DRAFT PLAN

District: ANGUL

DISTRICT PLAN DOCUMENT FAMILY PLANNING PROGRAM 2010-11

DISTRICT FAMILY WELFARE BUREAU ANGUL

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Table of Contents
Chapter Topics Executive Summary Chapter 1 Background Chapter 2 Chapter 3 Priorities of Family Planning Program Situational Analyses a. Contraceptive Use b. Service Delivery c. Quality Assurance Mechanism d. Logistic and Supply System e. Human Resource Development f. Communication Activities g. Private Sector Partnership h. Monitoring and Evaluation Chapter 4 Family Planning Plan a. Contraceptive Use b. Service Delivery c. Quality Assurance Mechanism d. Logistic and Supply System e. Human Resource Development f. Communication Activities g. Private Sector Partnership h. Monitoring and Evaluation Chapter 5 Chapter 6 Resource Requirements Innovative Interventions

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1. Executive Summary
Angul, a centrally located District in the State of Orissa came into existence on April 1, 1993. which is 4.09 per cent of the total land area of Orissa. The district is bounded by district Sambalpur on West, Dhenkanal & Angul.on East, Deogarh & Keonjhar on the North & Boudh & Nayagarh on the south. A vast stretch of hill & forest with growth of flora & fauna adds to its beauty. Angul is rich in hidden treasure of black gold of coal in Talcher areas. According to the 2001 census, the total population of the state stands at 11, 40,003 which is 3.10 % of the State and comprises of 587234 males and 552769 females. During 2009-10 Angul has achieved 81.72% in Sterilisation ,IUD 95.77%, CC(Users) 94.32% and in Oralpills 145.14 %. Through GKS and ASHA all RCH programmes like VHND Pustikar dwibas has been successfully conducted and the no of beneficiary has been increased through communication initiatives. The institutional delivery has been increased to 85 % in the 2009-10. The IMR and MMR has been reduced to 37 & 279 respectively. Performance in last year i.e. in Sterlisation Operation Angul is 81.72 % , State-76.35, in IUD Angul :-95.77%, State-80.42%, CC (Users) Angul - 94.32% , state-77.17%, in Oral Pill Angul -145.14 % , State- 89.11%. There are four corporate hospitals and five nos of Nursing homes has been accredited by the authority to provide family planning services. The proposals for this year

a.

This year we have planning to expand fixed day services to 8 PHCs , 3 SDHs and DHH. Due to shortage of operating surgeon we have feeling hardships for operationalisation.

b.

We have planned yearly training calendar for Minilap, laparoscopy, IUCD and NSV Details attached.

c.

District is operating in only 1 laproscopic Machine hence we require 3 more laparoscopic machines , Minilap kits and procurement of medicines from the state.

d.

Quarterly indent will be placed to state as per the requirement of all institutions.

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e.

Quarterly assurance committee meeting has been conducted every month on general activities. The committee will visit facilities to ensure quality assurance.

f.

Involvement of electronic and print media to create awarness on NSV , Post partum sterilisation , 380-A IUCD also create awarness to attend in nearest VHND and immunization points to get better service. According to last cesus the population of Angul District is 11.4 lakhs and for them fix days centers has already been fixed on monday for providing them family planning services such as sterilisation , IUCD, CC , Oral Pills in 12 points those are i. Block PHC-8 ii. SDH-3 iii- DHH-1 besides these in some PHCs Sunday and Friday has also fixed to provide female and male sterilisation. For 11.4 lakhs population there are 12 fixed day centers has fixed. So for 1 lakh population 1 fixed day center has arranged and there are 13 nos of operating surgeons for sterilisation.

IUD Training for MOs/ LHVs / Staff nurses (7 Nos.) completed in one batches. Next 36 batches planned to be conducted soon subject to allotment from the state. .Plans for this year a. Increasing fixed day services b. Training for Minilap, LTT, IUCD, NSV, MTP, etc c. Equipping facilities d. Logistics and supply System strengthening e. Quality Assurance mechanism f. Specific Communication plan for 2010-2011.

