 Date : Shadan Rahman (Monitoring & Evaluation Officerr, DHS, Gopalganj)

1.Total ANC Registration 2. ANC in First Trimestor (Early Registration) 3. Number of Pregnant women Received 3ANC check ups 4. Total number of pregnant women given 100 IFA tablets 5. Number of Pregnant women given TT2/Booster 6. Deliveries conducted at of total ANC

7. Number of instituional delivery(Public institution) cases where JSY incentive paid to mothers (Public) 8. Number of Caesarean C-Section deliveries performed at Public institution 9.ELA FOR OPV-0 IMMUNIZATION IN FY ELA FOR BCG IMMUNIZATION IN FY ELA FOR HEP B - 0 IN FY ELA FOR DPT-1 IMMUNIZATION IN FY ELA FOR DPT-3 IMMUNIZATION IN FY

14.ELA FOR MEASLES IMMUNIZATION IN FY Number of Family Planning Operation conducted at Public+Private Facility 16. Number of IUD Insertion 17. No. of OC Pills Cycles Distributed 18. ELA for VHND at AWC in FY ELA FOR FY FOR OPD SERVICES 20. In Patient Head Count at Midnight 21. ELA FOR FY FOR AYUSH OPD SERVICES

Block wise ELA in Antenatal Care Month:- July 12 ' Sl.No. Name of the PHC 1.Total ANC Registration ELA in % of estimated pregnancies ELA / month Achievement During the month Achievement upto the month Percentage of Achieveme nt during the month Percentage of Achievement upto the month 1Sidhwalia Baikunthpur Bhorey Kateya Vijaipur Panchdevri Barauli Thawe Uchkagaon Kuchaikote Phulwaria Manjha Hathua Gopalganj Sadar SH, Gopalganj SDH, Hathua Total

District ELA = 6140 Achievment= 6221 Percentage= 101% 1. ANC Registration

Block wise ELA in Antenatal Care Month:- July 12 ' Name of the PHC 2. ANC in First Trimestor (Early Registration) ELA for FY 12- of total ANC ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1Kateya Baikunthpur Vijaipur Panchdevri Uchkagaon Sidhwalia Phulwaria Bhorey Gopalganj Sadar Barauli Thawe Kuchaikote Manjha Hathua SH, Gopalganj SDH, Hathua Total

Block wise ELA in Antenatal Care Month:- July 12 ' Sl.No.Name of the PHC 3. Number of Pregnant women Received 3ANC check ups ELA for FY 12- of total ANC ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1Kateya Uchkagaon Panchdevri Bhorey Sidhwalia Vijaipur Phulwaria Hathua Baikunthpur Gopalganj Sadar Barauli Kuchaikote Thawe Manjha SH, Gopalganj SDH, Hathua 08 Total

Block wise ELA in Antenatal Care Month:- July 12 ' Sl.No. Name of the PHC 4. Total number of pregnant women given 100 IFA tablets ELA in % of estimated pregnancies ELA / month Achievem ent During the month Achieve ment upto the month Percentage of Achievemen t during the month Percentag e of Achievem ent upto the month 1Kuchaikote Sidhwalia Gopalganj Sadar Hathua Manjha Phulwaria Thawe Uchkagaon Panchdevri Barauli Baikunthpur Vijaipur Kateya Bhorey SH, Gopalganj 00 16SDH, Hathua Total

District ELA= 6140 Achievment=3571 Percentage=58% PW given 100 IFA Tablets

Block wise ELA in Antenatal Care Month:- July 12 ' Sl.No.Name of the PHC 5. Number of Pregnant women given TT2/Booster ELA in % of estimated pregnancies ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1Manjha Kuchaikote Gopalganj Sadar Barauli Uchkagaon Hathua Phulwaria Baikunthpur Vijaipur Panchdevri Bhorey Thawe Sidhwalia Kateya SH, Gopalganj SDH, Hathua Total

District ELA = 6140 Achievment = 3820 Percentage = 62%

Block wise ELA in Delivery Month:- July 12 ' Sl.No.Name of the PHC 6. Deliveries conducted at of total ANC ELA for FY of total ANC ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1Panchdevri Thawe Sidhwalia Bhorey Kateya Kuchaikote Barauli Baikunthpur Phulwaria Vijaipur Uchkagaon Manjha Gopalganj Sadar Hathua Sadar Hospital gopalganj Sub-Divisional, Hathua Total

District ELA = 4298 Achievment = 3357 Percentage = 78%

Block wise ELA in Delivery Month:- July 12 ' Sl.No.Name of the PHC 7. Number of instituional delivery(Public institution) cases where JSY incentive paid to mothers (Public) ELA for FY 12- of Institutional delivery ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1 Baikunthpur Barauli Bhorey Gopalganj Sadar Hathua Kateya Kuchaikote Manjha Panchdevri Phulwaria Sidhwalia Thawe Uchkagaon Vijaipur SDH, Hathua 00 16SH, Gopalganj 00 Total

Block wise ELA in Delivery Month:- July 12 ' Sl.No.Name of the PHC 8. Number of Caesarean C-Section deliveries performed at Public institution ELA for FY 5% of total Inst. Delivery ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1 Baikunthpur Barauli Bhorey Gopalganj Sadar Hathua Kateya Kuchaikote Manjha Panchdevri Phulwaria Sidhwalia Thawe Uchkagaon Vijaipur SH, Gopalganj SDH, Hathua 12 Total

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 9.ELA FOR OPV-0 IMMUNIZATION IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achievemen t During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1 Baikunthpur Thawe Panchdevri Vijaipur Barauli Kateya Phulwaria Sidhwalia Kuchaikote Bhorey Manjha Gopalganj Sadar Uchkagaon Hathua SH, Gopalganj SDH, Hathua Total

