world bank - nhmnagaland.innhmnagaland.in/programmes_file_path/technical report 1.pdf · data...

SECON PRIVATE LIMITEDCORPORATE OFFICE : Plot No.147, 7B Road, Export Promotion Industrial Park (EPIP)

Whitefield, Bangalore-560 066, Ph: 080-41197778, Fax: 080-41194277E-Mail:[email protected], Website: http://www.secon.in

NAGALAND – TECHNICAL REQUIREMENTS FOR WATER AND SANITATION TO IMPROVE HEALTH

SERVICES

Doc No. SECON/NAGALAND/TA//FD&I/REV-0/MAY-14May 2014

FIELD DATA COLLECTION METHODOLOGY AND INSTRUMENTS (DRAFT)

WORLD BANK70, Lodhi Estate,

New Delhi – 110 003

ISO 9001:2008

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Technical Requirements for Water and Sanitation to Improve Health Service Field Data Collection and Instruments

SECON 1 World Bank

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Accompaniment to SECON Letter dated: 05th May 2014 �


SECON 2 World Bank

Acknowledgement

SECON would like to acknowledge and record sincere thanks to World Bank Officials and State Health Department Officials, Government of Nagaland for their assistance and cooperation in the Preparation of Field Data Collection and Instruments Report for Water and Sanitation to Improve Health Services in Nagaland.

SECON TEAM

Place : Bangalore Date : 05.05.2014


SECON 3 World Bank

ABBREVIATIONS CHC Community Health Centre DH District Hospital HCMC Health Centre Management Committee NGO Non Government Organisation PHC Primary Health Centre PPP Public Private Partnership PHED Public Health Engineering Department SC Sub Centre SHC Subsidiary Health Centre ToR Terms of Reference VHMC Village Health Management Committee VHC Village Health Committee VWSC Village Water and Sanitation Committee WSP Water and Sanitation Program WB World Bank


SECON World Bank

Table of Contents

1. Introduction 4

2. Project Area 5 3 Field Data Collection Methodology and Instruments 6

4. Representative Samples 8 5 Stakeholder identification 10 6 Field Visit 11 7 Field Data formats 11 Sub Centres 01 - 37

Primary Health Centres 38 - 74

Community Health Centres 75 - 95

District Hospitals 96 - 114


SECON 4 World Bank

1. Introduction

The essential functions of public institutions such as health facilities include the provision of not only services as their core mandate, but also promotion of adequate sanitation, drinking water and hygiene. Lack of safe drinking water, adequate sanitation in health centers, clinics and hospitals are matter of concern in the state of Nagaland, which undermines the quality of health services delivered, reduces patient demand for services and affect the working conditions of health staff. With objectives to support the state Government in assessing needs, defining technical requirements and planning investments to improve water supply and sanitation using locally appropriate, sustainable and environment-friendly strategies and technologies, Water and Sanitation Program (WSP) of the World Bank is supporting technical assistance for water and sanitation to improve health services. WSP hired the services of SECON Private Limited for assessing the needs, defining technical requirements and planning investments to improve water supply and sanitation facility in the health facilities in the state of Nagaland. Present Document covers Field Data Collection Methodology and Instruments (SECON/WB/Nagaland/TA/FD&I/May -2014).


SECON 5 World Bank

2. Project Area

The project area covers the Government Health Services in the State of Nagaland. The assessment of water and sanitation situation in health system is based on the representative sample of health facilitates as defined in ToR, which includes 03 District Hospitals, 03 Community Health Centers, 09 Primary Health Centers and 09 Sub-centers.

The Total number of the various health facility and representative sample as per TOR is shown in the table.

