Morbidity Data : Lucknow

Sl. Name of Disease/ Cause of Morbidity (e.g. COPD, Trauma, Cardiovascular Disease etc.)

Number of cases admitted in 2012

Source of Data

1 Injuries and Trauma 1096 IDSP

2 Self inflicted injuries/suicide Not Available

3 Cardiovascular Disease 733 IDSP

4 Cancer (Breast cancer) Not Available

5 Cancer (cervical cancer) Not Available

6 Cancer (other types) Not Available

7 Mental health and depression 369 IDSP

8 Chronic Obstructive Pulmonary Disease (COPD) Not Available

9 Malaria 92 IDSP

10 Dengue 21 IDSP

11 Infectious fever (like H1N1, avian influenza, etc.) 129 IDSP

12 TB 25917 T.B.Hospital, Thakurganj

13 MDR TB Not Available

14 Diarrhea and gastroenteritis 14024 IDSP

Page | 59

15 Jaundice/Hepatitis 175 IDSP

16 Skin diseases Not Available

17 Severely Acute Malnourishment (SAM) Not Available

18 Iron deficiency disorder Not Available

19 Others Not Available

(Source: IDSP, TB & District Hospital)

The above table reflects the health/ morbidity profile of the Lucknow city. As there are three sources of

data, the city planning team has approached all three sources for getting most authenticated as well as

updated data. So, data from IDSP, TB clinic and District hospital were taken and mentioned in the above

table.

3. Key Issues

The Eleventh Plan had suggested Governance reforms in public health system, such as Performance

linked incentives and Devolution of powers and functions to local health care institutions and making

them responsible for the health of the people living in a defined geographical area. NRHM’s strategy of

decentralization, PRI involvement, integration of vertical programmes, inter-sectoral convergence and

Health Systems Strengthening has been partially achieved. Despite efforts, lack of capacity and

inadequate flexibility in programmes forestall effective local level Planning and execution based on local

disease priorities.

In order to ensure that plans and pronouncements do not remain on paper, NUHM UP would strive for

system of accountability that shall be built at all levels, reporting on service delivery and system, district

health societies reporting to state, facility managers reporting on health outcomes of those seeking care,

and territorial health managers reporting on health outcomes in their area. Accountability shall be

matched with authority and delegation; the NUHM shall frame model accountability guidelines, which

will suggest a framework for accountability to the local community, requirement for documentation of

unit cost of care, transparency in operations and sharing of information with all stakeholders. The state

will incorporate the core principles of The National Health Mission of Universal Coverage, Achieving

Quality Standards, Continuum of Care and Decentralized Planning.

Following would be the issues for the cities to address: City Health Planning, Public Private

Partnership, Convergence, Capacity Building, Migration, Communitization, Strengthen Data, Monitoring

and Supervision, Health Insurance, Information Dissemination and Focus on NCDs/ Life-Style Diseases.

After considering the available data, city scenario and analysis, the City planning team has identified

issues at both service delivery & demand generation level. Following are the details of issues which

would be addressed through NUHM at the city level:

1) Need of community volunteers (ASHAs) for taking up the community mobilization activities

2) Need of Mahila Arogya Samiti (MAS- a group of 10-12 women) for wider spread of information/

rights and entitlements

3) Strengthening of ANC, PNC & identification of high risk pregnancies at community level

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4) Home based care of neonates at community level

5) Promotion of institutional deliveries

6) Health education for all, especially for adolescent group

7) Complete immunization of pregnant women & children

8) Needs to strengthen the existing health care facilities by recruiting human resources

9) Need assessment of community in health scenario

10) Need a better convergence with other programs and wider determinants

11) Need of training & capacity building of human resources

12) Need of Strengthened program management structure at district level

13) Need of intensive baseline survey to start the community processes and identifying local needs

14) Involvement of local bodies in decision making and managing the program locally

15) Gap analysis of HR & recruitment

16) Promotion of family planning methods through basket of choice approach & counselling because

unmet need for family planning is high in Lucknow

17) Management of communicable & non- communicable diseases

18) Strengthening AYUSH

19) Constitution of BSGY team for urban areas.

