1. Barmer visit Tour Report (23-27 Oct, 2013) Kshitij Gaurang CO(CH) Medical, Health & F.W. Services

2. GOOD PRACTICES Branding : Branding has been done in all Health Facilities. Funds: Fund are distributed up to Sub-center level. And 43% expenditure has been done at district level. ASHA Module 6&7 : Most of the ASHA trained in Module 6 & 7 MCHN Day : MCHN held as per micro-plan. ASHA Mobilized the beneficiaries. JSY and Shubh Laxmi : JSY payments and Shubh laxmi payments are given promptly. Food: Hot food given to delivered Mother.

3. Contd…. Cold Chain:- Cold Chain Maintained properly and temperature recorded every day. MMU : 2 MMU and 6 MMV are functional. Regular Visit of MMU/MMV Total 1781 camp conducted and 38712 Patients treated.

4. Issues and Gap ANC :Hemoglobin and Urine Checked in Lab but not mentioned in ANC Register. There are huge gap of ANC registration, ANC before 12 Weeks and Full ANC. BCG Vaccine is not available in Some places. NBCC: Radiant warmer, Other equipment and Pediatrician are available but NBCC are not functional in Pachpadra and chohtan because Paedtirician is not interested. Under utilization of 108 and Janani Express due to geographical conditions.

5. Contd… Cleaning Tenders: District office transferred the amount to Block office but tender is still pending. Guide line for cleanlines is not clear to lower level. PCTS Data :Due to only 1 BPM out of 8 sanctioned posts and no DNO data is under reported in PCTS and not checked before uploading. An Orientation training should be done for all DEOs.

6. Contd... Grievance Redressal System: Grievance Redressal System is not established in district. Bio-Medical Waste: - Most of the health institute applied or renewed registration in pollution control board. CTF connectivity's: Most of the health institute not connected to CTF’s so when pits are full with Bio medical waste they burn it.

7. Contd… ASHA : ASHA Payment only done on (ASHA Monthly Meeting, MCHN and institutional delivery) Payment for VHSC, HBPNC, Infant death and follow-up of discharge children from SNCU/MTC still pending, because of lack of information about guidelines. Regular Meeting of VHSC has not been done. United and Corpus Fund is used but AMG fund is not used properly.

8. Contd.. MMU/MMV :- due to technical problem X-ray Machine not functional. Medicine is not received through MNDY as per information of DPC budget is not allotted for it. MMU generator not functional. Weighing Machine for Adult not found in MMV.

9. Cont.. WIFS Programme: Visited three Govt Secondary Schools. (In Two school red WIFS tablets were available and in one school WIFS tablets and reporting formats were not received). Monitoring with Education department required. Shifting of NBCC from non functional delivery point to functional non-delivery point.

10. Branding

11. Display of IEC

12. Bio-Medical Waste

13. Misuse of IEC

15. THANKS