1
FORM-IV
REGIONAL OFFICES OF HEALTH & FAMILY WELFARE
DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES
Name of the Regional Office: Raipur
Report for the Month of: SEPTEMBER 2010
1. ASSURED SERVICES:
Sl. No. Assured Services District - Mahasamund
I Formation of Programme Management Unit (PMU) Yes
ii Plan and execute Health Related Activities
iii Formation of Health Planning & Health Monitoring
Committees Yes
iv Release and account the funds to subordinate Offices
under NRHM Yes
v Development/Upgrade the peripheral institute as per
IPHS No
vi Arrange for procurement of the logistics required for the implementation of the planned activities.
vii Implementation of National Health programme
NRHM Yes
NVDDCP Yes
RNTCP Yes
NLEP Yes
NBCP Yes
HIV/AIDS Yes
NIDDCP Yes
IDSP Yes
viii Non Communicable Diseases
Tobacco control No
Injuries and Trauma No
CVD No
Mental Health No
NOHP No
Diabetes control No
2
ix IEC activities related to National Health programmers NA
x Develop training institutes for providing appropriate training to strengthen the skills of the staff.
NA
xi Work towards achievements of Set Mile stones NA
xii Generate Performance related indicators NA
xiii Generate Indicators under Millennium Development
Goals (MDGs)
NA
xiv Monitoring and quality control NA
Total Activities undertaken
% of activities undertaken
2. OTHER SERVICES
2.1. Accessory services District - Mahasamund
Citizen's charter Yes
Electricity supply Yes
Emergency Lights Yes
Civil engineering Yes
Fire protection No
Water supply Yes
Waste disposal No
Total
%age
3. INFRASTRUCTURE DEVELOPMENT
3.1. Formation of Programme management Units
Sl. No. Particulars District
I Whether PMU formed Yes
ii Adequate Official Accommodation available
Available
iii Planning unit Available
iv Financial Management unit Available
v IEC management unit Available
vi Training Unit Not Available
vii Management Information System Unit Available
viii Other (Specify)
ix Other (specify)
Total Units formed
% Units formed
3
Sl. No. Manpower category-wise District
I Programme managers Appointed
ii Technical Officers
iii IT personnel Appointed
iv Statistical personnel Not Appointed
v Other Support staff Data Entry Operators & Data Assistants
Appointed
vi Other
Total Staff
% of staff available
3.3. Logistics available in PMU (State & District)
Sl. No. Logistics District - Mahasamund
Office logistics (Specify)
I Necessary Furniture Available
ii Computers Available
iii Printers Available
iv Telephones Available
vi Faxes Available
vii Storages Available
viii Vehicle for Mobility (specify) Available
Total
%age
3.4. Constitution of Health Planning & Monitoring Committee (HP&MC)
I Whether HP&MC are constituted No
ii Whether the composition is as the
guidelines. - not applicable -
iii Whether HP&MC convening meeting regularly
- not applicable -
iv If Yes, at what interval - not applicable -
v Whether Discussion as agenda are
undertaken. - not applicable -
vi Whether the Minutes prepared & circulated
- not applicable -
vii Whether feed back on minutes is
received. - not applicable -
Total
%age
4
3(a). HEALTH INFRASTRUCTURE IN THE VISITED STATE/DISTRICT
3.5. Health Infrastructure available in the Stat/Districts
Sl. No. Particulars District - Mahasamund
I # Districts 01
ii # District Hospitals 01
iii # Sub-Divisional Hospitals 0
iv # CHCs 04
v # PHCs 28
vi # SHCs 219
vii # Health NGOs 05
viii # instts. providing disability care services 0
ix # CHC/PHC strengthened for BEmoNC facilities 04
x # CHC/PHC strengthened for CEmoNC facilities 0
xi # CHC/District Hospital Strengthened for FRUs 02
xii # SHCs Strengthened with 2 ANMs 0
xiii # ASHAs functioning 2007
xiv # AWWs Functioning 1426
Total Number of Units
% units Strengthened
3.6. Staff Strength available against the sanctioned strength in the entire state/District visited
I # Programme Officers 0
ii # Medicine Specialists 01 / 05
iii # Surgical Specialist 0 / 05
iv # Pediatricians 02 / 05
v # O&G Specialists 0 / 05
vi # Anesthetics 0 / 05
vii # Eye Surgeons 01 / 01
viii # Dental Surgeons 01 / 01
ix # Medical Officers 23 / 30
x # Ayush Medical Officers 0 / 0
xi # Health Supervisors 18 / 40
xii # LHVs 22 / 44
xiii # Key Technical staff (Staff Nurse) 10/12 in CHC & 14 / 18 in DH
xiv # Paramedical staff (LT + Pharmacist)
in DH in CHC PHC
LTs 02/02 04/04 02/28
Radiographer 01/02 02/04 0
Pharmacist 01/02 04/08 24/28
Oph. Asst. 01/02 -- 07/28
xv # Ministerial Staff
Total Staffs
% staff available
5
4. BUDGET ALLOCATION AND UTILIZATION
Sl. No. Particulars District
1 Balance from the previous Years 8,83,92,603
2 Funds received under NRHM 4,40,68,787
3 Funds utilized under NRHM 2,27,25,370
4 Balance at the end 10,97,36,020
5 % Utilization funds 17.15%
Sl. No. Particulars District
PMU DPMU, BPMU, PPMU
District staff CMHO, DHO, All Nodal Officers
6. QUALITY MONITORING
Sl. No. Particulars District
i HIS Established
Diseases are classified as per ICD-10
pattern
MPR Format Developed
QPR format developed
Half yearly report format developed
Annual Report Format developed
Monitoring Indicators Identified
All Necessary Records Registers maintained
a
b
ii Admin Monitoring
Monthly Reports submitted Yes
Quarterly Reports submitted Yes
Half yearly Reports submitted Yes
Annual Reports Prepared Yes
Monitoring indicators developed Yes
If prepared , provide a copy of the Report
for the last Month/Quarter/year? Attached
6
Iii Int. Audit
Monthly Review meeting organized Yes
Quarterly meeting organized Yes
Half Yearly Review meeting Organized Yes
Annual Meeting Organized Yes
National Review meeting organized No
If yes, provide a copy of ATR on the minutes
Iv Patient care (# Developed complications)
Ante-natal cases
Post natal complication
New born/Infants
IOL cases under NBCP
TB cases
Leprosy cases
other cases
If yes, provide a copy of the ATR
V Medical Audit (# Deaths reported &reviewed)
Maternal Deaths 09
Child deaths 302
Malaria deaths 0
Tuberculosis Deaths 0
Others (specify) 0
If undertaken, provide a copy of the ATR
Vi Supervisory visits by State/National Prog. Manager
what was checked NA
what gaps were found NA
what instructions were given NA
what administrative directions given NA
Provide a copy of the follow up action taken NA
Vii External Audit NA
Independent Review NA
Review by Expert Groups NA
If undertaken, provide a copy of the ATR NA
7
7. PERFORMANCE
7.1. Milestone on Achievement since Date of implementation of NRHM activities in the States & Districts:
Sl. No. Action points District
I Whether district Rural Health Mission has been set
up? No
Ii Whether HFW societies have been merged into one
society? Yes
Iii Whether State and District Plans are prepared for
implementation of the identified activities. Yes
Iv Whether Project Management Teams are in place
and provided the necessary training. Yes
V Whether mobile medical units are sanctioned and functionalized. No
Vi Whether main streaming of AYUSH ha been
undertaken. Yes
Vii Whether networking with NGOs has been made. No
Viii Whether Public Private Partnership has been established for referring the BPL cases and out
sourcing of some of the activities
No
ix Whether JSY scheme is launched and practice of
reporting every maternal death to DM is followed.
Death Audit Committee is Constituted, but number of audited death by committee is 0 (zero)
till date.
X Whether Quality Assurance Committee is
Operational zed. Yes
Xi
Whether BEmONC facilities (including Civil
hospitals, CHCs and PHCs) are strengthened with
03 staff nurse to provide service guarantee as per
IPHS.
No
Xii
whether CEmONC institutions ( PHCs & CHCs)
strengthened with 7 Specialists with 9 Staff nurses to
provide service guarantee as per IPHS. No
Xiii
Whether Sub-Centers Strengthened by providing 2 ANMs and UNTIED funds of Rs. 10000/+ are given Each SHC is provided by untied fund of Rs.
10000/-, but not strengthen by 2 ANMs.
xiv
Whether Rogi Kalyan Samiti (RKS) at District/CHC/PHC are formed and one time support
to RKS are provided Yes
xv
Whether streamlining of provisions for drug logistics
at CHC, PHC and SHC for common ailments has been made under mission.
No
8
Xvi
Whether access to Universal Immunization through
introduction of Autosyrings, alternate delivery of vaccine is ensured.
Yes
Xvii
Whether involvement of PRIs is ensured in the implementations of Health Schemes at the village
level (i.e. immunization, JSY, sanitation, drinking
water, etc.)
Yes, PRIs are involved in health activities through
VHSC.
xviii Whether strengthening of Anganwadi through
involvement of AWW in MCH programme is done. No
Xix Whether selection and training of ASHA @ 1 ASHA
per 1000 population is done and ASHA Kit is given. Yes
Xx Whether Village Health & Sanitation Committee are
constituted and UNTIED grant is provided. Yes
Xxi
Whether SHC/PHC/CHC/DH are fully equipped to
develop intra-Health sector convergence,
coordination & services guarantees for FW,
NVBDCP, RNTCP, HIV/AIDS, etc.
