1. DISTRICT VISIT REPORT “ DAUSA” Visit by Sushma Dixit (PO-HRD) Rekha Sharma (ASHA Coor.) 23 rd to 26 th Oct 13 National Rural Health Mission

2. Objective of Visit To see overall progress of the project To see proper utilization of fund To identify weakness and gaps if any Staff status To see status of building construction (ANM Quarter at Sub-Center) National Rural Health Mission

3. Places Visited CHC - Bandikui, Lalsoth, Mandawar, Mahua, Sikrai, Ramgarh Pachwara. PHC - Santha, Didwana, Khedla bujurg, Bhairavanda, Manpur Sub-center - Gandrawa, Dhakariya, Indawa, Ramgarh Rasidpur MMU/MMV -Lalsot Ambulance 108 -Lalsot Upper primary / Secondary School - Prahladpura, Ram Nagar Khedi, Pichupada Khurd (Bandikui), Govt. Girls School Didwana National Rural Health Mission

4. Basic Information Population : 1634409 Male : 857787 Female : 776622 No. of CHCs : 15 No. of PHCs : 40 No of Sub-Centers : 318 No. of MMU/MMV : 1 (MMU), 2 (MMV) No of Ambulance 108: 7 National Rural Health Mission

6. Financial Status National Rural Health Mission CHC/PHC/Sub-Center Untied Fund (Utilization) AMG (Utilization) Corpus Grant (Utilization) CHC Bandikui596856545664665 CHC Lalsoth2827910000 CHC Sikrai199759741251236 CHC Mahua656083500098174 CHC Mandawar67321850031795 PHC Santha25000NIL40000 PHC Didwana266026562NIL PHC Khedla bujurg156972754316790

7. Financial Status National Rural Health Mission CHC/PHC/Sub-CenterUntied Fund (Utilization)AMG (Utilization)Corpus Grant (Utilization) PHC Bhairavanda Not Received because this is a new PHC, as per norms PHC will get fund by CMHO only when it is 2yrs to 2.5yrs old. All PHC Expenditure are made by MRS Fund (Told by PHC incharge) PHC Manpur (Block Sikrai)189322007165 S-C Ramgad Pachwara2016141086270 S-C Gandrawa,4785Nil S-C Indawa,NIL S-C Dhakariya2275Nil S-C Ramgarh (Rasidpur)18000Nil

8. Major Finding’s CHC Bandikui Permanent leakage in labor room, floor is full with water anytime and the room is too much unhygienic, NBCU which is just beside labor room is also effected and is full of moisture in the walls, There is no mattress on the labor table, There is no facility of conducting operations as told by Dr.HK Meena Gynecologist (MS), National Rural Health Mission

9. Major Finding’s CHC Lalsot There is no trained staff at MTC center, CHC Mahua Due to non availability of license the blood bank is not functional, Due to non availability of surgeon and Anesthetists there is no ‘C’- cases in this CHC, Due to non availability of trained staff the NBSU is non functional, National Rural Health Mission

10. Major Finding’s CHC Mandawar Due to non availability of license the blood bank is not functional, Due to non availability of trained staff the NBSU is not functional, CHC Sikrai Unhygienic condition, Permanent water leakage, Lack of trained staff National Rural Health Mission

11. Major Finding’s PHC Bhairawanda, Block Sikrai There is no water pipe line facility nor electricity for conducting deliveries,(They are using light in a ill-legal way) There is no fund allotted, they are using MRS fund for day to day expenses and are in a very critical condition, There is no 4 th class, (The 4 th class is deputed to some other PHC ), There is not facility of staff quarters, National Rural Health Mission

12. Major Finding’s PHC Didwana Due to bad condition of building the deliveries at this PHC is stopped from 1 Sep 13, Infact after writing many letter there is no action on the problems, Average deliveries at this PHC was 12 before 1 Sep 13, National Rural Health Mission

13. Major Finding’s PHC Bhairavanda Payment of VHSC is not been made from 2 yrs, Indawa Sub Center No facility at the sub center although there is SBA trained ANM, There is no toilet facility nor electricity, National Rural Health Mission

14. Major Finding’s Ramgarh Rashidpur Sub Center Labor room is found unhygienic, There is no water facility nor electricity for conducting deliveries, There is no mattress on labor table, Labor table is also not in a proper condition, it is supported by bricks, National Rural Health Mission

15. Major Finding’s Gandrawa Sub Center(PHC Bhairavanda) There is no government vehicle for referral cases, JSY cheque are not distributed on time, Molai, Mahanwali, Pharaspura Sub Center In these sub center the immunization / vaccination is done on the interval of 4 to 5 months, There is no ANM posted, National Rural Health Mission

16. Status of building construction (ANM Quarter at Sub-Center) PHC Pavta, work till DPC completed, PHC Ramgarh, no land available till date, PHC Khedla, no land available till date, PHC Bansrakhurd, no land available till date, PHC Degariya, no land available till date, PHC Hudla, no land available till date, CHC Sikrai, no land available till date, National Rural Health Mission

17. Status of WIFS program In all school monitors (Pichupada Khurd (Bandikui), Govt. Girls School Didwana) the WIFS program is functional except of Prahladpura, Ram Nagar Khedi. In these two schools Prahladpura, Ram Nagar Khedi only pills of D worming is provided. National Rural Health Mission

18. Photo’s of Bandikui CHC National Rural Health Mission

19. Photo’s of Didwana CHC National Rural Health Mission Labour Room

20. Challenges Lack of proper knowledge of all program, No orientation / training of the monitors sent in the districts, Non availability of orders issued of the program, No proper visit plan in advance (visit of district was told in the evening, and next day monitors rushed for visiting district, National Rural Health Mission

21. Solution Proper visit plan should be shared with the monitors in advance, so that they can make their arrangements Persons related to the program should be send for monitoring as they have hold on the program and its orders, Proper training / orientation session should be done for the monitors other than that program cell, National Rural Health Mission

22. THANK YOU