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

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

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Quantitative Achievement of VHSND Programme<br />

Total VHSND Sessions <strong>Plan</strong>ned in Every Month: 3223<br />

Sessions Held in the month of Nov, 2011: 93%<br />

Sessions Held in the month of Oct, 2011: 90%<br />

Sessions Held in the month of September, 2011: 98%<br />

Services Details of Services Achievement<br />

Ante Natal Care No of New Ante Natal Care Cases 35135<br />

No of Ante Natal Care Cases Attended To 47552<br />

Iron Folic Acid (Large) Tablets 1694586<br />

Iron Small Tablets 278717<br />

Post Natal Care No of Women Received Post Natal Care Services 29159<br />

Child <strong>Health</strong> & No of 0-5 years Children Weighed 129646<br />

Nutritional No of 0-5 Years Malnourished Children Identified 9160<br />

Services and Referred<br />

De-worming 49556<br />

Distribution of No of Couples Motivated for Using Contraception 59437<br />

family <strong>Plan</strong>ning ORS Packets 143083<br />

Materials Condoms 143083<br />

Oral Pills 19212<br />

Source: <strong>District</strong> Reporting Format (VHSND) – May - Nov, 2011<br />

Challenges In Implementation<br />

• Registration of New ANC Cases is low.<br />

• Availability of Basic Check up equipments like – Hemoglobinometer, BP Machine,<br />

Weigh Scale, Bally Check up Tables etc. and its uses are not satisfactory.<br />

• Poor Equitable distribution of Medicines, IFA Tabs, Oral contraceptive Pills,<br />

condoms, ORS and disposable syringes etc.<br />

• Privacy<br />

• Lack of space at the HSCs and at AWCs for ANC.<br />

• Level of Education, Motivation & counseling skill of AMN is poor.<br />

• ANC means for ANMs is limiting to TT and 100 plus IFA distribution.<br />

• Involvement of ASHAs is poor in VHSND.<br />

• Irregular supply of TT & IFA results increases dropouts and misses the opportunity.<br />

• No home visit practices of ANMs.<br />

• Documentation (Photos, Reports, Records, Investigation )<br />

• Poor supportive supervision at Block level by <strong>Health</strong> & ICDS Officials<br />

50 | 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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