Zilla Swasthya Samiti, Sundargarh


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MICRO-PLAN FIXED DAY STATIC SERVICE DELIVERY (FAMILY PLANNIG)
Sundargarh 2013-14

ZILLA SWASTHYA SAMITI ,SUNDARGARH

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 1

MINIMUM CRITERIA FOR FIXED DAY STATIC CENTRE DELIVERY POINTS

SHC/PHC(N) L1

L2 (BPHC/CHC) & L3

L3(DHH)

(CHCs/FRUs) other than DHH

Counselling IUCD Insertion (at least 2 per month in fixed day,i.e on Thursdays) OCP distribution CC distribution ECP distribution Follow up of acceptors

At least 8 sterilization operations conducted on FDS and 8 IUCDs inserted per month
At least 4 sterilization operation per month on fixed days.

Delivery points

67

Number of Empanelled Surgeons

Minilap

36

NSV

10

Lap

4

O&G splsts. 7

Number of trained Personnel for IUCD insertion

MO

52

SN

31

ANM 114 LHV 25

No. of Institutions Providing FDS Service till (01.4.13)

Delivery points in the district

FDS Functional

Planned

Operational

Non-DPs functional as FDS

L1

17

6

L2

11

11

3

L3

10

10

L0

29

2

Total

67

28

3

Number of Institutions expected to provide FDS by 31st March 2014

L1

L2

L3

Non –DPs & accredited

Institutions

17

11

10

3

L0 = 27 DPs N.B.: L0 - The health institutions without any grading in terms of level.

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 2

Location
Geographical Area
Population Male Female

Latitude - 21º36’ N to 22º32’ N Longitude- 83º32’ E to 85º22’E 9712 Sq. Kms (Second largest district in the State accounting for 6.23% of the total area)
2,080,664 1,055,723
1,024,941

Health Institutions No. of District Hospitals No. of Community Health Centres No. of Primary Health Centres (N)(Single Doctor PHC) No. of Sub-centres No of ASHAs No. of AWWs
Density

SUNDARGARH 2 19 57
390 2383 3706
214 (2011)

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 3

A1.1: SIUTATIONAL ANALYASIS:

TREND IN FAMILY PLANNING PERFORMANCES FOR LAST THREE YEARS.

FP Achievement against ELA (in %)HMIS 2012-13 2011-2012 2010-2011 Achievement in FDS during year (2012-13)

Sterilization
6722 6829 6113 4872

IUCD
8052 7691 7971 6022

CC
2693 7212 7913 408

OCP
5564 7760 6310 678

It is reflected through the above table that the sterilisation and IUCD cases remain almost close to the last years’ achievement while the CC & OCP users are reflected to be less during the year 2012-13. It was observed during analysis that the data of CC & OCP utilization through home delivery of Contraceptives by ASHA was not reflected in the HMIS report. Steps have been taken to ensure that those reports also get included in the HMIS report during the current year.

A1.2:

TREND IN FAMILY PLANNING OPERATION IN THE DISTRICT

Year

Total Sterilisation

NSV+CO V.

Laparoscopic

MiniLap

Post Partum

Male Sterilisation

Female Sterilisation

2011-12

6829

132

3939

2758

132

6697

2012-13

6722

140

4072

1688

822

140

6582

A1.3: A COMPARISON OF FAMILY PLANNING PERFORMANCES BETWEEN DLHS-III AND AHS-2010

Any Method (%) Any Modern method (%) Female Sterilization (%) Male Sterilization (%) IUD PILL Condom Percentage of births to women during age 15-19 out of total births Percentage of women age 20-24 reporting birth of order 2 & above. Birth order 3 or 3+ Total Unmet Need (%)
Spacing (%)
Limiting

Total 52.9 39.6 27.7 0.4 0.8 6.2 4.0

DLHS-III

Rural 46.2 36.1 26.8 0.6 0.5 5.7 1.9

15.7

17.1

5.1

5.7

10.6

11.4

AHS-2010

Total

Rural

58.4

53.6

43.5

41.8

26.4

25.9

0.1

0.1

0.7

0.6

10.3

9.4

5.8

5.7

53.0

54.2

30.7

30.8

26.0

28.5

23.2

26.1

10.1

11.4

13.1

14.7

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 4

A1.4: Eligible Couples in the districts.