Category Total No. Representative

sample District Civil Hospitals 11 3 Community Health Centers (CHC). 21 3 Primary Health Centre (PHC). 86 9 Sub-Centers 397 9


SECON 6 World Bank

3 Field Data Collection Methodology and Instruments

Assessment of drinking water demand, identifying water sources and option to draw water will be carried out by using the secondary data collected by various agencies and by carrying out the desktop study for data/information and maps. Secondary data required for Assessment and subsequent Strategic Planning for Water Supply and sanitation facility was collected from the concerned state authorities for representative sample of health facilities. The representative sample was decided in consultation with State Health Department officials and the World Bank team covering the different situations of the health facility in the state. As envisaged in the ToR, following sample number are considered for deriving the methodology and approach:

Category Total No. Representative sample

District Civil Hospitals 11 3 Community Health Centre (CHC). 21 3 Primary Health Centre (PHC). 86 9 Sub-Centers (SC) 397 9

The Issues to be covered by field data collection will include: • Current Water Supply and Sanitation System at Health facility and in Schools and

Anganwadi centers. • Assessment of demand by patients, health workers and community • Stakeholder perceptions • Infrastructure layout of the health facility

In order to collect above information and data through the department, appropriate checklist, questionnaires was developed and field tested. These data has been recorded electronically in relevant formats. The check list will cover the administrative, water supply, sanitation and communitization aspects. The broad subject covered under each type is as shown


SECON 7 World Bank

Type Subject Administrative • Jurisdiction

• Demography • Patient load

Water Supply • Water Demand • Type of Source • Availability • Reliability • Water Quality – people perceptions • Storage facility

Sanitation • Wash Basins • Toilet and Bathing facility • Disposal Methods • Storm Water Drains

Communitization aspects • Village Committees


SECON 8 World Bank

4. Representative Samples

Method adopted for selection

The selection of the Sample health facilities to be visited were finalized based on the following:

• Representation of the existing different ground situation across the State • Maximum geographical coverage by visiting different Districts and Blocks • Scientific reasoning

� Random � Urban � Rural � Health issues

• Patient Loads • Accessibility • Stakeholder Perceptions

Rationale for selection

Based on the Preliminary assessment of the secondary data collected from the State Health Department and the interactions held the Health Facilities to be visited were selected on the following rationale :

• Health Centres wherein facilities are in place and requiring minor interventions • Availability / Non availability of Water • High / Low Patient Loads • Delivery Points • Poor Accessibility • Well maintained Health Centres • Health Centres and its subsidiaries • Awarded Health Centres • Active participation of Communities • Health Centres under PPP implementation • Old establishments • Potential developing towns


SECON 9 World Bank

Final list

The Final List of Health Facilities visited have been listed below:

Facility Type

District District Hospital (DH)

Community Health Centre

(CHC) Primary Health Centre (PHC)

Sub Centre (SC)

Dimapur Dimapur Medziphema Chumukedima - Naga Hospital - Chunlikha Chichema Kohima - - Meriema

Wokha Wokha - - Wokha Village Mokokchung Mangkolemba Longjang Sungratsu Mokokchung Tonglongsor Tuensang Longkhim Chare Sangsangyu

- - Angangba Hakchang - - Longpang Chendang - - SriNagesh Wapher - - Kuthur Tsurungto - - Shamator -

Tuensang

- - Mangakhi (SHC) - Kiphrie Kiphrie - - -

- Melluri Chizami Mellusumi Phek - Pfutsero - - 7 6 5 11 11


SECON 10 World Bank

5 Stakeholder identification

The identification of the various Stakeholders was carried out by meeting the Primary Stakeholders, the State Health Department who are the providers, to understand the various other Stakeholders who get directly affected or contribute towards the management of the facilities in place. The other Stakeholders play an important role in effective running of the health facilities.

The List of Stakeholders identified is

i) Directorate of Health and Family Welfare, Government of Nagaland ii) Engineering wing of Health Department iii) Public Health Engineering Department iv) Department of Mines and Geology v) Non Government Organisation vi) Department of Power, Government of Nagaland vii) Department of New and Renewable Energy, Government of Nagaland viii) Village Health Management Committee ix) Village Water Supply and Sanitation Committee

The interactions had with the stakeholders, Analysis and Technical recommendations will be provided in the next milestone, Analysis and Recommendations Report.


SECON 11 World Bank

6 Field Visit

Field Visit was carried out by the SECON Team during the period from March 11, 2014 to March 21, 2014 covering selected health facilities, collection of required data and to have consultations with the stakeholders.

7 Field Data formats

The data collected during the field visit to each of the health facilities have been presented in the Field Data Collection format presented as follows.

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