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ANNEXURE

PRIMARY HEALTH CENTRE

KANNADI
PROJECT IMPLEMENTATION
PLAN
2011-2012

This programme implementation plan 2011 -2012 for

PHC Kannadi has been prepared as per the instruction
given by NRHM Palakad .The key objective of this
programme is to strengthen health care delivery
system by expanding the manpower, infra structure
with the help of financial assistance and training. We
considered all advice and suggestions from HMC, PRIs,
Staffs of PHC, ASHAs, political leaders, and beneficiaries
of the Kannadi Grama Panchayath.
PHC kannadi is situated near kannadi river
6KM from Palakad town. It has 80 cent land and two
buildings. The main building was inaugurated on 14th
December 1992 and the second building started its
function on 17th January 2000. The main building was
constructed by Nirmithy Kendra which had 1314 sq.ft
area recently expanded by the addition of 473 sq.ft areas
as resting area for patients in front of the hospital.
Presently this building functions as OP Clinic,
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Pharmacy and Office. The other building is being used

for family welfare and public health activities. PHC is
surrounded by compound wall and front gate. The office
of agriculture department, Kannadi Panchayath Hall and
Co-op Bank situated nearer to the PHC.

NRHM brought
significant improvement in health care system in
kannadi panchayath by the utilization of different funds.
Decentralised planning strategy of NRHM ensures
participation from all parts of community in the process
of development. Still we have to improve in many aspects
of health care delivery System like anemia in mothers ,
malnourishment children, infant morbidity ,
communicable diseases ,alcoholism, life style diseases
etc… , Hoping to reach the goal by systematic
outcome based holistic approach of NRHM.

SITUATION ANALYSIS
GEOGRAPHICAL & DEMOGRAPHIC
PROFILE
SITUATED 6 KM FROM PALAKAD TOWN.

BOUNDARIES

WEST : MATHUR & KUZHAL MANNAM

GRAMA PANCHAYATH
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EAST : KODUMBA PANCHAYATH

SOUTH : THENKURISSI &PRUVEMBA

PANCHAYATHS

NORTH : KANNADI RIVER

BUILDINGS
TWO BUILDING

1.MAIN BUILDING
Functions as
1. OP clinic
2. Office
3. Pharmacy
4. Observations room
5. Dressing room
6. Injection room
7. Newly modified front
area is used as
a. OP counter
b. Patient resting
area

2.FAMILY WELFARE BUILDING

1. Office for HI, PHN, & JHI.

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2. IUD room

3. Conferanace cum
immunization room

BASELINE DATA

AREA : 19.80
SQ.K.M.

NO: OF WARDS : 15

NAME OF GRAMAPANCHAYATH : KANNADI

BLOCK PANCHAYATH :
KUZHALMANNAM

BLOCK PHC :
PARALI

TOTAL POPULATION : 23975

TOTAL WARDS : 15

TOTAL HOUSES : 5102

MALE :
12,029

FEMALE :
11,946

TOTAL ELIGIBLE COUPLE : 2885

BPL FAMILY : 2061

APL FAMILY : 2678

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SC : 9192

ABOVE 65 :2525

MENTALLY CHALLENGED : 31

PHYSICALLY CHALLENGRD : 211

HOSPITALS
PRIVATE HOSPITAL :1
AYURVEDIC HOSPITAL (govt :) :1
AYURVEDIC HOSPITAL (PRIVATE) :1
HOMEO HOSPITAL (govt :) :1`

VETINARY HOSPITAL :1
TOTL SCHOOLS :9
TOTAL ANGANWADIS : 20

AVERAGE OP :
85-90

SUBCENTERS
1. RCH PUZHAKKAL
2. FWC KANNADI
3. IPP KINASSERRY
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4. IPP UPPUMPOADAM

STAFF DETAILS

SANCTIONED POSTS INPOSITION

VACANT
ASSISTANT 01 0
SURGEON
PHARMACIST 01 0
STAFF NURSE 01 0
NURSING 01 0
ASSISTANT
HOSPITAL 01 1
ATTENDANT GR.II
CLERK 01 0
PEON 01 0
HEALTH INSPECTOR 01 0
PUBLIC HEALTH 01 0
NURSE
JR. HEALTH 01 0
INSPECTOR GR.I
JR. HEALTH 01 0
INSPECTOR GR.II
JR.PUBLIC HEALTH 04 0
NURSE
PART TIME SWEPER 01 0
TOTAL: 16 01
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SERVICES AVAILABLE FROM PHC, KANNADI

