23 Medical Officers (MOs) 2 2 0 24 PMOs 0 0 0 25 APMOs 2 0 2 26 SMOs 1 1 0 27 EMOs 3 1 2 28 WMOs for labour room 3 1 2 29 MOs (Intensive Care) 0 0 0 30 Dental Surgeon 1 1 0 Nursing Staff 31 Charge Nurses 12 12 0 32 Head Nurse 1 1 0 33 Nursing Superintendent 0 0 0 34 Deputy Nursing Superintendent 0 0 0 35 Nursing Instructor/Tutor 0 0 0 Non Medical Staff 36 Accountant 0 0 0 37 Social Welfare Officer 0 0 0 38 Pharmacist 1 1 0 39 Health Education Officer 0 0 0 40 Health and Nutrition Officer 0 0 0 medical staff 41 Radiographer 2 2 0 42 Dental Technician 1 1 0 43 Laboratory Technician 2 2 0 44 Laboratory Technician for B.T.O. 0 0 0 45 Laboratory Assistant 2 2 0 46 Dispenser 4 4 0 47 Eye Refractionist 2 0 2 48 Ophthalmic 1 0 1
25 Pump Breast Electronic 1 1 1 4 0 26 Vaginal Hysterectomy Set 2 2 4 12 0 26.1 Toothed Tissue Forceps (8”) 2 2 4 12 0 26.2 Non-Tooted Tissue Forceps (8”) 2 2 4 4 0 26.3 Dissection Scissors (Curved 7”) 2 2 4 4 0 26.4 Dissection Scissors (Straight 7”) 2 2 4 10 0 26.5 Hysterectomy Clamps (Straight) 8 8 16 5 0 26.6 Hysterectomy Clamps (Curved) 8 8 16 0 0 26.7 Uterine Sound 2 2 4 5 0 26.8 Needle Holder (7”) 2 2 4 0 0 26.9 Needle Holder (10”) 2 2 4 12 0 26.10 Artery Forceps (Straight 6”) 16 16 32 16 0 26.11 Artery Forceps (Curved 6”) 16 16 32 16 00 26.12 Allis Forceps 8 8 16 10 0 26.13 Towel Clamps 8 8 16 8 0 26.14 Single blade Sims speculum 4 4 8 0 4 26.15 Double blade Sims speculum 4 4 8 8 0 26.16 Sponge holding forceps 8 8 16 12 0 26.17 Volselum forceps 4 4 8 5 0 26.18 Uterine Sound 2 2 4 5 0 26.19 Bladder Sound 2 2 4 1 1 27 Delivery Sets 10 10 15 27.1 Episiotomy Scissors 10 10 15 2 8 27.2 Straight Scissors 10 10 15 6 4 27.3 Needle holder 10 10 15 10 0 27.4 Non-toothed tissue forceps 8 inches 10 10 15 12 0 27.5 Toothed tissue forceps 8 inches 10 10 15 12 0 27.6 Sims Speculum single blade 20 20 30 12 0 27.7 Sims Speculum double blade 20 20 30 8 0
28.11 Towel Clippers 16 16 24 0 16 28.12 Suction Nozzle 4 4 6 0 4 29 MNCH Related Radiology Equipments 0 29.1 Ultrasound Machine 1 1 2 1 0 29.2 X-Ray Unit 500 kw 1 1 1 1 0 29.3 Color Doppler 0 0 0 0 0 29.4 Lead Screen for X-Ray Unit 1 1 1 0 1 29.5 0.5 MN Lead Apron. Lead Gloves, Goggles and Thyroid and Gonadal Sheets 1 1 1 1 0 29.6 Safe Light 1 1 1 1 0 29.7 X-RT Film Processing Tank 1 1 1 1 0 29.8 Chest Stand 1 1 1 1 0 29.9 X-Ray film Illuminator 2 2 2 2 0 29.10 X-Ray Film Hangers All sizes 4 4 4 4 0 30 MNCH Related Paediatrics Equipments 0 30.1 Paediatric Ventilator 1 1 2 0 1 30.2 Incubator 1 1 1 1 0 30.3 Photo Therapy Unit 1 1 1 0 1 30.4 Over-head Radiant Warmer 1 1 1 0 1 30.5 Infant Length Measuring Scale 2 2 2 0 2 30.6 Infant Weighing Machine 2 2 2 1 1 30.7 Nebulizer 1 1 1 0 1 30.8 Billiubino-meter 1 1 1 0 1 30.9 Exchange Blood Transfusion Set 1 1 1 0 1 30.10 Nasal Probe Paed size 1 2 2 0 1 31 Anaesthesia/ICU 0 31.1 Anaesthesia Machine 1 1 1 1 0 31.2 Ventilators 1 1 1 1 0 31.3 Nebulizer 1 1 1 0 1 31.4 Pulse Oximetry 1 1 1 1 0 31.5 Defibrillator 1 1 1 0 1 31.6 Airway Oral and Nasal 1 2 2 10 0
· and distribution of ORS and Zinc Sulphate ORS packets 1,850,000 500,000 500,000 850,000 Procurement and distribution of Zinc Sulphate Syrup 450,000 150,000 150,000 150,000 2 ARI Malnutrition Health promotion campaign Messages on local cable networks Monthly Telecast Integrated activity Air contamination Capacity building of health staff in Integrated Management of Childhood Illnesses (IMCI) Messages through FM radio channels Monthly Telecast 36 12 12 12
