1. DHOs REVIEW MEETING 27/04/2015

2. CRITERIA FIXED BY GOI, MOHFW FOR STAR RATING OF CHC BASED ON HMIS DATA Presented by MOHFW in NPCC APRIL 2014 – DEC 2014 DEMOGRAPHY AND EVALUATION CELL, BANGALORE

3. METHODOLOGY District wise each CHC in Karnataka was analyzed and a rating provided i.e 5 Star, 4 Star, 3 Star, 2 Star, 1 Star, Not Eligible for star rating. 20 indicators from HMIS were considered for analysis. The indicators were categorized as: – Human Resource (3 indicators) – Infrastructure (3 indicators) – Drugs and supplies (3 indicators) – Service availability (3 indicators) – Client orientation (3 indicators) – Service utilization (5 indicators)

5. FormatSectionLine ItemIndicatorCriteria Star HMIS Infrastructure Format Human Resource 2.1+2.2+2.3+ 2.4+2.5+2.7+ 2.9 Doctors including specialists >=2 2.13.a+2.13.b + 2.13.c Nurse and ANM >=6 2.16 Laboratory Technician >=1 Infrastructure 4.8 Separate public utilities for males and females Available 4.18.a Operation Theatre available Available 4.29.c Stand by facility (generator) Available Drugs and supplies 9 2 month supply of essential drugs Available 10 2 month supply of essential vaccines Available 11 2 month supply of essential contraceptives Available Service availability 1.2.e 24 - hour delivery services including normal and assisted deliveries Yes 1.2.h Emergency care of sick children Yes 1.2.l Essential Laboratory Services (Specify the type of lab tests conducted) Yes Client orientation 4.43.i Publicly displayed mechanism, whereby a complaint/grievance can be registered Yes 8.1 Citizen's charter Yes 8.4 External monitoring /Gradation by PRI (Zila Parishad)/ RKS Yes HMIS Monthly Format Service Utilization 9 C -Section deliveries performed at facility >=5 / month 25 Number of new IUCD Insertions at facility >=3 / month 33.12 Infant 0-11 months who received Measles >=10 / month 57.3 In-Patient Head Count at midnight >=450 / month 58.1 OPD attendance >=750 / month Note :1. Star rating of facilities has been done based on the criteria fixed by GOI, MOHFW CRITERIA FIXED BY GOI : CHC

6. KEY FINDINGS

7. Abstract on star rating of facilities (CHCs) Sl. No.DistrictNo. of CHC Facilities Eligible Not applicable for Star Rating Not Eligible Total NE = Not Eligible + Not applicable % of not eligible 1Bagalkote8125787.50% 2Bangalore Rural21 1150.00% 3Bangalore Urban52 3360.00% 4Belgaum1641111275.00% 5Bellary113 8872.73% 6Bidar80 88100.00% 7Bijapur9144888.89% 8Chamrajnagar32 1133.33% 9Chikkaballapur20112100.00% 10Chikmagalur52 3360.00% 11Chitradurga116 5545.45% 12Dakshina Kannada83 5562.50% 13Davanagere61 5583.33% 14Gadag22 000.00% 15Gulbarga162 14 87.50% 16Hassan157 8853.33% 17Haveri51 4480.00% 18Kodagu73 4457.14% 19Kolar20 22100.00% 20Koppal91 8888.89% 21Mandya6312350.00% 22Mysore10334770.00% 23Raichur61 5583.33% 24Ramanagar43 1125.00% 25Shimoga71 6685.71% 26Tumkur41 3375.00% 27Udupi64 2233.33% 28Uttara Kannada30123100.00% 29Yadgir60156100.00% Grand Total202581413014471.29%

8. Districts >80% of CHC Not Eligible for Star Rating Sl. No. District No. of CHC Facilities Eligible Not applicable for Star Rating Not Eligible Total NE = Not Eligible + Not applicable % of not eligible 1Bidar80 8 8100.00% 2Chikkaballapur2011 2100.00% 3Kolar20 2 2100.00% 4Uttara Kannada3012 3100.00% 5Yadgir6015 6100.00% 6Bijapur9144 888.89% 7Koppal91 8 888.89% 8Bagalkote8125 787.50% 9Gulbarga162 14 87.50% 10Shimoga71 6 685.71% 11Davanagere61 5 583.33% 12Raichur61 5 583.33% 13Haveri51 4 480.00%