Yes
xxii Annual need for FW and RCH services has been
calculated in the district as per operation manual and monitoring of state programme implementation
plans? Yes
Xxiii Whether performance report is submitted by the district in revised MIES Formats Yes
xxiv whether Annual State and District Specific Public Reports on Health are Published Yes
xxv
Whether institute wise assessment of performance
against assured services guarantee carried out. Inspection carried out for
No
Total Number of activities completed
% miles stones completed
9
7.2. Achievements of the MDGs at the end of previous year
Sl. No. Particulars Distt
Target 5 - Reduce by 2/3rd between 1990 and 2015, the under five mortality rate
13 Under Five mortality rate NA
14 infant mortality rate NA
15 proportion of 1 year-old children
immunized against measles
NA
Target 6 - Reduce three quarters,
between 1990 and 2015, the maternal
mortality ratio
NA
16 Maternal Mortality ratio NA
17 Proportion of births attended by skilled
health personnel
NA
Target 7 - Have halted by 2015 and begun to reverse the spread of HIV/AIDS
18 HIV prevalence among women aged 15-
24 years
NA
19 Condom use rate of the contraceptive
prevalence rate
NA
19A Condome use of last high risk sex NA
19B
percentage of population of aged 15-24
years with comprehensive correct
knowledge of HIV/AIDS
NA
19C Contraceptive prevalence rate NA
20 Ratio of school attendance of orphans to school attendance of no-orphans aged
10-14 years
NA
Target 8 - Have halted by 2015 and begun to reverse the incidence of Malaria and other major
diseases spread of HIV/AIDS
21 prevalence and death rate associated with malaria
NA
22
Proportion of population in malaria risk
areas using effective malaria prevention
and treatment measures
NA
23 Prevalence and death rates associated with Tuberculosis
NA
24 Proportion of tuberculosis cases detected and cured under DOTS
NA
No. of Indicators Developed NA
%age NA
10
FORM-IV
REGIONAL OFFICES OF HEALTH & FAMILY WELFARE
DATA COLLECTION FORMATS FOR REVIEW OF PERIPHERAL INSTITUTES
Name of the Regional Office: REGIONAL OFFICE FOR HEALTH AND FAMILY WELFARE, RAIPUR
Report for the Month of: SEPTEMBER 2010
1. ASSURED SERVICES
Sl. No. Services CHC 1 CHC 2 CHC 3 CHC4 Total
Bagbahara Pithora Sarapali Basna
I Specialists medical Care services available
No No No(Pediatrician) Yes (Medicine)
Ii Care of routine & emergency cases of surgery Yes No No No
Iii Care of routine & emergency cases of Medicine Yes No No Yes( No)
Iv Care of routine & emergency cases of Obstetrics
Yes No
(PGOM) No No
V Care of routine & emergency cases of Sick Children Yes No Yes No
Vi 24 Hrs Delivery Services Yes Yes Yes Yes
Vii Safe abortion services No No No No
Viii New Born Care Services No Yes Yes No
Ix Full Range of Family Planning Services Yes Yes Yes Yes
X Other Medical care for management of nasal
packing, Snake bite, dog bite, etc. Yes Yes No No
Xi Blood Storage Unit No No No No
Xii Implementation of NHP activities
NRHM Yes Yes Yes Yes
NVDDCP Yes Yes Yes Yes
RNTCP Yes Yes Yes Yes
NLEP Yes Yes Yes Yes
NBCP Yes Yes Yes Yes
HIV/AIDS Yes Yes Yes Yes
NIDDCP Yes Yes Yes Yes
IDSP Yes Yes Yes Yes
Xiii Non Communicable Diseases
Tobaccos control No No No No
Injuries and Trauma No No No No
CVD No No No No
Mental Health No No No No
NOHP No No No No
Diabetes control No No No No
Total Assured Services
% Assured Services 61.53% 38.46% 38.46% 38.46%
11
2. Other Services
Sl. No. Services CHC 1 CHC 2 CHC 3 BASNA Total
Bagbahara Pithora Sarapali BASNA
2.1 Support Services
I Standards Treatment protocols No No No No
Ii IEC Material Yes Yes Yes Yes
Iii Training manuals No No No No
Iv Skill Strengthening Training of staff Yes Yes Yes Yes
V Diet to patients No No No No
Vi Sterilization room No No No No
Vii Central Sterilization storage Depot. (CSSD) No No No No
Viii Laundry Yes Yes No No
Ix Storage No No No No
2.2. Accessory Services
I Citizen’s charter No No No No
Ii Electricity supply Yes Yes Yes Yes
Iii Emergency Lights Yes Yes Yes Yes
Iv Telephone Yes Yes Yes Yes
V Civil engineering No No No No
Vi Fire protection No No No No
Vii Water supply Yes Yes Yes Yes
Viii Waste disposal Manually Manually Manually Manually
Ix Mortuary No Yes Yes Yes
2.3. Diagnostic Laboratory) (180 Sq. Mts)
I Pathology (Clinical Laboratory)* Yes Yes Yes Yes
* not
separate
Ii Bacteriology Laboratory* Yes Yes Yes Yes
Iii Hematological laboratory* Yes Yes Yes Yes
Iv Serological Laboratory* Yes No No Yes
V Biochemistry Laboratory No No No No
Vi Cardiac laboratory (ECG) Yes Yes No Yes
Vii Ophthalmologic Laboratory Yes Yes Yes Yes
Viii Imaging/Radiological Laboratory( *Sonography) Yes Yes Yes Yes
The exact space of the diagnostic lab was not
available at CHC. There is no separate items 1 to 4
2.4. Activities of NHP
I Human Control
I Diagnostic Services Yes Yes Yes Yes
Ii Treatment Yes Yes Yes Yes
Iii Disability management ( note restricted to the only screening and health
education) No No No No
12
II Vector Control Bagbahara Pithora Sarapali BASNA
I Interval Residual Spray Yes Yes Yes Yes
ii Space spray No No No No
iii Impregnated Bed Net Provision No No No No
III Biological Control
I Maintenance of Hatcheries No No No No
ii Release of Anti-larval Fishes No No No No
iii Others No No No No
IV Chemical Control
I Oil spray on water surface No No No No
ii Others No No No No
V Others Activities
I Health Education
ii Training Yes Yes Yes Yes
iii Conversance At district level
At district
level
At district
level
At district
level
2.5 NRHM Yes Yes Yes Yes
1 Ante-natal Care Services
I Intra-natal care services Yes Yes Yes Yes
ii Post natal care services Yes Yes Yes Yes
iii JSY care Services Yes Yes Yes Yes
iv Immunization of Children Yes Yes Yes Yes
v Full Range of FP Services (Camps) Yes Yes Yes Yes
vi Health Education Yes Yes Yes Yes
vii Training at district level or Block Yes Yes Yes Yes
At district level
At district
level
At district
level
At district
level
Total Services provided
% services provided
3. INFRASTRUCTURE AVAILABLE
3.1. Physical Infrastructure (1503.32 Sq Mts)
Sl. No. Services Bagbahara Pithora Sarapali BASNA
I Review by VH&SC
I Whether VH&SC are constituted Yes Yes Yes Yes
Ii Whether the composition of the VH&SC is as the
guidelines. Yes Yes Yes Yes
Iii Whether VH&SC are convening the meeting regularly
No No No No
Iv If Yes, at what interval No No No No
V Whether Discussion as agenda are undertaken. No No No No
13
Vi Whether the Minutes of the meeting are prepared
and circulated to all the concerned No No No No
Vii Whether the feed back on the minutes is received. No No No No
Viii Village Health day & Health camps are organized Yes Yes Yes Yes
Ii Entrance Zone: (72 Sq. Mts)
Location & Floor Area NA NA NA NA
Registration & Records Yes Yes Yes Yes
Pharmacy Yes Yes Yes Yes
Drugs Storage Yes Yes Yes Yes
Public Utility Yes Yes Yes Yes
Circulation space No No No No
Iii Ambulatory Zone (OPD) (321.4 Sq. Mts) NA NA NA NA
Causality/Emergency Yes(2) Yes(4) Yes Yes(2)
GDMO Room No No No(Under
construction) No(Under
construction)
AYUSH MO Room No No No No
8 Specialists Room Yes Yes Yes Yes
Treatment Room Yes Yes Yes No
Refraction Room Yes No No No
Nursing station Yes No No No
Causality/Emergency Yes Yes Yes Yes
Dress Room Yes Yes Yes Yes
Injection Room No No No No
Female Injection Room Yes No No No
