ADRA Nepal

Integrated Community - Based Family Health Program

 

 

Semi - Annual Report

(January - July 1998)

 

 

 

 

Submitted to: Officer of Health and Family Planning

USAID

Rabi Bhawan, Kathmandu

Nepal

 

 

 

Submitted by: Adventist Development and Relief Agency

(ADRA) Nepal

P.O. Box No. 4481

Kathmandu, Nepal

 

 

 

 

 

 

IMPLEMENTATION OF THE PLANNED ACTIVITIES

A. Family Planning Training:

During this six month period ADRA Family Planning Training Center has trained 59 health personnel from different organization (GO, INGO) in different Family Planning training like Non- Scalpel Vasectomy (NSV), Minilaprotomy, IUCD and Comprehensive of Family Planning (COFP). Altogether, 11 physicians and 48 nurses/paramedics were successfully trained. 15 health professionals from different HP and SHP of Kavre district received COFP training. Three staff nurses and three field representative has received a TOT in COFP.

The IUCD has been conducted outside of Family Planning Training Center of ADRA Nepal the IUCD training facility has been used in NHTC Teku, Chhetrapati, Maternity Home Thapathali and DHO Clinic Lalitpur. As ADRA has only one IUCD Trainer, so a trainer has been hired from Chhetrapati Clinic. The main reason for conducting IUCD training outside Banepa is because of low client flow in ADRA training center. (For detail see annex 1)

STDs/HIVs training is conducted on July 12, 1998. The participants were from DHO Kavre and Rasuwa as well as ADRA staff. The resource persons were invited form STDs and AIDs Control Division of Heidlberg University.

Constraints/ Problems:

Client flow in the clinic is inconsistent and very much dependent on specific/seasonal months.

Rescheduling of the training calendar by the NHTC that creates satellite training centers like ADRA Nepal often difficult position to adjust its own program.

Scarcity of trainers, (Ms. Manju Shrestha, trainer has left the job recently) trainers needing to cover other work and responsibilities along with their training assignment also cause of scarcity of trainer.

Lessened Learned:

Commitment in training from the trainers is a must and this does not come unless s/he is totally involved in the training without outside distraction. For this to happen the trainer first is a trainer and than a service provider, so trainer need to complete the assignment without disturbance.

ADRA has been a lack of regular follow up of the graduate trainees. The NHTC has also asked to make some follow up visit, therefore, ADRA is planning to follow up the graduate trainees in this coming year.

 

Successes Stories:

Continuous and increasing demand of Norplant, IUCD training from different NGOs especially from ADRA training center shows the quality of the training of ADRA.

Approval by NHTC for using certificates with ADRA logo to our trainees (even to government trainees) is a great success.

Graduate trainees recommending other colleagues to choose ADRA training site for clinical training speak volume of our high quality training.

Coordination:

ADRA Nepal Family Planning Training Center has a warm and cordial relationship with NGOs like JHPIEGO, TAF, Kalimati clinic etc. JHPIEGO in particular has always been helpful to ADRA.

They have even donated few A/V AIDs to ADRA Nepal. A good coordination has been maintain with DHO, NHTC and FHD.

B. Maternal and Child Health:

Family Planning and Maternal and Child Health Care Service:

The program has proposed to provide direct health services through two static clinics, Primary Health Care Clinic in Banepa Kavre and Kalikasthan Rasuwa and Mobile Clinics in ten different sites in Kavre & three in Rasuwa District. The laboratory service is established in Banepa to provide service for FP/MCH related client and patients.

PHC Center Banepa:

About 12022 patients/clients received preventive and clinical health services from FP/PHC Center, Banepa, Kavre. Total 2547 women of reproductive ages were examined in the clinic, within these 2547 women 413 pregnant women and 34 non pregnant had TT vaccine. Total 2369 under 5 children were examined and within 2369 children 236 children completed 3rd doses of DPT vaccine and 237 children had Measles.

