This document summarizes the performance of the SHP team at the Sub District Hospital in Niphad, Nasik from 2008-2009. It provides details on population served, health facilities available, staff positions, referral processes, hospital activities and statistics, gaps identified, and improvements made after implementing the Indian Public Health Standards. Key programs discussed include the School Health Program, Rugna Kalyan Samiti community involvement activities, and innovative community outreach programs.

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
 Population – 20271
 Situation - 40 km. away from Nasik on Aurangabad
Highway
 Health Facilities –
 Before 1984 only byPHCs
 In 1984 upgraded to 30 bedded Rural Hospital
 In 2003 upgraded to 50 bedded SDH under MHSDP
Project
 IPHS Ranking in 2006-07 under NRHM

4. Staff Position (Skill Mix)
REGULAR MEDICAL OFFICERS CONTRACTUAL SPECIALIST
 Dr. Walunj R. T.
 Dr More K. B.
 Dr. Mundhe V .D. General Surgeon
Obs. &Gynecologist
 Dr. Thakare A. N.
 Dr. Patil S. V
Paediatrician Dental Surgeon
 Dr. Khaire P. B.
 Dr. Diwakar A. (AYUSH)
Orthopedic Surgeon
 Dr. Karad C. L Ayurvedic Vaidya
Obs. &Gynecologist  Dr. Tushar patil
 Dr. Kute
Ophthalmic Surgeon Radiologist
 Dr. Patil S. R.

5. Referral Zones and Referral Chain
to Niphad SDH
PHCs in Niphad Taluka CHC Lasalgaon
9 PHCs –
 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
 Total 243 Students attended  Our Team Checked 16955
 115 Referred to Nasik Civil students out of 95820
 Target Completed – 17.69%
Hospital
 128 Being Treated at Niphad  No of Schools Checked 62
RH out of 336
 Target Completed – 17.44%
 7 Heart Patients Detected
 520Children Referred so far
1 Cardiac Surgery Done
 3 Cardiac Surgeries Planned

23. Rugna Kalyan Samiti (R.K.S.)
 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
 PAP smear camp with the help of NAMCO
Hospital, Nasik.
 Blood Donation Camp with the help of Civil
Hospital , Nasik.
 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