9. Performance of Facilities During 2014-15 Source : HMIS data

10. FACILITY TYPE No. of facilities DELIVERY POINTS SC>=3 DELIVERIES 9308 19 PHC>=10 DELIVERIES (Non 24x7 PHC) 1337 9 24x7 PHC >= 10 DELIVERIES 953 469 CHC >= 20 DELIVERIES 202 95 TLH>= 20 DELIVERIES 146 137 DH>= 50 DELIVERIES (includes major hospitals) 37 Delivery Points

11. Reporting of Deliveries in PHCs Sl NoDistrict PHCsNil Reporting PHCs NON 24X7 24x7Total Total Nil Reporting PHCs Percentage of Nil reporting PHCs 24X7 PHCs 1Udupi537605795.00%6 2 Dakshina Kannada 559644671.88%1 3Uttara Kannada6814825769.51%0 4Hassan109261359066.67%1 5Ramanagar4714613963.93%1 6Bangalore Urban7620966163.54%0 7Mysore123271509462.67%3 8Bangalore Rural3216482960.42%0 9Chikmagalur6722895056.18%0 10Mandya90291196655.46%3 11Shimoga83221055855.24%0 12Tumkur96481447451.39%1 13Chamrajnagar3327602541.67%2 14Chitradurga4733803240.00%1 15Davanagere5741983737.76%0

12. Reporting of Deliveries in PHCs Sl NoDistrict PHCsNil Reporting PHCs NON 24X7 24x7Total Total Nil Reporting PHCs Percentage of Nil reporting PHCs 24X7 PHCs 16Chikkaballapur3619552036.36%1 17Kodagu209291034.48%0 18Bijapur3134652030.77%0 19Haveri3038681927.94%0 20Bidar3125561526.79%0 21Bellary2152731926.03%0 22Belgaum60901503825.33%0 23Gadag152439923.08%0 24Kolar1744611321.31%0 25Dharwad132033618.18%0 26Bagalkote93948612.50%0 27Raichur4465036.00%0 28Gulbarga10758555.88%0 29Koppal4424624.35%0 30Yadgir041 12.44%1 Grand Total13379532290100143.71% 21

13. Nil reporting of Deliveries in PHCs SL.NO.DISTRICTTALUKFACILITY 1 ChamrajnagarChamaraja NagarALURU (24X7) 2 ChamrajnagarChamaraja NagarKOTTALAVADI (24X7) 3 ChikkaballapurGowribidanurALLIPUR 24X7 4 ChitradurgaMolakalumurASHOKA SIDDAPURA 24X7 5 Dakshina KannadaBantwalMANI (24X7) 6 HassanChannarayapatnaANATHI (24X7) 7 MandyaKrishnarajpetSHEELANERE 24X7 8 Mandya HOLALU (24X7) 9 Mandya KEELARA 24X7 10 MysoreHunsurMULLURU (24X7) 11 MysoreKrishnarajanagaraHAMPAPURA (24X7) 12 MysoreKrishnarajanagaraHANASOGE (24X7) 13 RamanagarKanakapurDOMBARADODDI (24X7) 14 TumkurMadugiriMARUVEKERE (24X7) 15 UdupiKarkalAJEKAR (24X7) 16 UdupiKarkalBAILOOR (24X7) 17 UdupiKundapuraBELVE (24X7) 18 UdupiKundapuraKANDLOR 24X7 19 UdupiKundapuraNADA (24X7) 20 Udupi PADUBIDRI (24X7) 21 YadgirSurapurHEMANOOR (24X7)

14. Nil reporting of Deliveries in CHCs SL. NO.DISTRICTTALUKFACILITY 1 Bangalore UrbanBangalore SouthKENGERI 2 Dakshina KannadaBelthangadiDHARMASTHALA 3 HassanHolenarasipuraDODDAKUNCHE 4 MandyaKrishnarajpetBOOKANAKERE 5 TumkurGubbiM N KOTE 6 Udupi BRAHMAVARA 7 Udupi SHIRUVA 8 Uttara KannadaMundgodPALA

15. Taluk Level Hospitals with < 20 Deliveries / month Sl.NoDISTRICTTALUKFACILITY TOTAL DELIVERIES IN YEAR AVERAGE PER MONTH 1ChamrajnagarYelandur(FRU) YELANDUR484 2ChikmagalurKadur(FRU) KADUR50 3ChikmagalurMudigere(FRU) MUDIGERE21818 4HassanAlur(FRU) ALUR13511 5KodaguSomwarpet(FRU) SOMVARPET12911 6MandyaSriranagapatna(FRU) SRIRANGAPATNA161 7Uttara KannadaAnkola(FRU) ANKOLA706 8Uttara KannadaSupa(FRU) SUPA887