206 women had clinically diagnosed STDs of which 118 were from rural area. Only 2 male came with symptoms of STDs.

Among 556 women seeking Gynae services 47 had infertility problems 130 had utero-vaginal prolapsed. 9 women came seeking post abortion care.

Out of 4139 family planning service provided, 1051 were new acceptors. Among them 171 women had Minilaprotomy and 170 men had vasectomy. And other long-term method acceptor is Norplant 241, Depo 417, and 27 are IUD acceptors. Only ADRA Nepal provides NP in Kavre District.( See annex 2)

FP/PHC Clinic, Kalikasthan, Rasuwa:

About 1411 patients/client received preventive and clinical health services from FP/PHC Center, Kalikasthan, Rasuwa. There were total 108 prenatal cases were visited in the clinic and 12 pregnant women had TT vaccined. Total under five children examined were 317. (See annex 2)

Mobile Clinics:

Total 2371 client served in Mobile Clinic. Total 53 visits were made out of supposed to be 60 visits from 9 different sites. Maximum visits were unable to make due to unapproachable road conditions that have begun of the rainy season.

On average, 47 client/patients received service from mobile clinic in each visit and analyzing of the service users, there were 25% prenatal visit, 9% under five children, 8% of STDs and Gynae and 39% cases are related to family planning and 19% are other cases. Among 214 new acceptors 8 were sterilization and 206 were temporary method acceptors. (See annex 2)

Total four mobile clinic have been conducted in Rasuwa district in three different VDC namely Laharepouwa, Saramthali and Dadagown. A mobile Clinic support committee is formed to facilitate the clinic. Due to rainy season mobile clinic can not be run smoothly.

Laboratory Service:

6116 different tests were performed from 2490 client/patients. Among them 1703 were women and 27% of pregnant women have hemoglobin less than 11 Gm. 3% of pregnant women tested has Rh Negative blood group. Of the 63 HIV screening in this six month one case of HIV positive was detected. History from these middle aged women, a mother of two sons revealed the strong transmission possibility from her deceased husband of full-blown AIDs. (See annex 2)

Constraints/Problems:

Man power scarcity that is with the lower number of clinical staffs the same or sometime even more program activities had to be covered .

Post abortion care service can be more regularized and expanded if the nurses were trained.

Lack of women empowerment that is women in the reproductive choice (dependent upon male and mother in law) has made many barriers in trekking the decision and accepting if all sorts of health and reproductive issues.

Rainy seasonal roads make difficult to reach the needy people.

In most of the site Mobile Support Committee are not active and reason for these lack of community participation were analyzed and provided one day orientation meeting of the members in every year as a refresher meeting .

A local community of Rasuwa is demanded 24 hours emergency (Maternity emergency service) which is not very easy to provide. As mentioned in the proposal the objectives of the program is only preventative care and increases the awareness of the community.

Lessened Learned:

Quality service does not come easily and takes time with continue improvements from supervision and monitoring.

To strengthen the peopleís participation in mobile clinic has been recently identified and implemented too. In those place where Sub-Health Post Support Committee exist the responsibilities of the mobile clinic are taken care by the SHPSC thus the MSC is dissolved. Sankhu and Dhungkharka already have implemented this strategy from the month of December 1997.

Success Stories:

Due to the quality NP services in FP/PHC and in mobile clinics Kavre has one of the highest NP acceptors rate second only to Lalitpur.

Number of sterilization operations done even in rainy/hot season, due to the high quality of counseling and operation standards in ADRA.

A man came all the way from Chandranigahapur and did wait one more day Banepa only to have sterilized from ADRA physician!!!

Mahadevsthan VDC is a mobile site which has the highest prenatal visit recorded. Pregnant women visit the site twice a month for their antenatal check ups simply because doctors and nurses from ADRA examines them satisfactorily.