20) Identification & management of SAM children

4. Strategies, Activities and Work plan

The key overarching strategies under NUHM for 2013-14 include data based planning, strengthening of

management and monitoring systems at the state and district level, improving the primary health care

delivery system and community outreach through ASHAs, MAS and Urban Health and Nutrition

Days(UHNDs).

The key activities at the district level will include convergence with key urban stakeholders, sensitization

of ULBs on their role in urban health, strengthening UPHCs for provision of primary health care to urban

poor, community outreach through selection, training and support to ASHAs and MAS, conducting UHNDs

and outreach camps to get services closer to the community and reach complete coverage of slum and

vulnerable populations.

With the aim to improve the health parameters of urban population in the city, structures and strategies

as recommended for the NUHM in its framework will be adopted and operationalized rapidly over the

years.

Listing and Mapping of Households in slums and Key Focus Areas

Listing and mapping of households will provide accurate numbers for population their family size and

composition residing in slums. Currently, estimates of population residing in slums are available from

District Urban Development Agency (DUDA) and National Polio Surveillance Project as the immunization

micro plans (under NPSP) provide updated estimates of slum and vulnerable populations and are

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expected to be fairly complete. The current plan for covering slums is based on the currently available

data of urban population of each city.

Once the ASHA are deployed they will list all households and fill the Slum Health Index Registers (SHIR)

including the number and details of family members in each household. This data will be compiled for

city and will provide the population composition of slums and key focus areas. This will also help the

urban ASHA know her community better and build a rapport with the families that will go a long way in

helping her advocate for better health behaviours and link communities to health facilities under the

NUHM. It is expected that once the household mapping is completed in cities, the number of ASHAs will

be reviewed and adjusted upwards or downwards and the geographical boundaries of the coverage area

for each ASHA would be realigned. This is due to the reason that the actual population may be higher or

lower than the original estimate used for planning.

Facility Survey for gaps in infrastructure, HR, equipment, drugs and consumables

Facility survey will be carried out in the public facilities to assess the gaps in infrastructure, human

resource, equipment, drugs and consumables availability as against expected patient load. Further

planning, particularly for UCHCs, will be based on these gaps. This work will be outsourced to a research

agency. Development Partners like Health of the Urban Poor project will technically support this effort.

Baseline Survey

The state envisions monitoring progress in health indicators in urban areas and among urban poor over

the period of implementation of NUHM. This proposed Baseline survey will generate data on the health

and related indicators which will be reviewed during the course of implementation of the program to

assess the impact of implementation and necessary course corrections can accordingly be made and use

of resources can be optimised.

Training and Capacity Building

ULB, Medical and Paramedical staff, Urban ASHAs and MAS will be trained. The trainings will have to be

followed by periodic refresher trainings to keep these frontline health workers motivated. NUHM will

engage with development organisations to develop the training modules and facilitate the trainings.

Monitoring & Evaluation

The M&E systems would also capture qualitative data to understand the complexities in health

interventions, undertake periodic process documentation and self evaluation cross learning among the

Planning Units to be made more systematic.

The Monitoring and Evaluation framework would be based on triangulation of information. The three

components would be Community Based Monitoring, HMIS for reporting and feedback and external

evaluations.

Strengthening of health facilities

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Urban Community Health Centre (U-CHC)-

UCHC would be established/ set up for every 4-5 U-PHCs and shall be initiated with upgrading of the

existing 8 BMCs which are functioning efficiently in the city. Since these facilities fall short of the services

envisaged to be provided by the CHCs, they are being proposed to be strengthened in terms of induction

and deployment HR and provision of necessary medical equipment. Further strengthening of the

facilities will be undertaken in the subsequent years.

Urban - Primary Health Centre (U-PHC) –

During the first year of implementation of the program, the existing urban health posts (26 NRHM funded

+ 11 state funded) will be attempted to be strengthened. Towards this, the UHPs existing in rented

accommodations will be shifted to adequately larger premises which would help in rendering the

mandated services. A provision of Rs. 10,000/- per month per UPHC is being proposed for immediate

service provision capacity enhancement, but over the period of time the said rented accommodations will

be shifted to owned premises for sustained services. Accommodations belonging to other stakeholder

government line departments will be explored and then adopted after entering into necessary

agreements/ arrangements with the said department.