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Chapter 1: Background:District Profile

SL. NO. GENERAL 1 2 3 4 5 Area (sq. km) % in total states area CD Blocks Towns No. of Village 1922 Inhabited Uninhabited 5 6 7 8 No. of Tehsils Towns & Urban Areas No. of Gram Panchayats No. of NACs/Municipality/Corporation 6375 5.79 % 8 4 1635 287
(2001 Census)

ITEMS

INFORMATION

5
3 ( Angul, Athmallik, Talcher) 209
NAC-02, ( Angul, Athamallik) Muncipality-1 ( Talcher)

DEMOGRAPHIC PARTICULARS (CENSUS 2001) 9 9a. 9b. 9c. 9d. 10 11 Population (Total) Male Female Urban population Rural population % of SC population % of ST population 158416 981587 17.2 % 11.66% 1140003 (3.09% to total population of the State) 587234
552,769

(51.51 % of Dist. Pop.)

(48.49% of Dist. Pop.)

( 2.87% to the State Urban Population)

(3.13 % to the State rural Population)

Population in the age group of 0-6 years 1 2 3 4 Total Male Female % of 0-6 population to total population 165397 83873 81524 14.5
(14.5 % of dist. Pop.) (14.2% of dist. Male Pop.) (14.7 % of dist. Female Pop.)

Population Density 1991 2001 Sex Ratio 150.75 per sq. km 178.82per sq. km

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Sex Ratio Child sex ratio in the age group of 0-6 1. 2. 1991 2001

972 female/1000 male (2001 Census)

967 972 2001 69.40 82.02 56.01 35.88 57.52 22.51 25.77 50.14 13.88 Number 01 (DHH, Angul) 01 (PPC, Angul,) 03 (PPC, Talcher, Athmallik & Pallahara) 02(R.K. Nagar & Chhendipada) PHC-6 ,UGPHC- 1 & CHC -1 29 166 1 1614 Donated Rented/Own Own Own Own Own Own

Literacy Rate Literacy Rate (Total Population) Literacy rate (Male) Literacy Rate (Female) Literacy rate (SC) Literacy rate (SC Male) Literacy rate ( SC Female) Literacy rate (ST) Literacy rate (ST, Male) Literacy rate (ST, Female) Sl No. 1 2 3 4 5 6 7 8 9 Type of Institutions District Hospital District Post Partum Centre Block Post Partum Centre Community Health Centers (CHC) Primary Health Centers / UGPHC Single Doctor PHC/PHC(N) Sub Centres Mobile Health Unit Anganwadi Centers Ayurvedic 10 Hospitals Dispensaries 9 Homeopathy 11 Hospitals Dispensaries 8 12 13 14 15 Area Hospital Govt. Hospital Other Hospital AIDS Counseling & Testing Centers

4, SDH-3, DHH-1 4 NALCO, MCL, TTPS Talcher, TTPS Kaniha 2 (PPTCT & VCCTC)

Own

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16

ANM Training Center,

1. 2. 3. 4. 5. 6. 7. 8. 9.

No of ASHA sanctioned No of ASHA in-position No of ASHA sanctioned during 08-09 RKS at DHH is formed Block RKS PHC-N No of MNGO functioning No of FNGO functioning No of Yoshoda in-place

1104 1104 1104 Yes 8 29 1 3 12 OVHA

The Distirct level House Hold Survey (DLHS) was initiated in 1997 with a view to asses the utilization of services provided by Govt.
Indicators Marriage and Fertility Percentage of girl's marrying before completing 18 years Percentage of Births of Order 3 and above Percentage of women age 20-24 reporting birth of order 2 & above Percentage of births to women during age 15-19 out of total births Family planning (currently married women, age 15-49) Any Method (%) Any Modern method (%) Female Sterilization (%) Male Sterilization (%) IUD (%) Pill (%) Condom (%) Unmet Need for Family Planning: Total unmet need (%) For spacing (%) For limiting (%) 23.9 5.6 18.3 24.9 5.8 19.1 27.8 10.6 17.2 31.3 12.0 19.3 51.7 35.4 21.0 0.3 0.4 11.4 2.3 49.4 33.1 20.5 0.3 0.3 11.2 0.8 54.7 40.3 26.3 0.6 0.5 11.0 1.9 46.4 35.8 26.1 0.3 0.1 8.9 0.3 32.3 21.3 47.5 6.2 36.5 24.3 49.3 6.8 32.1 34.3 39.4 38.3 DLHS - 3 Total Rural DLHS - 2 Total Rural

