Section A: Health Facilities in the District Health Sub-centres Sl. No Block Name Rural Population in 2009 Sub-centers required As per norm. Sub-centers Present proposed Further required Status of building Availability of Land (Y/N) Own Rented 1 Kishanganj 125533 25 12 10 3 7 N/A Y (In Old HSC) 2 Bahadurganj 222955 45 19 23 3 12 5 Y (In Old HSC) 3 Thakurganj 259255 52 27 20 5 13 N/A Y (In Old HSC) 4 Kochadhaman 284145 57 24 25 8 12 3 Y (In Old HSC) 5 Dighalbank 191443 38 19 15 4 8 N/A Y (In Old HSC) 6 Pothia 246120 49 22 20 7 14 4 Y (In Old HSC) 7 Terhagachh 134206 27 13 10 4 7 1 Y (In Old HSC) Total 1463657 293 136 123 34 73 10 Y (In Old HSC) Addition Primary Health Centre centers
Primary Health Centers/Referral Hospital/Sub-Divisional Hospital/District Hospital Sl. No Block Name/sub division Total Population PHCs/Referral /SDH/DH Present PHCs required (After including referral/DH/SDH) PHCs/CHC proposed 1 Kishanganj 232805 2 2 0 2 Bahadurganj 258161 1 2 1 3 Thakurganj 278386 1 2 1 4 Kochadhaman 284091 1 2 1 5 Dighalbank 191406 1 2 1 6 Pothia 246073 2 2 0 7 Terhagachh 134180 1 1 0 Total 1625102 9 13 4 Sl. No. Health Sub Centre Name Population No. of G.P./ Villages served ANM (R/C) Posted formally ANM (R/C) in position Building ownership (Govt/Rent) Building condition (+++/++/+/#) Assured running water supply (A/NA/I) Cont. power supply (A/NA/I) ANM residing at HSC area (Y/N) Condition of residential facility (+++/++/+/#) Status of furnitures Status of Untied fund 1 Kulamani 10838 7 R R Govt. ++ NA NA NA ++ NA Exhausted 2 Belwa 10398 7 R R Govt. +++ NA NA NA +++ NA Exhausted 3 Ghat Bhabhan Toli 10268 4 R R Govt. ++ NA NA NA ++ NA Exhausted 4 Motihara 10288 5 R R -- # NA NA NA # NA Exhausted 5 Daula 10333 7 R R Govt. +++ NA NA NA +++ NA Exhausted 6 Pichhla 10415 7 R R -- # NA NA NA # NA Exhausted 7 Halamala 10256 6 R R -- # NA NA Y # NA Exhausted 8 Maheshbathna 11146 7 R R -- # NA NA NA # NA Exhausted
6 Alta 64712 Govt. ++ NA A Yes +++ 2 0 +++ N NA NA 7 Laxhmipur 63258 NF # NA A Yes +++ 2 0 +++ N NA NA 8 Padampur 65412 Govt. ++ NA A Yes +++ 2 0 +++ N NA NA 9 Damalbari 69874 Govt. +++ NA A Yes +++ 2 0 +++ N NA NA Total --- --- --- --- --- --- 18 0 --- --- --- --- Additional Primary Health Centre (APHC) Database: Human Resources Sl. No. Name of APHC Doctors ANM Laboratory Technician Pharmacists / dresser Nurses A Grade Guards Availability of specialist Sanction In Position Sanction In Position Sanction In Position Sanction In Position Sanction In Position 1 Rupni 2 2 2 1 1 0 1 0 2 2 2 Nil 2 Meharganj 2 2 2 0 1 0 1 0 2 1 2 Nil 3 Gangi 2 1 2 2 1 0 1 0 2 2 2 Nil 4 Pawakhali 2 1 2 2 1 0 1 0 2 2 2 Nil 5 Haldikhora 2 2 2 2 1 0 1 0 2 2 2 Nil 6 Alta 2 1 2 2 1 0 1 0 2 2 2 Nil
Support Systems to Health facility functioning: Sl. No Facility name Services available Ambulance O/I/ NA Generator O/I/ NA X- ray O/I/ NA Laboratory services O/I/ NA Canteen O/I/ NA House keeping Pathology Malaria/kalaazar T B Other 1 SDH Kishanganj I O I & O I NA I NA NA NA 2 R H Chhattargachh NA O NA NA NA I NA NA NA 3 PHC Kishanganj I O NA NA NA I NA NA NA 4 PHC Bahadurganj I O O NA NA I NA NA NA 5 PHC Thakurganj I O NA NA NA I NA NA NA 6 PHC Kochadhaman I O NA NA NA I NA NA NA 7 PHC Dighalbank I O NA NA NA I NA NA NA 8 PHC Pothia I O NA NA NA I NA NA NA 9 PHC Terhagachh NA O NA NA NA I NA NA NA 10 APHC Rupni NA NA NA NA NA NA NA NA NA 11 APHC Meharganj NA NA NA NA NA NA NA NA NA 12 APHC Gangi NA NA NA NA NA NA NA NA NA 13 APHC Pawakhali NA NA NA NA NA NA NA NA NA 14 APHC Haldikhora NA NA NA NA NA NA NA NA NA 15 APHC Alta NA NA NA NA NA NA NA NA NA 16 APHC Laxhmipur NA NA NA NA NA NA NA NA NA 17 APHC Padampur NA NA NA NA NA NA NA NA NA 18 APHC Damalbari NA NA NA NA NA NA NA NA NA O- Outsourced/ I- In sourced/ NA- Not available
