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Performance of SHP Team
In Taluka – Niphad, Dist. Nasik
                 under NRHM
                    2008-2009
Welcome to SDH Niphad,
    Tal. Niphad, Dist. Nasik.
Introduction
ο‚— Population – 20271
ο‚— Situation - 40 km. away from Nasik on Aurangabad
  Highway
ο‚— Health Facilities –
  ο‚— Before 1984 only byPHCs
  ο‚— In 1984 upgraded to 30 bedded Rural Hospital
  ο‚— In 2003 upgraded to 50 bedded SDH under MHSDP
    Project
  ο‚— IPHS Ranking in 2006-07 under NRHM
Staff Position (Skill Mix)
REGULAR MEDICAL OFFICERS      CONTRACTUAL SPECIALIST

ο‚— Dr. Walunj R. T.
                              ο‚— Dr More K. B.
ο‚— Dr. Mundhe V .D.                   General Surgeon
         Obs. &Gynecologist
                              ο‚— Dr. Thakare A. N.
ο‚— Dr. Patil S. V
         Paediatrician               Dental Surgeon
ο‚— Dr. Khaire P. B.
                              ο‚— Dr. Diwakar A. (AYUSH)
         Orthopedic Surgeon
ο‚— Dr. Karad C. L                      Ayurvedic Vaidya
         Obs. &Gynecologist   ο‚— Dr. Tushar patil
ο‚— Dr. Kute
         Ophthalmic Surgeon          Radiologist
ο‚— Dr. Patil S. R.
Referral Zones and Referral Chain
                  to Niphad SDH
PHCs in Niphad Taluka                CHC Lasalgaon
  9 PHCs –
    ο‚—   Naitale , Nimgaon-wakda,
        Ozar , Deogaon , Chandori,
        Kasbe-sukene, Palkhed,
        Pimpalgaon Baswant,
        Mhalsakore                      SDH Niphad


          CIVIL HOSPITAL NASIK
                  AND
     SUPER SPECIALTY HOSPITAL NASIK
Live Statistics of Niphad Town
Indicator              2006-2007   2007-2008   upto Oct. 2008

Population              19517       19547         20271
Births
                         282         309            189

Birth Rate               14.4        15.8          16.88
Death Rate
                         2.89        1.86          0.22
Maternal Death
                          0           0              0

Maternal Death Rate       0           0              0
Live Statistics of Niphad Village
                                                   upto Oct.
Indicator                  2006-2007   2007-2008
                                                     2008

Neonatal Deaths               0           0           0
0 to 7 days                   --          --          2
8 to 28 days                  --          --          0
29 days to 1 year             2           6           --

Child Death (1 to 5 yrs)      --          03           1

Fresh Still Births            9           4           2
Hospital Activities
                                             UPTO OCT
INDICATOR                2006-07   2007-08
                                               2008
OPD                       41593     34755      25411
IPD                        4272     3605       2810
Minor Operations           141       120       194
Major Operations           20        14         23
Cataract Operation         242       225        67
Refer in Cases              71       110        117

Transfer out               96        305       216
Hospital Activities
                                              UPTO OCT
INDICATOR              2006-07    2007-08
                                                2008
Diarrhea                 239           195       167

MTP upto 12 wks          83            40        37

MTP (upto 20 wks)         2                      0
                                        0
Post Mortems             138           110       52

MLC                      925           1110     648

Snake Bites              91            117       61

OPP                      124     153             95
Hospital Activity Indicators
           Indicators             2006-2007   2007.2008   upto sep
                                                           2008
Bed Occupancy Rate                  46.86       40.29      63.44
Average length of stay               3.17       2.18        2.75
Bed Turnover Rate                   6.53        5.20        7.07
Left against Medical Advice          1.12       0.99        1.20
Net Death Rate                      0.36        1.86        0.22
Out Patient per in Patient
% Major Surgeries to in Patient     12.45       11.53      12.24
% Operative Death ( POD) to           --         --          --
major Surgery
% ANC`s to OPD                        --        0.99        0.82
Lab Investigations/OPD              34.3        38.73      34.41
Gaps of SDH Niphad and Compliance after IPHS
                                       Status before   Status after
  Services
                                           IPHS           IPHS

  Availability of Specialty services        N               Y


  Medicine                                  N               N


  Surgery                                   N               Y

  Blood storage facility                    N               Y
  Tie up with local blood bank              N               Y

