Maharajganj City

Program Implementation Plan

National Urban Health Mission

Prepared by District Health Officials with support from Urban Health Initiative

2013-14

District Health Society

Maharajganj

District Urban Health Action Plan

Maharajganj

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Preparation of District Urban Health Action Plan was very rigorous exercise

which came to an end with active participation of various stakeholders at different level.

Planning exercise indicates the process to access what we have achieved so far, where we

stand now and lesson learnt from our mistakes with vision & strategy for further

improvement during coming years.

The process has helped to review the existing resources available within the

district. The collection and compilation of the Urban Health Action Plan. Preparation

NUHM planning process to analyze the available infrastructure, manpower and other

challenges and at the same time has also provided us the opportunity to understand as

where the district stands in terms of various Health indicators. A close review of the plan

will reflect how the district has planned to step up in improving the Health scenario in the

year 2013-14

The emergence of District Urban Health Action Plan is dedicated effort of the team

of ACMOs, Dy.CMOs, health officials. I am thankful to ICDS, Panchayat Raj,

Development, Education and other department officers Maharajganj for providing us

support and suggestions which were critical for preparation of document. The

contribution of each and every member of the team has made special efforts to enrich this

plan in his/her own way.

The crucial efforts of BPMU Sadar and District PMU team are worth appreciable.

Without their rigorous effort collection and compilation of Urban data would not have

been possible. I would also like to thank the Divisional PMU officials for providing vital

inputs and support in templates drafting, analyzing data and documentation/Finalization

of NUHM 2013-14. Due to their efforts district team’s task were very much simplified

and standardized throughout the district.

I would like to thank the dedicated SPMU/NUHM team which has time to time

guided us in the entire process of NUHM preparation.

Chief Medical Officer District Magistrate Maharajganj Chairman- DHSMaharajganj

ACKNOWLEDGEMENT

NUHM seeks to improve the health status of the urban population

particularly slum dwellers and other vulnerable sections by facilitating their access

to quality health care. NUHM would cover all state capitals, district headquarters

and other cities/towns with a population of 50,000 and above (as per census 2011)

in a phased manner. Cities and towns with population below 50,000 will be

covered under NRHM. These guidelines are used to enable the states and Union

Territories to prepare the Programme Implementation Plans (PIP) for 2013-14

under the NUHM and are to be read in conjunction with the NUHM Framework

for Implementation. Key features of NUHM are enumerated below:

Mission Vision:-

Mahila Arogya Samiti (MAS) – will act as community based peer education

group in slums, involved in community mobilization, monitoring and

referral with focus on preventive and promotive care, facilitating access to

identified facilities and management of grants received. Existing community

based institutions could be utilized for this purpose.

Capacity building of community – NUHM would provide capacity building

support to MAS / Community Based Organizations for orientation, training,

exposure visits, participation in workshops and seminars etc., apart from

annual grant of Rs.5000 per MAS for mobilization, sanitation and hygiene,

and emergency healthcare needs.

Link Worker / ASHA - One frontline community worker (ASHA) would

serve as an effective and demand–generating link between the health facility

and the urban slum population. Each link worker/ASHA would have a well-

defined service area of about 1000-2,500 beneficiaries/ between 200-500

households based on spatial consideration. However, the states would have

the flexibility to either engage ASHA or entrust her responsibilities to MAS.

In that case, the incentives accruing to ASHA would accrue to the MAS .

Chapter-1 Background of NUHM

Mission Goals:-

Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR)

Universal access to public health services such as Women’s health, Child health, Safe drinking water, Sanitation, Hygiene, Immunization, and

Nutrition. Prevention and control of communicable and non-communicable diseases,

including locally endemic diseases. Access to integrated comprehensive primary healthcare services.

Population stabilization, Gender and Demographic balance.

District of Maharajganj is situated 265 Kms east of capital Lucknow on

National Highway -28, lies between Latitude 26° 46´ N and Longitude 83° 22´ E,

covers the geographical area of 3483.8 Sq. km. It is bounded by districts

Mahrajganj in the north, Ambedkar Nagar, Azamgarh and Mau in the south,

Kushinagar and Deoria in the east and SantKabirnagar in the west.

Preparation of District Urban Health Action Plan is very rigorous exercise

which demands participation of various stakeholders at different level. Planning

exercise indicates the process to access what we have achieved so far, where we

stand now and lesson learnt from our mistakes with vision & strategy for further

improvement during coming years.

Chapter-2 District Profile

District Profile

District of Maharajganj is situated 265 Kms east of capital Lucknow on National

Highway -28, lies between Latitude 26° 46´ N and Longitude 83° 22´ E, covers the

geographical area of 3483.8 Sq. km. It is bounded by districts Mahrajganj in the north,

Ambedkar Nagar, Azamgarh and Mau in the south, Kushinagar and Deoria in the east and

SantKabirnagar in the west.

