Facility Based Basic Health Units (61) Sr Name of Post/Designation Sanctioned Filled Vacant 1 Medical Officer 61 4 57 2 School Health & Nutrition Supervisor 61 58 03 3 Medical Assistant 4 3 1 4 Computer Operator 61 4 57 5 Medical Technician 61 47 14 6 LHV 61 50 11 7 Dispenser 61 61 0 8 Midwife 61 23 38 9 61 60 01 10 Chowkidar 61 57 04 11 Sanitary Worker 61 19 42 Health Centres (09) Sr. # Name of Post/Designation Sanctioned Filled Vacant 1 Senior Medical Officers 09 02 07 2 Women Medical Officers 09 05 04 3 Dental Surgeons 09 08 01 4 Medical Officers 09 04 05 5 Charge Nurses 54 44 10
6 Doctors 09 02 07 7 Hakeems 09 01 08 8 Computer Operators 09 01 08 9 Medical /Health Technician 2 2 0 10 LHV 18 16 02 11 Lab. Technician 09 01 08 12 Dental Technician 09 03 06 13 R.H.I 26 26 - 14 Junior Clerk 09 08 01 15 Vaccinator 09 09 0 16 Homeo Dispenser 09 04 05 17 Dawasaz 09 09 0 18 Radiographer/X-Ray 09 09 - 19 Dresser 09 09 - 20 Anesthesia Assistant 09 0 09 21 O.T.A 09 01 08 22 Dispenser 36 36 - 23 Dental Assistant 09 0 0 24 Laboratory Assistant 09 06 03 25 Midwife 36 34 02 26 Driver 18 09 09 27 T.O 09 09 0 28 Homeo Naib Qasid 0 0 0 29 Dawa Kob 09 09 0 30 Ward Servant 18 18 - 31 Sweepers 09 09 0 32 Sanitary Worker 36 16 20 33 Sanitary Patrol 44 44 - 34 Naib Qasid 18 18 - 35 Mali 09 08 01
20 Examination light 3 3 6 3 1 21 Suction Curette 1 2 2 1 1 22 Infant Resuscitation Trolley (with life saving medicines, baby laryngoscope, tube, Infant BP Apparatus, Chargeable Light) 1 1 2 1 1 23 Mother Resuscitation Trolley (with life saving medicines, Laryngoscope, tube, BP Apparatus, Chargeable light) 1 1 2 1 1 24 Cardiac Monitor 1 1 2 1 - 25 Pump Breast Electronic 1 1 1 1 1 26 Vaginal Hysterectomy Set 2 2 4 2 2 26.1 Toothed Tissue Forceps (8”) 2 2 4 2 - 26.2 Non-Tooted Tissue Forceps (8”) 2 2 4 2 - 26.3 Dissection Scissors (Curved 7”) 2 2 4 2 - 26.4 Dissection Scissors (Straight 7”) 2 2 4 2 - 26.5 Hysterectomy Clamps (Straight) 8 8 16 8 6 26.6 Hysterectomy Clamps (Curved) 8 8 16 8 6 26.7 Uterine Sound 2 2 4 2 1 26.8 Needle Holder (7”) 2 2 4 2 - 26.9 Needle Holder (10”) 2 2 4 2 2 26.10 Artery Forceps (Straight 6”) 16 16 32 16 -
31.4 Oximetry 1 1 1 1 - 31.5 Defibrillator 1 1 1 1 - 31.6 Airway Oral and Nasal 2 3 4 2 - 31.7 Tracheostomy tube (adult and paeds) 2 2 4 2 - 31.8 Face mask of all sizes 2 2 4 2 - 31.9 Double Cuff Tourniquet (for regional block) 1 2 2 1 - 31.10 AMBO bag 2 2 4 2 - 31.11 AMBO Bag paeds 2 2 4 2 - 31.12 Red Rubber Nasal tubes all sizes without cuff 4 4 8 4 - 32 Blood Bank - 32.1 storage cabinet (100 bag capacity) 1 1 2 1 - 32.2 Packed cell machine 1 1 1 1 - 32.3 Cell Separator 1 1 1 1 - 32.4 Freezer for Fresh Frozen Plasma 1 1 1 1 - 32.5 Blood bag shaker 1 1 2 1 - 32.6 RH view box 2 2 4 2 - 32.7 Water bath 2 2 2 2 - 32.8 Micro-pipette 4 6 8 4 - 32.9 Blood grouping tiles 3 3 6 3 - 32.10 Plasma Extractor 1 1 1 1 -
SECTION 3: INTERVENTIONS AND TARGETS After enlisting the vital causes of prioritized health problems, team proposed appropriate interventions to tackle the problems. Once interventions and activities had been identified, next task the planning team performed was to set the number and quality of specific activities (targets) that have to be carried out. It is pertinent to mention over here that the plan envisages additional activities along with routine activities under regular budget. Health Problems Sr. No. Problem Causes Intervention Activities Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks 1 Diarrhea Poor sanitation improvement of water supply and sanitation Quarterly co-ordination Meeting with TMA and other agencies Meeting 12 4 4 4 Lack of safe drinking water Health Education campaign Messages on local cable network Message 12 4 4 4 Unhygienic practices Improving literacy through coordination with education department Printing and distribution of IPC material Boucher 100,000 40,000 30,000 30,000 Lack of awareness in general population Proper treatment of Diarrhoea including ORT Address in school assemblies Session 2,200 725 750 725
Lack of awareness and hygienic practices 4 TB Suspects Low socio-economic status Health education/promotion Messages on local cable networks Message 36 12 12 12 Seasonal variation Strengthening TB DOTS program through involvement of private sector Printing and distribution of IPC material Boucher 50000 20000 10000 Lack of proper sanitation Involvement of Private Practitioners through Public Private Partnership(PPP) Procurement of to ensure deficiency according to regimen ATT course 600 200 200 200 Lack of awareness and hygienic practices Procurement of reagents for notified diagnostic facilities DOTS programme Packs 50 20 15 15 Trainings on DOTS protocols No. of trainings 4 4 - - 5 Hepatitis Poor sanitation Provision of safe drinking water Quarterly co-ordination meetings with TMA and other agencies Meetings - - - - Unsafe drinking water Health Education/Promotion Messages on local cable network Message 36 12 12 12