Dolalghat VDC is another site where women come to the site walking at least for 4 hours from their house just for a Depo shot because they believe and trust on the Depo given by ADRA Nepal. It is because of effective counseling and follow up services.

A pregnant women was examined in mobile clinic of Rasuwa district was diagnosed as a Pre-eclampsia case and refer the case in Trishuli hospital for further check up and the pregnant women was admitted for observation and she delivery a normal baby. This has shown the example of usefulness of antenatal checkup.

 

Field Activities:

The field activities include the activities of FCHV, TBA, THs, Family Planning Counselor and activities related with VDC leaders and social workers.

Training activities:

Sub Health Post In charge Refresher Training has been conducted into three different batches from 46 VDC of Kavre district. A total of 46 Sub Health Post In charge participated in the training program. The training curriculum is review and designed as need basis .Dr. Suman Karmacharya was hired as a facilitator from Ministry of Health. The objectives of the training was to refresh the staff and provide update knowledge. DHO, Dr. Thakur also conducted a session on the topic of National Health Policy.

FCHV activities:

There are 654 FCHVs in Kavre and 245 FCHV in Rasuwa. The FCHVs are responsible to conduct Motherís Group Meeting and first aid treatment. In addition, they also provide individual counseling and referral to health service sites.

In this six-month period, there were 2825 motherís group meetings conducted and about 42029 women participated in the meeting. In average 15 women part participated in each motherís group meeting. The topic they discussed were Family Planning, Prevention of Diarrhea, Nutrition/Vitamin A, and Child immunization, Tetanus Toxoid for the women, importance of ANC and STD/AIDs. In addition, of this health education program, FCHV also distributed Condom and Pills. FCHV have distributed 2440 pieces of condoms and 418 cycle of oral pills, 483 packets of Jeevan Jal for Diarrhea and also they advised 418 couples for different temporary methods like Norplant, IUCD and also 321 clients for permanent sterilization. Apart from that they advised 1037 pregnant women for antenatal check-up and 412 FCHV helped VHW during the immunization clinic.

FCHV Review Meeting was conducted within 31 batches in Kavre district, with the coordination of District Health Office. The trainer from DHO staff and ADRA staff. In the review meeting the topic discussed are Diarrhoea, ARI, Antenatal, Immunization and FCHV register.

Some FCHV did not participated in the meeting due to different problem like domestic, rice implant season, sickness, marriage, etc.

FCHV Review meeting was conducted in Rasuwa district within 6 VDC. Review Meeting was conducted after the coordination of DHO. Total FCHV participated in the meeting were 92.

The trainers were both from DHO and ADRA and the training focused to up date their knowledge on health messages, skill to conduct motherís group meeting, recording and reporting. The FCHV expressed their difficulties to collect mothers for the meeting.

TBA Activities:

There are 485 Trained Traditional Birth Attendants (TBAs) in Kavre and 135 TBAs in Rasuwa. The TBAs are expected to do antenatal check up and postnatal check up and refer all the high risk pregnancies, more importantly assist and perform clean delivery to normal cases.

TBA Review Meeting was conducted into 27 batches but altogether 30 Review Meeting was targeted.

In this six month period the TBAs has examine 2184 pregnant women and referred 170 women to different health institution for high-risk pregnancy. TBAs conducted 695 delivery and they have also used 511 Safe Delivery Kit while conduction of delivery. A follow up visit has been made to 731 mothers in their postnatal period. 1116 children were referred for the immunization and counseled 2334 couple for family planning and distributed 1442 piece of Condom to them. TBAs also sold 443 SDK during this period.

In Rasuwa, TBA initial training was conducted by the DHO, so ADRA Nepal will not need to conduct initial training except the drop out TBA. The drop out TBA will be selected with the coordination of DHO, Motherís Group and ADRA Nepal. The supervisory meeting will be conduct by ADRA Nepal with the adaptation of TBA supervisory package developed by NHTC.