Sl.No 1 2 3 4 5 6 7 8 9
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Name of the block Institution/PPC
Majhapara CHC-II Mangaspur CHC-II Sargipali CHC Hemgir UGPHC Kinjirkela CHC-II Subdega UGPHC Bargaon CHC Kutra CHC Laing CHC Rajgangapur PPC PPC Sundargarh Kuarmunda CHC-II Birmitrapur CHC-II Hatibari PHC Birkera PHC Bisra CHC URS Rourkela PPC Rourkela UFWC, Rourkela IGH,Rourkela Lahunipara CHC Gurundia PHC S.Balang PHC Koira CHC PPC Bonaigarh G.Total

Headcount Population
67139 63283 79470 80515 91809 67597 72715 79719 105580 48015 45232 103051 32410 101885 138329 88786 226200 52900 47770 151000 98049 64945 65229 87461
6900 2065989

Expected Level of Achievement on F.W
I.U.D. Sterilisation Inseration C.C.Users O.P.Users

275

309

584

343

259

291

550

324

325

366

691

407

330

371

700

412

376

423

798

470

277

311

588

346

298

335

632

372

326

367

693

408

432

486

918

540

197

221

418

246

185

208

393

231

422

474

896

527

133

149

282

166

417

469

886

521

566

637

1203

708

363

409

772

454

926

1041

1967

1157

217

244

460

271

196

220

415

244

618

695

1313

773

401

451

853

502

266

299

565

332

267

300

567

334

358

403

761

447

28

33

61

36

8456

9513

17969

10570

A1.5 : SERVICE PROVIDER (As on 1st April 2013)

Empanelled Surgeons

Lap

minilap

NSV / CV

4

36

10

Trained Service Providers for insertion of IUCD

Doctors - 52

Staff Nurse - 31

LHV

- 25

ANM

- 114

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 5

Remarks

B1.1 FACILITY READINESS FOR PROVIDING FDS SERVICE (FAMILY PLANNING)

Sl.No. Name of the institution Category

1 Balisankara PHC N 2 Kinjirikela CHC 3 Kurei SC 4 Sagbahal SC 5 Bargaon CHC 6 Bisra CHC 7 Bandhabhuin SC 8 Boneigarh SDH 9 Kasada SC1 10 Niktimal SC1 11 S.Balanga CHC 12 Ramachhinda SC 13 Satkuta SC 14 Bileimunda AH
Gopalpur Hemagiri 15 PHC N 16 Hemagiri CHC 17 Jharpalam SC 18 Kanika PHC N 19 Badgaon SC2 20 Bimilagarh SC 21 Gopana SC 22 K. Balang SC 23 K.Balang PHC N 24 Koira CHC 25 Koira Mc SC 26 Toda SC 27 Tensa SC
Andalijamabahal PHC 28 N 29 Kuanrmunda CHC 30 Majhapara SC 31 Salangabahal SC 32 Tangarani SC1 33 Kutra CHC 34 Khuntagaon PHC N 35 Lahunipada CHC 36 Balijodi PHC N 37 Birkera CHC 38 Jalda-A SC

PHCN CHC SC SC CHC CHC SC SDH SC SC CHC SC SC OH
PHCN CHC SC PHCN SC SC SC SC PHCN CHC SC SC SC
PHCN CHC SC SC SC CHC PHCN CHC PHCN CHC SC

Level of
Inst.
L2 L2 L1 L0 L2 L2 L0 L3 L1 L1 L2 L1 L1 L1

Present HR status as per mandate to provide FDS Services in FDS(
Staff with requisite training)

