Bhimeshwore Muncipality Comprehensive Public Health Management

COMPREHENSIVE
PUBLIC HEALTH
MANAGEMENT
PRESENTED BY :
GROUP CHARIKOT
KARNALI COLLEGE OF HEALTH SCIENCE 7TH SEM
PURBANCHAL UNIVERSITY 1

Target population
Variables Number
Total Population ३६०७६
Expected Pregnancy ५४६
Exp. Live Births ४६९
00 – 06 months २३३
00 – 23 Months ९३३
06 - 59 Months २१२३
Total: 10-19 Years ५५५७
Male: 10-19 Years २९०२
Female: 10-19 Years २६५५
WRA 15-49 Years ९५८४
MWRA 15-49 Years
७१०४
60 & + Years ५५५२
Source : HMIS 2079/80
३६०७६
5

Service Sites of Bhimeshwor Municipality
S.N
o
Details Number
1. Provincial Hospital 1
2. Private Hospital 3
3. Primary Health Care 0
4. Health Facility 6
5. Ayurvedic Hospital 1
6. Urban Health Center 6
7. Community Health Unit 0
8. Basic Health Center 2
9. Birthing Center 3
10. Tuberculosis Microscopic Center 2
11. OTC Center 2
S.No
.
Details Numbe
r
12. Safe Abortion Site 3
13. DOTs Center/DR Sub - Center 7
14. Private Clinic/ Pharmacy 10
15. Basic Lab 1
16. PMTCT 7
17. Adolescent Friendly Health Facility 2
18 PHC/ORC 13
19 EPI Clinic 21
20 FCHV 114
21. Ambulance Service 1
6

DEMOGRAPHY OF BHIMESHWOR
MUNICIPALITY
7

Population pyramid by age group
9
CBS-2078

WARD WISE POPULATION
DISTRIBUTION
1595
1800
2899
785
1699
3733
1498
1052
1569
1768
2002
2937
964
2032
3839
1644
1226
1670
0
500
1000
1500
2000
2500
3000
3500
4000
4500
1 2 3 4 5 6 7 8 9
Male
Female N = 34,712
10
CBS-2078

SEX RATIO
LITERACY RATE
91.97
Male per 100 Female
0.00% 20.00% 40.00% 60.00% 80.00%100.00%
87.10%
70%
78.10%
Total Female Male
11
CBS-2078

10,164
POPULATION DENSITY
TOTAL HOUSEHOLD
246
12
CBS-2078

Population distribution by caste ethnicity
0
5
10
15
20
25
30
28.5
16.9
15.7 15.1
9.9
3.1
1 1.9 1.8 1.6
Kshetri
Newa:
(Newar)
Tamang
Thami
Brahman
- Hill
13
CBS-2078

Marital status
0%
10%
20%
30%
40%
50%
60%
70%
Never married Married Widow/widower Divorce Seperated
30
64
6
0.10%
0.50%
34
63
3
0.10%
0.40%
26
64
9
0.20%
0.60%
Total Male
Female N = 29,145
14

Vision : Nepal: a country free of vaccine-preventable diseases.
Mission: To provide every child and mother high-quality, safe and
affordable vaccines and immunization services from the National
Immunization Program in an equitable manner.
Goal : To reduce child mortality, morbidity and disability associated
with vaccine preventable diseases.
17

71
109 113
0
20
40
60
80
100
120
2077/78 2078/79 2079/80
Bhimeshwor Municipality
Percentage of Children under 1 year
Immunized with BCG Vaccine
% BCG
• Estimated No. of 0-11 month children
(79/80) = 468
(78/79)= 411
(77/78)= 740
19

(79/80) = 468
(78/79)= 411
(77/78)= 740
20
73
109
115
0
20
40
60
80
100
120
140
2077/78 2078/79 2079/80
BHIMESHWOR MUNICIPALITY
PERCENTAGE OF CHILDREN
UNDER 1 YEAR IMMUNIZED
WITH ROTA
% Rota 1

(79/80) = 468
(78/79)= 411
(77/78)= 740
21
73
109
115
74
109 106
0
20
40
60
80
100
120
140
2077/78 2078/79 2079/80
Percentage of Children under 0-11
month Immunized with DPT
%DPT-Hep B- Hib (1st dose) % DPT 3