A decline of 3 perecntile in the use of nay method than the previous DLHS-II. The same trend is seen in the case of modern methods. But interestingly to notice that the trend in rural areas is more clearly visible. I n case of female sterilization it has come down to 20.5 from 26.1 in DLHS-II. There is hardly any change observed in IUCD but OP and CC use had shown certain improvements. Page 7 of 23

Chapter 2: Priorities of Family Planning Program:The priorities set for the District includes: 1. 2. Fix day static center at DHH / SDH /PHC/ CHC (Block) level. ( Every institution have weekly once) followed by world population week. 13 nos of trained operating surgeons are conducting female sterilization (minilap & Laparoscopic) and we have planned to trained 8 more doctors to be trained in NSV, Minilap and Laparoscopic in the month of October and November 10. 3. 4. Post partum and Post abortion counseling and services is planned to provide in all institutions by 2010-11. 05 Nursing homes has already been accredited by the competent authority , and out of 4 public sector hospitals had applied for accreditation out of them i. NALCO hospital declared accredited ii. NSC Hospital ( Coal India), NTPC Kaniha Hospital and NTPC TTPS Hospital applied for accreditation 5. . 380 A IUCD training 1 batch training has completed consisting of 5 doctors and others 7 nos of LHV and Staff Nurses and another 35 batches are to be trained. 6. 7. 8. Steps need to be taken in consultation with DFW Orissa for uniform coverage of Human Resource in all the Blocks in all categories of the staff. During this financial year steps need to be taken to ventilate the updating knowledge regarding contraceptive update to different categories of staff. Communication activities need to be taken up as regards IEC / BCC to generate demand from the community.

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Chapter 3: Situational Analysis:

A. Qualitative Assessment (based on observation)
The high concentration of rural-populace with a substantial number of girls marrying before 18 years deserves a high priority to address the unmet needs. Thereis a demand from the community regarding sterilization but persists to retard the progress in the the community. An spacing seems to have taken a backstep. Myths regarding IUCD and male sterilization intensive focused IEC needs to address the same. Also the quality aspects to be looked into.

B. Contraceptive Use

Financial Year 2007-08

STERILISATION IUD CC Users OP Users

Sl No 1 2 3 4 5 6 7 8 9 10 11 12

Name of the Institution Banarpal PHC Bantala PHC Kosala PHC Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandha PHC Talcher PPC Khamar UPHC Pallahara PPC 425 276 252 141 229 350 25 253 701 135 270 19

Acceptors per 1000 population 2.025 1.695 4.991 0.853 2.169 23.27 0.231 1.612 4.411 2.752 2.409 1.362 1566 530 900 504 398 297 19 843 1113 391 1015 107

Acceptors per 1000 population 7.4613 3.2539 17.825 3.0474 3.7695 19.745 0.1753 5.3722 7.0033 7.9703 9.0578 7.673 818 1357 784 430 1260 975 76.01 1556 1762 399 1816 128

Acceptors per 1000 population 3.863 6.164 39.87 2.255 9.12 29.43 0.12 9.732 7.651 5.993 7.3 12.98

Acceptors per 1000 population 1597 888 1296 231 599 430 45 1345 630.46 289 1683 75 133.1 111.0 108.0 59.2 95.5 61.4 195.7 89.7 80.8 96.3 168.3 68.2

Total

3076

2.3

7683

5.8

11361

8.6

9108

6.9

Financial Year 2008-09

STERILISATION Name of the Institution Banarpal PHC Bantala PHC Kosala PHC 412 264 275 Acceptors per 1000 population 1.963 1.621 5.447 1058 361 760 IUD Acceptors per 1000 population 5.0409 2.2164 15.052 811 1004 2013 CC Users Acceptors per 1000 population 3.863 6.164 39.87 1377 753 1225 OP Users Acceptors per 1000 population 6.6 4.6 24.3

Sl No 1 2 3

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4 5 6 7 8 9 10 11 12

Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandha PHC Talcher PPC Khamar UPHC Pallahara PPC