16. CHCs with <10 deliveries during 2014-15 SL. NO. DISTRICTTALUKFACILITY Deliveries conducted / year 1 Bangalore UrbanBangalore SouthCHANDRAPPA CIRCLE5 2 ChikkaballapurBagepalliGULURU7 3 Dakshina KannadaBantwalVAMADAPADAV3 4 HassanChannarayapatnaNUGGEHALLI6 5 HassanHolenarasipuraPADUVALAHIPPE4 6 MysoreHeggadadevankoteSARAGUR1 7 Mysore ASHOKAPURAM UCHC2 8 ShimogaSagar(FRU) ANADAPURAM3 9 ShimogaThirthahalliKANNANGI2 10 UdupiKarkalHEBRI7 11 UdupiKarkalNITTE1 12 UdupiKundapuraBAINDOOR2 13 Uttara KannadaBhatkalSHIRALI4

17. Districtwise Nil reporting of IPD in PHCs Sl NoDistrictTotal No. of FacilitiesFacilities with Nil IPD % of facilities with nil IPD 1Dakshina Kannada644976.56% 2Bangalore Urban967275.00% 3Hassan13510174.81% 4Mysore1509664.00% 5Bangalore Rural483062.50% 6Tumkur1448458.33% 7Chikmagalur894853.93% 8Uttara Kannada824453.66% 9Ramanagar613150.82% 10Chikkaballapur552341.82% 11Kodagu291034.48% 12Mandya1193630.25% 13Kolar611524.59% 14Shimoga1052523.81% 15Chitradurga801923.75% 16Bellary731520.55% 17Chamrajnagar601220.00% 18Bidar561119.64% 19Davanagere981717.35% 20Gadag39512.82% 21Bijapur65812.31% 22Gulbarga851011.76% 23Belgaum1501610.67% 24Haveri6868.82% 25Bagalkote4836.25% 26Dharwad3326.06% 27Koppal4624.35% 28Raichur5024.00% 29Yadgir4112.44% 30Udupi6011.67% Karnataka229079434.67%

18. Nil reporting of IPD in CHCs Sl. No.DISTRICTSUBDISTRICT FACILITY TYPE FACILITY NAME 1BANGALORE URBANBANGALORE SOUTHCHCKENGERI 2DAKSHINA KANNADABELTHANGADICHCDHARMASTHALA 3MANDYAKRISHNARAJPETCHCBOOKANAKERE 4MYSOREHEGGADADEVANKOTECHCSARAGUR 5MYSORENANJANGUDUCHCHULLHALLI 6TUMKURGUBBICHCM N KOTE 7UTTARA KANNADAMUNDGODCHCPALA

19. Nil reporting of OPD in PHCs Sl. NO.DISTRICTSUBDISTRICTFACILITY NAME 1BELGAUM CANTONMENT UPHC 2BELGAUM SES TILAKWADI UPHC 3BELGAUM SHIVAJINAGAR UPHC 4BELLARY BELAGAL 5BELLARYHADAGALIMAILAR 6BELLARYHADAGALIUTTANGHI 7BELLARYSANDURVITTALAPURA 8BIJAPURSINDAGINAGAVI.B.K. 9CHAMRAJNAGARKOLLEGALAMEENYAM 10CHIKKABALLAPURSHIDALAGHATTAY. HUNASENAHALLI 11GADAGRONYAVAGAL 12GADAGSHIRAHATTIBALEHOSUR 13GULBARGAAFZALPURBADADAAL 14HASSAN DODDABEEKANAHALLI 15HASSAN GODANAHALLI 16HASSANHOLENARASIPURANAGARANAHALLI 17HASSANHOLENARASIPURAVALAMBIGE 18HAVERI MEVUNDI 19KOPPALKUSHTAGIMALAGATTI 20KOPPALYELBURGASHIRUR 21MYSOREHEGGADADEVANKOTEH.D.KOTE 22MYSOREHUNSURHUNSUR TRIBAL 23MYSORE K.R.KENDRA UPHC 24SHIMOGASAGARTADAGALALE 25SHIMOGASORABABETTADAKURLI 26SHIMOGASORABAHARISHI 27TUMKURPAVAGADAC.K.PURA 28TUMKURPAVAGADADODDAHALLI 29UTTARA KANNADASUPADIGGI