July ELA FOR OPV-0 IMMUNIZATION IN FY

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 10.ELA FOR BCG IMMUNIZATION IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achievem ent During the month Achievemen t upto the month Percentage of Achievemen t during the month Percentage of Achieveme nt upto the month 1Thawe Vijaipur Baikunthpur Bhorey Panchdevri Barauli Sidhwalia Phulwaria Kuchaikote Kateya Uchkagaon Manjha Hathua Gopalganj Sadar SH, Gopalganj SDH, Hathua Total

July ELA FOR BCG IMMUNIZATION IN FY

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 11.ELA FOR HEP B - 0 IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achievement During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1 Baikunthpur Thawe Panchdevri Vijaipur Kuchaikote Sidhwalia Bhorey Gopalganj Sadar Phulwaria Hathua Barauli Kateya Manjha Uchkagaon SH, Gopalganj SDH, Hathua Total

July ELA FOR HEP B - 0 IN FY

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 12.ELA FOR DPT-1 IMMUNIZATION IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achievem ent During the month Achievement upto the month Percentage of Achievemen t during the month Percentage of Achievemen t upto the month 1Sidhwalia Vijaipur Baikunthpur Bhorey Panchdevri Phulwaria Kateya Kuchaikote Uchkagaon Barauli Manjha Thawe Hathua Gopalganj Sadar SH, Gopalganj SDH, Hathua Total

July ELA FOR DPT-1 IMMUNIZATION IN FY

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 13.ELA FOR DPT-3 IMMUNIZATION IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achievemen t During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1Sidhwalia Bhorey Baikunthpur Vijaipur Phulwaria Panchdevri Kateya Manjha Hathua Uchkagaon Barauli Kuchaikote Thawe Gopalganj Sadar SH, Gopalganj SDH, Hathua Total

July ELA FOR DPT-3 IMMUNIZATION IN FY

Block wise ELA for Immunization Month:- July 12 ' Sl.No.Name of the PHC 14.ELA FOR MEASLES IMMUNIZATION IN FY ELA IN OF Expected LIVE BIRTH ELA / month Achieveme nt During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1Sidhwalia Bhorey Uchkagaon Vijaipur Hathua Baikunthpur Thawe Manjha Kateya Phulwaria Barauli Gopalganj Sadar Kuchaikote Panchdevri SH, Gopalganj SDH, Hathua Total

July ELA FOR MEASLES IMMUNIZATION IN FY

Block wise ELA for Family Planning Services Month:- July 12 ' Sl.No.Name of the PHC 15. Number of Family Planning Operation conducted at Public+Private Facility ELA in % of total population ELA / month Achieveme nt During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1Thawe Phulwaria Bhorey Manjha Kateya Sidhwalia Kuchaikote Baikunthpur Uchkagaon Barauli Panchdevri Gopalganj Sadar Hathua Vijaipur SH, Gopalganj SDH, Hathua Total

July Number of Family Planning Operation conducted at Public + Private Facility

Block wise ELA for Family Planning Services Month:- July 12 ' Sl.No.Name of the PHC 16. Number of IUD Insertion ELA in % of total population ELA / month Achievement During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1Hathua Barauli Phulwaria Manjha Bhorey Thawe Sidhwalia Vijaipur Uchkagaon Kateya Gopalganj Sadar Baikunthpur Panchdevri Kuchaikote SH, Gopalganj SDH, Hathua Total

July Number of IUD Insertion

Block wise ELA for Family Planning Services Month:- July 12 ' Sl.No.Name of the PHC 17. No. of OC Pills Cycles Distributed ELA in 1% of total population ELA / month Achieveme nt During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievement upto the month 1Panchdevri Bhorey Kateya Thawe Manjha Vijaipur Sidhwalia Gopalganj Sadar Baikunthpur Kuchaikote Uchkagaon Phulwaria Barauli Hathua SH, Gopalganj SDH, Hathua 1222 Total

July No. of OC Pills Cycles Distributed

Block wise ELA for VHSND at AWC Month:- July 12 ' Sl.No.Name of the PHC 18. ELA for VHND at AWC in FY No. of AWC VHSND per year ELA / monthAchievement Percentage of Achievemen t 1Vijaipur Hathua Bhorey Uchkagaon Kuchaikote Thawe Kateya Baikunthpur Panchdevri Gopalganj Sadar Manjha Sidhwalia Phulwaria Barauli SH, Gopalganj 16SDH, Hathua Total

Block wise ELA for OPD Services Month:- July 12 ' Sl.No.Name of the PHC 19. ELA FOR FY FOR OPD SERVICES No. of Doctors TOTAL EXPECTED NO OF 40 Patient per doctor per day ELA / month Achievem ent During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievemen t upto the month 1 Baikunthpur SDH, Hathua Panchdevri Kuchaikote Barauli Uchkagaon Thawe Sidhwalia Bhorey Kateya SH, Gopalganj Vijaipur Manjha Phulwaria Gopalganj Sadar Hathua Total

Block wise ELA for AYUSH OPD Services Month:- July 12 ' Sl.No.Name of the PHC 21. ELA FOR FY FOR AYUSH OPD SERVICES No. of AYUSH Doctors TOTAL EXPECTED NO OF Patient per doctor day ELA / month Achievem ent During the month Achievement upto the month Percentage of Achievement during the month Percentage of Achievemen t upto the month 1Panchdevri Baikunthpur Kateya Kuchaikote Uchkagaon Bhorey Barauli Phulwaria Gopalganj Sadar Sidhwalia Hathua Manjha Thawe Vijaipur00000 Total

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