1. Outpatient Clinic & Medicine Dispenses

2. Universal Immunization Programme
3. Antenatal Checkup& TT Immunization MONDAYS
4. RNTCP &DOT
5. NLEP& Leprosy Treatment
6. Ophthalmic Checkup(Refraction) 2ndthursday
7. School Health Programme
8. Communicable Disease Prevention
9. Health Awareness programmes & Trainings
10 Polio Eradication Programmes
.
11 Filarial Eradication Programmes
.
12 Malaria Control Activities
.
13 Sterilization Polio Programmes
. (NSV,PPS.LAPROSCOPY.MINILAP)
14 Provide temporary Contraceptive Methods WEDNESDAYS
. ( CuT Insertion, Condom, Oral Pills)
15 Janani Suraksha Yojana
.
16 RCH Activities
.
17 Out Reach Immunisation
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18 Home Care Visits(Palliative Unit) FRIDAY

.
19 Keeping List of all the Challenged
. individuals and provide necessary support
20 Issue Medical Certificates
.
21 Conduct Inspections of places of dangerous
. offensive and trades
22 Implement corrective and remedial
. measures against public health complaints
23 Ward Level Sanitation Activities.
.
24 Conducting Nutrition Day Programmes at TUESDAYS &
. Anganwadis THURSDAYS
25 Other National Health Programmes.
.
26 Other Programmes conducted by NRHM
.
27 State level Health Programmes
.
28 Panchayath level Health Programmes
.
29 Palliative care OP THURSDAY
.
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IMMUNISATION
Immunisation status has been improved by
the implementation of Outreach immunization
Programmes, ASHA and “catch up programmer’’.
Participation of ‘Palana Hospital’ a private Hospital,
in Kannadi strengthened immunization activities
further in PHC area.

KEY ISSUES
1,Need of vaccines increased by the additional
vaccines requirement of Palana Hospital
2. Timely availability of vaccines
3. Lack of good immunization room
4. Shortage of vaccine carriers, especially during
national pulse polio immunization days.
SUGGESTIONS
1. Increase vaccines requirement and ensure
timely availability.
2. Provide good immunization room
3. Need 10 more vaccine carriers.
VACCINE REQUIREMENT 2011-2012
OPV (including for PPI) ----432 VIALS
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BCG ----- 300 “

DPT ------ 276 “
Hepatitis B ------ 336 “
TT ------ 312 “
DT ------- 180 “

MEASLES ------------- 348 “

MATERNAL HEALTH
No maternal death has been reported since
2008 in PHC Kannadi. Special care is being given to find
high risk groups to promote, protect, and maintain good
health during pregnancy. During antenatal check-up on
every Monday and nutrition days at anganwadis,
pregnant mothers were taught elements of child care,
nutrition, personal hygiene, and environmental
sanitation. JSY and accreditation of private hospitals
encourages institutional delivery.
M MMR 2007-2008 ---- 3
MR 2008-2009 ---- 3
MMR 2009-2010 ---- 0
MMR 2010-2011 ---- 0

Current issues
1. Anaemea is prevalent in most of the pregnant mothers.
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2. Lack of folic acid and calcium tablets in sub centre and

asha kits.

Suggestions
1. Sub centers purchased Haemoglobinometers and
glucometers recently using untied fund. By training on Hb
and Glucose estimation techniques to field staffs and
asha workers, and supply of reagents and glucose strips,
early detection of anemia and diabetes would be
possible.
2. Provide good quality Iron, Folic acid, Calcium,
Albendazol tablets in sub centre and asha kits.
3. Provide service of Gynecologist once in a month

CHILD HEALTH
about6% of total population of the panchayath belongs to under
five year children. Male female ratio is 1:1

MAJOR ISSUES

1. Malnutriton & nutritional anemia

2. Chronic respiratory infection

3. Helminhtiasis

IMR 2007-2008 --------- 3

IMR 2008-2009 --------- 2.84

IMR 2009-2010 --------- 0

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IMR 2010-2011 --------- 0

Suggestions
1. Provide under five clinics in every month.