Targeted intervention for urban poor –

The process of listing of households in the KFAs, mapping of KFAs and health facilities and baseline

survey of the KFA households will help determine the scope and extent of services required for targeting

of the urban poor. A deliberate effort will be made to identify the vulnerable poor on the basis of their

residence status, occupational status and social status, besides other micro-level indicators, which will

further help focusing the health care services to the most deserving.

Mahila Arogya Samiti (MAS)-

MAS will act as community based peer education group in slums, involved in community mobilization,

monitoring and referral with focus on preventive and promotive care, facilitating access to identified

facilities and management of grants received. Existing community based institutions could be utilized for

this purpose. City planning team is proposing formation of only one MAS under each ASHA in the first

year and the identification of the remaining planned MAS will be undertaken in the subsequent years.

ASHA-

For reaching out to the households ASHAs (frontline community worker) would serve as an effective and

demand–generating link between the health facility and the urban slum population. Each link

worker/ASHA would have a well-defined service area of about 1000-2,500 beneficiaries/ between 200-

500 households based on spatial consideration.

Outreach services –

Outreach services will be provided to the slum areas and KFAs through ANMs who would be responsible

for providing preventive and promotive healthcare services at the household level through regular visits

and outreach sessions. Each ANM will organize a minimum of one routine outreach session in her area

every month.

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Special outreach sessions (for slum and vulnerable population) will be organized once in a week in

partnership with other health professionals (doctors/ pharmacist/ technicians/ nurses – government or

private). It will include screening and follow-up, basic lab investigations (using portable /disposable

kits), drug dispensing, and counselling. The outreach sessions (both routine and special outreach) could

be organized at designated locations mentioned in the aforesaid paras in coordination with ASHA and

MAS members

Innovations –

An urban specific IEC strategy covering urban contexts would be developed, field tested and then

applied to cover RCH. The IEC plans should especially focus on interpersonal or group communication

which would include a description of expected behaviour change in different community segments. For

effective tracking of its implementation, benchmarks and milestones would be developed.

School Health Services

School health program under NUHM has been an important component to provide not only the

preventive and curative services to children but also to ensure their contribution in overall health

development of the urban communities. It is envisaged that the active involvement of children in the

program will enable them to be a change agent for themselves as well as communities by taking home

good knowledge and practices in terms of preventive health care activities. It is planned that children will

be engaged through innovative and creative actions to make the learning entertaining and educational.

Objective: To evolve innovative ways to involve children in preventive health care activities to make

them a change agent for them and their families.

Innovation: An activity called SEEKH (Systematic Effort to Ensure Knowledge on Health) will be

implemented in each urban government school for active involvement of children based on two way

education and learning package.

Process: To ensure the participation of each and every children in proposed activity, the following

process and flow is planned and will be implemented:

A small booklet on primary health information will be developed (or leveraged from SALONI

program) for school going children.

The school health team will distribute the booklet to students during their visit to schools and

children will have to read the booklet in 45 minutes (we can call it SWASTHYA CLASS).

The reading will be followed by filling up a small questionnaire in 15 minutes

All the students participating in the activity will receive a batch with tagline “Member-Baal

Swasthya Sena”.

The three top scorer children will be rewarded as “Nayak-Baal Swasthya Sena” and will be

known as class monitor till the next round

These three will be responsible to ensure that all students are aware about mentioned good

health practices

They will also follow up with students that they are talking these points at their households and

practicing good practices (such as Hand wash, Personal hygiene etc)

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PPP & CSR –

For Lucknow city a few innovative interventions have been planned. Interventions performed under

Public Private Partnership (PPP) arrangements and Corporate Social Responsibiltoy (CSR) will be

undertaken with the intent to evolve successful models for health care delivery to the urban poor.

Convergence –

Intra-sectoral convergence is envisaged to be established through integrated planning for

implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health

Programme, National Programme for Health Care of the Elderly, etc. at the city level. Inter-sectoral

convergence with Departments of Urban Development, Housing and Urban Poverty Alleviation, Women &

Child Development, School Education, Minority Affairs, Labour will be established through city level

Urban Health Committees headed by the Municipal Commissioner/ Deputy Commissioner/ District

Collector.

