List of Medical Institutions of Jagatsinghpur District.

 

 

Infrastructure

Building Position of PHCs

 

All the PHCs / CHCs & UGPHCs have its own building & functioning.

 

 

Building Position of PHC(N)s

 

 

 

                        

Building Position of Sub-Centers

 

 

 

Building Position of  Upgraded Sub-Center

 

 

So far as the infrastructure of the health system in the district is concerned, it is lagging behind. Out of the total 178 Sub- Centers, 87 nos have it own buildings and rest on rental basis.

 

Sub- Center building position

 

PHC (N) position

 

Sanctioned	Functioning	Own building
35	33	32

               

 

 

 

Difficulties / Constraints

 

 Many of the PHC & CHC buildings are damaged and require repairing/ renovation.

 

Most of the staff quarters with Asbestos roof are damaged completely and require renovation

 

National Rural Health Mission, Jagatsinghpur

 

1. Janani Surakshya Yojana

 

            The Janani Surakshya Yojana is being implemented in all block PHC/ CHC/ PPCs and DHH Level. As per the Govt. guidelines, the ASHAs, PRI members. AWWs and Health functionaries & providers are actively involved for the successful implementation of the scheme.JSY new cards have been printed & distributed to the concerned blocks maintaining appropriate serial no.Separate A/cs for JSY have been opened under RKS to facilitate cheque payment system for the beneficiaries

 

Physical Status 

 

 

II. ASHA

 

            As per Govt. guidelines 864 nos of ASHAs should be selected in the district, in two phases. In first phase out of 373, all are selected and in position except 1 dispute case pending in Hon,ble High Court, Cuttack. For 2^nd phase out of 491 already 489 nos. of ASHAs have been selected yet. Rest 2 nos are complicated and pending.

 

 

ASHA Training Status

 

1. BTT of ASHA training. -  The BTT programme has already been completed.
2. ASHA Induction training at block level to ASHAs : 373 nos of ASHA have already been trained at block level .
3. ASHAs’ hand-holding training programme already completed in all 8 blocks.
4. ASHA induction training (2^nd Phase) already started.

Untied Fund at Sub-Centre

            The detailed information regarding opening of Joint Bank Account has already been received from the PHC / CHCs. How ever the fund has already been placed with the concerned HW(F)s through Medical Officer I/cs. All 178 bank accounts of 178 sub-centers have already been opened.

One draft guideline has been supplied by Govt. of Orissa & district health administration for rational expenditure of Untied Fund.

 

Selection and Engagement of various positions under NRHM.

 

          Selection for the post of BPO/ AYUSH Doctors / I.C.A. / Staff Nurse / Adl. ANM / L.T. have been completed through proper procedure with the active involvement of selection committee members..

 

Rogi Kalyan Samiti

 

            All 9 Rogi Kalyan Samities have been registered i.e. 1 at DHH and 8 at blocks. Bank Accounts of all RKS have been opened.  Expenditure of RKS have been banned till the training of the concerned stakeholders/ office bearers which was organized on 13/07/2007.   Funds has been received and disbursed.

            Applications for registration of 9 Rogi Kalyan Samiti for PHC(N) have been submitted to the Addl. District Magistrate, Jagatsinghpur. Early result is awaited for the same.

 

            Fund position

IPHS

            Grant of Rs. 1.4 Crores received for up gradation of 07 nos of PHC/ CHC/ UGPHCs to Indian Public Health Standard had been refunded as per Letter No. -  OSH  & FWS (30), dtd. 02/02/2007

 

Immunization

 

            Immunization includes Routine Immunization to the children below 1 year age and T.T. to pregnant mothers. It is being implemented in 178 nos Sub-Centres under 8 blocks and 2 PPCs in every Wednesday. The Programme is carried out for vaccinating against 6 killer diseases like Diphtheria, Polio, Titanus, B.C.G., Measles and whooping Cough.

Catch-up Round Immunization

         It has been launched during November, 2005 to cover all the left out cases in the age group of 0-5 years to Immunize against 6 (SIX) preventable diseases

Special Immunization

 

            It has been launched in this district during February 05 except on Wednesdays (Normal Immunization day) in all the blocks purely in outreach and hard to reach pockets to cover underserved infants. By adopting this method the fully immunization status of our district during 05-06 has gone up more than 90% which is much above the state average. 