2. Pediatric check-up once in a month.

3. Food supplements should be strengthened with the help of

ICDS

4. Provide child health card for under five children for monitoring
the health.

5. Include all schools in NRHMs School health programmes.

SCHOOL HEALTH
We have nine Schools in PHC area and routine
immunization and medical check-up is being
conducted every year. Presently one JPHN from
NRHM has been appointed for school health
programme in Kannadi High school. This year we
have screened 982 students and medical
checkup given to 149 students .Many of them
requires further follow up.
N SCHOOLS NO OF
O STUDE
NTS
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1 HIGHER SECONDARY 480

SCHOOL,KANNADI
2 HIGH SCHOOL,KANNADI 982
3 VASAVI VIDYALAYA,THANNER 1134
PANDHAL,KANNADI
4 A.B.U.P.SCHOOL 557
5 M.S.L.P.SCHOOL 31
6 A.M.S.B.SCHOOL,KINASSERRY 412
7 C.J.B. SCHOOL 289
8 A.LP.SCHOOL.KINASSERRY 80
9 G.L.P.SCHOOL,KADAKURISSI 36
TOTAL 4001

KEY ISSUES
1. Malnutrition, anemia, and ARI are prevalent in
UP and LP
Schools.
2. It is noticed that some high school and higher
secondary
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Students are frequently using tobacco

products.
3. Lack of adequate setup for referral facilities and
further follow up of students who need expert
management, especially for poor patients.

SUGGESTIONS
1. Include all Schools under School Health
Programme of NRHM.Give health cards to all
students for monitoring physical & mental
status regularly.
2. Strongly implement anti tobacco laws
3. Special healthcare projects should be
implemented at National or State level for the
treatment of poor students who are in below
poverty line.

MENTAL HEALTH
We had a regular check-up programme for
mentally ill patients by Psychiatrist once in every
month with the help of margadeepthi charitable
trust, an o organization in Palakad. But
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unfortunately this has been stopped due to some

reasons. At Panchayath level we have a project on
mental health and sanctioned Rs. 25000 for
purchasing psychiatric medicines for poor patients.
We have 14 Psychiatric patients on
treatment, so we suggest NRHM to provide
assistance of Psychiatrist once in a month.

ASHA

ASHA programme started by January 2009 and 24

ASHA joined PHC Kannadi for family welfare and
other public health activities under NRHM.
Performance of the ASHA needs to be improved at
expected level.
ASHA AT SUBCENTRE
LEVEL

Sl..N SUBCENTER NO:OF

o ASHA
WORKERS
1 RCH 7
PUZHACKAL
2 FWC KANNADI 5
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3 IPP 6
UPPUMPADAM
4 IPP 6
KINASSERRY
TOTAL 24

PAIN AND PALLIATIVE CARE UNIT

It is the first pain & palliative care unit in Palakad
district which started on June 2009 in PHC Kannadi with
the assistance from Gramapanchayath and NRHM
Palakad.
Panchayath allotted Rs 1.5 lakhs for the project and
NRHM supplied home care kits and service of the two
home care nurses and a trained doctor. On every Friday
homecare team, consists of home care nurses and
volunteers visit patients at their home .So far we have
conducted about 800 homecare visits for registered
173cases. We have been conducting pariraksha
outpatient clinic for chronic ill patients on every
Thursday since august 2009. Forty eight patients have
been registered in Pariraksha OP till November 2009.
We have conducted three training sessions
for 62 palliative volunteers and two awareness programs
for public.
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Current issues
1. Number of volunteers participating in homecare visits
reduced.
2. Lack of space to keep home care kits, records,
registers and other logistics of palliative care unit in
PHC.
3. Lack of vehicle for transportation of patients to referral
centers.

Suggestions
1. IEC activities should be strengthened to aware the
public for the need of palliative care.
2. Provide vehicle for PHC Kannadi.
3. Provide adequate facility in PHC for Palliative care unit.