Public Utilities Yes No No No
Waiting Room Bagbahara Pithora Sarapali BASNA Total
Iv In-Patient Zone (313.76 Sq. Mts) Yes(15) No No Yes
Male Wards Yes(15) No No Yes
Female wards No No No No
Private Room No No Yes No
Isolation Room Yes No No Yes
Nursing station NA NA NA NA
Patient areas NA NA NA NA
Ancillary areas NA NA NA NA
Rest Rooms
14
V Critical Zone (Operation Room/Labour Room)-(240 Sq. Mts)
Patient Area NA NA NA NA
Staff Area NA NA NA NA
Supply areas NA NA NA NA
OT/LR area Yes Yes Yes NA
Public Utility No NA NA NA
Circulation area No No No NA
Vi Administration Zone ( 60 Sq. Mts)
General administration Yes Yes Yes Yes
Establishment Yes Yes Yes Yes
Accounts Yes Yes Yes Yes
General Store Yes Yes Yes Yes
Total No. I/S items Present
% of I/S items Present
3.2. Manpower available in the CHCs as per IPHS
Sl. No. Categories of staff
Specialist Staff
I General Surgeon No No No No
Ii Physician No No No Yes
Iii O&G No No No No
Iv Pediatrics No No No No
V Anesthetist No No No NO
Vi Public Health manager No No No Yes
Vii Eye Surgeon (1for every 5 CHC) Yes Yes Yes Yes
Viii Dental Surgeon No No No No
Total Staff
% staff against sanctioned
Key Essential Staff
Ix GDMOs with at least 2 female MO) Yes(1) Yes (1) No No
X Specialist of AYUSH No No No No
Xi GDMO (AYUSH ) Yes No No Nil
Xii Staff Nurse 3 3 2 3
Xiii PHN No No No Nil
Xiv ANM 1 - 0 1
Xv Pharmacist/Compounder 1 1 1 1
Xvi Pharmacist – AYUSH No NO Nil Nil
Xvii Lab. Technician No(1 ICTC) 01 3 2(HIV/)
Xviii Radiographer 1 1 1 1
Xix Ophthalmic Assistant 1 1 2 No
Xx Dresser 1 2 1 2
Total Staff
% staff against sanctioned
15
Other staff
Xxi Ward boy /Nursing orderly 1 2 1 1
xxii Sweeper 1 2(2 JDS) 1 No
xxiii Chowkidar 1 - 1 Nil
xxiv Dhobi 1 Nil Nil Nil
Xxv Mali No Nil 1 Nil
xxvi Aya 1 1 1 1
xxvii Peon ` 2 2 2 4
xxviii OPD attendant No Nil 02 Nil
xxix Registration Clerk 1(JDS) Nil 1 No
Xxx Statistical Assistant /Data entry operator 1 1 1 1
xxxi Accountant/Administrative Assistant 1 1+1 1 1
xxxii OT Technician No Nil Nil Nil
Total
% staff against sanctioned
Grand Total Staff
% staff against sanctioned
3.3. Logistic Support
Sl. No. Logistics Bagbahara Pithora Sarapali BASNA Total
3.3.1 Logistics – Vehicle/Referral transport Model
I Bicycles/ Moped
Ii Ambulances 2 1 2 3
Iii Call vehicles 1 1 1
Iv Out sourced vehicles
3.3.2 Logistic Equipments
I Surgical Instruments Set I No No No No
Ii Surgical Instruments Set II No No No No
Iii Surgical Instruments Set III No No No No
Iv Surgical Instruments Set IV No No No No
V Surgical Instruments Set V No No No No
Vi Surgical Instruments Set VI No No No No
16
Vii IUD insertion Equipment Kit Yes Yes Yes Yes
Viii Normal Delivery Kit Yes Yes Yes Yes
Ix Equipment for Anesthetic No No No No
X Equipment for Neonatal Resuscitation Yes No No No
Xi Material Kit for Blood transfusion No No No No
Xii Equipment for OT Yes No No No
Xiii Equipment for LR No No No No
Xiv Equipments for Radiology Yes Yes Yes Yes
3.3.3 Logistics- Drugs
I Routine Drugs Yes Yes Yes Yes
Ii Tablets Yes
Yes Yes Yes
Iii Capsules Yes
Yes Yes Yes
Iv Injections Yes
Yes Yes Yes
V Vaccines & Antiserum Yes
Yes Yes Yes
Vi Ayurvedic drugs No
No No No
Vii Unani drugs No No No No
Viii Sidha Drugs No No No No
Ix Homeopathic drugs No No No No
X Programme related drugs Yes Yes Yes Yes
Programme related drugs
NRHM Yes Yes Yes Yes
NVDDCP Yes Yes Yes Yes
RNTCP Yes Yes Yes Yes
NLEP Yes Yes Yes Yes
NBCP Yes Yes Yes Yes
HIV/AIDS No No No No
NIDDCP Yes Yes Yes Yes
IDSP Yes Yes Yes Yes
NCD Yes Yes Yes Yes
Total No. of Logistic Items Present
% logistic items present
17
4 Funds allocation & Utilization(JSY) Bagbahara Pithora Sarapali Basna Total
I Funds allocated 1500000 NA NA 2453200
Ii Funds utilized 1172700 NA NA 1757350
Iii % funds utilized 695850
5 CROSS-VERIFICATION/FIELD VERIFICATION
I Malaria Slides Bagbahara Pithora Sarapali BASNA
+ve slides cross examined
Discrepancies found
-ve blood slides cross-examined
Discrepancies found
Total Slides cross-examined
Total discrepancies found
% discrepancies found
Ii Peripheral Laboratories
Adequacy of Infrastructure of the laboratories No No No No
Trained Technician in-position Yes Yes Yes Yes
Adequate testing equipments in place No Yes Yes Yes
adequate chemicals in place No No Yes Yes
Average no. of tests undertaken per day 102 30+30 70 70
Is it overburdened Yes yes Yes Yes
Adequacy of records maintained No No No No
Validity of results by cross checking No No No No
Quality of slides and tests No NA NA NA
SOP/ Guidelines in place No NA NA NA
Test results are given on the same day. No No No No
% of quality items present
6 SATISFACTION STUDIES Bagbahara Pithora Sarapali BASNA
I Job Satisfaction (as per format) 2 2 2 2
Ii Patient’s Satisfaction (as per format) 2 2 2 2
18
7. SUPERVISION & MONITORING
Sl. No. Particulars Bagbahara Pithora Sarapali BASNA
I MIS Established
Diseases are classified as per ICD-10 pattern No No No No
MPR Format Developed Yes Yes Yes Yes
QPR format developed Yes Yes Yes Yes
Half yearly report format developed Yes Yes Yes Yes
Annual Report Format developed Yes Yes Yes Yes
Monitoring Indicators Identified Yes Yes Yes Yes
If MIS is functional, provide a copy of the
consolidated Report of last month
Yes Yes Yes Yes
All Necessary Records Registers maintained Yes Yes Yes Yes
A HIMS Yes Yes Yes Yes
B JSY Yes Yes Yes Yes
C ANC, PNC Yes Yes Yes Yes
D Immunization Yes Yes Yes Yes
E ODDI IOD Yes Yes Yes Yes
F NLEP Yes Yes Yes Yes
G RNTCP Yes Yes Yes Yes
H NVBDCP Yes Yes Yes Yes
I JDS Yes Yes Yes Yes
J F.P. Register Yes Yes Yes Yes
K MCH Register Yes Yes Yes Yes
L Death Register Yes Yes Yes Yes
M Contraceptive Register Yes Yes Yes Yes
Ii Admin Monitoring Bagbahara Pithora Sarapali BASNA
Monthly Reports submitted Yes Yes Yes Yes
Quarterly Reports submitted Yes Yes Yes Yes
Half yearly Reports submitted Yes Yes Yes Yes
Annual Reports Prepared Yes Yes Yes Yes
Monitoring indicators developed No No No No
If prepared, provide a copy of the Report for the
last year?
Iii Int. Audit
Monthly Review meeting organized Yes Yes Yes Yes
Quarterly meeting organized Yes Yes Yes Yes
Half Yearly Review meeting Organized Yes Yes Yes Yes
Annual Meeting Organized NA NA NA NA
National Review meeting organized NA NA NA NA
If yes, provide a copy of ATR on the minutes
19
Iv Patient care ( Developed complications)
Ante-natal cases 233 NA 505 115
Post natal complication 156 NA 266 46
New born/Infants 24 NA 200(LBW)
IOL cases under NBCP Nil NA 484 32
TB cases 84(NA) Nil
Leprosy cases Nil Nil Nil
other case
If yes, provide a copy of the ATR
V Medical Audit ( Deaths reported &reviewed) Bagbahara Pithora Sarapali BASNA
Maternal Deaths 01 02 01 01
Child deaths 52 21
Malaria deaths Nil 00 Nil Nil
Tuberculosis Deaths Nil 00 01
Others (specify) adult death since april 10 to till
date
If undertaken, provide a copy of the ATR
Vi Supervisory visits by State/National Prog.
Manager Bagbahara Pithora Sarapali BASNA
what was checked Yes Yes Yes Yes
what gaps were found NA NA NA NA
what instructions were given NA NA NA
what administrative directions given NA NA NA NA
Provide a copy of the follow up action taken
Vii External Audit
Independent Review NA NA NA NA
Review by Expert Groups NA NA NA NA
If undertaken, provide a copy of the ATR NA NA NA NA
Vii Whether the feed back on the minutes is
received.