housing facilities Provision of medicines for ARI Printing and distribution of IPC material & Poster 100,000 50,000 25,000 25,000 Lack of proper sanitation Timely referral of complicated cases Training of medics and para-medics in IMCI Batch No. of Batches 6 4 2 Integrated activity Seasonal variation Procurement of drugs Oral Medicine Package 603,700 203,700 200,000 200,000 Lack of awareness related to winter season and hygienic practices 42,750 14,250 14,250 14,250
Transfusion of blood and blood products Campaign against drug addiction · Procurement and supply of screening kits Kits 450,000 150,000 150,000 150,000 Unsafe sexual practices Regulatory mechanism to ensure use of safe instruments by dentists, barbers etc. · Procurement of safety boxes Syringe cutter 500 300 100 100 Ear piercing and tattooing · Procurement of drugs for treatment of Hepatitis patients Injection 5,000 5,000 5,000 2,000 Use of unsterilized equipment by dentists and barbers · Develop and implement SOPs for sterilization of equipment - SOPs
Sr. Problem Causes Intervention Activity Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks 4 Anaemia in pregnancy Poverty Awareness raising for behavior change Messages on local cable network Message 36 12 12 12 Integrated Activity Lack of awareness about balanced diet Improving ante-natal coverage Printing and distribution of IPC material 150,000 50,000 50,000 50,000 Gender discrimination Deworming campaign Short refresher trainings of LHWs about balanced diet and provision of Batch 25 15 5 5
Procurement of de-worming tablets Packet 450,000 150,000 150,000 150,000 5 Tuberculosis Low status Health Messages on local cable networks Monthly telecast 36 12 12 12 Integrated activity housing facilities Strengthening TB DOTS program through involvement of private sector Messages through FM radio channels Monthly telecast 36 12 12 12 Integrated activity
Malnutrition Printing and distribution of IPC and TB awareness material 300,000 100,000 100,000 100,000 Seasonal variation Procurement of drugs to address deficiency according to regimen day 2,196,000 720,000 732,000 744,000 Lack of proper sanitation Procurement of reagents and slides for notified diagnostic facilities under DOTS programme 54,900 18,000 18,300 18,600
In judicious use of anti malarial by GPs And HCPs Strengthening Malaria eradication program Provision of lab , allied kit 50 50 - - Lack of awareness for prevention Training of health care providers / GPs on Roll back malaria Training 20 10 5 5 Antimalarial drugs aursonate tablets, Tablet (Pack of 100) 1,800 1,000 400 400 Antimalarial drugs Primaquin, Tablet (Pack of 100) 6,000 3,000 1,500 1,500 Antimalarial drugs Chloroquin Tablet (Pack of 100) 180,000 80,000 50,000 50,000
Fogging Machine Machine 2 2 - - Purchase of diesel for fogging Litre 3,000 1,000 1,000 1,000 Spray Pumps pumps 150 100 25 25 Uniform for spray man Uniform 80 80 - - Glasses/ gloves, Bucket, soap Misc 100 100 - -