 

I.P.P.I

         I.P.P.I. started in the state during the year 1995 to eliminate the Polio virus from the country. As the children under 0 to 5 years are vulnerable group to the diseases. They are vaccinated against the Oral Polio Vaccine. To chalk out the programme through out the district the funds ahs been received and utilized for the success of the programme.

I.P.P.I. Programme in Jagatsinghpur District –

                                                            Target               Achievement      Percentage

April, 06 (1^st Round)                    118406              119071              100.56%          

May, 06 (2^nd Round)                   119071              119386              100.26%

Jan,  07 (1^st Round)                    119386              116308                97.42%

Feb, 07 (2^nd Round)                    119386              116647                97.70%

May, 07 (SNID)                          119386              116979                97.98%

 

 

 

Vitamin “A” Supplementation Programme -

 

            It has been launched to cover the children under the age group of 9 months to 3 years. In a gap period of 6months,  in May and November  against deficiency of Vitamin “A” to prevent night blindness and other related diseases

 

2005                                                                                                                                                          2006

 

                                    Target   Achievement      Percentage                    Target    Achievement     Percentage

 

May 2005 -        50819   48046              94.54          May- 2006   45448  42563              93.65

Nov 2005 -         47631   45688              95.92          Nov - 2006   43097   41624               96.58

 

2007                                                                            

                        Target   Achievement      Percentage

May- 2007         85312   75432               88.41    ( 1year to 5years)

 

P.N.D.T. Act 1994

 

            P.N.D.T Act, 1994 has been enforced to prevent diagnosis of Sex through Ultrasonography. Public awareness has been done through workshops, message to daily newspapers and contingency expenditure on advisory committee meeting has been done.

 

Sterilization Operation

            It is a permanent method to accept Family Welfare service, Annual target has been assigned to the 8 no.s blocks and 2 PPCs to meet such targets, Loss of wages, funds has been received and expenditure has been incurred accordingly .

IMR Mission

            The aim and objectives of the mission is to reduce Infant and Maternal Mortality Rate in India. Funds has been received for referral cost of transportation charges to ensure institutional deliveries and expenditure has been incurred accordingly

 

FAMILY WELFARE ACTIVITIES OF JAGATSINGHPUR DISTRICT

 

Sl	Item	2006-07			2007-2008 (Upto August, 2007)
		Annual Planned	Achie-vement	Per- centage	Annual Planned	Achie-vement	Per- centage
1.	Sterilization	2699	1820	64.43	2646	49	1.85
2.	I.U.D.	6206	6193	99.79	5777	1893	32.76
3.	C.C. Users	12092	12695	104.98	13818	3883	28.10
4.	O.P.	9172	7098	77.39	9987	2247	22.49
5.	T.T. (Pre. Woman)	25419	19630	77.22	22181	7637	34.43
6.	D.P.T.	24043	18873	78.49	20054	7495	37.37
7.	Polio	24043	18873	78.49	20054	7495	37.37
8.	B.C.G.	24043	20069	83.47	20054	7935	39.56
9.	Measles	24043	18642	77.53	20054	7764	38.71
10.	Full Immunization	24043	18458	76.77	20054	7742	38.60
11	D.T.	31429	29183	92.85	25080	10242	40.83
12	T.T. ( 10 yrs)	29498	24702	83.74	23424	8078	34.48
13.	T.T.(16 yrs)	28571	22009	77.03	19326	6366	32.94
14	Iron Tab (Mother)	25819	8298	32.13	22181	4211	19.00
15.	Iron Tab (Child)	53410	9290	17.39	43512	8420	19.35
16.	Vit “A”	24043	18702	77.78	20054	7786	38.82
17	Antenatal Case Regd.	20384		22181	8142
	ANC 3 Check up	16705			6917
	Total deliveries	15037			5878
	Institutional Delivery	10268		68.28%	4855		82.59%
	By T.B.A.	3323			629
	By A.N.M. / L.H.V	1284			375
	Others	162			19
18	Total Live birth	14781			5792
18	Infant Mortality Rate	279 ( Infant Death) 18.87			100 (Infant death) 17.26
19	M.M.R.	9 ( Maternal death) 60.81			2 (Maternal death) 34.53

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.F.P. Surveillance -                Jagatsinghpur

 

Year     No of reporting Unit        No of Informant              No of A.F.P. Cases detected      No of wild virus detected.