73
109
115
74
109 106
0
20
40
60
80
100
120
140
2077/78 2078/79 2079/80
PERCENTAGE OF CHILDREN
IMMUNIZED WITH OPV
% OPV 1 % OPV 3
(79/80) = 468
(78/79)= 411
(77/78)= 740
22

73
109
115
79
115
108
0
20
40
60
80
100
120
140
2077/78 2078/79 2079/80
Percentage of children under 1 year
Immunized with PCV
% PCV 1
(79/80) = 468
(78/79)= 411
(77/78)= 740
23

(79/80) = 468
(78/79)= 411
(77/78)= 740
24
73
110
98
75
111
86
0 20 40 60 80 100 120
2077/78
2078/79
2079/80
Percentage of children under 1 year Immunized
with FIPV
% FIPV 2 %FIPV 1

• Estimated no. of population 12-23
month (79/80) = 467
month (78/79) = 409
month (77/78) = 559
25
79
115
108
108 108
100
2077/78 2078/79 2079/80
Percentage of children
Immunized with MR
% MR 1 % MR 2

27
-1
-11
2 2
8
12
-15
-10
-5
0
5
10
15
DPT-Hep B- Hib 1 vs 3 DPT-HepB-Hib 1 vs MR2
Vaccine Dropout
2077/78 2078/79 2079/80

29
81
21
22
11
83
21
21
10
80
13
19
5
0 10 20 30 40 50 60 70 80 90
BCG
DPT-Hep B-Hib
OPV
PCV
BCG DPT-Hep B-Hib OPV PCV
2079/80 80 13 19 5
2078/79 83 21 21 10
2077/78 81 21 22 11
Vaccine Wastage Percent
2079/80 2078/79 2077/78

30
32
48 47
31
35
55
48
27
37
54
57
23
0
10
20
30
40
50
60
FIPV MR JE TD
Vaccine Wastage Percent
2077/78 2078/79 2079/80

SWOT Analysis of National Immunization
Programs
Strength Weakness
1. Priority 1st program ofgovernment.
2. Regular conduction of EPIand vaccine
supply.
3. Proper maintenance of coldchain
4. Trained human resources.
5. TA/DA allocated for officeassistant for
carrying vaccines
6. Adequate logistics.
1. Only one cold chain center inmunicipality.
2. High wastage and dropout rate.
3. Insufficient and irregularsupervision
and monitoring.
Opportunity Threats
1. Supported by province
government.
2. Willingness of internationalcommunity to help.
3. Commitment of future
funds/budget.
1. Temporary migration of mother.
2. COVID-19 pandemic.
3. Natural and environmentalthreats.

Community-Based Integrated Management of
New-Born and Childhood Illness (CB-IMCI)
• CB-IMNCI is an integrated of CB-IMCI and CB-NCP Program as per the decision of MOHP on
2071/6/28 9 (October 14,2015).
• Aim to address major childhood illness like Pneumonia, Diarrhoea, Malaria, Measles, and
Malnutrition among under 5 year’s children in a holistic way.
• Since 2016, CB-IMNCI program is being implemented in 77 districts of the county.
32

Incidence of diarrhea per 1000 U5 population
33
0
10
20
30
40
50
60
70
80
90
2076/77 2077/78 2078/79
72.57
82.68
52
0
50
100
150
200
250
300
350
BAGMATI
310.8
0
50
100
150
200
250
300
350
400
NATIONAL
364.8

% of Diarrhoea treated with ORS and Zinc
34
70
72
74
76
78
80
82
84
86
2076/77 2077/78 2078/79
85.7 85.4
76.36
0
10
20
30
40
50
60
70
80
90
100
94.5
NATIONAL
0
10
20
30
40
50
60
70
80
90
100
BAGMATI
92.6

Incidence of Pneumonia per 1000 U5 children
35
0
10
20
30
40
50
60
2076/77 2077/78 2078/79
51.83
25.98
35.46
0
10
20
30
40
50
60
NATIONAL
55.1
0
10
20
30
40
50
60
BAGMATI
54.9

Incidence of ARI per 1000 U5 population
36
0
50
100
150
200
250
2076/77 2077/78 2078/79
230.76
171.11
235.46
0
100
200
300
400
500
600
700
NATIONAL
643.2
0
100
200
300
400
500
600
700
BAGMATI
643.2