O MO SN/ LHV

&G

ANM

03 11

0 1 0 0 0 0

5 1 0 0 0 0

12 61

04 63

06 00

10 62

00 00

00 00

00 00

00 00

00 00

00 11

Equipments and Instruments available

Lap Minilap NSV IUCD

0

00 0

0

00 3

0

00 0

0

00 0

0

33 3

0

30 3

0

00 0

1

33 1

0

00 0

0

00 0

0

00 4

0

00 0

0

00 0

0

00 0

L1

01 1 00

00 0

L2

01 6 10

30 4

L0

00 0 00

00 0

L1

00 2 00

00 0

L0

03 1 00

00 0

L0

01 1 00

00 0

L0

00 1 00

00 0

L1

00 1 00

00 0

L0

00 1 10

00 0

L2

00 3 20

03 3

L0

00 1 00

00 0

L1

00 1 00

00 0

L1

00 1 00

00 0

L1

03 0 00

00 0

L2

00 0 00

30 4

L0

00 0 00

00 0

L0

00 0 00

00 0

L1

00 0 00

00 0

L2

12 6 30

00 3

L1

05 0 00

00 0

L2

01 5 30

03 3

L0

02 1 00

00 0

L2

00 2 10

00 3

L0

01 0 00

00 0

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 6

39 Lathikata PHC N

PHCN

L1

40 Sargipalli CHC

CHC

L2

41 Bankutola SC

SC

L0

42 Baribeda SC

SC

L0

43 Barilepta SC

SC

L0

44 Chitapedi SC

SC

L0

45 Godabudu SC

SC

L0

46 Hatibari CHC

CHC

L2

47 Kandarkela SC

SC

L0

48 Kokerama SC

SC

L0

49 Nuagaon SC14

SC

L0

50 Tainda SC

SC

L0

51 Alanda SC2

SC

L0

52 Badgudhiali SC

SC

L0

53 Buchukupada SC

SC

L0

54 Budhamb SC

SC

L0

55 Dudkabahal SC

SC

L0

56 Jareikela SC1

SC

L1

57 Kukuda SC

SC

L0

58 Malidihi SC

SC

L0

59 Rajgangpur CHC

CHC

L3

60 Subdega CHC

CHC

L2

61 Tangargaon PHC N PHCN

L2

62 DHH Sundargarh

DHH

L3

63 Majhapara CHC

CHC

L2

Rourkela Govt

64 Hospital

DHH

L3

65 Meghdega SC

SC

L1

66 Pithabhuin SC

SC

L0

00 1 00
12 1 20
02 1 00
00 1 00
00 1 00
00 1 00
00 1 00
00 5 10
00 1 00
00 1 00 00 1 00 00 1 00 00 0 00 00 0 00 00 0 00 00 0 00 00 0 00 00 0 00 00 0 00 00 0 00 14 9 00 12 1 50 01 0 00 3 17 38 1 2 00 5 10

1 3 0 0 0 0

0 01 1 00 1 00

The following Non-DP points provide FDS Services /or plan to provide FDS

Services

67 Mangaspur CHC II

CHC

L2

00 2 20

68 Laing CHC

CHC

L2

11 2 10

69 Gurundia CHC

CHC

L2

01 2 10

00 0 30 4 00 0 00 0 00 0 00 0 00 0 00 2 00 0 00 0
00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 33 2 30 4 00 0 00 0 00 2
00 0 00 0 00 0
00 2 00 2 00 4

The heavy workload for the MPHW (F) at the Sub Centre Delivery Points hampers the quality of the Fixed day approach for the Family Planning Programme. As per the norm & plan of the district for 201314, two MPHW (F)s are going to be engaged in all Sub Centre delivery points. The FDS Centre services can be streamlined after the above action.
C1.1 MICROPLAN FORMAT FOR THE FIXED DAY STATIC CENTRE (FAMILY PLANNING
SERVICES)

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 7

C1.2 ACTION PLAN FOR OPERATIONALIZATION OF FDS CENTERS

Type
Lap Minilap CV/ NSV PPIUCD IUCD CC/OCP

Districts plans to achieve during the time span

Current Baseline / Status ( Type of service provided in number of institutions /DPs/non-
DPs)
2
11
1

Q 1 (April-June )
Q 2 (July -Sept.)
Q 3 (Oct-Dec)
Q 4 (Jan-March )

Total

Remarks

FACILITIES PROVIDING LIMITING SERVICES

The Laparoscopic machine is

available in i)DHH,

Sundargarh ii) RGH Rourkela

iii) SDH Bonai. Out of the

2

2

3

3

3 above, training will be

imparted to the team of

SDH Bonai for

operationalization of the

same at SDH Bonai by end

of 2nd Qtr.

11 11 15 15 15

The demand for NSV is low

in the district. But the

1

1

1

1

1 available NSV cases are

dealt with at the

IGH,Rourkela.

FACILITIES PROVIDING SPACING SERVICES

After completion of PPIUCD

1

1

2

10 10 10 training at the district level,

the FRU institutions will be

able to provide service

a. 30 institutions =

30

30 30 70 70 70

29 DPs & 3 Non-DP CHCs

b. 70 institutions = 67 DPs &

3 Non-DP CHCs

Provided at CHC & above

level through FDS services

19

19 19 19 19 19 and the rest area is covered

under Home Delivery of

Contraceptives by ASHA

Scheme.

ACTION PLAN TO OPERATIONALIZATION OF FDS CENTERS

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 8

Category Time line/By

Name of the
Institutions
/DP/NonDP
DP

Gaps to provide the FP services as per mandate

Action Points

Responsibility

DHH

1. Regular weekly

Both Limiting & Spacing L3 Method services are provided
in the institution. But, FDS Service to be emphasized.

monitoring of FDS sessions.
2. Maintenance of Record & registers

relating to FDS Services.