While doing supervisory meeting of TBA in coordination of DHO, 5 Safe Delivery Kit was given to 90 of TBAs and this kit will sale by TBAs as the market price and advised to refund the kit again by purchasing in any convenient place.

Counsellorís Activities:

The Family Planning Counselor is a semi- volunteer. They have been chosen from the FCHV in each VDC and provided 11 days initial training with four days refresher training in every year.

Total 56 Counselor has been working under ADRA Nepal, ICBFHP. The information presented in FCHV, TBAs and THs activities are collected through Counselors. Each Counselor visits each ward to meet FCHVs, TBAs and THs in each month. Field Representative organizes the Counselor meeting each month and Field Officer in nine field sites. Total 54 meeting have been organized and conducted. According to Counselorís register there is total of 3120 pregnant women are register, 2125 of women have antenatal checked up, 2324 women (15 - 49) have TT shot and there were 1089 deliveries assisted by trained health personnel including trained TBAs out of total 1667 deliveries. According to Counselorís report also indicate that there are total 43116 eligible couple in ADRA program area. 5540 males and 6683 female have permanent sterilization and 13081 have accepted temporary devices of family planning .

Out of total 13081 family planning users, 723 women used Oral pills, 955 couple used Condoms, 8995 women have Depo-Provera injection and Norplant user are 2095, as well as IUCD device used by 313 of women.

Traditional Healers Activities:

There are 249 Traditional Healers in Kavre project area. Within these 249 THs, 4 Traditional Healers were died due to old age. THs has refereed 179 patients to different health institution by using the Token system.

Total 18 batches of TH Refresher Training was conducted during six month period, as targeted for the training were only 13 batches. Discussion were done in the on the subject of ARI, Diarrhoea and the problem encounted during their referral.

In Rasuwa, there is no plan to implement the THs program .

Constraints/Problems:

Due to high literacy rate and lack of proper knowledge FCHV could not give the health education program so the mother are not very interested to come for the meeting and other problem is that usually they teach same topic and it create boredom to the members.

Success Stories:

When Former FCHV Ms. Parbati Guragain, was selected as a Peon of his Majestic of Government, that position was vacant for FCHV so the Motherís Group of that committee strongly felt need to substitute the vacant position and they have initiated to choose the FCHV in coordination of PHC. Incharge of Khopasi Health Center. This case study shows that the women became aware in health and empowered.

Chyamrangbesi VDC is situated in a very remote part of the Kavre adjoining to Mahabharat range. MOH has started FCHV program since 1989 but FCHV was unable together the women for the Motherís Group Meeting. Ms. Goma Gole of that VDC was selected as a Family Planning Counselor and she took 11 days training in health related topic and now manage to conduct the motherís group meeting regularly and they have also raised the fund and presently collected Rs. 24 thousand. That money is mobilized as a loan to the motherís group member by taking interest .

 

C. Women Literacy Program:

Women Literacy program focus on reading, writing, numeric, health and forestry components. Women literacy activity is implemented basic literacy in 40 centers in Kavre and 20 centers in Rasuwa.

During this six month period a regular supervision has been done in each literacy center by Field Representative, Literacy Officers and Literacy Counselor. The Supervisors focused on quality teaching and assist facilitators to improve in the teaching methodology as well as they also mobilize the Literacy Support Committee for their best performance to reduce the dropout rate.

A six of days Basic Literacy Program Facilitators Refresher Training has been conducted within two group in Kavre and one group in Rasuwa district. In each group there are 20 facilitators has participated in the training program. The training was focused on that subject who needed more attentation. The main objectives of the Refresher training was to know the practical problem and technical difficulties in literacy programs and to help them to solve the problems.

A Post Literacy Program (PLP) has been started within this six-month period. Total 20 PLP center has been selected and conducted Facilitators Training from 24 March to 29 March 1998. The training has been facilitated by Mr. Bhola K.C. from Sanothimi Campus and Ms. Tripura Shah from Basic and Primary Education Project (BPEP), Ministry of Education (MOE).