Patients treated & discharged Disability cases Grade I Grade II Suggestions Strengthen Health Care Services Rehabilitation Updation of master register Case validation, to have check on wrong diagnosis and re registration Prompt and early detection of the cases to avoid deformity and disability, Ulcer care foot ware reorientation training of medical & para medical staff. Involvement of Lokdoot (old & rehabilitated to have the best IEC. Community Education Removal False beliefs from the Community Financial and personal support and psychological assurances Table 4.15: Performance indicators for Leprosy Programme Indicators level* Target for 2007-12 Strategies 1 Prevalence rate (PR) - leprosy cases per 10,000 population Conductance of timely surveillance Orientation trainings to new staff Organization of POD camps Conductance of sensitization workshop at gram panchayat involving new panchayat representative Organization of skin diseases diagnosis and education camps Conductance of urban leprosy awareness camps Procurement of TV, VCD, Camera, Mike for IEC Implementation of Project Financial Mgmt. System. 2 ANCDR – New leprosy cases per 11,00,000 population 3 4 5 6 7 8 Proportion of patients completed treatment POD Camps Gram Goshthi Hat – Bazar School Awareness Health Mela 4.3.6 Tuberculosis Control programme Tuberculosis (TB) is an infectious disease caused by a bacterium, Mycobacterium tuberculosis. It is spread through the air by a person suffering from TB. A single patient can infect 10 or more people in a year. DOTS, known as the Revised National Tuberculosis Control Programme (RNTCP) in , are a comprehensive strategy for TB control. DOTS are the only strategy which has proven effective in controlling TB on a mass basis. has adapted and tested DOTS in various parts of the country since 1953, with excellent results, and the RNTCP now covers more than 120 million populations. The Revised National Tuberculosis Programme (RNTCP) was launched in the country on . Table 4.16: Indicators showing achievements of RNTCP 2010-11.
Civil Surgeon 7 Pulse polio immunization camps - - - Civil Surgeon, MOiC 8 Catchup round for routine immunization - - - Civil Surgeon 9 Close coordination between ANM, AWW and ASHA Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks MOiC 10 Safe injection practices (provision of disposable syringes) Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks MOIC 11 Identification of areas with low immunization coverage Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks MOIC 12 Involving AWWs, NGOs, ASHA and Panchayat on immunization day Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks MOIC 13 Orientation and awareness generation training for health workers Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks MOIC 5.1.4 Work Plan for Kala- azar under NVBDCP Table 5.4: work plan for Kala - Azar Control Activity Time Frame (from 2009-20012) Responsibilities 09-10 10-11 11-12 1 Use of video display, posters, pamphlets, booklets, wall painting and street plays To complete in each block To complete in each block To complete in each block District Malaria Officer 2 Coordination with school education To complete in each block To complete in each block To complete in each block District Malaria Officer 3 Fortnightly door to door surveillance by health worker - - - District Malaria Officer 4 Increase blood smear collection - - - Civil Surgeon, District Malaria Officer 5 Transportation of slides from collection point to laboratory on daily basis - - - District Malaria Officer 6 Functional laboratory at PHC/PHC level - - - Civil Surgeon 7 Blood examination center at each block - - - Civil Surgeon 8 Appointment of lab technicians - - - Civil Surgeon 9 Insecticidal sprays at high To complete in To complete To complete District Malaria
risk areas each block in each block in each block Officer 10 Promotion of Gambuzia culture - - - District Malaria Officer 11 Distribution of medicated mosquito nets - - - District Malaria Officer 12 Acceptance/ treatment of usage of herbal medicine Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks Civil Surgeon 5.1.5 Work Plan for RNTCP Table 5.5: Work plan for TB control Activity Time Frame (from 2009-20012) Responsibilities 09-10 10-11 11-12 1 Interpersonal communication by local health workers, NGOs and Panchayat Ensuring in 7 Blocks Ensuring in 7 Blocks Ensuring in 7 Blocks DTO, MOiC 2 Use of posters, pamphlets, wall paintings and street plays Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO, MOiC 3 Increase awareness of DOTS on VHN day on VHN day on VHN day Health