Sr. Problem Causes Intervention Activity Unit Plan Activities Targets Target for 2010-11 Target for Target for Remarks 1 Shortage of Skilled Staffs · of trained staff · Filling of the vacant posts · Filling of the vacant posts of medics and the paramedics through existing recruitment committees - - - - - Recruitment · of staff according to MSDS · Sanctioning of trained staffs according to MSDS Temporary filling of vacant positions on contract - - - - Recruitment · Lack of permanent postings · Incentivized pay package at all levels · Demand generation and request to the Department of Health by the districts for recruitment through PSC against vacant posts - - - - - Plan · Lack of incentivized and differential pay package · Well defined career structure including opportunities for higher Batch 9 4 3 2 availability
education · Frequent transfer postings · High level political commitment for providing protection to staff working in health facilities · Consensus building between the districts for uniform incentivized pay package for all categories and levels staff Meeting · Job insecurity · Request to the Provincial Government for approval and implementation of agreed pay packages Plan · Lack of basic amenities at workplace · Review and revise the career structure of medics and paramedics Technical assistance
· Lack of conducive environment including insecurity and transport of children for education · Filling of Human Resource gaps as per MSDS Posts 91 51 48 Detail HR plan is attached Posts 9 4 4 Detail HR plan is attached · Political and media interference HR 100 55 52 Detail HR plan is attached · Capacity and need assessment of the medics and the paramedics NO COST ACTIVITY · Prepare training programs for providing higher professional TNA
education based on TNA 2 Inadequate medicines and supplies Less budget allocation for medicines · Need-based demand for provision of sufficient budget for medicines and supplies · Inclusion of enhanced amount for medicines and supplies in the proposed annual budget according to the needs Need assessment Frequent increase in price Demand generation for medicine. Demand generation procurement of essential drugs on the basis of allocated budget Already addressed in health problems
· Procurement of vehicles for District level supervisors vehicles 1 1 - - vehicles 2 1 1 - · Procurement of vehicles for Tehsil level supervisors vehicles 2 1 1 - Sr. Problem causes Intervention Activity Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for Remarks 4 Inadequate district health budget provision for backup of electricity supply Rational increase in POL budget Assessment of additional requirement NO COST ACTIVITY
Less budget allocation Costing and submission of additional demand Frequent increase in prices · Provision of POL budget for vehicles for District supervisors litre 14,400 4,800 4,800 4,800 · Provision of POL budget for vehicles for Tehsil level supervisors litre 7,200 2,400 2,400 2,400 · Provision of POL budget for generator litre 540,000 180000 180000 180000
5 Inadequate Deficient equipment to cater basic and EmONC at primary and secondary level of care Provision of the equipment in accordance with the notified equipment list Procurement of equipments for THQ and DHQ hospitals based on the gaps between MSDS and existing available Detail attached Old and equipment Provision of adequate budget for maintenance and repair Allocation of enhanced amount for M&R of equipments of demand Shortage of regular budget for M&R Capacity building of staff regarding maintenance of log books of each equipment Orientation of staffs in maintenance of logos for equipments Plan