Mid term examination of Basic Literacy Program has been conducted within March 1998 in Banepa and Rasuwa both district.

A final examination of Basic Literacy classes has been conducted in the month of May June. The total number of women appeared in the examination were 938 in Kavre. 75 - 100 participants receive grade ĎAí and the lowest 0 - 39 received grade ĎDí.

In Rasuwa, the total enrollments of literacy participants were 521, within these 521 participants, only 361 participants were appeared in the final examination and passed 206 participants. The dropout rate was very high due to many reason marriage, delivery, seasonal migration (within the VDC) and pottering for income etc.

In the final examination of Post Literacy Class, there were 740 participants enrolled in the class and 632 participants appeared in the examination and 80 - 100 women were passed receiving grade ĎAí and 0 - 39 participants received grade ĎDí. (See annex 3)

A coordination meeting has been organized between Literacy participants, Facilitators, Literacy Support committee chairman, Literacy Supervisors and Literacy Officers in Kavre and Rasuwa district. This coordination meeting has organized for the improvement/correction of the literacy centers.

Constraints/Problems:

The supervisors could not visit every month in each center due to other assignments of the Field Representatives. The supervisors have to accomplish other activities as well as literacy supervision. Therefore, 5 person as a Literacy Counselor has been hired on contact basis to support the literacy class.

In some centers the participants did not come due to fear of Maoist problems, so that dropout and irregularities has been increased. The affected area is Phulbari, Patlekhet, Nayagaun and Jyamdi. Therefore, the dropout rate of the participants was being increased then the previous year.

The Post Literacy classes were started late due to unavailability of the budget in time.

D. VDC Health Empowerment:

VDC Health Empowerment intervention focus on formation of committee, training coaching and facilitating to the members of Sub-Health Post Support Committee (SHPSC) at the VDC level to monitor and manage public health services provided by SHPSC. The purpose of the intervention is to mobilized the SHPSC to organize, plan, implement, monitor and evaluate the planned activities.

A total of 13 SHPSC training has been conducted in Kavre within six month period from January to July 1998. There was a five days intensive training provided to 11 - 13 members of Sub-Health Post Support Committee using a training manual prepared by ADRA Nepal.

The committee members and VDC health Volunteers such as FCHV, TBA and TH working the VDC actively participated in the training. The Participatory Rural Appraisal (PRA) tool was used during training period. They did need identification, Prioritization and prepared action plan, which they have shown their commitment. And they will all have a regular meeting to achieve plan activities.

As targeted total six Pre- training Meetings were conducted with Sub-Health Post Committee members. The objective of the pre-training meeting is to get commitment of committee members, to inform about the health service management training and to fix the date for training .

Quarterly Joint Review Meeting was organizes by SHPSC .In the meeting FCHV, TBA, TH, SHP staff and committee members were participated and ADRA staff were involved to facilitated the meeting. The main objective of the joint meeting is to interact among the participants and to discuss problems/solution.

Constraints/Problems:

The participants in the Joint Review Meeting were less than the expectation, because the participants expected the allowance while they attend the meeting .

There is support from District Health Office but is less than the program has expected, so we need to increase the coordination meeting and other hand if DHO staff involve in the training will be better SHPSC program. A meeting has been set with DHO and a trainer will be provided by DHO in each SHPSC training.

It very difficult to avoid political bias and political conflicts during formation of SHPSC but at the end of the training many VDC Chairman realized that they did mistake in the formation of the committee.

E. Coordination with GO/NGO:

ADRA Nepal Integrated Community - Based Family Health Program keeps a cordial relationship with MOH, INGO and other Government Organization.

ADRA Nepal provided Mobile Surgical Van to Bardiya District Health for the Voluntary Surgical Camp with the recommendation of Family Health Division.