Worker, ICDS, NGO, PRI, Education Department 4 Community participation Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks Health Worker, ICDS, NGO, PRI, Education Department 5 Involvement of private practitioners Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 6 Promote case detection through sputum microscopy Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 7 Complete treatment Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO, MOIC, BHM 8 Increase accessibility to treatment Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 5 Follow-up examination to achieve sputum conversion Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 10 Establishment of TB cells at block level Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 11 Quality assurance of sputum smear Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 12 Regular and uninterrupted supply of drugs Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 13 Systematic monitoring and evaluation Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DTO , MOIC, BHM 14 Appointment of field staff Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks Civil Surgeon, DTO, MOIC 15 Training to DOTS Refresher Training - - Civil Surgeon, DTO
providers 10 Sensitization training to MOs providing treatment at block level - Refresher Training - Civil Surgeon, DTO 5.1.6 Work Plan for NBCP Table 5.6: Work plan for Blindness control Activity Time Frame (from 2009-20012) Responsibilities 09-10 10-11 11-12 1 Organization of eye camps in collaboration with private agencies/ institutions Thrice at block level Thrice at block level Thrice at block level DTO , MOIC, BHM 2 Integrate eye care as a part of primary health care - - - 3 Availability and repair of necessary equipments Ensuring in 07 Blocks Ensuring in 07 Blocks Ensuring in 07 Blocks DBO, MOiC, DPM 4 Posting of eye-surgeon at block level - - - Civil Surgeon 5 Follow-up of treated cases Regular Monitoring at each block Regular Monitoring at each block Regular Monitoring at each block DTO , MOIC, BHM 6 Quality control mechanism - - - MOIC, DBO 7 Streamlined vitamin-A supply Ensuring in 07 Blocks Ensuring in09 Blocks Ensuring in 07 Blocks DBO, MOIC, DPM 8 Availability of medicines during eye camps Strenghthen procurement & Supplies & Supplies Strenghthen procurement & Supplies CIVIL SURGEON, DBO, BHM 9 Sensitization work Shop at block level for MOs and health workers 07 (once at each block) 07 (once at each block) 07 (once at each block) DBO, MOIC, BHM 10 Technical training of ophthalmic medical assistants at district for skill and new techniques - - - CS, DBO, 11 Behaviour change of community to increase treatment acceptance - - - CS, DBO, DPM 12 Interpersonal communication by health workers and ICDS workers - - - DBO, I/C, BHM 13 Use of print media, mass media and folk media - - - I/C, BHM 5.1.7 Work Plan for NLEP
BPL CBO CDPO CHC CMO DDC DAP DF DH DHAP DLHS DOTS EmOc FGD FRU FTD GP HMS HMIS ICDS IDSP IEC ILR IOL IUD IPHS LHV MDT MMU MOIC MPW MSG NBCP NGO NLEP NRHM NVBDCP PHC PPC PRI RCH RKS RNTCP Below Poverty Line Community Based Organization Child Development Project Officer Community Health Centre Chief Medical Officer Drug Distribution Centre District Action Plan Deep Freezers District Health Action Plan District Level Household Survey Directly Observed Treatment Short-course Emergency Obstetric Care Focus Group Discussion First Referral Unit Fever Treatment Depot Gram Panchayat Health Management Society Health Management Information Systems Integrated Child Development Services Integrated Disease Surveillance Project Information Education And Communication Ice-lined Refrigerators Intra-Ocular Lens Intra-uterine Devices Indian Public Health Standards Lady Health Visitor Multi Drug Therapy Medical Unit Medical Officer In-Charge Multi Purpose Worker Steering Group National Blindness Control Programme Non Government Organization National Leprosy Eradication Programme National Rural Health National Vector Borne Disease Control Programme Primary Health Centre Post Partum Centres Panchayati Raj Institution Reproductive And Child Health Rogi Kalyan Samiti Revised National Tuberculosis Control Programme