187 297 253 0 394 483 156 262 32

1.131 2.813 16.82 0 2.511 3.039 3.18 2.338 2.295

461 393 320 32 596 456 451 470 92

2.7874 3.7222 21.274 0.2953 3.7982 2.8693 9.1934 4.1943 6.5973

373 963 443 13 1527 1216 294 818 181

2.255 9.12 29.43 0.12 9.732 7.651 5.993 7.3 12.98

264 573 577 22 1161 603 401 756 122

1.6 5.4 38.4 0.2 7.4 3.8 8.2 6.7 8.7

Total

3015

2.3

5450

4.1

9655

7.3

7835

5.9

Financial Year 2009-10

STERILISATION Sl No Nam e of the Institution Acceptors per 1000 population 557 415 527 176 377 200 2 446 840 157 330 31 4058 2.654 2.548 10.44 1.064 3.571 13.3 0.018 2.842 5.286 3.2 2.945 2.223 3.1 545 615 542 471 291 340 8 682 409 454 506 67 4930 IUD Acceptors per 1000 population 2.5967 3.7758 10.735 2.8479 2.7561 22.603 0.0738 4.3462 2.5735 9.2545 4.5155 4.8046 3.7 217 727 2253 335 725 1110 19 1398 1255 249 1387 59 9733 CC Users Acceptors per 1000 population 1.033 4.461 44.62 2.026 6.867 73.82 0.175 8.908 7.898 5.076 12.37 4.231 7.4 126 82 81 50 57 46 5 158 85 77 68 0 8823 OP Users Acceptors per 1000 population 0.6 0.5 1.6 0.3 0.5 3.1 0.0 1.0 0.5 1.6 0.6 0.0 6.7

1 2 3 4 5 6 7 8 9 10 11 12

Banarpal PHC Bantala PHC Kosala PHC Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandha PHC Talcher PPC Khamar UPHC Pallahara PPC Total

Analyzing the above three years achievement we conclude the district achievement has successively increased and some institutions are average performed like Athmallik PPC, Pallahara PPC, Bantala PHC & R.K. Nagar CHC are need to more focus during this year for better performance by deputing a competent doctors in the camp mode.
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C. Service Delivery
Fix Day Camp Block wise ( PHC Wise) Banarpal PHC Bantala PHC GodibandhaPHC R.K. NagarCHC Madhapur PHC Athmallik PPC Talcher PPC Pallahara PPC Angul PPC

Good Angul PPC Madhapur PHC Godibandha PHC Talcher PPC

Average Banarpal PHC Kosala PHC Kaniha PHC Khamar UGPHC Pallahara PHC

Poor Bantala PHC R.K. Nagar Athamallik PPC

In Angul in average rank 5 PHCs and in poor rank 3 PHCs/PPCs. This year the above PHCs will be focus specially on developing their status and to increase their achievements. For them we have proposed to trained more operating surgeons from their institutions to develop the communication system, IEC/BCC through ASHA Sector level meeting , PRI meeting VHND, block PHC monthly review meeting and besides this we will take the help of ICDS,DHG,GKS, School Teacher and community leaders. In Angul distirict there are 5 nos accredited Nursing homes. 4 nos of Corporate Hospital had applied for accreditation those are NALCO Hospital, Angul, NSC Hospital, Talcher, NTPC Kaniha Hospital and NTPC TTPS Hospital, out of them NALCO hospital has been declared as accredited hospital , but other 3 hospitals nas not yet declared accredited hospital. The papers are pending in the office of DFW Orissa. Hence necessary steps may please be taken for the above purpose. Post Partum and Post Abortion:In post partum and post abortion cases we will educate and aware the beneficiaries to accept about the spacing methods of 380 A , Oral Pills, CC and emergency contraceptives.

D. Service Environment Facility Centre: 8., Block:8.

Sl No 1 2 3 Equipments Laparoscopy Machine Laparoscopy Trained Doctors Carbon Dioxide Required 5 15 According to the case Available 1 3 Nil Gap 14 12 Nil

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E. Quality Assurance Process

In each 3 months the quality assurance meeting are being conducted , besides this for each failure case meetings also held. The quality assurance committee members are as follows.
Sl No 1 2 3 4 5 6 7 8 9 10 Designation CDMO, Angul ADMO (FW &Imm), Angul ADMO (Med), Angul ADMO (PH), Angul O&G Spl, DHH Angul Surgery Spl. Anaesthesist Medicine Spl. MO I/C Banarpal PHC Dy. MEIO , Angul