  Availability of separate aseptic
                                            N               N
  labour room
Gaps in Manpower & IPHS Compliance
Personnel                    IPHS   Status   Remark
                             norm
Surgeon                       1       1      On Contract IPHS 2 days/ Wk
Physician                     1       0      -
Obs/ Gyn                      1       1      Regular
Pediatrician                  1       1      Regular
Anesthetist                   1       1      On Deputation from RH Lasalgaon 2
                                             days/wk and on Call for emergency
Public Health Program         1       0      -
Manager
Eye Surgeon                   1       1      On Deputation to Civil Hospital, and
                                             2 Days at SDH Niphad / wk
General Duty M.O.             -       2      Regular

Other Specialty
                  Ortho.                     Regular
                  Dentist.    1       1      On Contract IPHS 2 days/wk
                  AYUSH       1       1      On Contract IPHS daily
                              1       1
School Health Program         2       2      Under IPHS on Contract Basis
(SHP) Under IPHS
Status of OPD Patients After IPHS




INDICATOR   2005-06   2006-07   2007-08   Up to oct 2008

  OPD       36931     41235     34755       25411
Status of IPD Addmissions after IPHS




 INDICATOR   2005-06   2006-07   2007-08   Up to Oct 2008
    IPD       4739      4272      3605      2810
Status of Emergency Management




 INDICATOR    2005-06   2006-07   2007-08   Upto oct 2008

EMERGENCIES    340       505       712          624
Status of Institutional Deliveries After IPHS




   INDICATOR      2005-06   2006-07   2007-08   Upto oct 2008

  INSTITUTIONAL
                   579        556       500         378
    DELIVERIES
Status of Major Surgeries After IPHS




      INDICATOR         2005-06   2006-07   2007-08   Upto Oct 2008

MAJOR SURGERIES &LSCS     10        32        16           32
Status of Minor Surgeries with IPHS




  INDICATOR    2005-06   2006-07   2007-08   Upto oct 2008


MINORSURGERY    188       141       120          194
Improvement in Bed Occupancy Rate
               After IPHS




    INDICATOR        2005-06   2006-07   2007-08   Upto oct 2008

BED OCCUPANCY RATE    47.5      46.9      40.3         63.4
Decrease in Infant Mortality Rate After IPHS




    INDICATOR   2005-06   2006-07   2007-08   Upto oct 2008

      IMR        24.2      17.7      19.4         7.49
School Health Program (SHP)




 Period     No of Students     No of      No of    No of Schools
               Checked       Students   Students     Checked
                              Treated   Referred
  August        4437            786        244          29
September       7366           1487        183          15
 October        1084            287        27           5
November        4068            602        66           13
  TOTAL         16955          3162        520          62
Physical Performance of
              School Health Program (SHP)
Referral Camp                   Actual Beneficiaries up to 25th Nov

ο‚— Total 243 Students attended   ο‚— Our Team Checked 16955
ο‚— 115 Referred to Nasik Civil     students out of 95820
                                   ο‚— Target Completed – 17.69%
  Hospital
ο‚— 128 Being Treated at Niphad   ο‚— No of Schools Checked 62
  RH                              out of 336
                                   ο‚— Target Completed – 17.44%
ο‚— 7 Heart Patients Detected
                                ο‚— 520Children Referred so far
ο‚—1     Cardiac Surgery Done
ο‚— 3 Cardiac Surgeries Planned
Rugna Kalyan Samiti (R.K.S.)

ο‚— Establishment Date       -       18/07/2006

     Meetings Held     2006-2007   2007-2008   2008-2009


     RKS GOVERNING         4           3           1
     BODY
     EXECUTIVE BODY        0           2           1
Rugna Kalyan Samiti (R.K.S.) Involvement




 Partition in Labour Room    Baby Kits to Patients by RKS
                                      Presented by
                            RKS President Shri. Dy. Collector
                                 Shri. Ramdas Khedkar
Rugna Kalyan Samiti (R.K.S.) Involvement




  Benches in the premises
Community Involvement




Bhumipujan of Water Tank by Hon.ble.
                                       Tree Plantation
  Secretary Health of Govt. of India
Facilities Made available by IPHS




    USG Machine




                  Blood Storage Unit
Innovative Programs at SDH Niphad

ο‚— PAP smear camp with the help of NAMCO
     Hospital, Nasik.

ο‚— Blood Donation Camp with the help of Civil
     Hospital , Nasik.