Activity Plan under NUHM for the state and cities

Act. No.

Activity

Responsibility Months : October'13 - March'14 Remarks

State level

City level O

ct.

No

v.

Dec

Jan

Feb

Mar

1

Establishment of Platform for Convergence at state level

Circular to be isued from state level to all their district level nodal officers

2 Preparation & Finalization of Guidelines for City Coord. Committee/ City Program Management Committee

These will be one time activities and will apply across the state

3 Preparation & Finalization of Guidelines for Urban ASHAs

4 Preparation & Finalization of Guidelines for Mahila Arogya Samiti

5 Preparation & Finalization of Guidelines for UHND

6 Preparation & Finalization of Guidelines for Outreach sessions/ School Health Programs

7 Preparation & Finalization of Job Descriptions for all district level NUHM positions

8 Preparation & Finalization of Guidelines for PPP

9 Induction of state level staff for Urban Health Cell

10 Induction of city level staff for Urban Health program

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11 Meeting of DHS for establishment of City Program Management Committee (UH)

12 Sensitization of new probable members on NUHM

13 Identification of NGOs for their role under NUHM

14 Establishment & orientation of City Program Management Committee (UH)

15

Identification of groups, collectives formed under various govt. programs (like NHG under SJSRY, self help groups etc.) for MAS

16 Organize meetings with women in slums where no groups could be identified

17 Formation and restructuring of groups as per MAS guidelines

18 Orientation of MAS members

18 Selection of ASHAs

18a - Selection of local NGOs for ASHA selection facilitation

18b - Listing of local community members as facilitators by NGOs

18c - Listing of probable ASHA candidates and finalize selection

19 Convergence meeting with govt. Stakeholders

20 Mapping & listing exercise (for health facilities and slums)

20a

- Mapping of all urban health facilities (public & pvt.) for services

To continue

in 2014-15

20b

- Mapping of slums (listed and unlisted)

To continue in 2014-

15

20c

- Houselisting of slums/ poor settlements

To continue in 2014-15

21 Planning for strengthening of health facilites/ services

- Health Facility Assessment (of public facilities including listing of public facility wise infra & HR requirement)


22 Baseline survey of urban poor/ slums (KFAs)

(to determine vulnerability, morbidity

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pattern & health status)

23 Meetings of RKS for all the public health facilites under NUHM

24

Identification of alternate/ suitable locations for UPHCs under various urban devp. Programs


25 Strengthening of public health facilities

- Selection, training and deployment of HR in pub. health facilities


26 IEC activities

27 Outreach camps & UHNDs (from existing UHPs)

28

Empanelment of Private Health Facilities for health care provisioning


29 Involvement of CSR activities

5. Programme Management Arrangements

Districts Heath Society will be the implementing authority for NUHM under the leadership of the District

Magistrate. District Program Management Units have been further strengthened to provide appropriate

managerial and operational support for the implementation of the NUHM program at the district level.

After extensive deliberations the state plans to designate the District Health Society under the

chairmanship of the District Magistrate as the implementing authority for NUHM

Fund flow mechanisms have been set up and separate accounts will be opened at in the district for

receiving the NUHM funds.

Urban Health will be included as a key agenda item for review by the District Health Society with

participation of city level urban stakeholders.

An Additional / Deputy CMO has been designated as the nodal officer for NUHM at the district level.

The District Program Management Unit will co-opt implementation of NUHM program in the district

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and the District Program Manager will be overall responsible for the implementation of NUHM. To

support this the following additional staff and funds are proposed for strengthening the District

Program Management Units for implementing NUHM. The staff of Urban RCH Programme at District

Headqaurter (URCH), who has been working since 2001 under Urban RCH (which was previously

funded by SIP and then merged into NRHM after November, 2005) will be sustained/adjusted first by

the District Health Society under NUHM and then recruiting process for the staff will be done under

NUHM.

a. Urban Health Coordinator, Accountant and Data Entry Operators according to the following norms:

District total Urban population

Additional Staff Proposed (Designation)

Additional Staff Proposed

Less than 1 lakh Data Entry Operator 01

1lakh to 10lakhs

Urban Health Coordinator Accountant

Data Entry Operator

01 01 01

10lakh to 20lakhs


Data Entry Operator

02 02 02

20lakh to 30lakhs


Data Entry Operator

03 03 03

b. District Programme Manager will be nodal for all NUHM activities so extra incentive and budget for 1 laptop to each DPM has been proposed for DPM for undertaking NUHM activities.

c. A onetime expense for computers, printer and furniture for the above staff has been budgeted

along with the recurring operations expenses.

d. Onetime expenses have been budgeted for up-gradation of the office of Additional/ Deputy

CMO and District Programme management Unit.

