District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

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Key Priorities Of Saran District During the process of preparing district health action plan, the district health society, Saran has found some key priorities to strengthen health system of Saran district for meeting the needs and demands of public. In the next year, on these priorities special efforts would be made along-with addressing the issues mentioned in the plan. These key priorities are : Recruitment of staff and their capacity building Upgrade the health facilities as per IPHS Up gradation of 24 x 7 PHCs and APHCs Key Priorities Of District Identification of Two PHCs for developing into Model PHC and their replication. Major Focus on Mother and Child through: � Improving ANC and PNC services � Home visits by ANMs, ASHA and AWWs � Strengthening Referral System � Significant increase in institutional deliveries � To promote early initiation of breastfeeding and exclusive breastfeeding up to six months Strengthening of RKSs and VHSCs Strengthening of District and Block Level NRCs in support of ICDS, PHED and PRI. Strengthening of: � Block and HSC Level Planning Process � Monitoring and Evaluation System and IT enabled HMIS and its use in programme development and monitoring � Reporting System ( along-with data use and validation) Agenda specific monthly review meetings in PHCs Review of ASHA‟s work and ongoing their capacity building during their meetings Improvement in efforts for effective implementation of National Health Programmes Increase in convergence of health department with other line departments, social welfare developments, public health engineering department, panchayati raj and education etc through sharing planning process and monitoring mechanism (village, block and district levels) Mapping of available private Health Service Providers and NGOs / CBOs / SHG federation working for health and their engagement in improving health services Improving heath services through forming quality monitoring committees comprising of various stakeholders at block and district levels Regular coordination meeting at Dist level with the development partners on health related issues and work out strategic plan for the quality improvement/inputs. To increase facilities for welfare of patients Increased BCC / IEC measures 42 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n
Services Gaps in Services 1 Maternal Health Ante-natal care PNC Strategic Plan for Improving Health Services Strategic Plan For Improving Health Services in District Less number of pregnant receive ANC services No regular check up of pregnant women and Incomplete ANC services Inadequate supply of medicines No timely registration of pregnant women Lack of counseling and untimely referral of complicated pregnancy No growth monitoring of pregnant women No early recognition of obstetric complications Delivery by un trained birth attendants in villages No monthly health day in community Low PNC cases Poor identification and referral of complicated pregnancies Reason of Gap in Services No tracking of all pregnant women. Lack of co-ordination with community level stakeholders Lack of adequate skills and instruments Non-availability of medicine Customs as barrier ( newly bride does not go to ANM) in early identification of pregnant women Lack of knowledge and counseling skills Activity for Filling Gaps Household survey and establish coordination with community level stakeholders ( AHSA, AWW women leader, etc) for optimum coverage of pregnant Obtain training and instrument procurement. regular checkups of pregnant and provide complete ANC services Follow-up of BCM for medicine availability Regular and frequent home visits. Meeting with women and take help of ASHA, AWW , TBAs Training on complicated pregnancy and referral mechanism Respons ible Persons ANM DHS and BCM/B 43 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n HM ANM/B CM ANM DHS / ANM No emphasis Growth monitoring and counseling ANM No tracking and regular follow-up of pregnant women and no skills of recognizing complications No regular follow-up of pregnant women and their counseling. Lack of