· Printing and distribution of IPC material Brochure 5 200,000 500,000 275,000 302,500 1,077,500 · Conduction of HES in the community Session 2000 200 200,000 110,000 121,000 431,000 · Training of medics and paramedics in IMCI Batch 240,000 12 1,440,000 1,056,000 580,800 3,076,800 · and distribution of ORS and Zinc Sulphate ORS packets 5 1,500,000 2,500,000 2,750,000 5,142,500 10,392,500 Procurement and distribution of Zinc Sulphate Syrup 60 450,000 9,000,000 9,900,000 10,890,000 29,790,000
Total 46,197,720 Sr. Problem Activity Define Financial Targets Total Cost Remarks Unit Rate Quantity Year I Year II Year III 2 ARI · Messages on local cable networks Monthly Telecast - - - - activity · Messages through FM radio channels Monthly Telecast 35,000 36 420,000 462,000 508,200 1,390,200 · Printing and distribution of IPC material Brochure & Poster 30 100,000 1,500,000 825,000 907,500 3,232,500
· Training of medics and in IMCI Batch No. of Batches - - - - activity · Procurement of drugs Oral Medicine Package 70 603,700 14,259,000 15,400,000 16,940,000 46,599,000 Injectable 800 42,750 11,400,000 12,540,000 13,794,000 37,734,000 · Procurement of nebulizing drugs Drug 30 42,750 427,500 470,250 517,275 1,415,025 Total 90,370,725
· Procurement of safety boxes Syringe cutter 500 500 150,000 55,000 60,500 265,500 · Procurement of drugs for treatment of Hepatitis patients Injection 15,000 5,000 75,000,000 82,500,000 36,300,000 193,800,000 · Develop and implement SOPs for sterilization of equipment - - - - - SOPs Total 4 Anemia in pregnancy · Messages on local cable network Message 36 - - - - Activity
Printing & Distribution of IPC Material Brochure 5 20,000 50,000 27,500 30,250 107,750 Supply of anti scabies drugs drug 50 450,000 7,500,000 8,250,000 9,075,000 24,825,000 Total 28,087,750 7 Resistant Malaria Printing and distribution of Health Education material Poster 25 30,000 250,000 275,000 302,500 827,500 Provision of lab , allied kit 60,000 50 3,000,000 - - 3,000,000 Training of health care providers / GPs on Roll back malaria Training 75,000 20 750,000 412,500 453,750 1,616,250
Antimalarial drugs aursonate tablets, Tablet (Pack of 100) 2,000 1,800 2,000,000 880,000 968,000 3,848,000 Antimalarial drugs Primaquin, Tablet (Pack of 100) 1,000 6,000 3,000,000 1,650,000 1,815,000 6,465,000 Antimalarial drugs Chloroquin Tablet (Pack of 100) 50 180,000 4,000,000 2,750,000 3,025,000 9,775,000 Fogging Machine Machine 90,000 2 180,000 - - 180,000 Purchase of disel for fogging Litre 76 3,000 76,000 83,600 91,960 251,560 Spray Pumps pumps 7,000 150 700,000 192,500 211,750 1,104,250
Purchase of larvicidal Drug ( Temiphos) Liquid Litre 2,000 1,500 1,000,000 1,100,000 1,210,000 3,310,000 Spray man 4 Squad of 6 persons x 25 days 65,000 12 260,000 286,000 314,600 860,600 Purchase of motor cycle for CDCSs Motor cycle 60,000 65 2,100,000 990,000 1,089,000 4,179,000 POL for motor cycles litre 75 27000 472,500 742,500 1,061,775 2,276,775 Total 54,028,935
Management Problems Sr. No. Name of Post Basic Scale Basic Pay Allowances Requirement as per Gap Financial Targets Year I Year II Year III Pay of Officers Pay of other staff Allowances Pay of Officers Pay of other staff Allowances Pay of Officers Pay of other staff Allowances 1 Gynaecologist 18 12,910 18,099 3 309,840 - 434,376 511,236 716,720 562,360 788,392 2 Paediatricians 18 12,910 18,099 3 309,840 - 434,376 511,236 716,720 562,360 788,392 3 Anesthetists 18 12,910 18,099 3 309,840 - 434,376 511,236 716,720 562,360 788,392 4 MO / WMO 17 9,850 15,345 110 5,910,000 - 9,207,000 10,401,600 16,204,320 15,732,420 24,509,034 5 Nurses 16 6,060 8,934 71 2,545,200 - 3,752,280 4,239,576 6,250,226 6,247,375 9,210,239 6 Lady Health Visitors 9 3,820 4,750 17 412,560 513,000 655,512 815,100 942,929 1,172,490 9,797,280 - 14,775,408 16,830,396 - 25,419,808 24,609,803 - 37,256,941
