Directorate of Family Welfare, Orissa

CDMO Conference22.01.2010

Child Health Review

Child Health Strategies

IMNCI (Integrated Management of Neonatal & Childhood illness)

FIMNCI (Facility based Integrated Management of Neonatal & Childhood illness)

SNCU (Sick Newborn Care Unit)

PD (Pustikar Diwas)

NSSK ( Navajata Sishu Surakha Karyakram)

IMNCIDistrict Training Achievement

till Dec 09

Basic Training % FUS FTT

AWW ANM

Balasore 57 59 1 0

Bolangir 49 54 1 0

Boudh 67 89 0 1

Deogarh 71 76 0 0

Gajapati 43 39 1 0

Kalahandi 42 43 0 0

Kandhamal 37 51 1 0

Keonjhar 37 38 0 1

Koraput 97 105 3 4

District Training Achievement till Dec 09

Basic Training % FUS FTT

AWW ANM

Malkangiri 46 57 0 0

Mayurbhanj 93 113 18 3

Nawarangpur 26 20 5 1

Nuapada 74 60 1 3

Rayagada 72 66 0 0

Sonepur 44 28 1 0

Sundargarh 47 39 0 0

IMNCI Implementation status in 3rd Qtr. (Oct. 09 to Dec. 09)

Issues in IMNCI Implementation

Distribution of drugs / formats down below to AWC level Formation IMNCI Coordination Committee and regular meetings Joint review with ICDS at District & Block level Training of Supervisors in IMNCI Review progress on monthly basis Timely reporting from the Block to District and up to the State Additional venue for Basic Health workers training to be started Supervisory training to be given priority Issues of Deogarh on activating Banai: Approval will be given shortly RI Coordinator to remain in charge of MCH programmes in the absence

of Child Survival Coordinator / Dy Manager Child Health Involvement of Med Colleges on conducting TOT for new districts and

field assessment

Status of SNCU at Districts.

District Status Suggestion

Angul Completed To be operationalised on 1st Feb .2010

RayagadaSonepurKandhamalPuriVSS MCHSambalpur

Civil work completed Electrical assessment pending.

Assessment of Electrification to be done by Suptd. Eng/ Asst. Eng.(GED) which should be facilitated by CDMOs.

Balasore Civil works incomplete.

Civil work to be expedited.

Other SNCU IssuesStaff nurse to be recruited in

SonepurKandhamalPuriSambalpurRayagada

FBNC trained Staff Nurses should work exclusively in SNCU.

Funds for recurring & maintenance Expenses have been provided to District with functional SNCU.

Funds should be utilised to resolve day to day operational issues.

SNCU Committee meeting to be held monthly.

Issues- Pustikar DiwasIrregular Reporting

Boudh, Koraput, Nuapada, Malkangiri, Nayagarh, Sundargarh

Very high case load on Pustikar Diwas Day: Screening at VHND to be strengthened

One client receiving admitted several times for monetary benefits only: genuineness of cases should be checked at District/ Block level.

Transparency in selection of pharmacy shops and investigation centres while referring cases for medicine and investigation

Coordination with WCD (ICDS) functionaries in field level is weak District level meeting with DSWO should be done regularly

Operational Guidelines and formats should be strictly used during Programme Implementation

Child Health Expenditure

Expenditure analysis of Districts under Child Health as on 31.12.09

(Rs in Lakhs)

Sl No District Budget Expenditure inuccred % of Expenditure

till Sep'09 till Dec'09 till Sep'09 till Dec'09 1 Angul 22.61 2.48 3.47 11% 15%

2 Balasore 45.05 8.01 12.55 18% 28%

3 Baragarh 26.31 4.22 9.63 16% 37%

4 Bhadrak 33.28 2.74 5.07 8% 15%

5 Bolangir 34.50 1.43 6.18 4% 18%

6 Boudh 7.49 0.19 1.34 2% 18%

7 Cuttack 43.74 13.10 15.89 30% 36%

8 Deogarh 5.99 0.32 0.58 5% 10%

9 Dhenkanal 22.41 6.13 9.66 27% 43%

10 Gajapati 11.21 0.46 7.57 4% 68%

11 Ganjam 64.99 9.11 13.49 14% 21%

12 Jagatsinghpur 19.80 0.56 1.99 3% 10%

13 Jajpur 37.42 6.56 8.25 18% 22%

14 Jharsuguda 10.04 0.87 1.29 9% 13%

15 Kalahandi 36.52 1.11 4.46 3% 12%

Child Health ExpenditureExpenditure analysis of Districts under Child Health as on 31.12.09