• The overall goal of national nutrition program is to achieve nutritional well-being of all people to
maintain healthy life to contribute in the socio-economic development of the country, through
improved program implementation in collaboration with relevant sectors. Compared to
improvement in macronutrient deficiency status, Nepal is globally recognized in reducing the high
rate of micronutrient deficiencies (IDA, IDD and VAD) through its successful community-based
supplementation programs. Being part of global SUN movement, Nutrition is high on the
Government of Nepal's priority as demonstrated with the adoption of Multi Sector Nutrition Plan
(MSNP).
• Major activities on nutrition program are:
• Growth monitoring and promotion
• Infant and young child feeding
• Integrated management of acute malnutrition
• Prevention of VAD
• Prevention and control of Iron Deficiency Anemia and Iodine Deficiency
• School health program
38

Children Registered for Growth
Monitoring(%)
Est. no of 0-11 month Children (n) =468
0
10
20
30
40
50
60
70
80
90
100
110
120
% of children aged 0-11 months newly
registered for GM
60
91
113
2077/78 2078/79 39

Est. no of 12-23 month children 467
39
52 53
0
10
20
30
40
50
60
% of children aged 12-23 months newly
registered for GM
2077/78 2078/79
Bhimeshwor Municipality 40
91.2
90.7
90.4
90.5
90.6
90.7
90.8
90.9
91
91.1
91.2
91.3
Bagmati National
2078/79 2078/79
%
% Of Children aged (0-23) months Registered For GM

% Of Children Registered For Growth
Monitoring who were Exclusive breastfeeding
for Six Months
0
10
20
30
40
50
60
Bhimeshwor Muncipality Bagmati National
54
44 48.6
49
40
2077/78 2078/79 2079/80
41

31
41
48.9 49.6
40
0
10
20
30
40
50
60
Bhimeshwar Muncipality Bagmati National
2077/78 2078/79 2079/80
42
% of children aged 6–8 months registered for GM
who received solid, semi-solid or soft foods

Adolescent Nutrition
Estimated number of adolescent girls aged 10‐19 years: 2655
92
89
0 10 20 30 40 50 60 70 80 90 100
% of adolescent girls aged 10‐19 years who
received IFA supplementation for 13 weeks
% of adolescent girls aged 10‐19 years who
received IFA supplementation for 26 weeks2
43

Goal
• The goal of the National Safe Motherhood Program is to reduce maternal and neonatal morbidity
and mortality and to improve the maternal and neonatal health through preventive and promotive
activities as well as by addressing avoidable factors that cause death during pregnancy, childbirth
and postpartum period. Evidences suggest that three delays are important factors behind the
maternal and new born.
45

47
99
210 208
109
220
230
0 0
57
0
50
100
150
200
250
2077/78 2078/79 2079/2080
BHINESHWOR MUNICIPALITY
ANC Visit
% of ANC 1st visit
among live birth
% of ANC 4th visit
among live birth
% of ANC 8th visit
among live birth
108
80
0
20
40
60
80
100
120
% of ANC 1st visit
among live birth
% of ANC 4th visit
among live birth
DOLAKHA 2078/79
DOLAKHA
2078/79
Linear
(DOLAKHA
2078/79)
Estimated Number of
Live Births: 469

48
0
50
100
150
200
250
2077/78 2078/79 2079/2080
125
203
209
% of institutional delivery among live birth
68 98.6 79
2078/79 2078/79 2078/79
DOLAKHA BAGMATI NATIONAL
% of institutional delivery among
live birth
Estimated Number of Live Births: 469

% of Post Partum Mother Who Received Vitamin A and
45 Days Supply of IFA
49
125
203
209
125
203
209
0
50
100
150
200
250
2077/78 2078/79 2079/2080
% of postpartum women who
received vitamin A supplementation
% of postpartum women who
received a 45 days supply of IFA
Estimated number of live births
469
Number of reported deliveries
978

50
2077/78 2078/79 2079/2080
% of 1st PNC as per protocol 125 203 209
% of 3rd day and 7 to 14 day 70 90 84
% of 4 PNC (as per protocol) 0 0 31
125
203 209
70
90 84
0 0
31
-50
0
50
100
150
200
250
PNC VISIT
Estimated number of live births
469
Number of reported deliveries
978

Safe Abortion Care
S.N INDICATORS
BHINESHWOR
MUNICIPALITY DOLAKHA
2077/78 2078/79 2079/80 2078/79
1.No. of Medical Abortion 115 168 138 205
2.No. of Surgical Abortion 85 103 62 105
3.No. of Post Abortion Care 0 0 0 105
51