NA NA NA NA
viii Village Health day & Health camps are organized
Total No. of Monitoring Items present
% Monitoring Items Present
20
8 Performance of services Bagbahara Pithora Sarapali BASNA
8.1 Hospital performance
patients reported in OPD in last one year 39269 14221 25925 20258
days hospital OPD operated All working days
All
working
days
All
working
days
Patient days in Hospitals NA NA NA
Patients admitted in Hospital 2919 969 1732 2185
of Bed days NA
patients died in hospital 19 NA NA
Patients Discharged 2919 969 1732 2185
Live births occurred in hospital during reference period 499 302 745
137(April to
Aug
of infant deaths 20 -
of Maternal Death Nil - 01
of abortions NO - Nil Nil
8.2 Hospital Performance Indicators
Average daily Attendance in OPD in last one year 100 102
Average duration stay in hospital NA NA NA NA
Bed Occupancy Ratio NA NA NA NA
Bed Turn over rate NA NA NA NA
Death rate 2.1 NA NA NA
IMR 27.6 NA NA NA
MMR 1 NA NA NA
8.3 NHP (Leprosy) 3.3 per 1000
5.5 per
10000
4.4 per
10000
NA
Prevalence rate NA NA 112.9 NA
New cases detection rate NA NA NA
Prop. Of Sever cases 5/115 7% NA
Prop. Of Child cases NA 38.2 NA
Prop. Of female cases NA NA 5.2% NA
Prop. Of Deformity cases NA NA NA
Prop. Of cases put on treatment among the new
cases NA NA
NA
Number of cases completed treatment among those
put on treatment NA NA
NA
Number of Prevalent cases on record at the end of report month
Nil nil nil
NA
Number of resistant/relapse cases NA NA NA
of CHCs developed Indicators NA
21
FORM-IV
REGIONAL OFFICES OF HEALTH & FAMILY WELFARE
DATA COLLECTION FORMATS FOR REVIEW OF PRIMARY HEALTH CENTERS
Name of the Regional Office: Regional Office for Health & Family Welfare
Report for the Month of: SEPTEMBER 2010
1 ASSURED SERVICES:
Sl. No. Assured Services Under PHCs Tumgaon Khallari Sankara Baloda Barauli
1.1 Medical Care Services
I OPD services Yes Yes Yes YES YES
ii Emergency Services (24 Hrs) Yes YES YES YES YES
iii Referral services Yes YES YES YES YES
iv In-patient Services Yes YES YES YES YES
1.2 Treatment of Specific cases
I Cataract surgeries No NO NO NO NO
ii Primary management of Wounds Yes YES YES YES NO
iii Primary management of Fractures Yes NO YES NO NO
iv Minor Surgeries Yes NO YES YES NO
v Primary management of Poisoning,
snake bite, dog bite, etc. No NO NO
NO NO
vi Primary management of Burns No
1.3 MCH & FP Services Tumgaon khallari Sankara Baloda Barauli
I ANC Yes YES YES YES YES
ii INC (24x7 Hrs services) Yes YES YES YES YES
iii PNC Yes YES YES YES YES
iv JSY Yes YES YES YES YES
v Immunization(only on Tuesday) Yes NO YES NO YES
vi MTP services No NO NO NO NO
vii RTI/STD management Yes NO YES YES NO
viii FP methods Yes YES YES YES YES
ix New Born care No NO NO NO NO
x Sick child care No NO NO NO NO
1.4 Other Services
I Nutritional Services No NO NO NO NO
ii School Health Services Yes YES YES YES YES
iii Safe drinking water Yes NO NO YES YES
iv Control of locally endemic diseases Yes YES YES YES YES
v Surveillance & control of epidemic
diseases Yes YES YES
YES YES
vi Collection of vital Statistics Yes YES YES YES YES
vii Health Education Yes YES YES YES YES
viii AYUSH services No NO NO NO NO
22
1.5 National Health programme
I NRHM Yes YES YES YES YES
ii HIV/AIDS No NO YES NO NO
iii NVBDCP Yes YES YES YES YES
iv RNTCP Yes YES YES YES YES
v NLEP Yes YES YES YES YES
vi NBCP No NO NO NO NO
vii NIIDCP No NO NO NO NO
viii IDSP Yes YES YES YES YES
iv NCD-Newer initiatives No NO NO NO NO
1.6 Field Activities
Monitor activities of the SHCs
Activities of the ASHAs yes yes yes yes yes
MO to visit all SHC once in a month
No No No No No
HS/LHV to visit once a week No No No No No
Total activities undertaken
% of activities against total
2 Other Services
2.1 Basic Laboratory Services TUMGAON KHALLARI SANKARA BALODA BARAULI
I Routine -Urine, stool & blood
ii BT&CT No NO NO NO NO
iii Bacteriology-RTI, Sputum No NO NO NO NO
iv Blood smear for malaria parasite No NO YES YES NO
v Rapid test for pregnancy Yes NO YES YES NO
vi RPR test Syphilis/yaws Yes NO NO YES NO
vii Rapid Diagnostic test for Typhoid No NO NO NO NO
viii Rapid test kit for fecal
contamination of water No NO NO
NO NO
2.2 Support Services No NO NO NO NO
i Standards Treatment protocols
ii IEC Material NA NA NA NA NA
iii Training Manuals Yes YES YES NO NO
iv
Skill Strengthening Training of
staff No NO NO
NO NO
v Diet to patients No NO NO NO NO
vi Sterilization room No NO NO NO NO
vii
Central Sterilization storage
Depot. (CSSD) No NA NA
NA NA
viii Laundry No NA NA NA NA
ix Storage No NA NA NA NA
Yes YES YES YES YES
23
2.3 Amenities/Accessory Services TUMGAON KHALLARI SANKARA BALODA BARAULI
Citizen's charter No NO NO NO NO
Adequate Residential Accommodation
with all amenities No NO NO
NO NO
Lecture Hall for training No NO NO NO NO
Electricity with adequate back-up No NO YES YES YES
Adequate water supply No NO NO NO YES
Telephone Yes YES YES YES YES
Garden No NO NO YES NO
Waste disposal facilities No NO NO NO NO
2.4. Activities of NHP
I Human Control
I Diagnostic Services Yes YES YES YES YES
ii Treatment Yes YES YES YES YES
iii Disability management No NO NO NO NO
II Vector Control
I Interval Residual Spray Yes YES YES YES YES
ii Space spray No NO NO NO NO
iii Impregnated Bed Net Provision No NO NO NO NO
III Biological Control
I Maintenance of Hatcheries No NO NO NO NO
ii Release of Anti-larval Fishes No NO NO NO NO
iii Others NA NA NA NA NA
IV Chemical Control
I Oil spray on water surface No NO NO NO NO
ii Others NA NA NA NA NA
iii Others NA NA NA NA NA
V Others Activities TUMGAON KHALLARI SANKARA BALODA BARAULI
I Health Education Yes YES YES YES YES
ii Training No NA NA NA NA
iii Conversance
2.5 NRHM
1 Ante-natal Care Services Yes YES YES YES YES
I Intra-natal care services Yes YES YES YES YES
ii Post natal care services Yes YES YES YES YES
iii JSY care Services Yes YES YES YES YES
24
iv Immunization of Children Yes YES YES YES YES
v Full Range of FP Services No NA NA NA NA
vi Health Education Yes YES YES YES YES
vii Training No NA NA NA NA
Total activities undertaken
% of activities against total
Sl. No. Infrastructure TUMGAON KHALLARI SANKARA BALODA BARAULI
3.1 Review by HP&HM Committee/RKS
i Whether VH&SC are constituted Yes YES YES YES YES
ii Whether the composition of the
VH&SC is as the guidelines. NA NA NA
NA NA
iii Whether VH&SC are convening the meeting regularly NA NA NA
NA NA
iv If Ye, at what interval NA NA NA NA NA
v Whether Discussion as agenda are
undertaken. NA NA NA
NA NA
vi Whether the Minutes opf the meeting
are prepared and circulated to all the
concerned NA NA NA
NA NA
vii Whether the feed back on the minutes is
received. NA NA NA
NA NA
viii Village Health day & Health camps are
organized NA NA NA
NA NA
3.2 Physical Infrastructure TUMGAON KHALLARI SANKARA BALODA BARAULI
I PHC Building
Easily accessible within locality Yes YES YES YES YES
Building government or rented Govt GOVT GOVT GOVT GOVT
Wheel chair friendly No NO NO NO NO
Well Lit & Ventilated No YES YES YES YES
Plinth Area 375 to 450 Sq. mtrs NA NA NA NA NA
Boundary wall/fence No NO NO NO NO
ii Entrance
Registration and Record Room Yes NO NO NO YES
Drug dispensing room Yes YES YES YES NO
Waiting area for patients Yes YES NO YES YES
Ramps at the doorways No NO NO NO NO
iii Waiting area
Adequate seating No NO NO NO NO
Display of HE Material Yes YES YES NO NO
Separate Public utility No YES NO NO NO
Facility for drinking water No NO NO YES YES
Proper sign boards No NA NA NA NA
Complaint box No NA NA NA NA
clean surrounding, no water logging No NO YES NO NO
25
iv Outpatient Department Tumgaon khallari sankara Baloda barauli
Separate consultation & examination
room No NA NA
NA NA
Privacy for physical examination Yes YES YES YES YES
Public utility NA YES NO NO NO
v In-patient Wards
4-6 beds separate wards for Male &
females No NO NO
NO NO
Facility for drinking water NO NO NO NO NO
clean toilet No NO NO NO NO
separate nursing duty room No NO NO NO NO
Nursing station No NO NO NO NO
clean linen No NO NO NO NO
provisions of Diet NO NO NO NO NO
Cleaning of wards Fair GOOD FAIR FAIR FAIR
vi Operation Theater
change room No NO NO YES NO
Separate storing sterile & other
material No NO NO
NO NO
Adequate Equipments NO NA NA NA NA
Simple Surgical Procedures Yes YES YES YES NO
vii Labour Room
Separate septic & aseptic deliveries No NO NO NO NO
well lit & ventilated No NO YES YES YES
Toilet No YES NO YES YES
Drinking water No NO NO YES YES
separate storing of dirty & clean linen No NO NO NO NO
Baby care room NO NO NO NO NO
viii Minor OT
Minor surgeries Yes Yes YES YES NO
Emergencies/causality management No YES NO NO NO
well equipped to handle emergencies No NO NO NO NO
ix Laboratory
Sufficient space No NO YES NO NO
Separate areas for collection &
Screening No NO NO
NO NO
should have marble /stone tables &
bash basins No NO NO
NO NO
x General Stores
Separate sterile & common linen,
drugs etc. No NO NO
NO NO
well lit & ventilated No YES YES YES YES
Sufficient space No YES NO NO NO
dispensing cum store No NO NO NO NO
Vaccine & antiserum NA NA YES YES NO
Grand total Infrastructure Facilities
% of physical infrastructure Facilities
26
3.3. MANPOER IN PHC
Sl. No. Action points Tumgaon Khallari Sankara Baloda Barauli
I Medical officer (Exiting-1, Recommended -3)
01 01 01 1 1
AYUSH Practioner (Exiting-0, Recommended -1)
00 00 0 0 0
Account Manager
(Exiting-0, Recommended -1) 00 00 00
0 0
ii Pharmacist
(Exiting-1, Recommended -2) 01 01 1
1 1
iii Nurse – Midwife/Staff Nurse (Exiting-1, Recommended -5)