Qtr-2

MO, PPC Sundargarh

CHC
PHC(N) SC

L2 1. Mentoring to the trained personnel is required to promote the limiting methods.
2. IUCD has to be promoted

L1

Spacing Methods to be

emphasized and promoted

L1

Spacing Methods to be

emphasized and promoted

1. Facilitating interactions and trainings
2. IEC/BBC activities to be promoted
1.Office order from the authority to observe Parivar Kalyan Diwas(PKD)
2. Handholding support if required

Qtr-2
Qtr-2 Qtr-2

ADMO(FW), MO, PPC Sundargarh to be used for this purpose as he has received the ToTs. BPHEO to ensure the community sensitization activities.
Concern MOI/c to follow up

CHC
PHC(N) SC

Non-DP

L1

1. Mentoring to the

1. Facilitating

Qtr-2 ADMO(FW),

trained personnel is

interactions

required to promote

and trainings

MO, PPC Sundargarh to be used for

the limiting

this purpose as he has received most

methods.

2. IEC/BBC

of the FP ToTs.

activities to be

2. IUCD has to be

promoted

BPHEO to ensure the community

promoted

sensitization activities.

L1 FDS not observed

Spacing Methods to be emphasized and promoted

Qtr-2 & Concern MOI/c to ensure &

3

follow up

L1 FDS not observed

Spacing Methods to be emphasized and promoted

Concern MOI/c to ensure & follow up

SCHEDULE FOR FIXED DAY STATIC CENTRE SERVICE DELIVERY (FAMILY PLANNING)

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 9

Sl. Name of the

No

Institution Category

(DP/Non-DPs)

Fixed Day Sessions (Monday/Thursday)

Service Provider(Operatin g Surgeon/Trained
Personnel for IUCD insertion)

Remar k
/Contin gency Plan

1st Monday
1st Thursday
2nd Monday
2nd Thursday
3r d Monday
3r d Thursday
4th Monday
4th Thursday

Balisankara 1 PHC N
Kinjirikela 2 CHC

PHCN Y Y Y Y Y Y Y Y MO & SN

Y

Y

Y

Y

Operating

Y CHC

Y

Y

Y

Surgeon, SN &

LHV

3 Kurei SC

SC

Y

Y

Y

Y

MPHW(F)

4 Sagbahal SC SC

5 Bargaon CHC CHC

6 Bisra CHC Bandhabhuin
7 SC

CHC SC

Y

Y

Y

Y

MPHW(F)

Y

Y

Y

Y

Operating

Y

Y

Y

Y

Surgeon, SN &

LHV

Y

Y

Y

Y

Operating

Y

Y

Y

Y

Surgeon, SN &

LHV

Y

Y

Y

Y

MPHW(F)

Boneigarh

8 SDH

SDH

9 Kasada SC1 SC

10 Niktimal SC1 SC

Operating

Y

Y

Y

Y

Surgeon, SN &

Y

Y

Y

Y LHV

Y

Y

Y

Y

MPHW(F)

Y

Y

Y

Y

MPHW(F)

S.Balanga 11 CHC
Ramachhinda 12 SC
13 Satkuta SC

CHC
SC SC

Operating

Y

Y

Y

Y

Surgeon, SN &

Y

Y

Y

Y LHV

Y

Y

Y

Y

MPHW(F)

Y

Y

Y

Y

MPHW(F)

Bileimunda

Operating

Y

Y

Y

Y

Surgeon, SN &

14 AH

OH

Y

Y

Y

Y LHV

Gopalpur

Hemagiri PHC

Y

Y

Y

Y

15 N

PHCN

Y

Y

Y

Y MO & SN

16 Hemagiri CHC CHC

Operating

Y

Y

Y

Y

Surgeon, SN &

Y

Y

Y

Y LHV

17 Jharpalam SC SC

Y

Y

Y

Y

MPHW(F)

18 Kanika PHC N PHCN Y Y Y Y Y Y Y Y MO & SN

19 Badgaon SC2 SC

Y

Y

Y

Y

MPHW(F)

20 Bimilagarh SC SC

Y

Y

Y

Y

MPHW(F)

21 Gopana SC

SC

Y

Y

Y

Y

MPHW(F)

22 K. Balang SC SC

Y

Y

Y

Y

MPHW(F)

Sundargarh Fixed Day Static Centre Service Delivery (Family Planning) Sub Plan 2013-14

Page 10

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Zilla Swasthya Samiti, Sundargarh