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

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

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2. Family<br />

<strong>Plan</strong>ning &<br />

Contraceptio<br />

n<br />

5. Adolescent<br />

health care<br />

7. Disease<br />

surveillance<br />

8. Water and<br />

Sanitation<br />

No medicine<br />

distribution ( Iron<br />

Syrup)<br />

Poor reach of family<br />

planning services in<br />

community<br />

Low FP clients<br />

No counseling of<br />

adolescent and their<br />

parents on<br />

adolescent on health<br />

and nutrition<br />

Poor alertness on<br />

incidence of unusual<br />

diseases and<br />

untimely reporting<br />

No discussion on<br />

water and sanitation<br />

issues<br />

9. Out reach / Field Services<br />

Village<br />

<strong>Health</strong> and<br />

Nutrition<br />

Day (VHND)<br />

No complete ANC<br />

and PNC services<br />

Inadequate<br />

registration of<br />

mother and child for<br />

immunization and<br />

services<br />

No growth<br />

monitoring and<br />

counseling of<br />

mother and child<br />

No role of<br />

community level<br />

stakeholders in<br />

monitoring<br />

programme and<br />

ownership<br />

No follow-up of<br />

AWWs for growth<br />

monitoring<br />

Lack of medicines<br />

Inadequate counseling<br />

in community on<br />

family planning<br />

services<br />

Lack of IEC materials<br />

and activities<br />

Lack of rapport with<br />

community level<br />

persons ( acceptors,<br />

village level leaders,<br />

ASHA, TBAs, PRI,<br />

etc)<br />

No tracking of clients<br />

and their regular<br />

follow-up<br />

Lack of availability of<br />

family planning<br />

materials and their<br />

poor distribution<br />

Lack of knowledge<br />

and interest on<br />

adolescent health care<br />

Lack of skills and<br />

interest<br />

Lack of knowledge on<br />

water and sanitation<br />

issues<br />

Lack of orientation<br />

about VHSND<br />

programme and lack<br />

of facilities and<br />

instruments<br />

No due list of mother<br />

and child )<br />

beneficiaries) and<br />

medicine availability<br />

No emphasis on<br />

growth monitoring and<br />

counseling of mother<br />

and child and<br />

Lack of orientation in<br />

community<br />

weighing and grading and counseling<br />

in community<br />

Visits of SAM children and regular<br />

follow-ups<br />

Availability of medicines and food<br />

availability through ICDS<br />

Obtain training on FP services and<br />

carry out counseling in community<br />

for family planning services<br />

Availability of IEC materials and<br />

carrying out of IEC activities<br />

Establish good rapport through<br />

meeting<br />

Tracking through home visits,<br />

ASHA, AWW and regular follow-up<br />

of clients<br />

Procurement from PHC and regular<br />

distribution<br />

Obtain training on Adolescent health<br />

care<br />

Meeting with groups of women,<br />

adolescent, villagers, school, AWW,<br />

ASHA on adolescent health care<br />

Obtain training and diseases<br />

surveillance and orientation in<br />

community on such disease<br />

occurrence and reporting<br />

Obtain training on water and<br />

sanitation issues and discussion with<br />

community in meetings on adopting<br />

good water and sanitation practices<br />

Obtain orientation on VHSND<br />

programme<br />

Arrangement of facilities and<br />

instruments in support of BCM<br />

Through co-ordination with ASHA<br />

and AWW, complete service to the<br />

mother.<br />

Medicine availability in support of<br />

BCM<br />

Growth monitoring and counseling of<br />

mother and child in support of<br />

AWW, ASHA and other<br />

Organize community level meeting of<br />

responsible persons to involve them<br />

Training of community leaders on<br />

monitoring<br />

AN/ BCM<br />

DHS / ANM<br />

ANM<br />

ANM<br />

ANM<br />

DHS, ANM<br />

DHS , ANM<br />

ANM / BHM<br />

DHS /ANM<br />

ANM/BCM<br />

ANM / BCM<br />

ANM<br />

DHS<br />

45 | 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

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