01 00 01 0 1
iv Health Worker (female)
(Exiting-1, Recommended -1) 01 1 1
1 0
v Health Educator
(Exiting-1, Recommended -1) 00 00 00
0 0
vi Health Assistant (1 (M), 1 (F) (Exiting-2, Recommended -2)
00 00 0 0 0
vii Clerks
(Exiting-2, Recommended -2) 00 0 0
0 0
viii Laboratory technician
(Exiting-1, Recommended -2) 01 0 2
1 0
ix Driver (Exiting-1, Recommended -0)
01 0 0 0 0
x Class IV
(Exiting-4, Recommended -4) 04 2 2
3 1
TOTAL
(Exiting-15, Recommended -24/25) 10 5 8
7 4
3.4. LOGISTICS SUPPORT IN PHC
Sl. No. Logistics TUMGAON KHALLARI SANKARA BALODA BARAULI
I Equipment:
Physical Examination in OPD Yes YES YES YES YES
Ophthalmologic examination & Eye care No NA NA
NA NA
Equipment required under NHP No NA NA NA NA
Set for Labour Room for Normal/assisted delivery No YES NA
NA NA
Equipment for IUD No NA YES YES YES
Equipment for pap smear No NA NA NA NA
Equipment for laboratory No NA YES YES NA
Necessary Furniture No NA NA NA NA
ii Drugs
General Drugs Yes YES YES YES YES
Ayush drugs NA NA NA NA NA
Drugs for RCH programme NA NA NA NA NA
Drugs for RTI/STI NA NA NA NA NA
Ayurvedic Drugs NA NA NA NA NA
Unani medicines NA NA NA NA NA
Sidha Medicines NA NA NA NA NA
Homeopathy medicines NA NA NA NA NA
27
Logistics TUMGAON KHALLARI SANKARA BALODA BARAULI
iii Transport Facilities
Referral facilities for emergency
patients Yes
Supervision & other out reach activities Yes YES YES
YES YES
4
FUNDS ALLOCATION &
UTILIZATION
I Funds allocated JSY APRIL -10 175000
ii Funds Utilized 40770
iii % utilization 27
5
I Malaria Slides TUMGAON KHALLARI SANKARA BALODA BARAULI
+ve slides cross examined NA NA NA NA NA
discrepancies found NA NA NA NA NA
-ve blood slides cross-examined NA NA NA NA NA
Discrepancies found NA NA NA NA NA
Total Slides cross-examined NA NA NA NA NA
Total discrepancies found NA NA NA NA NA
% discrepancies found NA NA NA NA NA
Ii Peripheral Laboratories
Adequacy of Infrastructure of the laboratories Poor - FAIR
FAIR -
Trained Technician in-position 01 - 02 1 -
Adequate testing equipments in place NA - NO NO -
adequate chemicals in place Yes - YES YES -
Average no. of tests undertaken per day 50 - 50 8 -
Is it overburdened Yes - YES YES -
Adequacy of records maintained No - NO NO -
Validity of results by cross checking NA - NA NA -
Quality of slides and tests Fair - POOR NA -
SOP/ Guidelines in place NA - NA NA -
Test results are given on the same day. No - NO YES -
% of quality items present
6 SATISFACTION STUDIES
I Job Satisfaction (as per format) 1 1 1 1 Attached
Ii Patient's Satisfaction (as per format) 1 1 1 1
28
7. SUPERVISION & MONITORING
Sl. No. Particulars Tumgaon Khallari Sankara Baloda Barauli
i MIS Established
Diseases are classified as ICD-10 Pattern
No NO NO NO NO
MPR Format Developed Yes YES YES YES YES
QPR format developed NA NA NA NA NA
Half yearly report format developed NA NA NA NA NA
Annual Report Format developed Yes YES YES YES YES
Monitoring Indicators Identified
If MIS is functional, provide a copy of the consolidated Report of last
month
All Necessary Records Registers
maintained
a ANC Yes YES YES YES YES
b PNC Yes YES YES YES YES
c DEATH AND BIRTH REG. Yes YES YES YES YES
d IMMUNISATION Yes YES YES YES YES
e JSY EXPENDITURE. Yes YES YES YES YES
f JDS EXPENDITURE. Yes YES YES YES YES
g OPD/IPD Yes YES YES YES YES
ii Admin Monitoring Yes YES YES YES YES
Monthly Reports submitted
Quarterly Reports submitted Yes YES YES YES YES
Half yearly Reports submitted NA NA NA NA NA
Annual Reports Prepared NA NA NA NA NA
Monitoring indicators developed Yes YES YES YES YES
If prepared , provide a copy of the Report for the last year?
iii Int. Audit
Monthly Review meeting organized
Quarterly meeting organized Yes YES YES YES YES
Half Yearly Review meeting
Organized NA NA NA
NA NA
Annual Meeting Organized NA NA NA NA NA
National Review meeting organized Yes YES YES YES YES
If yes, provide a copy of ATR on the
minutes NA NA NA
NA NA
29
Somani Jalbhanda Sukaldheia LB Nagar Karmatara
iv Patient care ( Developed
complications)
Ante-natal cases NA NA NA NA NA
Post natal complication NA NA NA NA NA
New born/Infants NA NA NA NA NA
IOL cases under NBCP NA NA NA NA NA
TB cases NA NA NA NA NA
Leprosy cases NA NA NA NA NA
other cases NA NA NA NA NA
If yes, provide a copy of the ATR
v Medical Audit ( Deaths reported
&reviewed)
Maternal Deaths NA NA NA NA NA
Child deaths NA NA NA NA NA
Malaria deaths NA NA NA NA NA
Tuberculosis Deaths NA NA NA NA NA
Others (specify) NA NA NA NA NA
If undertaken, provide a copy of the ATR
vi Supervisory visits by State/National
Prog. manager
what was checked NA NA NA NA NA
what gaps were found NA NA NA NA NA
what instructions were given NA NA NA NA NA
what administrative directions given NA NA NA NA NA
Provide a copy of the follow up
action taken NA NA NA
NA NA
vii External Audit
Independent Review NA NA NA NA NA
Review by Expert Groups NA NA NA NA NA
If undertaken, provide a copy of the
ATR NA NA NA
NA NA
Total No. of Monitoring Items
present
% Monitoring Items Present
30
Tumgaon Khallari Sankara Baloda Barauli
8 Performance of services
8.1 Hospital performance
patients reported in OPD in last one
year 26298 2554 2808
2100 2338
days hospital OPD operated NA NA NA NA NA
Patient days in Hospitals NA NA NA NA NA
Patients admitted in Hospital 231 83 129 37 171
of Bed days NA NA NA NA NA
patients died in hospital 00 00 00 0 0
Patients Discharged NA NA NA NA NA
Live births occurred in hospital
during reference period 117 19 66
27 94
of infant deaths 00 00 00 0 0
of Maternal Death 00 00 00 0 0
of abortions 00 00 00 0 0
8.2 Hospital Performance Indicators
Average daily Attendance in OPD in
last one year 80 25 15
15 20
Average duration stay in hospital 6 Hour 6Hour 6 Hour 6 Hour 6 hour
Bed Occupancy Ratio NA NA NA NA NA
Bed Turn over rate NA NA NA NA NA
Death rate NA NA NA NA NA
IMR NA NA NA NA NA
MMR NA NA NA NA NA
8.3 NHP
Prevalence rate NA NA NA NA NA
New cases detection rate NA NA NA NA NA
Prop. Of Sever cases NA NA NA NA NA
Prop. Of Child cases NA NA NA NA NA
Prop. Of female cases NA NA NA NA NA
Prop. Of Deformity cases NA NA NA NA NA
Prop. Of cases put on treatment
among the new cases NA NA NA
NA NA
Number of cases completed treatment among those put on treatment NA NA NA
NA NA
Number of Prevalent cases on record
at the end of report month NA NA NA
NA NA
Number of resistant/relapse cases NA NA NA NA NA
31
FORM-IV REGIONAL OFFICES OF HEALTH & FAMILY WELFARE
DATA COLLECTION FORMATS FOR REVIEW OF SUB-HEALTH CENTERS
Name of the Regional Office:
Report for the Month of: Sept 2010
1. ASSURED SERVICES BY HSC:
Sl.
No.
Services Bhoring Khallari Paraswani Baloda Akori
1.1 Maternal Health Y Angan Badi Y Angan
Badi Y Angan badi
PHC / Angan
Badi Anganbadi
Antenatal Care YES YES NO YES YES
Intranasal care YES YES NO YES YES
Postnatal Care YES YES YES YES YES
JSY Scheme
1.2 Child Health: YES YES NO YES NO
Newborn Care Services YES YES NO YES NO
Promotion of exclusive breast feeding YES YES YES YES YES
Full Immunization of Children YES YES YES YES YES
Vitamin A prophylaxis YES YES YES YES YES
Assistance to school health services YES YES YES YES YES
Prevention & control of Childhood diseases
1.3 Family planning & Contraceptive: YES YES OP, Condom
TT YES OP.Condom.TT.
IEC to ECs for adopting FP methods YES YES NO YES NO
Provision of contraceptives NO NO NO NO NO
Follow up services to Ecs adopting CCs NO NO NO NO NO
1.4 Counseling for safe abortion (MTP) &
proper referral YES YES YES YES YES
1.5 Assistance for School Health Services YES YES YES YES YES
1.6 Control of locally endemic diseases
1.7 Disease Surveillance & Control: YES YES YES YES YES
Surveillance of abnormal increase of cases YES YES YES YES YES
Weekly reporting of information on
syndromes surveillance YES YES YES YES YES
High level of alertness for unusual events &
action NO NO NO NO NO
1.8 Water Quality Monitoring NO NO NO NO NO
Disinfections of water NO NO NO NO NO
testing of water quality NO NO NO NO NO
1.9 Promotion of sanitation & disposal of
garbage
1.1 Curative Services YES YES YES YES YES
Treatment of minor ailments YES YES YES YES YES
Proper referral YES YES YES YES YES
Organizing Health days NO NO NO N O NO
Provide treatment as per AYUSH 27 / 19 27 / 19 27 / 14 27 / 19 27 - 16
Total 70 .37% 70 . 37 % 51 . 85 % 70 . 37 % 59 .25 %W
%age
32
Services SHC 1 SHC 2 SHC 3 SHC 4 SHC 5
2 Other Services
2.1 Support services
Availability of the Guidelines YES YES YES YES YES
Laboratory -Routine tests HB HB HB HB NO
Regular Skill development training/CME
YES YES YES YES YES
IEC material YES YES NO YES NO
Waste disposal NO NO NO NO NO
2.2 Accessory Services
Availability of Regular Electricity YES NO TEMPARYES YES Tempari
Availability of safe drinking Water NO NO NO NO NO
Telephone NO NO NO YES NO
Transport NO NO NO NO NO
Citizen's Charter NO NO NO NO NO
2.3 Others field activities
field visits YES YES YES YES YES
Community need assessment YES YES YES YES YES
Training NO YES NO YES NO
Records of vital events YES YES YES YES YES
2.40 National Health programme
NRHM YES YES YES YES YES
HIV/AIDS NO NO NO NO NO
NVBDCP YES YES YES YES YES
RNTCP YES YES YES YES YES
NLEP YES YES YES YES YES
NBCP NO NO NO NO NO
IDSP YES YES YES YES YES
NCD & Cancer Control NO NO NO NO NO
Total 22 - 13 22 - 13 22 - 11 22 - 15 22 - 11
%age 59 . 09 % 59 . 09 % 50 % 68 . 18 % 50 %
3 INFRASTRUCTURE
REQUIREMENTS:
3.1 Review by VH&SC
i Whether VH&SC are constituted YES YES YES YES YES
ii Whether the composition of the VH&SC is as the guidelines.