ο‚— AIDS awareness program for college students.
Blood Donation Camp with the help of
        Civil Hospital , Nasik
School Health Project (SHP)



                                                      Pupil attending lecture
Mata-Palak Melava


                     Project visited by Hon. Secretary,
                 Health,Govt. of India, Mr. Amarjeet Singh




                                                        Tallipus Equino Verus

    Psoriasis

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SHP Team Performance at SDH Niphad

  • 1. Performance of SHP Team In Taluka – Niphad, Dist. Nasik under NRHM 2008-2009
  • 2. Welcome to SDH Niphad, Tal. Niphad, Dist. Nasik.
  • 3. Introduction ο‚— Population – 20271 ο‚— Situation - 40 km. away from Nasik on Aurangabad Highway ο‚— Health Facilities – ο‚— Before 1984 only byPHCs ο‚— In 1984 upgraded to 30 bedded Rural Hospital ο‚— In 2003 upgraded to 50 bedded SDH under MHSDP Project ο‚— IPHS Ranking in 2006-07 under NRHM
  • 4. Staff Position (Skill Mix) REGULAR MEDICAL OFFICERS CONTRACTUAL SPECIALIST ο‚— Dr. Walunj R. T. ο‚— Dr More K. B. ο‚— Dr. Mundhe V .D. General Surgeon Obs. &Gynecologist ο‚— Dr. Thakare A. N. ο‚— Dr. Patil S. V Paediatrician Dental Surgeon ο‚— Dr. Khaire P. B. ο‚— Dr. Diwakar A. (AYUSH) Orthopedic Surgeon ο‚— Dr. Karad C. L Ayurvedic Vaidya Obs. &Gynecologist ο‚— Dr. Tushar patil ο‚— Dr. Kute Ophthalmic Surgeon Radiologist ο‚— Dr. Patil S. R.
  • 5. Referral Zones and Referral Chain to Niphad SDH PHCs in Niphad Taluka CHC Lasalgaon 9 PHCs – ο‚— Naitale , Nimgaon-wakda, Ozar , Deogaon , Chandori, Kasbe-sukene, Palkhed, Pimpalgaon Baswant, Mhalsakore SDH Niphad CIVIL HOSPITAL NASIK AND SUPER SPECIALTY HOSPITAL NASIK
  • 6. Live Statistics of Niphad Town Indicator 2006-2007 2007-2008 upto Oct. 2008 Population 19517 19547 20271 Births 282 309 189 Birth Rate 14.4 15.8 16.88 Death Rate 2.89 1.86 0.22 Maternal Death 0 0 0 Maternal Death Rate 0 0 0
  • 7. Live Statistics of Niphad Village upto Oct. Indicator 2006-2007 2007-2008 2008 Neonatal Deaths 0 0 0 0 to 7 days -- -- 2 8 to 28 days -- -- 0 29 days to 1 year 2 6 -- Child Death (1 to 5 yrs) -- 03 1 Fresh Still Births 9 4 2
  • 8. Hospital Activities UPTO OCT INDICATOR 2006-07 2007-08 2008 OPD 41593 34755 25411 IPD 4272 3605 2810 Minor Operations 141 120 194 Major Operations 20 14 23 Cataract Operation 242 225 67 Refer in Cases 71 110 117 Transfer out 96 305 216
  • 9. Hospital Activities UPTO OCT INDICATOR 2006-07 2007-08 2008 Diarrhea 239 195 167 MTP upto 12 wks 83 40 37 MTP (upto 20 wks) 2 0 0 Post Mortems 138 110 52 MLC 925 1110 648 Snake Bites 91 117 61 OPP 124 153 95
  • 10. Hospital Activity Indicators Indicators 2006-2007 2007.2008 upto sep 2008 Bed Occupancy Rate 46.86 40.29 63.44 Average length of stay 3.17 2.18 2.75 Bed Turnover Rate 6.53 5.20 7.07 Left against Medical Advice 1.12 0.99 1.20 Net Death Rate 0.36 1.86 0.22 Out Patient per in Patient % Major Surgeries to in Patient 12.45 11.53 12.24 % Operative Death ( POD) to -- -- -- major Surgery % ANC`s to OPD -- 0.99 0.82 Lab Investigations/OPD 34.3 38.73 34.41
  • 11. Gaps of SDH Niphad and Compliance after IPHS Status before Status after Services IPHS IPHS Availability of Specialty services N Y Medicine N N Surgery N Y Blood storage facility N Y Tie up with local blood bank N Y Availability of separate aseptic N N labour room