delivery facilities at HSC level. Untimely payment of JBSY. Lack of coordinated referral network linking facilities No emphasis on community level meeting Poor PNC visits at home and institutional delivery and tracking of mother Lack of co-ordination with AWW, ASHA , TBAs Inadequate post natal visits for child care Lack of cleanliness and hygiene facilities No tracking of delivery and follow-up visits Regular home visits of pregnant. Obtain training on complicated pregnancy and its referral management Regular follow-up and counseling of pregnant. Obtain training on conducting delivery and facilities arrangement. Follow-up of timely payment of JBSY. Monthly basis meeting with community and sharing issues Conduction of delivery at Subcenters Establish good co-ordination with AWW, ASHA, TBAs and women leaders Arrangement of cleanliness and hygiene facilities Obtain training on safe delivery, technical know how of obstetric first aid and other services Home visits and Follow-up since ANM and DHS ANM/ BCM/B HM/DH S ANM ANM / DHS ANM
Page 1 and 2: District Health Action Plan 2012-13
Page 3 and 4: Acknowledgements The commitment to
Page 5 and 6: Contents SN Contents Page Number 1
Page 7 and 8: MDT MMU MOIC MPW MSG NBCP NGO NLEP
Page 9 and 10: village and block level consultatio
Page 11 and 12: It is also famous for its Bhojpuri
Page 13 and 14: Demographic Profile of Saran Popula
Page 15 and 16: Health Facility Indicators of Saran
Page 17 and 18: Sl.No Name Of Primary Health Center
Page 19 and 20: Convergence with Line Departments a
Page 21 and 22: � To examine existing health care
Page 23 and 24: The entire process followed the par
Page 25 and 26: Stage VII: Comments on the plan and
Page 27 and 28: 4. Improvement of infrastructure: -
Page 29 and 30: 29 | P a g e D i s t r i c t H e a
Page 31 and 32: In Bihar, CHCs are absent and PHCs
Page 33 and 34: Section B - Human Resource Health S
Page 35 and 36: 18 Fru Marhowrah 259990 Govt ++ A A
Page 37 and 38: Achievement of Health Services ( Up
Page 39 and 40: ZILA PARISAD DISTRICT PROGRAM MANAG
Page 41: S. N INDICATOR 1 Reduction in Infan
Page 45 and 46: 2. Family Planning & Contraceptio n
Page 47 and 48: d) Revised National Tuberculosis Co
Page 49 and 50: VHSND: Village Health Sanitation an
Page 51 and 52: Use of Check List during Supervisio
Page 53 and 54: Saran District maintained the NSP c
Page 55 and 56: 2-National Leprosy Elimination Prog
Page 57 and 58: � Strategy 2: Involvement of Panc
Page 61 and 62: FMR code FINANCIAL REPORT A. Budget
Page 63 and 64: FMR code STRATEGY/ACTIVITIES PHYSIC
Page 65 and 66: FMR code STRATEGY/ACTIVITIES B.16.2
Page 67 and 68: SN FMR Code Description of Budget H
Page 69 and 70: Sl.n o Detailed Estimated Budget 20
Page 73 and 74: 5. Programme Head: Child Health Sl.
Page 75 and 76: FMR STRATEGY/ code ACTIVITY Sl.no.
Page 77 and 78: Sl.no . Programme Head: INFRASTRUCT
Page 79 and 80: Sl.no 11. Programme Head: PROGRAMME
Page 81 and 82: ASHA Recource Centre PART B Recogni
Page 83 and 84: Sl. No. ASHA Selection Target Achie
Page 85 and 86: Sl.no FMR code 1 B1.1.1 2 B1.1.1.2
Page 87 and 88: Sl.no FMR code 1 B2.1 STRATEGY/ ACT
Page 89 and 90: Sl.no FMR code B 6. Programme Head:
Page 91 and 92: Sl.no Note: Sl. No FMR code 1 B.10.
Page 93 and 94:
Sl.no Sl.no FMR code STRATEGY/ ACTI
Page 95 and 96:
Sl.no FMR code 1 C.2b STRATEGY/ ACT
Page 97 and 98:
IDD programme PART - D Sl.No. Descr
Page 99 and 100:
99 | P a g e D i s t r i c t H e a
Page 101 and 102:
PART - F National Vector Borne Dise
Page 103 and 104:
Kala-azar scenario at Saran Goal To
Page 105 and 106:
NVBDCP FINANCIAL BUDGET FOR YEAR 20
Page 107 and 108:
Infrastructure : Tentative Budget:
Page 109 and 110:
7. Dist Hospital with NRC Up-gradat
Page 111 and 112:
Consolidated Budgetary Proposal: fo
Page 113 and 114:
FMR Code Budget Head/Name of activi
Page 115 and 116:
FMR Code A.8 A.8.1 Budget Head/Name
Page 117 and 118:
Page 119 and 120:
FMR Code B1 ASHA Budget Head/Name o
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
FMR Code E IDSP Budget Head/Name of
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District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

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