A regular monthly coordination meeting is set with District Health Office and JICA in Kavre and Rasuwa.

A meeting also organized and conducted with Chief District Officer, District Chairman and District Education Officer of Rasuwa district. A brief summary has been given in regards of program activities.

The VDCs were informed before beginning the selection of literacy centers.

F. Monitoring of the Program Activities:

The monitoring of the program has been going on at different level. For example, the FP counsellors monitor the activities of FCHVs, TBAs, Field Representatives monitor the activities of counsellors, FCHVs, TBAs, THs, Literacy Classes and in the same way Field Officers, Literacy Officers, Health Education, Field Education Officers supervise and monitor Field Representative and Literacy Supervision activities, etc.

A reporting flow chart has been developed to collect the reports from community and medical service to Monitoring, Evaluation and Research Specialist Section (MERS).

Quality of Care:

The quality assessment of the program activities has been done in pre and post test and session evaluation in the training has been done by FP Training and Field Training Section. Supervision from NHTC/FHD for quality assurance of FP Training are going on as a regular activity.

Supervision checklist is revised to update the current program.

Research/Analysis:

A Pre and Post test survey of women literacy participants has been conducted in both district Kavre and Rasuwa to assess the knowledge of participants. A total of 200 respondent from Rasuwa and 800 participants from Banepa were interviewed for the purpose. (Pre test result annex 4)

G. Other Activities:

Women Literacy Participants Certificate and prize distribution Ceremony has been organized in Dapcha, on 28 of May 1998, USAID Representative Ms. Anne Peniston, District Health Officer (DHO) Dr. Garib Das Thakur MOH, ADRA Nepal, Country Director Mr. Glenn St. Clair and Health Program Director from ADRA has participated in the ceremony. The prizes and certificates were given to the Literacy Facilitators, Literacy Support Committee Members and social worker were awarded by certificates and prizes.

A stretcher distribution ceremony has been organized in Banepa and distributed to 46 VDC and 3 Municipality Dhulikhel, Banepa and Panauti. Honorable Heath Minister Bipin Koirala was the Chief Guest of the ceremony, handed over the stretcher to the VDC leaders one for each ward basis.

A Japanese youth volunteer has visited ADRA Banepa for puppet show program on literacy class. Schedule has been prepared and mobilized the team in different class. The puppet shows an objective was to provide the message on health and sanitation.

National Vitamin A Program has initiated a campaign on Vitamin A distribution in different District of Nepal. Vitamin A Program also requested ADRA Nepal to provide a personnel for supervision during the capsule distribution. Mr. Pashupati Bhakta Raya has been sent in Kapilvastu District to monitor and supervise the capsule distribution program. A complete report has been sent to the Vitamin A Program.

All employee semi - annual meeting has been organized and conducted in Banepa. In the meeting, issues raised were on ADRA policy, financial policy and coordination between Rasuwa and Kavre staff.

Mr. Hari Krishna Shah, Field and Education Officer and Mr. Ramji Ghimire, Health Educator participated ARI Master TOT in Hetuada, organized by JSI and Child Health Division. Since, ADRA Nepal is going to implant the ARI program in Rasuwa from next year.

A one day Women Health Camp is organized in Rasuwa district. About 130 women were examined and most of the cases were Prolapsed Uterus, Pelvic Inflammatory Diseases and Antenatal cases. Information has been disseminated prior to the camp.

ADRA Nepal

Integrated Community - Based Family Health Program

 

The activities with Expected outputs and Accomplishment:-

 

SN

Interventions

Expected outputs

Accomplishments

1

Family Planning Training (person)

 

59

2

Maternal & Child Health:

Reproductive Health/Child Health

  • CYP
  • Mobile Clinic (times)
  • DHO Staff Training (batch)
  • Motherís Group Meeting (group)
  • Women Literacy (centers):

* Basic Literacy, Kavre

* Post Literacy, Kavre

* Basic Literacy, Rasuwa

 

12,000/yr.