           

2006                 10                                 6                                  51                                             0

2007                 10                                 6                                  35                          0  (Upto 11, Sept, 2007)

 

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME

 

(All deaths are clinical diagnosis.)

 

Chemo prophylaxis

 

No. of pregnant women received Chemo prophylaxis (Chloroquine) 2004—05 :      12169

(Malaria) - completed doses)                                                                2005—06 :    11158

                                                                                                              2006—07 :    15741

 

EDPT (Early Detection & Prompt Treatment)         2005           2006           08/2007

 

DDC established                                                                    1242                1242                42

DDC reporting                                                                         1242                1242                42

Fever cases treated by DDC                                                  51711              35781              512

FTD                                                                                         --                      1200                1200

Malaria link volunteer                                                               --                      --                      --         

BS collected by MLV                                                               --                      --                      --

Sector level microscopy centre                                              10                    10                    10

Sector level microscopy centre functioning                           10                    10                    10

 

Activity

 

No. of DDC & FTD holders reoriented                       :           1242

 

Hatchery

 

There are 9 no. of hatcheries in the district (1 at DHH & 1 each at PHC/CHC head quarter) for rearing of the Gambusia fish. These fishes when released to the stagnate water, they eat the larva of mosquitoes, which reduces the mosquito’s density. We have identified 352 breeding sites.

                                      

Community Bed Net

 

6892 no. of community bed nets have already been completed & other bed net impregnation in different blocks already started.

 

IEC Activities Done

 

1. No. of hoarding at block level                                                                      :           08

2. No. of wall paintings at Health Institutions                                                  :           44

3. No. of sensitization workshops for medical & paramedical staff               :           09

4. No. of participants trained in sensitization workshop                                 :           450

5. Observation of Anti-Malaria month                                                             :           10

6. No. of participants sensitized                                                                     :           700

7. Wall painting at sub centre schools                                                           :           320

 

 

AIDS Control Programme

 

 

STD clinic is functioning at District Headquarter Hospital, Jagatsinghpur. VCCTC (Voluntary Confidential Counseling & Testing Centre) & PPTCT (Prevention of Parent to Child Transmission) are opening in the district at DHH, Jagatsinghpur & B. M. Hosp., Paradeep. Sentinel Surveillance was conducted during 2005 & 400 blood samples were collected from antenatal cases and sent to SCBMCH, Cuttack. The figures cover 100 % achievement.

 

            World Aids Day is being observed regularly in the district on 1st December. Last year it was observed by arranging student rally, press media meeting, debate competition in different schools & a meeting was held at DHH, Jagatsinghpur involving the NGOs, SHG, PRI Members & Govt. Officials to create awareness amongst the people on HIV/AIDs. For target intervention programme on HIV/AIDs started in the district through NGOs.

 

                        At present target intervention  programme on HIV/ Aids is being conducted in the district for the Awareness of the public.

 

 

 

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME,

 

Ø                  Revised National Tuberculosis Control Programme was launched in the district on 27^th Nov’ 2003.

Ø                  Chief District Medical Officer is the overall authority of the programme.

Ø                  District Tuberculosis Centre manages the programme in the district.

Ø                  District Tuberculosis Officer is the Nodal Officer for RNTCP.

Ø                  DTO is assisted by one Accountant cum-Data Entry Operator.

Ø                  The District is divided in to two sub-district TB units.

Ø                  Each TB unit is managed by : - Medical Officer-TB Control

            : - Senior Treatment Supervisor (STS)

            : - Senior Tuberculosis Lab. Supervisor (STLS)

Ø                 10 Designated Microscopic Centres (DMC) are functioning in the district.

