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Quarterly Progress Report

Staff Updating & Review meetingNetherlands Leprosy Relief, India

DHANBAD, 7-8 July 2010

Presented byPresented by

Dr.H.C.PandeyDr.H.C.PandeyILEP State Co-ordinator,U.P.

Lucknow.

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Gantt. Chart showingGantt. Chart showingQuarterly Progress ReportQuarterly Progress Report

S.N.

Activities Jan Feb Mar Apr May Jun Total

1 ½ day ANMs Training workshop at Unnao

Planned Nil Nil 199 130 Nil 25 354

Performed Nil Nil 149 108 Nil 21 278

2 ½ day ASHAs Training workshop at Kannauj

Planned Nil Nil Nil 60 979 405 1,444

Performed Nil Nil Nil 60 432 222 714

3 POD & Self Care in villages workshop at Kalyanpur Kanpur Nagar

Planned Nil Nil Nil 20 Nil Nil 20

Performed Nil Nil Nil 25 Nil Nil 25

4 POD & Self Care in villages workshop at Bilgram -Hardoi

Planned Nil Nil Nil Nil Nil 20 20

Performed Nil Nil Nil Nil Nil 27 27

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Gantt. Chart showingGantt. Chart showingQuarterly Progress ReportQuarterly Progress Report

S.N.

Activities Jan Feb Mar Apr May Jun Total

1 1st Review meetings at CHC Kalyanpur on 21/05/2010

Planned Nil Nil Nil Nil 25 Nil 25

Performed Nil Nil Nil Nil 07 Nil 07

2 2nd Review meetings at CHC Kalyanpur on 21/06/2010

Planned Nil Nil Nil Nil Nil 25 25

Performed Nil Nil Nil Nil Nil 12 12

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Activities Completion Report 2010Activities Completion Report 201011stst & 2 & 2ndnd Quarter Quarter

Result Based Activities Allocated Budget for the quarter

Batches Planned

Batches Done

Total

Expenditure

Result-1 GHC Staff performance improved

½ day Sensitization workshop of ANMs at District Unnao.

11,604 :- 1st Qtr.

46,416 :- 2nd Qrt.

09

(354)

09

(278)

18,109=00

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Half Day Sensitization of ANMs at CHC Nawabganj Unnao Half Day Sensitization of ANMs at CHC Nawabganj Unnao on 23on 23rdrd March 2010 March 2010

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Half Day Sensitization of ANMs at CHC Bighapur Unnao Half Day Sensitization of ANMs at CHC Bighapur Unnao on 05on 05thth April 2010 April 2010

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Activities Completion Report 2010Activities Completion Report 201011stst & 2 & 2ndnd Quarter Quarter

Result Based Activities Allocated Budget for the quarter

Batches Planned

Batches Done

Total Expenditure

Result-2 : Leprosy Services established under NRHM

½ day Sensitization workshop of ASHAs at District Kannauj.

25,000 :- 1st Qtr.

25,000 :- 2nd Qtr.

07

(1,444)

07

(714)

36,097=00

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Half day Sensitization of ASHAs at CHC Saurik Kannauj Half day Sensitization of ASHAs at CHC Saurik Kannauj on 15on 15thth May 2010. May 2010.

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Half day Sensitization of ASHAs at CHC Chhibramau Kannauj Half day Sensitization of ASHAs at CHC Chhibramau Kannauj on 04on 04thth June 2010. June 2010.

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Activities Completion Report 2010Activities Completion Report 201011stst & 2 & 2ndnd Quarter Quarter

Result Based Activities Allocated Budget for the quarter

Batches Planned

Batches Done

Total Expenditure

Result-3 : DPMR Services improved

02 days POD & Self Care in villages workshop at

43,848 :- 1st Qtr.

43,848 :- 2nd Qtr.

1) CHC Kalyanpur K.Nagar

21 & 22/04/2010

01

(20)

01

(25)

17,218=00

2) CHC Bilgram, Hardoi

29 & 30/04/2010

01

(20)

01

(27)

14,214=00

1st Review meetings at CHC Kalyanpur on 21/05/2010

Included with POD & Self Care workshop

01

(25)

01

(07)

970=00

2nd Review meetings at CHC Kalyanpur on 21/06/2010

Included with POD & Self Care workshop

01

(25)

01

(12)

1504=00

Total 33,906=00

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02 days Self Care training cum Practice workshop 02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 29at CHC Bilgram Hardoi On 29thth June 2010 June 2010

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02 days Self Care training cum Practice workshop 02 days Self Care training cum Practice workshop at CHC Bilgram Hardoi On 30at CHC Bilgram Hardoi On 30thth June 2010 June 2010

Footprints taken by GHC Staff.Footprints taken by GHC Staff.