SWOT Analysis of Safe motherhood Programs
Strength
1. Adequate numbers of
Resources Available
2. Two Hospitals with
consultant and Three
Birthing Centers.
Weakness
1. Guideline not following
during ANC and PNC visit
2. Poor recording and
reporting
3. Lack of awareness
programs regarding Family
Planning and SM
Opportunities
1. Work For SDG goal and
National Targets
2. Can develop number of
Adolescences friendly
health Institute
Threats
1. Fall in the coverage of ANC
and PNC
2. Increase in the number of
Abortions and MMR

Goal:
• Reduce maternal mortality.
• Lowering the fertility rate to 2.5.
• Increasing family planning use rate.
• Arranging the environment for providing services by skilled health workers.
54

% of CPR Trend in last year
55
24
29
27
0
5
10
15
20
25
30
35
2077/78 2078/79 2079/80
Bhimeshwor

CURRENT USERS OF FAMILY PLANNING
METHOD AT BHIMEHSOWER
56
Permanent
Method ,
31.18%
Depo-,
41.44%
IUCD,
0.31%
Implant,
2.35%
Pills,
20.92%
Condom
, 3.80%
2076/77
Permanent
Method ,…
Depo,
53.79%
IUCD,
0.36%
Implant,
4.83%
Pills,
26.43%
Condom
, 2.16%
2077/78
Permane
nt
Method ,
3.13%
Depo,
66.31%
IUCD,
0.83%
Implant,
4.70%,
Pills,
23.15%
Condom,
1.88%
2078/79

Vision: of END TB Strategy-2016-35
A world free of TB, zero deaths, disease and suffering due to TB
Goal
• Nepal has set a goal to decrease incidence rate from 238 in 2020/21 to 181 per 100,000
population by 2025/26.
• Mortality rate from 58 in 2020/21 to 23 per 100,000 by 2025/26; end TB epidemic by
2035 eliminate TB by 2050
• Reduce the catastrophic cost to zero
58

TB Case Notification Rate
0
10
20
30
40
50
60
70
80
90
2077/78 2078/79 2079/80
BHIMESHWOR
MUNICIPALITY
70
28
89
TB case notification Rate
0
20
40
60
80
100
120
140
NATIONAL
129
TB case notification
rate(2078/79)
0
20
40
60
80
100
120
140
160
BAGMATI
144
rate(2078/79)
0
5
10
15
20
25
30
35
40
DOLAKHA
36
rate
59

Slide Positivity Rate
10
17
16
0
2
4
6
8
10
12
14
16
18
2077/78 2078/79 2079/80
Slide positivity rate
0
1
2
3
4
5
BAGMATI
4.5
Slide positivity
rate(2078/79)
0
1
2
3
4
5
6
NATIONAL
5.5
Slide positivity
rate(2078/79)
No. of slide collection (n)=271 No. of slide collection (n)=69679 No. of slide collection (n)=247398
60

Tuberculosis outcome
0
20
40
60
80
100
2076/77 2077/78 2078/79
BHIMESHWOR
MUNICIPALITY
80
90
95
100 100 100
TB Outcome
Cure rates of TB outcomes
Success rate of TB outcomes
0
20
40
60
80
100
NATIONAL
91.5
Success rate of TB
outcomes(2078/79)
0
20
40
60
80
100
BAGMATI
92.6
Success rate of TB
outcomes(2078/79)
Estimated no. of TB case(n)=82
Estimated no. of TB cases(n)=37861
Estimated no. of TB cases(n)=8832
0
20
40
60
80
100
DOLAKHA
84
Treatment Cure and
Success Rate
61

SWOT Analysis of Tuberculosis Programs
Strength
1. Good Implementation of
NTP
2. Adequate numbers of
DOTS clinic
3. One Gene- Xpert Service
Weakness
1. Guideline not following
during Sample collection
2. Poor recording and
reporting
3. Inadequate resources for
Gene- Xpert Sites
Opportunities
1. Can establish Adequate
DOTS with DR TB
treatment center
2. Work For SDG goal and
National Vision to end TB
by 2050
Threats
1. Development of Loss to
Follow up and Defaulter
2. Development of MDR and
XDR strain of TB