            Jagatsinghpur T.U.    (1) DHH.                     Manijanga T.U.          (1) Manijanga.

                                                            (2) Naugaon.                                                  (2) Erasama.

                                                            (3) Balikuda.                                                  (3) Kujanga.

                                                            (4) Biridi.                                                        (4) BMH Paradeep.

                                                            (5) Raghunathpur.                                         (5)Port Trust Hospital                                                                       (6) Mandasahi.

                                                                                     

Ø                  Lab Technicians                    : - Each DMC has one trained Lab. Technician (10 Nos.)

Ø                  DOT’s provider                     : - 1,041 DOT’s Providers are trained (which includes 636

                No’s of A.W.W and 210 Health Workers & 195 ASHA                    Volunteers.)

Ø                  All Medical Officers & Paramedical staffs of the district are trained on RNTCP.

Ø                 All Medical Officers In charge (PHI) and other Medical Officers are trained on RNTCP during the month of September’2005 as Refresher training.

Ø                 All Pediatrics Specialist are trained on Pediatrics Patient Wise Boxes during the Month of August’2006.

 

PERFORMANCE OF R.N.T.C.P. TILL THE END OF 30^th June’ 2007.

• Population covered                                                                           11,36,461.
• No of Chest Symptomatic referred for sputum examination        13,907.
• No of patients, whose sputum examined                                       13,833.
• No of sputum positive cases detected                                           1,081.
• No of TB patients under DOT’s                                                       1,723.
• No of TB patients under non-DOT’s                                                40.
• Total no of patients treated                                                              1,848.
• Sputum Conversion Rate (for 1^st Quarter 2007)                            89.6%
• Cure Rate for 2^nd Quarter of 2006 (for NSP cases)                      90.7%
• Death Rate for 2^nd Quarter of 2006 (for NSP cases)                      1.9%
• Default Rate 2^nd Quarter of 2006 (for NSP cases)                         1.9%
• Failure Rate 2^nd Quarter of 2006 (for NSP cases)                          5.5%

 

PERFORMANCE OF R.N.T.C.P. 2^nd QUARTER 2007(30^th June’2007).

·        Population Covered                                                                  11,36,461.

·        Total Adult OPD Patients                                                           1,02,157.

·        No of Chest Symptomatic referred for sputum examination            862.

·        No of Chest Symptomatic Patients to be referred for Sputum

Examination                                                                                      2,043.

 

·        Percentage of Referral                                                                             0.84%

·        No of patients, whose sputum examined                                                     861.

·        No of sputum positive cases detected                                                68.

·        No of sputum positive cases to be detected                                    168.

·        Sputum Positive Rate                                                                     8.01%

·        Total no. of TB patients under DOT’s                                               145.

·        Annualized Case Detection Rate per Lakh                                         51.

·        No of TB patients under non-DOT’s                                                      1.

·        Sputum Conversion Rate (for 1^st Quarter 2007)                           89.6%

·        Cure Rate for 2^nd Quarter of 2006 (for NSP cases)                     90.7%

·        Death Rate for 2^nd Quarter of 2006 (for NSP cases)                             1.9%

·        Default Rate 2^nd Quarter of 2006 (for NSP cases)                       1.9%

·        Failure Rate 2^nd Quarter of 2006 (for NSP cases)                       5.5%

 

Revised National Tuberculosis Control Programme:Jagatsinghpur.

• Population Covered                                                                                                  11,36,461.
• TB Suspects to be Examined per lakh 200 per Quarter                                       2,272.
• TB Suspects Examined in 2^nd Quarter’2007                                                         861.
• Total Adult OPD Patients                                                                                         1,02,157.
• No of Chest Symptomatic referred for sputum examination                                 862.
• No of Chest Symptomatic Patients to be referred for Sputum Examination.

(2% of the Adult OPD Patients)                                                                              2,004.

• Percentage of Referral         (Norm is 2 – 3 % of Total Adult OPD)                     0.84%
• No of patients, whose sputum examined                                                               861.
• No of sputum positive cases detected                                                                    69.