47

3

 

40

40

20

 

7320

50

3

2825

40

40

21

3

VDC Health Empowerment (group):

VDC Health Service Management Training

12

13

 

 

ADRA Nepal

Integrated Community - Based Family Health Program

FP Training

Achievement (January - June 1998)

SN

Training Type

Target (person)

Achievement

Status

Remarks

     

Jul-Dec

Jan-Jun

   

1

NP Basic

18/yr.

19

0

Complete

 

2

NSV

12/yr.

1

9

Complete

NHTC rescheduling of training affects our training.

Client flow low in ADRA.

2 batch/group

3

M/L

12/yr.

9

4

Complete

1 batch only

4

IUCD

2/yr.

0

18

Complete

Due to very low client flow in our center all the IUCD training (4 batches) were conducted outside ADRA.

4 batch

5

COFP

18/yr.

0

28

Complete

2 batch

6

STD/HIV

10/yr.

0

*

Re-scheduled

Planned on July 1998.

7

FP Counselling

24/yr.

0

0

Incomplete

Demand on this training inadequate.

 

 

 

 

 

 

 

 

 

ADRA Nepal

Integrated Community - Based Family Health Program

Number of service statistics report assist by ADRA Mobile Surgical Van

Date

District

Batch

Minilap

Vasectomy

Total

Remarks

April 1996

Rasuwa

1

54

72

126

 

April 1997

Rasuwa

2

59

76

135

 

March 1998

Rasuwa

3

50

39

89

 

Total

       

350

 

1995/96

Kavre

1

17

18

35

Mobile Clinic

96

Kavre

2

113

80

193

Camp

97

Kavre

5

73

24

97

 

Total

       

325

 

96

Siraha

1

245

6

251

 

97

Siraha

2

172

7

179

 

Total

       

430

 
 

Sindhupalchowk

1

45

33

78

 

1998

Tikapur

1

55

10

65

 

Grand Total

       

1248

 

 

 

 

 

 

 

ADRA Nepal

Integrated Community - Based Family Health Program

Clinic Section

Achievements (Semi-Annual January to June 1998)

SN

Activities

Target

Achievements

Status

Remarks

1

Mobile Clinic

47*

50

Continuing

*470 in 5 yr/94 per yr/47 in 6 month

2

MCS Review Meeting x 2 in a year

1*

-

Forthcoming

*2 per yr/1 per month

3

STD Screening Counselling/Management

60

206 + 55

Continuing

from FP/PHC & Mobile Clinic

4

VDRL Screening of Pregnant Women

210

391

Continuing

 

5

TT Immunization (2nd dose for pregnant women)

120

413

Continuing

 

6

Hb Estimation of Pregnant Women

240

405

Continuing

 

7

Postnatal Care

-

8 + 9

Continuing

from FP/PHC & Mobile Clinic

8

Growth Monitoring

-

1311

Continuing

 

9

New FP services, screening & referral, Rx for maternal problems resulting from pregnancy

infertility

PAC

47 + 2

5

Continuing

infertility case workout

PAC post abortion case services

10

ANC 2nd visit

210

1554 + 234

Continuing

from FP/PHC & Mobile Clinic

11

FP Services (CYP)

12,000/yr

6463 + 794

Continuing

from FP/PHC & Mobile Clinic

12

Family Planning Camp *Coordination with DHO *Coordination with Field Staff

1/yr.

5/Yr. = 97 VSC

Complete

 

13

DPT - III Completed

90

236

Continuing

 

14

ARI

-

148 + 58

Continuing

from FP/PHC & Mobile Clinic

15

CDD

-

86 + 31

Continuing

from FP/PHC & Mobile Clinic

16

Malnutrition

-

200 + 4

Continuing

from FP/PHC & Mobile Clinic

17

Gynae Case

60

496 + 115

Continuing

from FP/PHC & Mobile Clinic