· Filling of Human Resource gaps as per MSDS Posts 9,384,720 16,174,884 23,666,874 49,226,478 Detail HR plan is attached Posts 412,560 655,512 942,929 2,011,001 Detail HR plan is attached HR 14,775,408 25,419,808 37,256,941 77,452,156 Detail HR plan is attached · Capacity and need assessment of the medics and the paramedics - - - - NO COST ACTIVITY · Prepare training programs for providing higher professional education based on TNA - - - - TNA Total 131,897,235
2 Inadequate medicines and supplies · Inclusion of enhanced amount for medicines and supplies in the proposed annual budget according to the needs - - - - - Need assessment Demand generation for medicine. - - - - Demand generation Procurement of essential drugs on the basis of allocated budget - - - - Already addressed in health problems 3 Shortage of functional vehicles and POL · Condemnation of the old and vehicles - - - - As per demand by district
· Preparation and submission of demand for replacement five ambulances at RHC - - - - Demand submission · Procurement of ambulances Ambulance 3,800,000 4 7,600,000 4,180,000 4,598,000 16,378,000 · Demand submission for replacement of vehicles for district and tehsil level supervisors - - - - Demand submission · Procurement of vehicles for District level supervisors vehicles 3,800,000 1 3,800,000 - - 3,800,000
vehicles 900,000 2 900,000 990,000 - 1,890,000 · Procurement of vehicles for Tehsil level supervisors vehicles 900,000 2 900,000 990,000 - 1,890,000 Total 23,958,000 4 Inadequate district health budget Assessment of additional requirement - - - - NO COST ACTIVITY
Costing and submission of additional demand - - - - · Provision of POL budget for vehicles for District supervisors litre 75 14,400 360,000 396,000 435,600 1,191,600 · Provision of POL budget for vehicles for Tehsil level supervisors litre 75 7,200 180,000 198,000 217,800 595,800 · Provision of POL budget for generator litre 75 540,000 13,500,000 14,850,000 16,335,000 44,685,000 Total 46,472,400
5 Inadequate equipments Procurement of equipments for THQ and DHQ hospitals based on the gaps between MSDS and existing available 18,926,985 18,276,260 - 37,203,245 Detail attached Allocation of enhanced amount for M&R of equipments - - - - Submission of demand Orientation of staffs in maintenance of logos for equipments - - - - Plan Total 37,203,245
Amount (Rs.) Amount (Rs.) Amount (Rs.) Amount (Rs.) 1 Shortage of skilled staffs MNCH related 25,892,688 43,339,204 62,665,343 131,897,235 2 Inadequate medicine and supply - - - - 3 Inadequate equipments- MNCH Related 18,926,985 18,276,260 - 37,203,245 4 Shortage of functional vehicles 13,200,000 6,160,000 4,598,000 23,958,000 5 Inadequate budget POL 14,040,000 15,444,000 16,988,400 46,472,400 Total 72,059,673 83,219,464 84,251,743 239,530,880 Activity wise Summary