(Rs in Lakhs)

Sl No District Budget Expenditure inuccred % of Expenditure

till Sep'09 till Dec'09 till Sep'09 till Dec'09 16 Kandhamal 16.99 2.95 5.04 17% 30%

17 Kendrapara 28.11 2.87 7.52 10% 27%

18 Keonjhar 33.73 0.77 4.65 2% 14%

19 Khurda 30.40 1.93 3.59 6% 12%

20 Koraput 23.41 - 0.33 0% 1%

21 Malkanagiri 11.97 1.05 2.75 9% 23%

22 Mayurbhanj 64.40 13.08 20.10 20% 31%

23 Nawarangpur 21.68 1.84 4.68 9% 22%

24 Nayagarh 18.55 - 0.14 0% 1%

25 Nuapada 15.83 - 1.37 0% 9%

26 Puri 33.50 8.25 12.40 25% 37%

27 Rayagada 19.11 30.11 59.76 158% 313%

28 Sambalpur 24.36 4.63 6.42 19% 26%

29 Sonepur 14.77 0.37 1.45 2% 10%

30 Sundargarh 32.14 0.12 4.07 0% 13%

             

Total 810.29 125.24 235.71 15% 29%

Essential New Born care concepts at different levels

Name of the facility

Type of care available Type of care Training required

24x7 Newborn Care Corner NCC / NBC

Prompt Referral

NSSK &SBA training

FRU/CHC Newborn care corner in LR & OT,

NSU / SNCU-I /SCNU-Il

Neonatal Stabilisation

Unit

FBNC training

DHH Newborn care corner in LR& OT,

SNCU-I / SCNU-II

Special Care Newborn Unit

FBNC TRAINING

STATUS ON SNCU-II CONSTRUCTION(Based on information from districts) As of 20th Nov' 09

Sl. No

Districts Construction StatusHanding

Over StatusPayment

StatusEquipment

StatusRecruitment Status Training Status

 

       Dispatched from State

Training of doctors

Training of

Paramedicals

1

Angul

CompletedHanded over to CDMO Not Done Yes

Interview on dt.27.01.2010.

Completed for two doctors & 2 SNs.: At Sishu Bhavan in Cuttack done

2

Sambalpur

70% civil work completed, electrical work stopped due to non receipt of work order from NRHM ( work stopped since electrical work is not done)

Not handed over : payment is due Not Done Dispatched

Recruited 3 SNs and 2 ANMs. Rest 6 SNs and 1 ANM need to be recruited. do done

3

Sonepur Civil Work-CompletedElectrical Work - Completed do Not Done Dispatched

Recruitment of SN and ANMs not done : not available do done

4

PuriCivil Work-CompletedElectrical Work & PH - Completed do Not Done Yes Recruitment completed

will be held in Batch ll

Will be done in Batch ll

5

RayagadaCivil Work-CompletedElectrical Work - CompletedPH Work completed do Not Done Dispatched

Not done : Bisam Cuttack approval has been done completed.

Will be done after recruitment

6

Keonjhar Civil Work - 20% done, previous construction money is not paid. No order for electrical and PHD.

Work not completed Paid 30%

Initially Dispatched but later diverted to Balesore during CRM Completed completed

Will be done in Batch ll

7

Balasore

Excavation is over not done Not DoneDiverted to Kandhamal

Advertise is over. Recruitment process is on completed

will be done

8

VSS Medical College, Burla

Civil work - incompleteElectrical work - Not started( Not done in place of approval)No payment and no order for electrical and PHD not done Not Done Reached there

Recruitment of 8 SN is over completed

Will be done in Batch ll

9

MKCG Medical College, Berhampur

Tenders called for twice failed. GED to execute the elecrification work as per Model Estimates. Renovation will be done by PWD. NA NA

Equipments are idle for last 1 & 1/2 yrs NA Completed NA

10

SCB Medical College, Cuttack

Phase l: Civil, electrification and PH work: completed; Phase ll: estimation is done, tenders will be called for. Done

UNICEF has given partial payment

SDMU to despatch soon

Staff Posting will be decided by DMET completed

Will be done in Batch ll

SNCUs supported by UNICEF

Koraput 2

Mayurbhanj 4

Capital Hospital 1

MKCG and SCB 2 

 SNCUs supported by NIPI

 

Angul 1

Sambalpur 1

VSS, Burla 1

SNCU Supported by NRHM

Puri 1

Kandhmal 1

Balasore 1

Sonepur 1

Rayagada 1

Thank You