City Demographic Profile

Total Population of city (in lakhs) 0.33930

Slum Population (in lakhs) 0.265

Slum Population as percentage of urban population 47

Number of Notified Slums 29

Number of slums not notified 0.00

No. of Slum Households 5269

No. of slums covered under slum improvement programme

(BSUP,IDSMT,etc.) 76%

Number of slums where households have individual water connections* 1

Number of slums connected to sewerage network* 0

Number of slums having a Primary school 12

No. of slums having AWC 27

No. of slums having primary health care facility 1

Overview of existing public health facilities

Sl.

No.

Name & type of

facility (DH,

Maternity Home,

CHC, other ref.

hospital UFWC, UHP

PHC,Dispensary etc.)

Managing Authority

(Municipal Council,

State Health

Department, facilities

functioning on PPP

basis)

Location of

Health

facility

Population

covered by

the facility

Services

provided

Human

Resources

available – list

type and number

of HR available

i.e. ANM, LT, SN,

MOs, Specialists

etc.

No. and type

of equipment

available: X-

ray machine,

USG,

autoclave

etc.

1. UHP

MAHARAJGANJ

UHP UNDER

NRHM

1 KM

FROM

CHC

23500

OPD

Tikakara

n

YES AN

Table.2- Important information

CITY LEVEL INDICATORS AND TARGETS Name of the City: Maharajganj

Processes & Inputs

Indicators Baseline (as

applicable)

Number

Proposed

(2013-14)

Number

Achieved

(2013-14)

Community Processes

1. Number of Mahila Arogya Samiti (MAS) to be formed * 0 26 0

2. Number of MAS members to be trained * 0 260 0

3. Number of Accredited Social Health Activists (ASHAs) to be selected and trained *

0 13 0

Health Systems

4. Number of ANMs to be recruited * 0 3 0

5. No. of Special Outreach health camps to be organized in the slum/HFAs *

0 1 0

6. No. of UHNDs to be organized in the slums and vulnerable areas *

0 27 0

7. Number of UPHCs to be made operational * 0 1 0

8. Number of UCHCs to be made operational * 0 0 0

9. No. of RKS to be created at UPHC and UCHC * 0 1 0

10. OPD attendance in the UPHCs 0 0 0

11. No. of deliveries conducted in public health facilities 0 0 0

RCH Services

Processes & Inputs

Indicators Baseline (as

applicable)

Number

Proposed

(2013-14)

Number

Achieved

(2013-14)

12. ANC early registration in first trimester 0 0 0

13. Number of women who had ANC check-up in their first trimester of pregnancy

0 0 0

14. TT (2nd dose) coverage among pregnant women 0 0 0

15. No. of children fully immunised (through public health facilities)

0 0 0

16. No. of Severely Acute Malnourished (SAM) children identified and referred for treatment

0 0 0

Communicable Diseases

17. No. of malaria cases detected through blood examination

0 0 0

18. No. of TB cases identified through chest symptomatic 0 0 0

19. No. of suspected TB cases referred for sputum examination

0 0 0

20. No. of MDR-TB cases put under DOTS-plus 0 0 0

Non Communicable Diseases

21. No. of Diabetes cases screened in the city 0 0 0

22. No. of Cancer cases screened in the city 0 0 0

23. No. of Hypertension cases screened in the city 0 0 0

* Year 2013-14 being the baseline year, the indicators for these NUHM components would be zero. For other indicators, the figure for 2012-13 will be the base line

Table 3: Health/Morbidity Profile of the City: Maharajganj

The data may be collected from the leading public hospitals in the city and based on IDSP. Sl. No. Name of Disease/ cause of morbidity (e.g. COPD,

trauma, cardiovascular disease etc.)

Number of cases

admitted in 2012

1. Injuries and Trauma 0

2. Self inflicted injuries/suicide 0

3. Cardiovascular Disease 0

4. Cancer (Breast cancer) 0

5. Cancer (cervical cancer) 0

6. Cancer (other types) 0

7. Mental health and depression 0

8. Chronic Obstructive Pulmonary Disease (COPD) 0

9. Malaria 0

10. Dengue 0

11. Infectious fever (like H1N1, avian influenza, etc.) 0

12. TB 0

13. MDR TB 0

14. Diarrhea and gastroenteritis 0

15. Jaundice/Hepatitis 0

16. Skin diseases 0

17. Severely Acute Malnourishment (SAM) 0

18. Iron deficiency disorder 0

19. Others JE/AES 0

(Source: )-District male and Female Hospital and other dispensaries

Table 4: Overview of existing public health facilities

One Urban Health Posts (UHPs)

Sl.

No.

Name & type of

facility (DH,

Maternity

Home, CHC,

other ref.

hospital UFWC,

UHP

PHC,Dispensary

etc.)

Managing

Authority

(Municipal

Council, State

Health

Department,

facilities

functioning on PPP

basis)

Location of

Health

facility

Population

covered by

the facility

Services

provided

Human

Resources

available – list

type and number

of HR available

i.e. ANM, LT, SN,

MOs, Specialists

etc.

No. and type

of equipment

available: X-

ray machine,

USG,

autoclave

etc.

1. UHP

MAHARAJGA

NJ

UHP UNDER

NRHM

1 KM

FROM

CHC

23500 OPD

Tikakaran

YES AN