The City Program Management Committee will function as an Apex Body for management of the City

Health Plan, which will lead to delivery of Maternal, Newborn, Child Health and Nutrition (MNCHN) and

water, sanitation and hygiene (WASH) services to the urban poor and will work towards the following

objectives:

1. Establish a forum for convergence of city level stakeholders for the delivery of MNCHN and WASH

services to the urban poor.

2. Serve as the nodal body for the planning and monitoring of MNCHN and WASH service delivery to

the urban poor.

3. Provide a forum for exploring, reviewing and approving PPP initiatives and innovations to address

the gaps in MNCHN and WASH service delivery to the urban poor.

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The structure proposed for the City Coordination Committee :

Chairperson - DM/ Municipal Commissioner

Convener - CMO

Members – Health - ACMO-Urban

Member – ICDS - DPO

Member – Nagar Nigam - Sum Improvement Officer

Member – Water & Sanitation- Sup. En. / Ex.En. JalKal Vibhag, Nagar Nigam

Member DUDA & UD - Project Officer

Member – ESIC - ESIC Hosp. Supdt.

Member – SPM - SPM Deptt, KGMU, Lucknow

Members – School Education - BSA & DIOS

Members – Dev. Partners - Partners working in urban health sector ( HUP)

Coordinator - Lead Dev. Partner

Review Meetings at UPHC and City Level

Nature of Meeting Periodicity Meeting

Venue

Participants

Mahila Aarogya Samiti

Meeting

Once a month for

each MAS

Slum ANM, HV, Community Organizer,

Social Mobilization officer

Review meeting with Link

workers and MAS

representatives

Once a month UPHC All ANMs, PHN, LMO, Community

Organizer, Social Mobilization

officer

Meeting of UPHC

Coordination Committee

Once a month UPHC LMO, PHN/Community Organizer,

Social Mobilization officer,

representative from 2nd tier

facility, and reps. From other

departments

Meeting with CMO & UH

Program Coordinator

Once a month CMO

Office

CMO, Program Coord., Asst.

Program Coordinator, LMO/

PHN/ Community Organizer,

Social Mobilization officer

City Task Force Meeting Once in two

months

DM’s

office

CMO, Program Coord. UH, Various

departments’ reps. , private

partners, NGOs

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6. City Level Indicators & Targets

Processes & Inputs

Indicators Baseline (as applicable)

Number Proposed (2013-14)

Number Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) formed * 0 1132

2. Number of MAS members trained * 0 11320

3. Number of Accredited Social Health Activists (ASHAs) selected and trained *

0 566

Health Systems

4. Number of ANMs recruited * 0 280

5. No. of Special Outreach health camps organized in the slum/HFAs * 0 282

6. No. of UHNDs organized in the slums and vulnerable areas * 0 1098

7. Number of UPHCs made operational * 0 56

8. Number of UCHCs made operational * 0 0

9. No. of RKS created at UPHC and UCHC * 0 56

10. OPD attendance in the UPHCs 0 48000

11. No. of deliveries conducted in public health facilities 0 1000

RCH Services

12. ANC early registration in first trimester

13. Number of women who had ANC check-up in their first trimester of pregnancy

14. TT (2nd dose) coverage among pregnant women

15. No. of children fully immunised (through public health facilities)

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

Communicable Diseases

17. No. of malaria cases detected through blood examination

18. No. of TB cases identified through chest symptomatic 6480

19. No. of suspected TB cases referred for sputum examination 6480

20. No. of MDR-TB cases put under DOTS-plus

Non Communicable Diseases

21. No. of Diabetes cases screened in the city 2340

22. No. of Cancer cases screened in the city N/A

23. No. of Hypertension cases screened in the city N/A

draft pip of lucknow

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