YES YES YES YES YES
iii Whether VH&SC are convening the
meeting regularly NO NO NO NO NO
iv If Ye, at what interval NO NO NO NO NO
v Whether Discussion as agenda are undertaken.
NO NO NO NO NO
vi Whether the Minutes of the meeting
are prepared and circulated to all the concerned
NO NO NO NO NO
vii Whether the feed back on the minutes
is received. NO NO NO NO NO
viii Village Health day & Health camps are organized
NO YES YES YES YES
33
Services SHC 1 SHC 2 SHC 3 SHC 4
3.2 Physical Infrastructure Bhoring Khallari Paraswani Baloda Akori
I Building
SHCs located within locality OUT SIDE CENTER CENTER LOST Center
Government building for SHCs Govt.
Building Rented Home.
Govt.
Building PHC BUIL. Govt. Building
Compound wall / Fencing gate NO NO YES NO YES
Residential facility for HW (F)? YES NO YES NO YES
Separate public utilities for M&F NO NO NO NO YES
Plinth area (73.50 to 100.20 Mtrs) 73.50 Mtrs. NO 73.50Mtrs. NO 73.50 Mtrs.
Present condition of building. GOOD NIL POOR NIL Poor
Condition of plaster on walls GOOD NIL POOR NIL Poor
Condition of floor. GOOD NIL POOR NIL Poor
Whether the cleanliness is maintained GOOD GOOD GOOD GOOD Poor
ii Waiting Area
Prominent display boards in local
language
NO NO NO NO NO
Visit Schedule of ANM NO NO YES YES NO
Suggestion / complaints box NO NO NO NO NO
Display of IEC material YES N NO YES NO
Seating arrangements YES NO YES NO YES
iii Clinical Room
Examination table YES YES YES YES YES
OPD Equipment (stethoscope, BP
apparatus, Weight Machine, etc)
YES YES YES YES YES
Necessary furniture NO NO NO NO NO
iv Labour room available
Labour room available YES NO YES NO PHC NO
Lithotomy table NO NO NO NO NO
Equipment trolly NO NO NO NO NO
Linen NO NO NO NO NO
Delivery Set Y YES YES YES NO
Suction apparatus NO YES NO NO NO
Newborn case set NO YES NO NO NO
v Residential Accommodation
Living Room - 2 YES N YES NO YES
Kitchen YES NO YES NO YES
W.C. YES NO YES NO YES
Bath Room YES NO YES NO YES
ANM Stays at Sub-center YES NO NO NO NO
HW(M) stays at Sub-center NO NO YES NO YES
3.3 Man power
ANM YES YES YES YES YES
Additional ANM NO NO NO NO NO
HW (Male) YES YES YES N YES
AWW 5 3 2 4 1
ASHA 5 4 2 7 3
Volunteer Worker NO NO NO NO NO
Total 45 -23 45 45 45 45
%age 51 .11 % 26 .66 % 53 .33 % 20 %
34
3.4 LOGISTIC SUPPORT Bhoring Khallari Paraswani Baloda Akori
I Equipments
OPD set YES YES YES YES YES
Delivery Set YES YES YES YES YES
IUD set YES YES YES YES YES
First Aid set YES YES YES YES YES
DDKs YES NO NO YES YES
Furniture NO NO NO NO NO
ii Drugs
Drug Kit-A (ORS, IFA, Vit.A,Co-tri) YES YES YES YES YES
Drug kit-B (Drugs related to delivery) YES YES YES YES NO
Additional drugs (used for sever
infection) YES YES YES YES
YES
Other Drugs & vaccine (UIP Vaccine) YES YES YES YES YES
NHP drugs (Malaria, MDT, DOT YES YES YES YES YES
Contraceptive supplies (Nirodh, OP,
Cu.T) YES YES YES YES
YES
AWW drug Kit NO NO NO NO NO
ASHA drug Kit YES NO YES YES YES
iii Referral Services
Provisions of referral YES YES YES YES YES
Total 15 - 13 15 - 11 15 - 12 15 - 13 15 - 12
%age 88. 66 % 73. 33 % 80 % 88.66 % 80 %
4 Funds allocated & Utilization
Un-Tied Funds of Rs. 10000/annum
Funds allocated & Utilization 10,000 10,000 N A 10, 000 NA
Funds utilized 6,000 3,000 NIL 7,000 Nil
% utilization 60 % 30 % 0 % 70 % O %
4 Field verifications
4.1 Field Verification CC Users
Sterilization UP TO April 2010 1 1 4 1 2
IUD 0 1 0 0 0
Oral Pill 1 3 2 1 2
Nirodh 0 1 0 1 2
4.2 Field verification of the Mothers
ANC 4 2 4 2 2
PNC 3 5 3 3 3
JSY mothers 1 4 2 4 3
4.3 Field Verification of the Children
5 Satisfaction studies
5.1 Client satisfaction
Client satisfaction towards ANM 3 5 3 3 3
Client satisfaction towards ASHA 3 5 3 3 3
Satisfaction of PRI 2 1 1 2 3
5.2 Job Satisfaction
SHC staff 1 1 1 1 1
PHC staff 1 1 1 1 1
CHC staff 1 1 1 1 1
35
6 Record Maintenance Bhoring Khallari Paraswani Baloda Akori
Sl. No. Registers Maintained SHC 1 SHC 2 SHC-3 SHC-4 HSC5
I Eligible Couples Register YES YES YES YES YES
ii Maternal & Child Health Register YES YES YES YES YES
a Antenatal, Intra-natal, postnatal YES YES YES YES YES
b Under five Register – Immunization YES YES YES YES YES
c Under five Register – Growth Monito NO NO NO NO NO
iii Birth & Death Register YES YES YES YES YES
iv Drug Register YES YES YES YES YES
v Equipment/Furniture Register YES YES YES YES YES
vi Communicable diseases/ Epidemic
Register YES YES YES YES
YES
vii Passive surveillance register for malaria cases YES YES YES YES
YES
viii Register for record pertaining to
JSYES YES YES YES YES
YES
ix Register for maintenance of account
including untied funds YES YES YES YES
NO
x Register for water quality and
sanitation NO NO NO NO
NO
xi Minor ailments Register YES YES YES YES YES
xii Records/registers as per various
National Health Programme guidelines YES YES YES YES
YES
No of Register Maintained properly
% of Maintained properly
7 SPERVISION & MONITORING
Sl. No. Particulars
i HIS Established
Diseases are classified as per ICD-10 NA NA NA NA NA
Monthly Progress Report Format used NA NA NA NA NA
MPR received from all reporting units NA NA NA NA NA
MPR Summarized & Reviewed NA NA NA NA NA
Feedback on MPR given NA NA NA NA NA
ii Admin Monitoring
Monthly Reports submitted NA NA NA NA NA
Quarterly Reports submitted NA NA NA NA NA
Half yearly Reports submitted NA NA NA NA NA
Annual Reports Prepared NA NA NA NA NA
iii Int. Audit
Monthly Review meeting organized NA NA NA NA NA
Quarterly meeting organized NA NA NA NA NA
Half Yearly Review meeting
Organized
NA NA NA NA NA
Annual Meeting Organized NA NA NA NA NA
iv Medical Audit
Maternal Deaths NA NA NA NA NA
Child deaths NA NA NA NA NA
Malaria deaths NA NA NA NA NA
Tuberculosis Deaths NA NA NA NA NA
Others (specify) NA NA NA NA NA
36
Bhoring Khallari Paraswani Baloda Akori
V Supervisory visits by State/National
Prog. Manager
what was checked NA NA NA NA NA
what gaps were found NA NA NA NA NA
what instructions were given
what administrative directions given NA NA NA NA NA
what follow up action taken
vi External Audit
Independent Review
Review by Expert Groups
8 Performance Indicators NA NA NA NA NA
I
ECs using CCs methods for more than 6 months continuously. 50 152 84 67
119
ii ANC mothers Registered 79 41 61 31 26
iii Mothers gone through the delivery 75 56 30 33 33
iv mothers have hospital deliveries 12 29 21 22 22
v Children upto 23 months immunized 48 47 00 34 28
vi Infant deaths Nil Nil Nil Nil 1
vii Maternal Deaths Nil Nil Nil Nil Nil
viii Malaria cases treated 486 / 3 262 / 0 383 / 0 282 / 0 228
ix TB cases under treatment Nil Nil Nil 2 3
x Leprosy cases under treatment 1PB 1PB – 3MB 2PB 1PB 1PB
xi cases blindness & refractive errors treated Nil Nil Nil Nil Nil
xii HIV/AIDS cases under treatment Nil Nil Nil Nil Nil