  • 12. Gaps in Manpower & IPHS Compliance Personnel IPHS Status Remark norm Surgeon 1 1 On Contract IPHS 2 days/ Wk Physician 1 0 - Obs/ Gyn 1 1 Regular Pediatrician 1 1 Regular Anesthetist 1 1 On Deputation from RH Lasalgaon 2 days/wk and on Call for emergency Public Health Program 1 0 - Manager Eye Surgeon 1 1 On Deputation to Civil Hospital, and 2 Days at SDH Niphad / wk General Duty M.O. - 2 Regular Other Specialty Ortho. Regular Dentist. 1 1 On Contract IPHS 2 days/wk AYUSH 1 1 On Contract IPHS daily 1 1 School Health Program 2 2 Under IPHS on Contract Basis (SHP) Under IPHS
  • 13. Status of OPD Patients After IPHS INDICATOR 2005-06 2006-07 2007-08 Up to oct 2008 OPD 36931 41235 34755 25411
  • 14. Status of IPD Addmissions after IPHS INDICATOR 2005-06 2006-07 2007-08 Up to Oct 2008 IPD 4739 4272 3605 2810
  • 15. Status of Emergency Management INDICATOR 2005-06 2006-07 2007-08 Upto oct 2008 EMERGENCIES 340 505 712 624
  • 16. Status of Institutional Deliveries After IPHS INDICATOR 2005-06 2006-07 2007-08 Upto oct 2008 INSTITUTIONAL 579 556 500 378 DELIVERIES
  • 17. Status of Major Surgeries After IPHS INDICATOR 2005-06 2006-07 2007-08 Upto Oct 2008 MAJOR SURGERIES &LSCS 10 32 16 32
  • 18. Status of Minor Surgeries with IPHS INDICATOR 2005-06 2006-07 2007-08 Upto oct 2008 MINORSURGERY 188 141 120 194
  • 19. Improvement in Bed Occupancy Rate After IPHS INDICATOR 2005-06 2006-07 2007-08 Upto oct 2008 BED OCCUPANCY RATE 47.5 46.9 40.3 63.4
  • 20. Decrease in Infant Mortality Rate After IPHS INDICATOR 2005-06 2006-07 2007-08 Upto oct 2008 IMR 24.2 17.7 19.4 7.49
  • 21. School Health Program (SHP) Period No of Students No of No of No of Schools Checked Students Students Checked Treated Referred August 4437 786 244 29 September 7366 1487 183 15 October 1084 287 27 5 November 4068 602 66 13 TOTAL 16955 3162 520 62
  • 22. Physical Performance of School Health Program (SHP) Referral Camp Actual Beneficiaries up to 25th Nov ο‚— Total 243 Students attended ο‚— Our Team Checked 16955 ο‚— 115 Referred to Nasik Civil students out of 95820 ο‚— Target Completed – 17.69% Hospital ο‚— 128 Being Treated at Niphad ο‚— No of Schools Checked 62 RH out of 336 ο‚— Target Completed – 17.44% ο‚— 7 Heart Patients Detected ο‚— 520Children Referred so far ο‚—1 Cardiac Surgery Done ο‚— 3 Cardiac Surgeries Planned
  • 23. Rugna Kalyan Samiti (R.K.S.) ο‚— Establishment Date - 18/07/2006 Meetings Held 2006-2007 2007-2008 2008-2009 RKS GOVERNING 4 3 1 BODY EXECUTIVE BODY 0 2 1
  • 24. Rugna Kalyan Samiti (R.K.S.) Involvement Partition in Labour Room Baby Kits to Patients by RKS Presented by RKS President Shri. Dy. Collector Shri. Ramdas Khedkar
  • 25. Rugna Kalyan Samiti (R.K.S.) Involvement Benches in the premises
  • 26. Community Involvement Bhumipujan of Water Tank by Hon.ble. Tree Plantation Secretary Health of Govt. of India
  • 27. Facilities Made available by IPHS USG Machine Blood Storage Unit
  • 28. Innovative Programs at SDH Niphad ο‚— PAP smear camp with the help of NAMCO Hospital, Nasik. ο‚— Blood Donation Camp with the help of Civil Hospital , Nasik. ο‚— AIDS awareness program for college students.
  • 29. Blood Donation Camp with the help of Civil Hospital , Nasik
  • 30. School Health Project (SHP) Pupil attending lecture Mata-Palak Melava Project visited by Hon. Secretary, Health,Govt. of India, Mr. Amarjeet Singh Tallipus Equino Verus Psoriasis