20. CHCs with <5,000 OPDs / year Sl. No. DISTRICTSUBDISTRICTFACILITY NAME OPD attendance (All) 1BELLARY ROOPANAGUDI5030 2HASSANHOLENARASIPURAHALLI MYSORE4821 3HASSANHOLENARASIPURADODDAKUNCHE4600 4BELGAUMCHIKKODIEXAMBA3493 5HASSANHOLENARASIPURAPADUVALAHIPPE3167

21. Taluk Hospitals with <40,000 OPDs / year Sl. No. DISTRICTSUBDISTRICTFACILITY NAME OPD attendance (All) 1CHIKMAGALURNARASIMHARAJAPURA(FRU) NARASIMHARAJAPURA39146 2UTTARA KANNADAYELLAPUR(FRU) YELLAPURA38101 3BELGAUMBAILAHONGALA(FRU) BAILHONGAL36542 4YADGIRSHAHPUR(FRU) SHAHPUR36462 5UTTARA KANNADAANKOLA(FRU) ANKOLA29149 6GADAGSHIRAHATTI(FRU) SHIRAHATTI29092 7UTTARA KANNADASUPA(FRU) SUPA20149 8BAGALKOTEBAGALKOTBAGALKOTE3882

22. District Hospitals with <1,00,000 OPDs / year Sl. No.DISTRICTSUBDISTRICTFACILITY NAME OPD attendance (All) 1KODAGUMADIKERIKODAGU DISTRICT HOSPITAL94231 2BAGALKOTEBAGALKOTBAGALKOTE DISTRICT HOSPITAL86327 3YADGIR YADGIR DISTRICT HOSPITAL86211 4BELLARY BELLARY DISTRICT HOSPITAL83703 5 CHIKKABALLA PUR CHIKKABALLAPUR DISTRICT HOSPITAL 81809 6MYSORE KR HOSPITAL MYSORE DH63465 7DAVANAGEREDAVANGERE DAVANGERE WOMEN AND CHILDREN DH 53525 8 DAKSHINA KANNADA MANGALORE LADY GOSHAN HOSPITAL MANGALORE DH 34124

24. PREGNANT WOMAN REGISTRATION IN MCTS V/S HMIS

25. CHILDERN REGISTRATION IN MCTS V/S HMIS

26. REGISTRATION OF CHILDRENS IN DISTRICT HOSPITALS Sl NoDistrictChild registered 1Bagalkot89 2Belgaum83 3Bellary43 4Bidar286 5Bijapur40 6Chamarajanagar66 7Chikkaballapura146 8Chikmagalur142 9Chitradurga595 10Dakshina Kannada352 11Davanagere116 12Dharwad156 13Gadag52 14Gulbarga147 15Hassan541 16Haveri139 17Kodagu112 18Kolar112 19Koppal66 20Mandya211 21Mysore767 22Raichur0 23Ramanagara43 24Shimoga283 25Tumkur352 26Udupi156 27UK68 28Yadgir57 March 2015

27. Taluk Hospitals where deliveries are not registered in MCTS Sl NoDistrict Facility Name 1 BagalkotBADAMI TH 2 BagalkotMUDHOL TH 3 Bangalore RuralNELAMANGALA TH 4 Bangalore (U)ANEKAL TH 5 BelgaumCHIKODI TH 6 BelgaumKHANAPUR TH 7 BelgaumBAILHONGAL TH 8 BellaryHADAGALI TH 9 BellarySIRAGPPA TH 10 BijapurINDI TH 11 ChikkaballapuraGOURIBIDANUR TH 12 ChikkaballapuraBAGEPALLI TH 13 ChikmagalurMUDIGERE TH 14 DavanagereCHANNAGIRI TH Sl No District Facility Name 15 GulbargaALAND TH 16 GulbargaCHINCHOLI TH 17 GulbargaCHITAPUR TH 18 HassanALUR TH 19 HaveriHIREKERUR TH 20 KolarBANGARPET TH 21 KolarMALUR TH 22 KolarMULBAGAL TH 23 MysoreHUNSUR TH 24 MysoreKRISHNARAJANAGARA TH 25 RaichurMANVI TH 26 RaichurSINDHANOOR TH 27 UdupiKARKALA TH 28 YadgirSHAHPUR TH March 2015