Non-communicable diseases(NCD)
63

INTRODUCTION
• Non communicable disease/(NCD) is a medical condition
or disease that is non infectious or nontransmissible .
• Non communicable diseases (NCDs) also known as
chronic diseases, are not passed from person to person.
• They are of long duration and slow progressing.
• Gradually NCDs are becoming an added challenge
to the health care system of the country. The
mortality due to NCDs has risen from 51% in 2010
to 71% in 2019

Ten Main Disease of Bhimeshwor Municipality
4
Rank Causes of mortality % among total OPD Visits
1. Gastritis (ADP) 4497 (11%)
2. Respiratory Tract Infection (URTI) Cases 2724 (7%)
3. Headache 2591 (6%)
4. Hypertension 2001 (5%)
6. Fever 1919 (4.8%)
7. Acute Tonsilitis Cases 1843 (4.6%)
8. Rhinitis Cases 1558 (4%)
9. ARI/Lower Respiratory Tract Infection (LRTI) 1339(3.5%)
10. Urinary Tract Infection (UTI) Cases 1278(3%)
10. Backache (Muskulo-skeletal Pain 125 (1%)
65

Hypertension
6571183
153875 298
66

Covid-19(2077/78)
662570
338302
2508
72

Covid-19 vaccination(2079/80)
113
0
0.12
105
0 0.38
0 0
8
0 0 2
73

Total No. of Suicide Case In Dolakha
74
71
58
50
0
10
20
30
40
50
60
70
80
2077/78 2078/79 2079/80
Dolakha
Dolakha 2077/78
Dolakha 2078/79
Dolakha 2079/80

75
No. of Suicide Case According To Age

No. of Suicide Case According To Gender
76
47
3
0
5
10
15
20
25
30
35
40
45
50
Male Female
Dolakha 2079/80
Male
Female

HIV POSIVITE
0
2
4
6
8
10
12
14
16
18
2077/78
16.06
8.4
2
National Bagmati Bhimeshwor
0
1
2
3
4
5
6
7
8
9
2078/79
8.98
3.15
2
National Bagmati Bhimeshwor

ART
0
5000
10000
15000
20000
25000
2077/78 2078/79
20883
22125
5467 5851
11 19
11 18
National Bagmati Dolakha Bhimeshwor

Epidemiological Study of Hypertension
General Objective : To Carry out Epidemiological Study on URTI at Bhimeshwar Municipality
Specific Objective:
• To study time, place, person distribution of URTI cases in Bhimeshwore municipality
• To acquire knowledge and gain skills for conducting an epidemiological study.

Study area Bhimeshwore Municipality
Study design Descriptive cross sectional
Study population Registered suspected cases at Bhimeshwore
municipality
Study type Quantitative type
Study duration 4 days
Data source Secondary source (Municipal record
review of URTI cases)
Data collection technique Secondary data review, Interview
Data collection tools Record review format, Interview
guideline
Study variables Time variable : Month
Place variable : Wards
Person variables : Age, sex and ethnicity
Methodology:

Epidemiological Triad
Host
• Age : Mostly Children and
Elderly
• Pre existing Health
• Immune Status
• Vaccination Status
Environment
Crowded Setting
Seasonal Variation
Climate
Hygiene Practice
Air Quality
Agent
• Causative Factors
• Pathogens
• Infectious Dose
• Virulence
Time
• Time
Characteristics
• Incubation
• Length of
Disease

Person Wise Study
Total No of Cases (N) = 2724
Sex Wise Distribution
Male -1713
Female -1011
Male
63%
Female
37%
Sex
N=2724

 Age Wise Distribution
17%
12%
3.50%
4.50%
6%
9%
11%
14%
9%
1.80%
2.80%
1.43%
3%
4.97%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
0-10 Years 10-20 Years 20-30 Years 30-40 Years 40-50 Years 50-60 Years 60 above
Male Female
N=2724

Time Based Study
9%
35%
19%
6%
24%
7%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Ashad-Asoj Kartik - Magh Falgun- Jestha
Male Female N=2724

Place wise Distribution
Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 Ward 7 Ward 8 Ward 9
4.00%
11%
17%
2%
3%
14%
4%
5%
3%
2%
7%
11%
1%
2%
6%
2%
3%
2%
Bhimeshwore Muncipality
Male Female
N=2724