Health Problems Sr. No. Problem Activity FY-I FY-II FY-III Total 1 Diarrhoeal diseases Quarterly co-ordination meetings with TMA and other agencies 12,000 13,200 14,520 39,720 Messages on local cable network 420,000 462,000 508,200 1,390,200 Printing and distribution of IPC material 500,000 275,000 302,500 1,077,500 Conduction of HES in the community 200,000 110,000 121,000 431,000 Training of medics and paramedics in IMCI 1,440,000 1,056,000 580,800 3,076,800 Procurement and distribution of ORS and Zinc Sulphate 2,500,000 2,750,000 5,142,500 10,392,500 Procurement and distribution of Zinc Sulphate 9,000,000 9,900,000 10,890,000 29,790,000 2 ARI Messages on local cable networks - - - - Messages through FM radio channels 420,000 462,000 508,200 1,390,200
Printing and distribution of IPC material 1,500,000 825,000 907,500 3,232,500 Training of medics and in IMCI - - - - Procurement ofdrugs 14,259,000 15,400,000 16,940,000 46,599,000 - 11,400,000 12,540,000 13,794,000 37,734,000 Procurement of nebbulizing drugs 427,500 470,250 517,275 1,415,025 3 Hepatitis · Quarterly co-ordination meetings with TMA and other agencies - - - - · Messages on local cable network - - - - · Printing and distribution of IPC and hepatitis awareness material 300,000 330,000 363,000 993,000 · Procurement and supply of screening kits 7,500,000 8,250,000 9,075,000 24,825,000 · Procurement of safety boxes 150,000 55,000 60,500 265,500 · Procurement of drugs for 75,000,000 82,500,000 36,300,000 193,800,000
equipment/reagents Training of health care providers / GPs on Roll back malaria 750,000 412,500 453,750 1,616,250 Antimalarial drugs aursonate tablets, 2,000,000 880,000 968,000 3,848,000 Antimalarial drugs Primaquin, 3,000,000 1,650,000 1,815,000 6,465,000 Antimalarial drugs Chloroquin 4,000,000 2,750,000 3,025,000 9,775,000 Fogging Machine 180,000 - - 180,000 Purchase of diesel for fogging 76,000 83,600 91,960 251,560 Spray Pumps 700,000 192,500 211,750 1,104,250 Uniform for spray man 40,000 - - 40,000 Glasses/ gloves, Bucket, soap 100,000 - - 100,000 Purchase of insecticide delta methrine (Powder 5 % WDP) 2,400,000 1,760,000 1,936,000 6,096,000 Purchase of insecticide delta methrine (Liquid 1.5 % ) 2,400,000 2,640,000 2,904,000 7,944,000 Purchase of larvicidal Drug 1,000,000 550,000 605,000 2,155,000
Management Problems Sr. No. Problem Activity Costing (Rs.) FY-I FY-II FY-III Total 1 Shortage of skilled staffs MNCH related ·Filling of the vacant posts of medics and the paramedics through existing recruitment committees - - - - Temporary filling of vacant positions on contract - - - - ·Demand generation and request to the Department of Health by the districts for recruitment through PSC against vacant posts - - - - ·Orientation trainings of the recruited staffs 1,320,000 1,089,000 798,600 3,207,600 ·Consensus building between the districts for uniform incentivized pay package for all categories and levels staff - - - - ·Request to the Provincial Government for approval and implementation of agreed pay - - - -
Demand generation for medicine. - - - - procurement of essential drugs on the basis of allocated budget - - - - 3 Inadequate equipments- MNCH Related Procurement of equipments for THQ and DHQ hospitals based on the gaps between MSDS and existing available 18,926,985 18,276,260 - 37,203,245 Allocation of enhanced amount for M&R of equipments - - - - Orientation of staffs in maintenance of logos for equipments - - - - 4 Shortage of functional vehicles · Condemnation of the old and off-road vehicles - - - - · Preparation and submission of demand for replacement five ambulances at RHC - - - - · Procurement of ambulances 7,600,000 4,180,000 4,598,000 16,378,000