In every complication, failure , death the QAC visit the concerned institutions to monitor about the quality and providing the type of services to the beneficiaries. F. Logistics and Supply system

Table1.1 - Logistics & Supply (2009-2010)

Sl No 1 Health Facility Angul PPC Logistics & Supply ( 2009-10) CC OP Date Issued Date 13.08.09 12000 01.04.09 30.01.10 17.08.09 6000 24000 01.01.10 01.02.10 2 Bantala PHC 20.04.09 09.11.09 22.04.09 15.07.09 3 Banarpal PHC 11.08.09 22.09.09 26.08.09 09.11.09 02.09.09 4 Kosala PHC 12.11.09 24000 6000 02.05.09 04.07.09 02.09.09 12.11.09 06.08.09 5 Madhapur PHC 17.08.09 20.10.09 6 R.K. Nagar 17.08.09 6000 24000 6000 24000 21.04.09 17.08.09 20.10.09 31.03.09 08.09.10 Issued 4000 1000 1000 7000 1000 2000 4000 3000 2000 1000 1000 5000 2000 2000 1000 5000 1000 1000 3000 2000 31.03.09 600 21.04.09 600 9.06.09 17.08.09 26.08.09 26.08.09 17.11.09 02.05.09 12.11.09 600 24000 18000 250 50 600 400 20.04.09 6000 IUCD Date Issued 01.07.09 600

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Athmallik PPC 06.08.09 17.08.09 6000 24000 6000 6000 24000

10.03.10 28.04.09 06.08.09 05.10.09 20.10.09 21.12.09 21.04.09 04.07.09

200 5000 2000 2000 2000 1000 6000 100 1000 1000 2000 2000 2000 2000 1000 04.11.09 04.12.09 04.04.09 100 50 600 02.04.09 14.09.09 04.06.09 600 250 250 28.04.09 600

Kaniha PHC

20.10.09 21.12.09 19.08.09

Godibandha PHC

10

Talcher PPC

04.09.09 04.09.09 17.08.09

12000 6000 24000

04.09.09 04.11.09 04.04.09 01.06.09 14.07.09 04.08.09 09.07.09

11

Khamar UGPHC

12

Pallahara PPC

Stock in hands as on 1st April 2010 Tubal Rings 150 and rest of the items are out of stock.

F. Communication Activities The need based IEC BCC plan need to be formulated which will target on involvement of GKS for generating demand at the grass root level which will ultimately held in achieving the target of the district. 1) In this regard special meetings / workshops / seminars for involvement of various stakeholders need to be organized starting from grass root level to district level. 2) Three IEC/BCC stall will planed to operational at Gopalprasad on the occasion of Hingula yatra , Durga puja(Angul) and Ganesh puja (Talcher) . A budget of Rs 75000/- (@ Rs 25000/- per stall)is required for the completion of the above mentioned stall. 3) Few Fixed banner should be placed at the VHND session site on FP Acticity.. A budget of Rs 20000/ is required for 1563 GKS 4)A information sheet on the Family planning activity to be discussed in the VHND session site to be developed and distributed to all ASHA and AWWs..A budget of Rs 30000/- is required for completion of the above intervention.
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G. Private Sector Partnership:

(Year 2009 2010)

In Angul District there are 4 nos of corporate hospitals providing health services. But out 4 corporate hospitals NALCO Hosp. Angul has been declared as accredited as accredited hospital but other 3 imp. Corporate hospitals have applied for accreditation but till they have not been declared as accredited hospital. Hence Govt. Sholud take initiation for their accredation. They are 1.NSC Hosp Talcher under MCL ,2. NTPCC TTPS Hospital Talcher, NTPC TTPS Hosp. Kaniha.

Sl. No. I. II. III. IV. V. VI. VII.

Services NSV Minilap Laproscopy IUCD OP CC Others

Private Facility 0 168 0 0 0 0 0

Govt. Facility 21 2814 1055 4930 8823 9733 0

Total 21 2982 1055 4930 8823 9733 0

J . Monitoring and evaluation

Every month district level monitoring team review of services and performance of the institutions. Once in a quarter monitoring and evaluation team will review details of family planning activities such as training, equipments, supplies and the target against the achievement of institutions. M & E Team will also review of accredited institutions familyplanning. contribution towards

M& E team also visit institutions findings of facility audit and observation and plan accordingly.