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NLR Activities performedNLR Activities performed

All three NLR activities for 2010 have been completed.

1) Half day Sensitization workshop of ANMs at Distt. Unnao( Batches :- 09 )

2) Half day Sensitization workshop of ASHAs at Distt. Kannauj ( Batches :- 07)

3) 02 days POD & Self Care in villages workshop 1) At CHC Kalyanpur Kanpur Nagar ( Batch :- 01) 2) At CHC Bilgram at Hardoi ( Batch :- 01)4) 1st Review meeting at CHC Kalyanpur on 21/05/2010.5) 2nd Review meeting at CHC Kalyanpur on 21/06/2010.

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ILEP activities planned and completed in the districts ILEP activities planned and completed in the districts since January 2010 Till June 2010.since January 2010 Till June 2010.

SN

Description of activities

Place/Venue

Dates Number of

Participants

Planned

No Participated

1. Training of trainers ( T.O.T)

Charans Guest House ,

C-60 , Nirala Nagar Lucknow.

27th April to

30th April 2010.( 04

days )

35 3212 DLOs

10 NMS / PTT10 ILEP /

WHO members

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CommentsCommentsDifficulties faced

½ day Sensitization workshop of ANMs :- At District Unnao.

1) No notable problem faced during Sensitization of ANMs except :-

a) For Sensitization workshop at CHC Bichhia 04 dates were given & only on 4th date workshop could be completed.

b) At PHC Sumerpur & CHC Bangarmau ANMs went on coming even after 01 hour start of the workshop.

Rest no problem

Expectations from District/State/NLR1) DLO /DN has promised that above problems will not be faced in future.

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CommentsCommentsDifficulties faced

½ day Sensitization workshop of ASHAs :- At District Kannauj.

No major problem faced during Sensitization of ASHAs except :-1) At CHC Tirwa seating arrangement was not up to the mark. 2) At CHC Chhibramau 01 ASHA started saying that we (ASHAs ) are

getting Rs. 100=00 for trainings. But here they are getting only Rs. 50=00.

Expectations from District/State/NLR

1) Supdt. CHC Tirwa made the proper seating arrangement for workshop. 2) At CHC Chhibramau DLO who was present at the workshop & Supdt.

CHC told the ASHA that for this activity only Rs. 50=00 has been sanctioned as per diem by Director General , Medical Health Services, U.P.

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CommentsCommentsDifficulties faced

02 days POD & Self Care in villages workshop

At CHC Kalyanpur, Kanpunagar :-

1) Accommodation for the workshop was insufficient.

At CHC Bilgram Hardoi :- No Problem faced.

Expectations from District/State/NLR

1) DLO Kanpur Nagar & Supdt. CHC Kalyanpur has promised for selection of big room for such activities in future.

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Epidemiological Status U.P. 2009-10Epidemiological Status U.P. 2009-10

Population of U.P. :- 20,37,63,851

Leprosy cases at end of March 2010 :- 16,484

New case detection from 1st April 2009 to 31st March 2010 :- 27,473

ANCDR per 1,00,000 popul.

Prev. Rate per 10,000 popul. as on 01.04.

2010

Child Rate among New

Cases (In %)

Deform-ity Rate Among New Cases

(In Gr. II %)

%age of MB among New

Cases Detected (In %)

%age of Female among

New cases( In %)

13.48276 0.808976 5.987697 2.162123 38.97645 31.54006

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S.No.

DPMR activities During the month March, 2010

Cummulative total from April till March,

2010

PB MB Total PB MB Total

1 No. of reaction cases recorded 47 142 189 386 1194 1580

2 No.of reaction cases managed at            

(i) PHC 36 114 150 306 1044 1350

(ii) District Hospital 4 26 30 52 212 264

3 No. of suspected relapse cases referred by PHCs

0 3 3 25 63 88

4 No. of relapse confirmed at District Hospital

0 3 3 8 24 32

5 No. of cases developed new disability after MDT

1 3 4 20 56 76

NLEP- Monthly Reporting Form Uttar Pradesh NLEP- Monthly Reporting Form Uttar Pradesh

State Report State Report

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S.No.