37
MONTHLY PERFORMANCE REPORT ON TECHNICAL ACTIVITIES FOR ROH&FW
INFORMATION ON SHCs
Name of the ROH&FW: Raipur
Report for the Month of: SEPTEMBER 2010
5.1. Field verification Children for fully immunization at SHCs
. Action points Bhoring Khallari Paraswani Baloda Ankori
1 Total beneficiaries selected 6 5 6 5 6
2 Total beneficiaries contacted 4 4 3 3 4
3 Beneficiaries could not be contacted due to
A) No such person living in the area. 0 0 0 0 0
B) Left the place temporarily. 2 1 1 2 0
C) Left the place permanently 0 0 0 0 0
D) Dead 0 0 0 0 0
E) Wrong /Incomplete address 0 0 0 0 0
F) Others 0 0 2 0 2
Total 2 1 3 2 2
4 No. of beneficiaries confirmed with full doses 4 4 3 2 4
5 No. of beneficiaries not confirmed with dose 0 0 0 1 0
6 Discrepancies in entries in the age of beneficiaries 0 0 0 0 0
7 Children have Complication after receiving the
services No No No No No
8 Satisfied with the services Yes Yes Yes Yes Yes
5.2. Field verification of ANC and PNC mothers at SHCs
Sl. No. Action points Bhoring Khallari Paraswani Baloda Ankori
ANC PNC ANC PNC ANC PNC ANC PNC ANC PNC
1 Total No of beneficiaries selected 7 5 3 5 5 4 4 5 5 4
2 Total beneficiaries contacted 4 3 2 5 4 3 2 0 2 3
3
Beneficiaries could not be contacted due to
A) No such person living in the area. 0 0 0 0 0 0
0
0 0 0
B) Left the place temporarily. 0 0 0 0 1 1 2 0 0 1
C) Left the place permanently 0 0 0 0 0 0 0 0 0 0
D) Dead 0 0 0 0 0 0 0 0 0 0
E) Wrong/Incomplete address 0 0 0 0 0 0 0 0 0 0
F) Others 3 2 1 0 0 0 0 2 3 0
Total 3 2 1 0 1 1 2 2 3 1
4 Discrepancy in age of beneficiaries 0 0 0 0 0
5 TT received during the pregnancy 3 3 1 5 4 3 2 3 2 3
6 IFA tablet received during the pregnancy 3 3 1 5 4 3 2 3 2 3
7 IFA consumed as per instruction 3 3 1 5 3 3 2 3 2 3
8 Received three Ante natal check up 3 3 1 5 4 3 2 3 2 3
9 No of women have gone through delivery 1 3 1 5 0 3 0 3 0 3
9.1. No. of Instts Deliveries 0 1 1 4 0 2 0 3 0 2
10 DDK used during delivery 0 1 1 4 0 2 0 3 0 2
11 Child fed within 30 minute of delivery 1 3 1 5 0 2 0 3 0 3
12 Used colostrums as per advise 1 3 1 5 0 3 0 3 0 3
13 Exclusive Breast feeding 0 3 0 4 0 3 0 2 0 3
14 Three post natal check up 0 0 1 4 0 2 0 3 0 0
38
5.3. Field verification of JSY beneficiaries at SHCs
Sl. No. Action points Bhoring Khallari Paraswani Baloda Ankori
1 Total No of beneficiaries selected 4 6 3 5 5
2 Total beneficiaries contacted 1 4 2 4 3
3
Beneficiaries could not be contacted due to
A) No such person living in the area. 0 0 0 0 0
B) Left the place temporarily. 2 2 1 0 2
C) Left the place permanently 0 0 0 0 0
D) Dead 0 0 0 0 0
E) Wrong/Incomplete address 0 0 0 0 0
F) Others 1 0 0 1 0
Total 3 2 1 1 2
4 Discrepancy in reporting of beneficiaries No No No No No
5 TT received during the pregnancy Yes Yes Yes Yes Yes
6 IFA tablet received during the pregnancy Yes Yes Yes Yes Yes
7 IFA consumed as per instruction Yes Yes Yes Yes Yes
8 Received three Ante natal check up No Yes Yes Yes Yes
9 Three post natal check up No Yes Yes Yes No
10 Monetary benefit under JSY Yes Yes Yes Yes Yes
11 Satisfied with services Yes Yes Yes Yes Yes
5.4. Field verification of Clients practicing Contraceptive methods – Sterilization
Sl. No. Action points Bhoring Khallari Paraswani Baloda Ankori
1 of selected cases 3 2 6 4 3
2 of contacted cases 1 1 4 1 2
3 Cases not contacted due to
a NSP 0 0 0 0 0
b IA/WA 0 0 0 0 0
h PO 0 0 0 0 0
d TO 0 1 2 3 0
e Others 2 0 0 0 1
Total 2 1 2 3 1
00 Discrepancy
a Age of acceptors 0 0 0 0 0
b Age of spouse 0 0 0 0 0
d No. of Total child 0 0 0 0 0
e No.of Male child 0 0 0 0 0
Total 0 0 0 0 0
5 Ineligible Cases 0 0 0 0 0
6 Denial/ Fake
a Denial cases 0 0 0 0 0
b Fake cases 0 0 0 0 0
c Double reported cases 0 0 0 0 0
Total 0 0 0 0 0
7 Follow up by Staff out of found genuine cases No No No No No
8 Pregnancy during the use of method out of
found genuine cases No No Yes 1 No No
9 Complaints if any out of found genuine cases No No Yes No No
10 Satisfied with method out of found genuine
cases Yes Yes No Yes Yes
39
5.4. Field verification of Clients practicing Contraceptive methods – IUDs
Sl. No. Action points Bhoring Khallari
Paraswa
ni Baloda Ankori
1 of selected cases 2 3 4 2 0
2 of contacted cases 0 1 0 0 0
3 Cases not contacted due to
A NSP 0 0 0 0 0
B IA/WA 0 0 0 0 0
H PO 0 0 0 0 0
D TO 2 2 1 2 0
E Others 0 0 3 0 0
Total 2 2 4 2 2
4 Discrepancy
A Age of acceptors 0 0 0 0 0
B Age of spouse 0 0 0 0 0
D No. of Total child 0 0 0 0 0
E No.of Male child 0 0 0 0 0
Total 0 0 0 0 0
5 Ineligible Cases 0 0 0 0 0
6 Denial/ Fake
A Denial cases 0 0 0 0 0
B Fake cases 0 0 0 0 0
C Double reported cases 0 0 0 0 0
Total 0 0 0 0
7 Follow up by Staff out of found
genuine cases No Yes No No No
8 Pregnancy during the use of method
out of found genuine cases No No No No No
9 Complaints if any out of found
genuine cases No No No No No
10 Satisfied with method out of found
genuine cases No Yes No No No
40
Sl. No. Action points Bhoring Khallari
Paraswan
i Baloda Ankori
1 of selected cases 4 5 5 2 5
2 of contacted cases 1 3 2 1 2
3 Cases not contacted due to
a NSP 0 0 0 0 0
b IA/WA 0 0 0 0 0
h PO 0 0 0 0 0
d TO 2 2 3 1 0
e Others 1 0 0 0 3
Total 3 2 3 1 3
4 Discrepancy
a Age of acceptors 0 0 0 0 0
b Age of spouse 0 0 1 0 0
d No. of Total child 0 0 3 0 0
e No.of Male child 0 0 2 0 0
Total 0 0 1 0 0
5 Ineligible Cases 0 0 1 0 0
6 Denial/ Fake 0 0 0 0 0
a Denial cases 0 0 1 0 0
b Fake cases 1 0 0 0 0
c Double reported cases 0 0 0 0 0
Total 1 0 1 0 0
7 Follow up by Staff out of found
genuine cases No Yes No No No
8 Pregnancy during the use of method
out of found genuine cases No No No No No
9 Complaints if any out of found
genuine cases No No No No No
10 Satisfied with method out of found
genuine cases No Yes Yes Yes Yes
41
5.4. Field verification of Clients practicing Contraceptive methods – Condom
Sl. No. Action points Bhoring Khallari Paraswani Baloda Ankori
1 of selected cases 0 3 5 3 5
2 of contacted cases 0 1 0 1 2
3 Cases not contacted due to
a NSP 0 0 0 0 0
b IA/WA 0 0 0 0 0
h PO 0 0 5 0 0
d TO 0 2 0 2 3
e Others 0 0 0 0 0
Total 0 2 5 2 3
4 Discrepancy
a Age of acceptors 0 0 0 0 0
b Age of spouse 0 0 0 0 0
d No. of Total child 0 0 0 0 0
e No.of Male child 0 0 0 0 0
Total 0 0 0 0 0
5 Ineligible Cases 0 0 0 1 0
6 Denial/ Fake
a Denial cases 0 0 0 0 0
b Fake cases 0 0 0 1 0
c Double reported cases 0 0 0 0 0
Total 0 0 0 1 0
7 Follow up by Staff out of found
genuine cases No Yes No No Yes
8
Pregnancy during the use of
method out of found genuine
cases No No No No No
9 Complaints if any out of found
genuine cases No No No No No
10 Satisfied with method out of
found genuine cases No Yes No Yes Yes
42
6.1. Community satisfaction of Mother for Work of ASHAs
Sl.
No.