Sharing of used syringes Campaign against quackery Printing and distribution of IPC material Boucher 60000 30000 15000 Transfusion of unsafe blood and blood products Strengthening blood transfusion services for safe transfusions Address in School Assemblies - - - - - Unsafe sexual practices Campaign against drug addiction Hepatitis awareness week ( walk/display banners/seminars) 3 1 1 1 Ear piercing and tattooing Regulatory mechanism to ensure use of safe instruments by dentists, barbers etc. Printing and pasting of stickers at clinics and Barber shop highlighting use of new syringes & Razors Sticker 500 200 150 150 Use of unsterilized equipment by dentists and barbers Procurement & Distribution of HCV Device Kits 30000 10000 10000 10000 Procurement & Distribution of BSAG Device Kits 30000 10000 10000 10000 Procurement & Distribution of HIV Device Kits 10000 10000 10000
Procurement and supply of HCV Eliza kits Kits 18 6 6 6 Procurement and supply of HBV Eliza kits Kits 9 3 3 3 Procurement of syringe cutters Syringe cutter 1800 600 600 600 Procurement and distribution of Interferon Injection Courses 1200 400 400 400 Documentation of expense of disposable syringes Procurement & Distribution of SGPT Kits 36 12 12 12 Procurement & Distribution of SGOT Kits 36 12 12 12 Documentation of expense of disposable syringes
Supportive Supervision to ensure above activities 6 Accident & Injuries Lack of traffic sense Coordination with police department to improve traffic sense and ensuring observance of traffic rules Quarterly co-ordination meetings with Traffic Police department Meeting 12 4 4 4 Poor maintenance of vehicles Advocacy for improving the condition of roads Quarterly co-ordination meetings with Highway department Meeting 12 4 4 4 Poor road conditions Health education/promotion to prevent domestic accidents Preparation of Disaster Management Plan including the Patient Management protocols Prepared by EDOH 1 1 Lack of safety measures at work place Ensure enforcement of safety laws at work places Training of the medics and the paramedics - - - - Fire-arm injuries Provision of emergency kits for blast victims Kits 300 150 150 - Domestic accidents Procurement of equipments / instruments / various splints and Plaster casts
Burns Bomb blasts/terrorist activities Lack of tolerance in the society 7 High MMR Poor access to healthcare delivery services Health education/promotion Messages on local cable network Message 36 12 12 12 Lack of awareness about danger signs of pregnancy Behaviour change communication for Mothers of bearing age Printing and distribution of IPC material Boucher 100000 30000 20000 Low ante-natal coverage Provision of Quality basic EmONC services at BHU & RHC Training of LHWs on BCC - - - - Low skilled birth attendance Provision of Quality Comprehensive EmONC services at THQs & DHQs hospital Activate and use of Health Committees and groups under LHWs - - - - Three delays (seeking health care, transportation, and lack of referral back-up services) Improving transportation of the patients Procurement of vehicles for transportation through CCBs - - - -
Capacity Issues related to maternal care Operation and management of vehicles through CCBs - - - - Maternal Anemia Repair of non functional ambulances for timely transportation of pregnant mothers - - - - Capacity Issues related to maternal care Replacement of the non functional ambulances for timely transportation of pregnant mother - - - - Procurement of the MNCH related equipment and Instruments - - - - Implementation of the referrals protocols - - - - Procurement of Capsule 200000 100000 50000 Procurement and distribution of Calci-D No. of tablets 150000 50000 50000 50000
Sr.No. Name of Post Basic Scale Basic Pay Allowances Requirement as per Gap Physical Targets Year I Year II Year III 1 Gynaecologist 18 12,910 18,099 2 1 1 - 2 Paediatricians 18 12,910 18,099 1 1 - - 3 Anesthetists 18 12,910 18,099 0 - - - 4 MO / WMO 17 9,850 15,345 80 30 25 25 5 Nurses 16 6,060 8,934 37 15 11 11
Sr. No Problem Causes Intervention Activities Unit Plan Activities Targets Target for 2010-11 Target for 2011-12 Target for 2012-13 Remarks 1 Shortage of skilled staff Vacant positions Filling of the vacant Filling of the vacant of medics and the paramedics through existing recruitment committees - - - - - Non-availability of staff according to MSDS Incentivized pay package at all levels Temporary filling of vacant positions on contract - - - - -
Less priority of districts for health services Capacity building of DDOs and other related staff in financial management Training on Use of Information No. of trainings 1 1 Training on Supportive supervision No. of trainings 1 1 3 Inadequate budget for POL Installation of the Generator for back up electricity supply Rational increase in POL Budget Assessing additional need for POL Frequent increase in prices of POL Costing & Submit ion the additional Demand for POL P O L 57,643 57,643
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