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Plan for 2010 - 2011

Mention ELA for 2010 2011 for all methods in a table along with block wise break up Sl. N o. 1. 2. Progress Health Institution Banarpal PHC Bantala PHC Kosala PHC Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandh a PHC Talcher PPC Khamar UPHC Pallahara PPC Total Sterilization EL A 800 Achievem ent EL A 122 OP Achieve ment ELA 1791 CC Achieve ment EL A 893 IUCD Achievem ent

620 630 192 402 413 57 598 609 187 427 53 498 8

71 83 17 49 27 4 49 51 33 52 4 657 9

1390 1411 431 901 925 128 1339 1356 418 956 119 11165

693 704 215 449 461 64 670 676 209 477 59 557 0

3. 4. 5. 6. 7. 8. 9. 10. 11 12

A. Service Delivery Plan

i. Name of the facility of Fixed day static centre are: CHC Bissamcuttack, PHC
Godibandha, UGHC Khamar, Banarpal PHC, Kosala PHC, Kaniha PHC Madhapur PHC ,R.K. Nagar CHC, Angul PPC, Talcher PPC, Pallahara PPC and Athmallik PPC.

ii. iii.

Service Delivery Plan to popularize IUCD in the district All the Blocks have been duly informed about wide propaganda of 380 A IUCD. All the AWW and ASHAs are well equipped with CC & Oral Pill for distribution.

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B. Human Resource Development Plan

Sl. No. Name Dr. P.K. Dhara Dr. T.K. Sahu Dr. L.K. Behera Dr. B.K. Sahu Dr. S. Pradhan Dr. R.K. Samal Category II Minilap Dr. P.R. Parida Dr. A.K. Mishra Dr. T. Pradhan Dr. B.K. Sahu Dr. S. Pradhan All LHV, HW(F) and MOs of Angul Distirct Designation MO PHC(N) Gopal Prasad MO I/C Banarpal MO I/C CHC R.K. Nagar MO PHC(N) Kankili Surgery Spl, DHH, Angul MO I/C PHC Godibandha MO I/C PHC Kosala MO I/C PHC Kaniha MO I/C PHC Madhapur MO PHC(N) Kankili Surgery Spl, DHH, Angul Training Required Yes State Level Intervention Yes District Level Intervention Time line Sep / Oct /Nov 2010 Sep / Oct /Nov 2010 Sep / Oct /Nov 2010 Sep / Oct /Nov 2010 Sep / Oct /Nov 2010 Dec/Jan/ Feb 2010-11 Dec/Jan/ Feb 2010-11 Dec/Jan/ Feb 2010-11 Dec/Jan/ Feb 2010-11 Feb/ March2010-11 Feb/ March2010-11 Feb/ March2010-11

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Yes Yes Yes Yes Yes Yes Yes Yes

Category I NSV

Category III Laproscopy

Yes

Category IV IUCD

C. Service Environment Strengthening Plan

The requirement of equipment and instruments for Family Planning Services
Sl. No. Equipment/Instrument Minilap Kits Laparoscopy Machione for all blocs SDH/DHHin complete set Numbers 15 Nos. 5 Process of Procurement State District As per guideline

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D. Logistics and Supply System

Please mention stocks, requirement and process of distribution block wise
Sl. No. 1. 2. 3. 4.
Sl No 1 2 3 4 5 6 7 8 9 10 11 12 Name of the Institution Banarpal PHC Bantala PHC Kosala PHC Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandha PHC Talcher PPC Khamar UPHC Pallahara PPC TOTAL

Method IUCD OP CC Tubal Rings

IUD Stock 200 70 120 200 200 100 120 100 50 300 150 50 1660

District Angul Angul Angul Angul

Stock as on 30th Jul 2010 1660 4130 2,25,000 2000

Annual Requirement 3908 81397 578880 0

Deficit 2248 77267 356880 0

Tubal Ring Stock Requirement 0 0 0 0 0 0 2000 0 0 0 0 0 0 2000 0

CC USERS Requirement 693 623 95 504 249 36 341 568 626 91 327 9 3908 Stock 15000 17000 30000 15000 12000 25000 10000 20000 18000 35000 21000 7000 225000 Requirement 113952 83080 1032 86592 52872 15748 56600 76408 79632 4904 47832 1568 578880