Action points BHORING KHALLARI
PARASWA
NI BALODA AKORI
1 ANMs visited village regularly Yes Yes Yes No No
2 Mothers had some problem in last pregnancy No No No No No
3 Mothers received timely advices for getting
treatment
Yes Yes Yes No No
4 Institutional deliveries Yes Yes Yes Yes Yes
5 Babies weighed after birth Yes Yes Yes Yes Yes
6 Mothers aware about JSY Yes Yes Yes Yes Yes
7 Mothers received three PNC No Yes No Yes No
8 Mothers advised regarding colostrums Yes Yes No Yes No
9 Mothers get information about proper breast
feeding Yes Yes No Yes No
10 Mothers have knowledge about the
dangerous sign of ARI- No No No No No
11 Mothers have knowledge about fluid that is to be given during diarrhea Yes Yes Yes No No
12 Mothers have knowledge about schedule of Child immunization
No No Yes Yes Yes
13 Mothers aware about the disease for which
immunization given to their child - No No Yes No Yes
14 Mothers aware about the immunization against measles to be given in the 9th month
Yes No No No Yes
15 Awareness of mothers about the
contraceptive method - No No No No No
16 Mothers aware about the side effect of the contraceptive.
No No No No No
17 Awareness about the ideal gap between two
children No No No No No
43
6.1. Community satisfaction of Mother for Work of ASHAs
Sl. No. Action points
Bhoring Khallari Paraswani
Baloda AKORI
1 ASHA visited mothers during period from
pregnancy to delivery No Yes Yes Yes Yes
2 Mothers Received three ANC No Yes Yes Yes Yes
3 Mothers had some problem in last pregnancy No No No No No
4 Mothers received timely advices for getting treatment No Yes Yes Yes Yes
5 Institutional deliveries No Yes Yes Yes Yes
6 Babies weighed after birth No Yes Yes Yes Yes
7 Mothers received three PNC No Yes Yes Yes Yes
8 Mothers get information about proper breast
feeding No Yes Yes Yes Yes
9 Mothers have knowledge about the
dangerous sign of ARI. No No No No Yes
10 Mothers have knowledge about fluid that is to be given during diarrhea No Yes Yes Yes No
11 Mothers have knowledge about the immunization given to their child No No Yes No No
12
Mothers nave knowledge about that the
immunization against measles given in the ninth month No Yes Yes No No
6.1. Key Information from sarpanchs on the work of ANMs
Sl. No. Action points
No. of Panchayat Members contacted 2 1 1 2 3
1 Do you know about NRHM? Yes Yes No No Yes
2 Activities of NRHM are smoothly functioning ? No Yes Yes No Yes
3 Whether the JSY benefited to all the villagers? No Yes Yes Yes Yes
4 Do you know about untied funds? Yes Yes Yes Yes Yes
5 Do you have a Joint account with ANM in bank for
untied funds? Yes Yes Yes Yes Yes
6 Is there proper utilization of untied funds? No No Yes No Yes
7 Are the Villagers are benefited out of the untied funds?
No Yes Yes No Yes
8 In your village when and where the health camps are
organized? Yes No No No No
9 Who is ASHA in your Village? Yes Yes Yes Yes Yes
10 You know about the functioning of ASHA? Yes Yes Yes Yes Yes
11 Know about the how many Link Worker are working in
your Village? Yes Yes Yes Yes Yes
12 In your village whether the cases of Institutional
deliveries are increased? Yes Yes Yes Yes Yes
13 Any Polio case found in your Village? Yes Yes Yes Yes Yes
14 Is there regular immunization of children from time to
time in your Village? Yes Yes Yes Yes Yes
44
JOB SATISFACTION (CHC)
S. No Particulars 1 2 3 4 5 6 7
1 Organization Yes Yes Yes Yes Yes Yes Yes
i Clear Goal’s & Targets NO Yes Yes Yes Yes Yes Yes
ii
Reporting structure very easy
and clear Yes Yes Yes Yes Yes Yes Yes
iii Feedback is given on important issues Yes Yes Yes Yes Yes Yes Yes
iv Facilitate Team work Yes Yes Yes Yes Yes Yes Yes
v
Employees are considered as
an assets Yes Yes Yes Yes Yes Yes Yes
2 General Working Conditions
i Hours worked each week 8 Hours 8 Hours 8 Houes 8 Hours
8
Hours 8 Hours 8 Hours
ii Activities involves field tours Yes Yes Yes Yes Yes Yes Yes
iii
Location of work/safe working
conditions Good Good Good Good Good Good Good
iv Paid vacation/sick leave offered Yes Yes Yes Yes Yes Yes Yes
v Stress free working condition NO NO NO NO NO NO NO
3 Pay & promotion potential
i salary - timely payments Yes Yes Yes Yes Yes Yes Yes
ii Opportunity of promotion Yes Yes Yes Yes Yes Yes Yes
iii
Compensation for additional
work NO NO NO NO NO NO NO
iv Job Security Yes Yes Yes Yes Yes Yes Yes
v Recognition of work Yes Yes Yes Yes Yes Yes Yes
4 Work Relationship
i Relationship with coworkers Good Good Good Good Good Good Good
ii relationship with supervisors Good Good Good Good Good Good Good
iii relationship with subordinates Good Good Good Good Good Good Good
iv
Discuss and acceptance of
views Yes Yes Yes Yes Yes Yes Yes
v Accountability to Boss NO NO NO NO NO NO NO
45
5 Use of Skills and Abilities
i
Opportunities to utilize skills &
talents Yes Yes Yes Yes Yes Yes Yes
ii Opportunities to learn new skills Yes Yes Yes Yes Yes Yes Yes
iii Support for additional training Yes Yes Yes Yes Yes Yes Yes
iv It is a challenging Job Yes Yes yes Yes Yes Yes Yes
v Provides all resources& Logistics Yes Yes Yes Yes Yes Yes Yes
6 Work Activities
i Variety of job responsibilities Good
Very
Good Good Good
Very
Good
Very
Good
Very
Good
ii
Independence of your work
Role Good Good Good Good Good Good Good
iii Opportunities for periodic changes in duties Yes Yes Yes Yes Yes Yes Yes
iv Flexibility of Scheduling Yes Yes Yes yes Yes Yes Yes
v Fixed duty rosters Yes Yes Yes Yes Yes Yes Yes
7 Personal
i
Residential accommodation
provided NO yes NO Yes Yes Yes Yes
ii
Transportation arranged for
duties NO NO NO NO NO NO NO
iii benefits for children education NO NO NO NO NO NO NO
iv
Health insurance of family
members NO NO NO NO NO NO NO
v Risk coverage/life insurance NO NO NO NO NO NO NO
46
JOB SATISFACTION (CHC and PHC)
S. No Particulars
1 Organization
i Clear Goal’s & Targets YES YES YES NO NO YES NO
ii
Reporting structure very easy and
clear NO NO YES NO NO YES NO
iii
Feedback is given on important
issues YES NO YES YES NO YES YES
iv Facilitate Team work NO YES YES YES NO YES YES
v
Employees are considered as an
assets YES YES YES NO NO YES NO
2 General Working Conditions
i Hours worked each week 48 60 40 60 54 40 60
ii Activities involves field tours YES YES YES YES YES YES YES
iii
Location of work/safe working
conditions NO NO NO NO NO NO NO
iv Paid vacation/sick leave offered NO YES NO NO NO NO NO
v Stress free working condition NO YES YES NO NO YES NO
3 Pay & promotion potential
i salary - timely payments YES YES YES NO NO YES NO
ii Opportunity of promotion POOR NO NO NO NO NO NO
iii Compensation for additional work NO NO NO NO NO NO NO
iv Job Security NA NA POOR YES NO POOR YES
v Recognition of work YES YES YES YES YES YES YES
4 Work Relationship
i Relationship with coworkers FAIR FAIR FAIR FAIR FAIR FAIR FAIR
ii relationship with supervisors FAIR FAIR FAIR FAIR FAIR FAIR FAIR
iii relationship with subordinates POOR YES YES FAIR FAIR YES FAIR
iv Discuss and acceptance of views YES YES YES YES YES YES YES
v Accountability to Boss NO YES YES NO NO YES NO
47
S. No Particulars BHORING
KHALLARI
PARSWANI
BALODA AKORI
1 Organization
i Clear Goal’s & Targets Y Y Y Y Y
ii Reporting structure very easy and clear Y Y Y Y Y
iii Feedback is given on important issues Y Y Y Y Y
iv Facilitate Team work Y Y Y Y Y
v Employees are considered as an assets Y Y Y Y Y
2 General Working Conditions
i Hours worked each week 8Hours 8 Hours 8 Hours 8 Hours 8 Hours
ii Activities involves field tours Y Y Y Y Y
iii Location of work/safe working conditions Y Y Y Y Y
iv Paid vacation/sick leave offered Y Y Y Y Y
v Stress free working condition Y Y Y Y Y
3 Pay & promotion potential
i salary - timely payments Y Y Y Y Y
ii Opportunity of promotion N N Y N Y
iii Compensation for additional work N N N N N
iv Job Security Y Y Y Y Y
v Recognition of work Y Y Y Y Y
4 Work Relationship
i Relationship with coworkers GOOD GOOD GOOD GOOD GOOD
ii relationship with supervisors GOOD GOOD GOOD GOOD GOOD
iii relationship with subordinates GOOD GOOD GOOD GOOD GOOD
iv Discuss and acceptance of views Y Y Y Y Y
v Accountability to Boss N N N N N
5 Use of Skills and Abilities
i Opportunities to utilize skills & talents Y Y Y Y Y
ii Opportunities to learn new skills Y Y Y Y Y
iii Support for additional training Y Y Y Y Y
iv It is a challenging Job Y Y Y Y Y
v Provides all resources& Logistics Y Y Y Y Y
6 Work Activities
i Variety of job responsibilities Y Y Y Y Y
ii Independence of your work Role Y Y Y Y Y
iii Opportunities for periodic changes in duties Y Y Y Y Y
iv Flexibility of Scheduling Y Y Y Y Y
v Fixed duty rosters Y Y Y Y Y
7 Personal
i Residential accommodation provided N N N N N
ii Transportation arranged for duties N N N N N
iii benefits for children education N N N N N
iv Health insurance of family members Y N N N Y
v Risk coverage/life insurance Y Y Y N Y
JOB SATISFACTION
48
S. No Particulars P1 P2 P3 P4 P5 P6 P7
1 Socio-economic correlation
I Age/Yr 62 35 70 25 34 23 45
Ii sex M F M M F M F
Iii education 5TH NIL NIL 5TH NIL 5TH NIL
Iv race INDIAN INDIAN INDIAN INDIAN INDIAN INDIAN INDIAN
V marital status MARIED MARIED MARRIED MARRIED MARIED
MARRIE
D MARIED
Vi facility size 6 7 16 11 4 11 4
Vii occupation FORMER H.W. SHOP OWNER DRIVER H.W. DRIVER H.W.
viii Income FAMILY (month) 2000 1200 3000 7000 11000 7000 11000
ix social class BPL BPL BPL APL APL APL APL
2 Art of Care
i friendliness YES NO YES YES NO YES NO
ii Patience, sincerity GOOD
NOT
KNOWN GOOD FAIR NO FAIR NO
iii Consideration, concern FAIR GOOD GOOD GOOD FAIR GOOD FAIR
iv Disrespect, embarrassment NO NO NO NO YES NO YES
v Hurt, insult NO NO NO NO YES NO YES
vi making worry, abruptness NO
SOMETI
MES NO
SOMETIM
ES YES
SOMETI
MES YES
2 Technical Quality of Care
i Ability, accuracy GOOD GOOD GOOD GOOD FAIR GOOD FAIR
ii Experience, thoroughness YES
NOT
KNOW YES YES
NOT
KNOWN YES
NOT
KNOWN
iii training
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
iv defective equipments
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
v over prescribing
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
vi outdated regimens NO NO
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
NOT
KNOWN
vii taking unnecessary risk NO NO NOT KNOWN
NOT KNOWN
NOT KNOWN
NOT KNOWN
NOT KNOWN
49