Key findings Key findings District Nagaur District Nagaur

October 23-27, 2013 October 23-27, 2013 National Rural Health Mission National Rural Health Mission

Consultant -plan

Health facilities Visited Health facilities Visited S.NO Type of

facility NO. of facility

Name of facility

1 CHC 4 Khinwsar, Maulasar, Basni, and Nimbijhodha

2 PHC 7 Deh, Karod, Alay, Roll, Dangawas, Padukala, Lampoli

3 Sub-center 5 SC-Ahmadpura, SC shinodh, SC-Ratong, SC-begsar, SC-badana

4 School visit 4 Rajkiya uch madyamic vidhyalaya Bakrod, Butati, Roll, padukala

District observation District observation District had functional labour rooms but the

quality of care was found variables ,privacy ,absence of separate toilet in PHCs Deh, Bakrod and lampoli

Awarness lacking about programs among community and befeneficiary. few pregnant /mothers interviewed had made own arrangement to the deliveries.

Some PHCs don’t have separate JSY ward. Infection prevention practices appeared

poor at labour and JSY ward. Community ownership found at CHC basni

48hrs stay after delivery not practiced at most PHCs Padukala, deh and bakrod.

Grievance redressal box not established at facilities

As regards WIFS scheme, low level of awareness are found among the ASHAs about roll out the program.

In 2 Govt school giving IFA tablet out of 4 visited and no awareness about program.

Utilization of funds low at PHC and sub-centre.District vigilance and monitoring committee

established but not any meeting held.Most visited sub-centers listed in delivery point

but don’t have any delivery in last three months.

Pharmacists were not available at most health facilities. Drug stores were being handled by male nurse

Payment of JSSY and sublakhmi yojna in time but sublakhmi yojana payment along with JSY payment at time of discharge.

Infection prevention practice appeared to be poor at labour room and JSY wards.

Rational deployment of available staff for optimum utilization need to be worked out on case load basis.

Only MMV deployed in the districts , all MMVs are functional and done 930 camps. Strickering was done

Out of 24 only 15 Ambulance 108 are functional, stickering work was not done but in process

ASHA Payment chart related to all programs was prepared by district

Branding at CHC khinsar

Branding at Subcenter Ahmendpura

Cleanliness issue at CHC maulasar

Garbage bin under patient’s bed

Cleanliness issue at toilet

JSY at PHC ALAYI very clean but no bed in JSY ward

Cleanliness condition at Labour Room PHC ALYAI

Findings at CHCsFindings at CHCs

Radiant warmer and weighing machine not available at labour room khinwasar, maulasar hot food was being given as per schedule expect PHC Roll Branding was done in all CHCs/PHCs/SubcentersInfection prevention practices appeared to be poor at labour and JSY ward except Basni CHCIn Basni CHC, sitting seats provided by local community and cleanliness was good.

No Functional OT found at facility

Grievance redressal box not established at

facilities

Low utilization of funds at khinwasar, maulasar

infection prevention practices appeared to be poor at labour and JSY ward. Alay, Lampoli and Roll PHC

48 hrs stay not practices in most PHCs, padukala, Alay and bakrod and lampoli

PHC has two room at lampoli only one doctor and one ANM placed

No Bank A/C at PHC lampoli, only ANM has account beneficiaries were refer to other PHC for JSSY payments . Average 10 deliveries per month in PHC Lampoli.

No management for Bio medical waste at lampoli. MO are not aware about utilization of available funds Labour table was soiled with blood in all visited PHCs Low utilization of funds at facility

National Rural Health Mission

Findings at PHC Findings at PHC

Findings at Sub-center Findings at Sub-center

No facility at the sub center although there is SBA trained ANM at ahmedpura, ratong and begsar

Running water is a major problem in all sub-centers

There is no toilet facility nor electricity at ahmedpura .

Labor room is found unhygienicOnly shinodh ANM stay in nightThere is no mattress on labor table,No delivery in last two months in ahmedpura,

ratong. There is leakeage at roof of sub-centre budilding

ahmedpura and brick wall Low utilization of funds

National Rural Health Mission

Thanks