· Demand submission for replacement of vehicles for district and tehsil level supervisors - - - - · Procurement of vehicles for District level supervisors 3,800,000 - - 3,800,000 - 900,000 990,000 - 1,890,000 · Procurement of vehicles for Tehsil level supervisors 900,000 990,000 - 1,890,000 5 Inadequate budget POL Assessment of additional requirement - - - - Costing and submission of additional demand - - - - · Provision of POL budget for vehicles for District supervisors 360,000 396,000 435,600 1,191,600 · Provision of POL budget for vehicles for Tehsil level supervisors 180,000 198,000 217,800 595,800
· Provision of POL budget for generator 13,500,000 14,850,000 16,335,000 44,685,000 Total 72,059,673 83,219,464 84,251,743 239,530,880
SECTION 5: MONITORING & EVALUATION The proposed monitoring and evaluation targets and indicators will be used to gauge the progress of implementation of the plan. This will be done through: Developing indicators Identifying means of verification (MoV); and Plan for monitoring and evaluation of the district health plan M&E of Plan Indicators Target % Achievement MoV Responsibility Frequency of monitoring Remarks % of planned supervisory visits conducted 50 visits /year Inspection Book EDOH/DOH/ DDOH Quarterly % of RHCs with of specialists of essential specialties (Physician, Surgeon, Paediatrician and Gynaecologist) 100% During 1st year Pay Roll EDOH / DOH 6 monthly
% of health facilities with availability of essential MNCH related equipment (level specific) 100% During 1st year Stock Register EDOH/ DOH/ MSs 6 monthly Availability of relevant (MNCH) laboratory equipment at appropriate level of care 100% During 1st year Stock Register EDOH/ DOH/MSs, Store keeper Quarterly % facilities with availability of essential medicines 100% During 1st year Stock Register EDOH/ DOH/ MSs, Store keeper Monthly % of functional ambulances in the district 100% (DHQH/ THQH/ RHCs) Log Book EDOH/DOH/ Transport officer Quarterly % utilization of sanctioned budget 100% of yearly budget Quarterly Reports EDOH/ DOH/ MSs/ Accounts officer Quarterly
% of facilities with availability of basic EmONC 100% (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of DHQ/THQ hospitals with Comprehensive EmONC services 100% in 3 years (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of facilities with availability of separate or partitioned room reserved exclusively for delivery 100% in 3 years (50% during 1st year) Supervisory visit report EDOH/DoH/ DDOH Quarterly % of targeted pregnant women newly registered by LHW Target according to population DHIS Report EDOH/ Statistical Officer Quarterly % of targeted pregnant women received TT-2 vaccine Target according to population DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly
Delivery conducted by or under supervision of skilled persons reported 90% (…. % During 1st year) DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly %of target children between 18 - 23 months of age fully immunized Target according to population DHIS Report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of referred cases attended 100% DHIS Report/ LHWs monthly report EDOH/ DHIS Coordinator/ Statistical Officer Quarterly % of targeted eligible couples provided knowledge and information on Family Planning methods Target according to population LHW’s monthly/ quarterly report EDOH/ Statistical Officer /Coordinator NP-FP&PHC Quarterly