Mini Action Project on
Prevention and Control of
Non-Communicable Disease
86

Methodology
Project Duration : 5 hours
Project Site : Sadhana Bhawan opposite of Health Office Dolakha
Resources : Projector, Chart Paper, A4 Papers, Weighing Machine,
Height Machine, Sphygmomanometer, Glucometer, Urine
Collection Container with Reagents, IEC regarding NCD
Collaborative Partners: District Ayurveda Health Center, Dolakha.
Participants : Local Civilization of Bhimeshwar Municipality
Consultants and Staffs of District Ayurveda Health Center
Students of Karnali College of Health Science
87

Implementation
Phase 1 : Aware the People about the Burden of NCD and Develop
Knowledge and Attitude regarding Prevention of NCDs
Duration ( 30 minutes )
Phase 2 : Yoga Session ( 2 hours )
Phase 3 : Screening Session( Blood pressure, Blood Sugar, BMI, Urine R/E
( 1:30 Hours )
Phase 4 : Practice Session ( Prepare Food Chart, Calorie Chart and Diet Chart)
(1 Hours )
88

Findings:
Male
24%
Female
76%
Blood pressure more than 120/80
16
3, 18%
14, 82%
Fasting Blood sugar more than
120mg/dl
Male
Female
Total Participants = 48
Male = 9
Female = 39
5
89

6, 21%
23, 79%
Overweight
Male
Female
Total Participants = 48
Male = 9
Female = 39
90
• Among 39 female 9 were
obese.

Sustainability
• Formation of NCD control Committee
• Regular Supervision and Monitoring NCD Programs
Recommendation :
• Allocation of Proper Budget for NCD Programs.
• Establishment of Qualitative and Quantitative Research Programs.
• Strengthen the Trainings of PEN Package towards Health Workers
91

Staffing Sanitation Resources Services HMIS
Health Post W-2
Health Post W-8
Health Post W-9
Basic Health Center
W-4
Urban Health
Clinic- W-9
Institutional Visit
Municipality Health Service Organogram
Need to Manage
Managed
Well Managed
Note : Scoring was done by preparing checklist
Following MSS Guideline of MOHP

Key Informant Interview
Key Informant Interview was conducted during the institutional visit
with the representative of different governmental and non-governmental
Organizations which are directly or indirectly enrolled with Public
health Programs To find the Quality of relation with Health Section of
Bhimeshwor Municipality
Duration : 30 minutes with each
No of Participants : 15
No of Questions : 14
93

• Among 17 participants 7 said that their organization have direct role with
Public Health Program
• All the Participants said they have good and Active relation with Health
Section of Municipality.
• All the Organizations work together for Health Promotion, Disease
Prevention, Safety and Rehabilitations.
Findings:
94

• All the organization participate in stakeholders meeting for smooth
running of Public health Programs.
• Organization like District Administration office, District Police, APF,
Nepal Army works with special involvement in Disaster Management ,
Peace and Safety.
• Agriculture and Vet nary sections feels if their should be more
programs joining Public Health, Animal Health and Agriculture
95

96
Five Year Plan on Family
Planning program by
Logical Framework
Analysis Model

GOAL
• To increase the utilization of Family planning contraceptives among
target population leading to improved reproductive health.
97

Specific Objectives
• To strengthen enabling environment for family planning.
• To increase health care seeking behavior among population with high
unmet need for modern contraception.
• To enhance family planning service delivery including commodities to
respond to the needs of marginalized, rural residents, migrants,
adolescents and other special groups.
• To strengthen capacity of service providers to expand FP service
delivery network.
• To strengthen evidence base for effective programme implementation
through research and innovations.
98

S.N Particulars Budgete(NRs)
1 General and Administration
• Utilities and Instruments
• Logistics
• Printing and Photocopy
• IT and Communication
500000/-
2 Awareness campaign and BCC Activities
• IEC materials
• Advertisement
• Community Events and Workshop
1250000/-
3 Mobile Clinic and Satellite Camp
• Set up and Equipment
• Operational Cost
• Accommodation and incentives for Health
Workers
1400000/-
Five Year Budget Plan

4 Training and Capacity Building
• Training to Health Care Workers
• Training to FCHV
• Refresher Training
• Training materials and Resources
10,50,000/-
5 Meetings and Workshop
• Stakeholders meetings
• FCHV meeting
• Mothers group Meeting
• Meetings with related NGO/INGOs
500000/-
6 Research and Innovation
• Base line Survey
• KII and FGD
• Quantitative Research
300000/-
7 Supervision and Monitoring 300000/-
8 Miscellaneous 500000/-
Total 58,00,000/-

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