(NSP Cases to be detected –167)

• Sputum Positive Rate (Norm 10-15%)                                                                   8.01%
• Total no. of TB patients under DOT’s                                                                     145.
• No of TB patients under non-DOT’s                                                                        1.
• Sputum Conversion Rate (for 1^st Quarter 2007)                                                    89.6%
• Cure Rate for 2^nd Quarter of 2006 (for NSP cases)                                              90.7%
• Death Rate for 2^nd Quarter of 2006 (for NSP cases)                                              1.9%
• Default Rate 2^nd Quarter of 2006 (for NSP cases)                                                 1.9%
• Failure Rate 2^nd Quarter of 2006 (for NSP cases)                                                  5.5%

Cumulative Data Till 30^th June’2007

 

• No of TB patients under DOT’s                                                              1,723.
• No of TB patients under non-DOT’s                                                     40.
• Total no of patients treated                                                                     1,848.

 

 

 

National Filaria Control Programme

Mass Drug Administration (MDA-2005 & 2007)

                        For control of Lymphatic Filariasis annual single dose mass chemotherapy with DEC have been conducted in our district on 11.11.05 in the year 2005 & on 22/06/2007 to 24/06/2007 for  the year of 2007, except children below 2 years, pregnant women & severely ill persons.

.

Achievement on MDA –2005                                                         Achievement on MDA –2007

Ø      Total eligible population           :           1078774                                              11,15,411

Ø      Total population covered         :             997515          92.46 %                       10,23,138        91.72 %

Ø      Total DEC consumed             :           2594165                                              24,72,602

Ø      Lymphadoma  cases detected:          374

Ø      Hydrocele                                :           473

 

Adverse Reaction

Ø      Vomiting                                                          :             78

Ø      Reeling of head                                               :           218

Ø      Skin rashes                                                     :             24

Ø      Drowsiness                                                     :           128

Ø      Other                                                               :           171

 

 

Filaria Clinic, Jagatsinghpur

 

 

National Leprosy Elimination Programme

 

MDT Project started                         -           30.01.87

Mid year population              -           1139918

No of L.E.U.                                       -           02

Prevalence Rate

At the beginning of the MDT in district        -           107 / 10,000 population.

As on 01/12/2006                                         -           0.51 / 10,000 population

As on 31/03/2007                                         -           0.33 / 10,000 population.

As on 01/08/2007                                         -           0.43/ 10,000 population.

 

 

INFORMATION ON MDT                                                                           PB      MB      Total

No of Cases registered at the previous year 31^st March, 2007   8          30        38

Other cases  at the end of the previous year 31^st March, 2007   -             5        5                    

No of cases newly detected during the year 01/04/07 to 31/03/08         9          17        26

No of cases discharged during the year 01/04/07 to 31/03/08               7          12        19

No. of cases balance on registered at the end of 31/03/08                     10        40        50

P.R. as on 01/08/2007                                                                                 0.43 / population.

More ever the district has achieved the Elimination goal since December, 04 i.e. 0.93 P.R. / 10,000 population. The previous case load of the district as on 01/08/2007 is 50 & the P.R. /10,000 population is 0.43.

           

To maintain the sustainability of Elimination of Leprosy from the district, the routine activities such as case holdings counseling including POD & IEC activities and DPMR (Disability Prevention Management Rehabitation) will be regularly conducted by the General Health Care staff involving AWW, VHG, School teachers / volunteers / PRI members MSS & NGOs to detect hidden cases of the district & brought them under treatment & regular monitoring & supervision to bring down the P.R. further more towards eradication.

 

INFORMATION ON PANCHABYADHI CHIKITCHA

 

 

 

 Prevention of the Food Adulteration

 

    There is no post of Food-Inspector in this district. One Food-Inspector to be posted immediately.

 

 

INFORMATION ON VITAL STATISTICS

 

 

 

Sterilization performance of the district.

 

 

 

 

VACANCY POSITION OF STAFF UNDER THE CHIEF DISTRICT MEDICAL OFFICER, JAGATSINGHPUR UP TO – 31/08/2007.

 

 

 

 

 

 

 

 

USER CHARGES

COLLECTION AND EXPENDITURE STATEMENT OF

D.H.H., JAGATSINGHPUR