OP USERS Stock 380 250 440 480 200 400 230 300 600 340 280 230 4130 Requirement 13335 10384 2862 10336 6703 588 6855 9957 9787 2871 7039 680 81397

D. Plan for promoting Public Private Partnership for Family Planning

In Angul District there are 4 nos of corporate hospitals providing health services. But out 4 corporate hospitals NALCO Hosp. Angul has been declared as accredited as accredited hospital but other 3 imp. Corporate hospitals have applied for accreditation but till they have not been declared as accredited hospital. Hence Govt. Sholud take initiation for their accredation. They are 1.NSC Hosp Talcher under MCL ,2. NTPCC TTPS Hospital Talcher, NTPC TTPS Hosp. Kaniha.

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Chapter 5: Resource Requirement:

Sl. No. 1 Major Activity Laparoscopy/ Mini lap Task Time Frame June to March Responsibility Additional Budget Required

Laparoscopic Machine , Carbon Dioxide Cylinder, Minilap Kit , IEC BCC . Minilap and Laparoscopic trained Operating Surgeons

ADMO(FW)/DPM, For each camp for Dy MEIO. each case Rs. 50/towards camp arrangement Total cases expected 5000 X 50 = 250000/- . IEC BCC @ 20000/- Per year.

NSV Conventional

Medicine NSV Kits , Trained Operating Surgeons , Group Meeting Door to door motivation by ASHA , AWW, HW(M), HW(F) training

June to March

ADMO(FW)/DPM, Training required Dy MEIO. 27375 per batch for 5 batches.

IUCD

Through ADMO(FW)/DPM, out the Dy MEIO. year

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Annexure-I
DISTRICT (name of the district) 2009-2010 (Fact Sheet)
1 2 3 Institutions providing fix day camp Camp vs Regular Fix day sterilization Minilap TT LTT NSV Conventional VO Block wise trained personnel MiniLap Doctor LTT Blockwise 2009-10 Sterilisation IUD CC OP Stock OP CC IUCD Ring Availability of Laparscope Minilap NSV Private Hospitals Accredited 2009.10 performance 2009 April to March-10 IEC, Communication Activities on FW Seasonability of Sterilisation Acceptors (Quarterly) Quality Assurance Meeting (Dist. & Block Level) Failure case of Sterilisation Training in Family Planning 2009-10 Mini Lap NSV MTP Laparoscopy Information on Insurance Claims etc. Guidelines Received Fixed Day Camp IUCD Reference Contraceptive Updates Medical Store CC OP IUCD Multiload Injectable All PHCs/ SDH/CHC/UGPHC Camp in Tuesday ,Friday and Sunday Fixed Day Monaday All Institutions Godibandha PHC All Institutions Enclosed Enclosed Enclosed

4 5

Enclosed

Enclosed

8 9 10 11 12 13

Enclosed Enclosed Enclosed Enclosed Enclosed Enclosed

14 15 16 17

Enclosed

Enclosed Enclosed

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Annexure-II Family Planning Performance of (Angul) 2009-2010

Family Planning Performance of Angul District, for 2009-10 STERILISATION ELA 786 PHC 2 3 4 5 6 7 8 9 10 11 12 Bantala PHC Kosala PHC Angul PPC Madhapur PHC R.K.Nagar CHC Athamalik PPC Kaniha PHC Godibandha PHC Talcher PPC Khamar UPHC Pallahara PPC TOTAL 647 687 168 404 416 23 610 623 150 445 35 4994 415 527 176 377 200 2 446 840 157 330 31 4058 500 1000 455 420 450 30 625 643 450 590 120 6483 615 542 471 291 340 8 682 409 454 506 67 4930 1000 2000 480 1050 1500 34 1850 1350 450 1520 130 13764 727 2253 335 725 1110 19 1398 1255 249 1387 59 9733 800 1537 350 600 700 25 1401 764 400 1893 130 10100 887 1289 442 633 748 15 1503 706 369 725 88 8823 Achievem ent 557 ELA 1200 IUD Achieve ment 545 ELA 2400 CC USERS Achieve ment 217 ELA 1500 OP USERS Achieveme nt 1418

Sl No

Name of the Institution Banarpal 1

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