DPMR activities During the month March, 2010

Cummulative total from April till March, 2010

PB MB Total PB MB Total

6 No. of patients provided with footwear 65 281 346 230 1170 1400

7 No. of patients provided with self care kit

88 376 464 224 905 1129

8 No. of patients referred for RCS at tertiary Instts.

6 48 54 31 287 318

9 No. of institutes providing RCS

Govt. 2 2 2 2

NGO 2 2 2 2

Total

4 4 4 4

10 No. of patients - RCS done

Govt. 21 58 79 64 160 224

NGO 0 0 0 21 131 152

Total

21 58 79 85 291 376

Contd……..Contd……..

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Major Problems Identified in the District in NLEP ProgrammeMajor Problems Identified in the District in NLEP Programme

S.No.

Problems Suggestions

1. DPMR forms are not available in HCFs of all districts. Even available in districts , NMSs & NMAs of HCFs do not know to fill up the forms correctly.

DLOs have been requested for printing & distribution of DPMR forms but they complain of shortage of Budget etc. SLO may kindly look into it. DLO / DN in NLEP monthly meetings should demonstrate ST, VMT & filling of DPMR forms.

2. DN Staff do not get vehicle for Supervision in periphery where as 01 vehicle on road is available with DLO, so Supervision is weak.

DLOs are requested to spare NLEP vehicle to DN staff for Supervision when they are working in office & not going to field.

3. Knowledge of NLEP / GHC Staff is weak in POD & Self Care.

Workshop on POD & Self Care in villages to be organised in all the districts.

4. Healthy Contact Examination is not done in every District of Lucknow zone.

DLO & DN on his Supervision should see that Healthy Contact Examination of every cases is done.

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Major Problems Identified in the District in NLEP ProgrammeMajor Problems Identified in the District in NLEP Programme

S.No.

Problems Suggestions

5. ST & VMT is not done in every District. ST & VMT to be demonstrated to NLEP Staff in their monthly meetings. Most of the NLEP Staff do not know about correct VMT.

6. ATP is prepared by all Districts but Supervision report & Validation report is neither prepared nor sent to SLO in few districts.

DLOs are requested to prepare ATP every month & Visit to be made as per ATP. Supervision & Validation report to be sent to SLO regularly.

7. Validation of Cases is poor. Validation of cases to be improved by DN.

8. Referral Unit is established in all 07 Districts of Lucknow zone but cases are not referred from periphery to referral unit in all districts.

DLO / DN should make wide publicity about constitution of referral unit in District Hospital among all HCFs & NLEP Staff.

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Feed Back on ½ day Sensitization of Feed Back on ½ day Sensitization of ANMs & ASHAs.ANMs & ASHAs.

ANMs :- ANMs were trained in District Unnao.• ANMs referral of Leprosy case is negligible only 04 cases

are referred & confirmed from total district till June 2010. • Training was performed in May & June 2010.

ASHAs :- ASHAs were trained in District Kannauj.• In Last weak of April :- 01 batch ( 60) rest May & June 2010.• After training cases by ASHAs are referred & confirmed in

no. of 02 to 03 cases from each CHCs / PHCs.• Leprosy Cases recorded are mostly referred by ASHAs.

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Activity plan July – Dec’2010Activity plan July – Dec’2010We are of the opinion that :- 1) Improved Case findings :-

ASHAs ½ day Sensitization workshop will be more fruitful. 01 more district may be taken. ASHAs at POD & Self Care Camp at CHC Bilgram , Hardoi has shown much interest.

2) Improved Disability Management & Rehabilitation :- Self Care Camps may be organized in district Sitapur or Kanpur Dehat.

3) Educational Support :- Improved educational status of PAL’s Children.For PALs attended Self Care Camp / workshop at Kalyanpur, Kanpur Nagar & Bilgram , Hardoi.

4) Improved Office Management :- Upgradation of NLR State Office( Lucknow ). Requirements are :-

1) Office Chairs :- 06 2) Table for Fax Machine :- 013) Rack Almirah :- 01 4) Refrigerator 300 Ltr. :- 015) Air Conditioner 02 tons( Split AC ) :- 016) Room Cooler :- 01 7) Wall Clock :- 01

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