1. District Health Society, Gopalganj Report for the Month December-11

2. Cold Chain Information as on 31.12.2011 District :- Gopalganj Month :- 'December 11 Sl. No. Name of PHC Deep Freezer Large Deep Freezer Small ILR LargeILR Small Voltage Stabillizer Generator Cold Boxes Large Cold Boxes Small Ice Pack Vaccine Carriage Thermometers Hub Cutter Working Repairabl e Working Repairabl e Working Repairabl e Working Repairabl e Working Repairabl e Working Repairabl e Working Repairabl e Working Repairabl e 1 Baikunthpu r 00100010200010414583218058 2Barauli0010001011009082800134438 3Manjha00100011302090701700122529 4 Sadar Block 01100010301060348800130525 5Kuchaikote101010002000100222850173216 6Hathuwa1000001020005090600100423 7Uchkagaun002000102000808293012858 8Bhore0010001020008015087050223 9Kateya0010001020016232450124212 10Vijaipur0010001020006050500136221 11Panchdevri000000102000423050064412 Sidhwalia0010001020007050450145214 13Thawe0010001020008124166192214 Phulwaria001000102000304040075420 15Dist. RCH120232203810280130358054100 16 SDH, Hathuwa 0110001020002020100402 Total :-34142421613494112991762214023171158265

3. Monthly Reports on Vaccine / AD Syringe Name of District:- Gopalganj Name of Month : 'December 11 S.No. Particulars OPV Measl es BCGDPT Hep- B TT Vit"A " AD Syringe I Card T- OPV M-OPV 0.1ml0.5ml5ml T3 B-OPV (Polio Round) 1 Opening Balance 2750143264075015201177415014440 10570 0 26873 1244 8 2 Received during Month 200000040020002040000000 3 Distributed during Month 12750010751100270072014000104001690072007650 4 Closing Balance- Month End 10000143156550820143760150404088800196734798

4. Progressive Report Under RNTCP of Gopalganj District No. of TU 5 No. of DMCs 20/20 No. of DOT Centre 225 No. of Patient Category Wise Sep-11Oct-11Nov-11Dec-11 CAT - I90NSP82NSP82NSP87NSP CAT - II34 62 38 56 48 54 49 62 TOTAL :-124120130136

5. DMC wise Analysis DISTRICT:- Gopalganj MONTH/YEAR:-December 11 SL.NOTUDMC December11 No. of Adult OPD No. of 3% Refd for Sputum Examination No. of Total Cases NSP 12345678 1Gopalganj DTC Gopalganj 9988200102259 Manjha 2925599665 Thawe 1247256444 Yadavpur 40382532 2Baikunthpur 262553123122 Sidhwalia 1280263021 Mohammadpur 15033462 Barauli 21954494126 3Hathwa 448090122128 Kusaundhi 15031622 Uchkagaun 1350273875 Mirganj 27051421 4Bhore 25685149112 Vijaipur 115023 10 Kateya 1836375162 Panchdevri 1205244074 5Kuchaikote 350070117134 Phulwaria 1220243853 Jalalpur 810161900 Grand Total :- 39352788109513662

6. PR :- 0.74% M.L.F. 05/A Page 1 NLEP-Monthly Reporting Form District/State Report (Delete the level District/State whichever not applicable) District Gopalganj State BiharReporting Month / Year December-11 Population of the Destrict / State TotalSCST 2677018 1 No of balance new cases at the beginning of the month 1.1 New Cases1.2 Other Cases PB 1062 MB 11522 TOTAL 22124 2 No. of "New Leprosy Cases" detected in the reporting month During reporting monthCummulative form 1 st April PBMBTOTALPBMB TOTAL Adult 981715985 244 Child 1 12916 45 Total 10818188101 289 3 Among new leprosy cases detected during the reporting month,number of Female 5389140 131 Deformity Grade-I 1341525 40 Grade-II 11 2 SC 1 12816 44 ST 4 Number of New leprosy cacse deleted during the month RFT- 3464018677 263 Otherwise deleted 16 7 Total 3464018783 270 5 Number of New leprosy cacse under treatment at the end of the month (1.1+2-4) 82117199 6 Number of "other cases" recorded and put under treatment (i) Relapse (ii) Reentered for treat 1 1618 24 (iii) Referred 11 5 5 (iv) Reclassified (v) Form other states 11 3 3 Total 123626 32 7 Number of "other cases" deleted from treatment RFT 722 29 Otherwise deleted 11 1 1 Total 11723 30 8 No. of other cacse under treatment at the end of reporting month (1.2+6-7) 32326

7. Format III NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS DBCS- QUARTERLY MONITORING FORMAT (To be sent in July, Oct, Jan, April) State: BIHARDistrict: GOPALGANJ. Reporting Year2011-12Quarter IIIrd Annual Target 5000 CATARACT PERFORMANCE QUARTER - IQUARTER - IIQUARTER - IIIQUARTER - IVTOTAL APRMAYJUNJULAUGSEPOCTNOVDECJANFEBMAR FACILITY MEDICAL COLLEGE DIST HOSPITAL C.H.C/SUB-DIST.HOSP. NGOS 7241107 220 PVT. SECTOR271751736306887478537782 3245 OTHERS (D.B.C.S.) TOTAL271751736306887550578889 3465 PROG. TOTAL272022192555611448199825763465

8. MF4 DISTRICT:- Gopalganj MONTH/YEAR: - December'11 SURVEILLANCE REPORT OF N.V.B.D.CONTROL PROGRAMME Sl.N o. Name of the PHC A.C.DP.C.DM & CTOTAL Agewise Species Distribution Remarks if any B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve B.S. Coll. B.S. Exa m No. of +ve PVPF 0-55-15+150-55-15+15 123456789101112131415161718192021 1Baikunthpur --- -- 2Sidhwalia --- ---- -- 3Barauli --- 18 -- 18 -- 4Manjha --- -- 5Gopalganj --- 13 -- 13 -- 6Kuchaikote --- 64 -- 64 -- 7Hathwa --- -- 8Thawe --- 55-- 55 9Uchkagaon --- -- - - 10Phulwaria --- -- 11Bhore --- 45 -- 45 -- 12Kateya --- -- 13Panchdevri --- -- 14Vijaipur --- -- Total 000 145 0000 0 000000

9. MONTHLY KALA-AZAR REPORT DISTRICT:- Gopalganj MONTH/YEAR:- December'11 Sl.N o Name of the PHC Report Upto Previous Month Reported During the Month Progressive Total Cases Under Treatment Untreated Cases Resistant Cases PKDL Cases Remar ks if any Populati on of affected PHC's Cases Deaths Treated Cases Deaths Treated Cases Deaths Treated 1234567891011121314151617 1Baikunthpur21063097 7 104 7 2Sidhwalia13540277 5 182 14 3Barauli210535152 7 159 7 20 4Manjha20473056 1 57 1 5Gopalganj15566423 1 24 1 6Kuchaikote33011445 2 47 2 7Hathwa15566491 1 8Thawe1150954 41 5 1 9Uchkagaon15339122 10Phulwaria13033922 11Bhore17698349 1 50 1 12Kateya11499534 2 136 11 13Panchdevri9964220 14Vijaipur137558 Total23307426920 270271902250021