PROGRESS ON INFRA STRUCTURE

DEVELOPMENT
Decentralized planning process of NRHM created
significant changes in infrastructure of PHC Kannadi and
its Sub centers. Following developments materialized
since2007
1. New safety tank constructed
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2. Concrete & plastering done for basement

3. Repair of water taps
4. Extended Veranda by concreting & plastering
5. Toprovide basic facilities for patients & visitors, the
front Veranda was modified as resting room by
covering the area with grills and roofing with sheets.
6. Main building painted
7. Constructed Tank for disposal of treated needles
& vials
8. Provided OP counter by cabin
9. Made injection room & dressing room.
10. Front marshy ground paved with tiles and
provided drainage.
11. Two Computers with other accessories installed
12. Fridge for Pharmacy purchased.
13. Surgical equipment for minor procedures
purchased.
14. Nebulizer for especially for Asthma patients
installed.
15. IUD kit, adjustable lamp and other accessories
purchased for Cu T insertion.
16. Electric autoclave, BP apparatus, stethoscope,
and other necessary items for patient care purchased.
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17. Ceiling fan, tubes, bulbs purchased.

18. Separate Latrine for the patients constructed.
19. Floors of both builduildings were paved by tiles
20. Token display cum announce system
implemented.
21. Drinking water facilities arrange

PRESENT ISSUES

1. The main building which was constructed on

December 2092 by Nirmithy Kendra Palakad, need urgent
maintenance. The roof of consultation room, Store, and
Observation room shows profuse leaking in rainy season.
The main Hall was separated by cabins recently for
Observation, dressing and injection purposes to meet the
need. This made the Hospital more congested. Space for
Store room is inadequate. By the addition of computer in
the limited space in the Office, routine office activity and
data entry by health staff created more inconvenience.
2. The second building which is currently used for family
welfare activities inadequate to function as the office of
HI, PHN, and JHI and provide facility for routine
immunizations, Cut insertion, and meetings. Window &
doors of this building requires repair & maintenance.
3. Sub centre FWC Kannadi totally damaged & irreparable
state. Technical sanction for demolition and new
construction is approved. Plan & estimate sent to DHS
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through DMO Palakad.Tota l expected expenditure is 11,

50000 and Rs. 7, 00,000 allotted from MLA fund source of
remaining amount expect from NRHM
4. Curative care in PHC needs special care to provide
good quality management to the patients, especially, in
the state of upcoming increase in life style diseases. .In
present situation average time spending for one
patient is less than 3 minute. Considering current
health scenario, service of one medical officer is not
sufficient for providing both curative , preventive and
administrative need of the institution.
5. To implement 40 day block system in field activities,
present staff strength is inadequate, to the
population.
6. Lack of conference hall for monthly, zonal and other
public programmes.
7. Present computer is used for both Office work and
HISP. Field staffs face difficulty and inconvenience for
data entry and regular reporting at times.
8. Lack of vehicle

ACTION PLAN 2011-2012

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A.MANPOWER
1. Provision of one medical officer preferably lady
doctor
2. Provision of two more JHI
3. Post of driver

B.INFRASTRUCTURE
1. Maintanance of Main Building. (The Plan and
Estimate already sent to the DHS through DMO
Palakad.
2. Construction of new building for Pharmacy, Office with
computer room, seminar hall, Cu T insertion room ,
immunization room and store room. (The plan & estimate
already prepared.).
3. Paving ground tiles in the remaining areas of Hospital
premises and setting up a garden in front of the
institution.
4. Provide vehicle
5. Ten vaccine carriers.

C.PUBLIC HEALTH CARE

1. Service of Gynecologist once in a month for antenatal
care.
2. Service of Pediatrician in proposed under five clinics.
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3. Service of Psychiatrist once in a month for Psychiatric

check

D.TRAINING
1. Basic training for computer for all staffs.
2. Training for ARSH

E.INNOVATIVE PLAN
1. Implementation of family health record system in OP
clinic instead of giving daily OP tickets. It requires record
room and additional logistics.
2. Provide software which helps to prepare all present
reporting formats.
3. Adolescent awareness programme & counseling.