22 Infant Resuscitation Trolley (with life saving medicines, baby laryngoscope, Endo-tracheal tube, Infant BP Apparatus, Chargeable Light) 1 1 2 1 0 95000 0 23 Mother Resuscitation Trolley (with life saving medicines, Laryngoscope, Endo-tracheal tube, BP Apparatus, Chargeable light) 1 1 2 1 0 110000 0 24 Cardiac Monitor 1 1 2 0 1 500000 500000 25 Pump Breast Electronic 1 1 1 4 0 250000 0 26 Vaginal Hysterectomy Set 2 2 4 12 0 30000 0 26.1 Toothed Tissue Forceps (8”) 2 2 4 12 0 55 0 26.2 Non-Tooted Tissue Forceps (8”) 2 2 4 4 0 55 0 26.3 Dissection Scissors (Curved 7”) 2 2 4 4 0 150 0 26.4 Dissection Scissors (Straight 7”) 2 2 4 10 0 150 0 26.5 Hysterectomy Clamps (Straight) 8 8 16 5 0 150 0 26.6 Hysterectomy Clamps (Curved) 8 8 16 0 0 175 0 26.7 Uterine Sound 2 2 4 5 0 90 0 26.8 Needle Holder (7”) 2 2 4 0 0 150 0 26.9 Needle Holder (10”) 2 2 4 12 0 300 0
30.1 Paediatric Ventilator 1 2 2 0 1 1200000 1200000 30.2 Incubator 1 1 2 2 0 1500000 0 30.3 Photo Therapy Unit 1 1 1 0 1 22000 22000 30.4 Over-head Radiant Warmer 1 1 1 0 1 910000 910000 30.5 Infant Length Measuring Scale 2 2 2 0 2 5000 10000 30.6 Infant Weighing Machine 2 2 2 1 1 3100 3100 30.7 Nebulizer 1 1 2 0 1 22000 22000 30.8 Billiubino-meter 1 1 2 0 1 36000 36000 30.9 Exchange Blood Transfusion Set 1 1 2 0 1 2000 2000 30.1 Nasal Probe Paed size 2 2 4 0 2 7000 14000 31 Anaesthesia/ICU 0 31.1 Anaesthesia Machine 1 1 2 1 1 321000 321000 31.2 Ventilators 1 1 1 1 1 525000 525000 31.3 Nebulizer 1 1 1 0 1 165000 165000 31.4 Pulse Oximetry 1 1 1 0 1 21000 21000 31.5 Defibrillator 1 1 1 0 1 500000 500000 31.6 Airway Oral and Nasal 2 3 4 0 2 500 1000 31.7 Tracheostomy tube (adult and paeds) 2 2 4 0 2 1000 2000 31.8 Face mask of all sizes 2 2 4 0 2 1000 2000 31.9 Double Cuff Tourniquet (for regional block) 1 2 2 0 1 320 320 31.1 AMBO bag adult 2 2 4 1 1 2450 2450 31.11 AMBO Bag paeds 2 2 4 0 2 3000 6000 31.12 Red Rubber Nasal tubes all sizes without cuff 4 4 8 0 4 1000 4000 32 Blood Bank 0 32.1 Blood storage cabinet (100 bag capacity) 1 1 2 1 0 812000 0
29.1 Ultrasound Machine 1 1 2 1 0 575000 0 29.2 X-Ray Unit 500 kw 1 1 1 1 0 6000000 0 29.3 Color Doppler 0 0 0 0 0 5750000 0 29.4 Lead Screen for Unit 1 1 1 0 1 30000 30000 29.5 0.5 MN Lead Apron. Lead Gloves, Goggles and Thyroid and Gonadal Sheets 1 1 1 1 0 100000 0 29.6 Safe Light 1 1 1 1 0 5000 0 29.7 X-RT Film Processing Tank 1 1 1 1 0 5000 0 29.8 Chest Stand 1 1 1 1 0 4500 0 29.9 X-Ray film Illuminator 2 2 2 2 0 4000 0 29.1 X-Ray Film Hangers All sizes 4 4 4 4 0 4000 0 30 MNCH Related Paediatrics Equipments 0 0 30.1 Paediatric Ventilator 1 1 2 0 1 1200000 1200000 30.2 Incubator 1 1 1 1 0 1500000 0 30.3 Photo Therapy Unit 1 1 1 0 1 22000 22000 30.4 Over-head Radiant Warmer 1 1 1 0 1 910000 910000 30.5 Infant Length Measuring Scale 2 2 2 0 2 5000 10000 30.6 Infant Weighing Machine 2 2 2 1 1 3100 3100 30.7 Nebulizer 1 1 1 0 1 22000 22000 30.8 Billiubino-meter 1 1 1 0 1 36000 36000 30.9 Exchange Blood Transfusion Set 1 1 1 0 1 2000 2000 30.1 Nasal Probe Paed size 1 2 2 0 1 7000 7000 31 Anaesthesia/ICU 0 0 31.1 Anaesthesia Machine 1 1 1 1 0 321000 0 31.2 Ventilators 1 1 1 1 0 525000 0