1. DISTRICT HEALTH DEPARTMENT ZILLA PARISHAD ALIBAG RAIGAD

2. BEST PRACTICES

3. Maternal And Child Health Programme

4. MAHER GHAR YOJANA
Aims:- To Reduce Percentage of Home Deliveries in 3 block viz
Karjat, Khalapur, Sudhagad Pali.
Action Plan:-
We have reduce percentage of home deliveries in these 3 blocks by by taking following action.
We take frequently block level meeting in the selected 3 blocks
We included all health worker LHV, ANM, HA, MPW, ASHA and Aganwadi Workers, we also seek the help Adolescent Girls and Local Political Leaders .
In Block level meeting we calculated the expected number of deliveries in that month at every PHCs/Subcenters, we also listed the expected place of deliveries
Our Health workers continuously follows the ANC Mothers in there Visit and Counseled/Insisted her for institutional delivery.
LHV at PHC take review of ANM Regarding deliveries weekly.
District level officer also take review of home deliveries in their visit
DRCHO took review of LHV about Home deliveries in their PHCs

5. Result & Outcome of Maher Ghar Yojana

6. Home Deliveries in Raigad District
Sr.no
Year
No of Home Deliveries % 1
9567 25 2
7396 20 3
4196 15 4
2806 7 5
2080 6

7. Home Deliveries in Raigad District

8. MMR And IMR Year Maternal Death MMR Infant Death IMR 2012-2013 33 0.9
729
18.9 28
0.8
555
16.1

9. MMR And IMR Year Wise Graphical Trend

10. Family Welfare Programme

11. Two or less than two children
Three YEARS PERFORMANCE OF STERILISATION AND TWO OR LESS THAN TWO CHILDREN
Sr.No.
Sterilisation
Two or less than two children
Year
Target
Vas.
Tub.
Lap.
Achive- ment
%age 1
10000 43
4579
3498
8124 81
6000
4628 77 2
9132 25
5218
3336
8579 94
5479
5452
100 3
11100 33
5475
3160
8668 78
7215
5801 80

12. Special Immunization Session in the High risk Areas
In Panvel block due to rapid urbanization of he city, construction sites,Brickling area and Urban Slums is increasing ,were the migrant population is high, Such areas are Categorized it as HIGH RISK AREAS.
One of such huge construction site Known as Shirke Constructions,under PHC NERE,Block Panvel were we started immunization Session as the beneficiaries (mother as well as 0-5yrs children) are more,here we also deal with Counselling of Mother rearding Diet, Anc Care, Immunization, Danger Signals In ANC Mothers and Childrens.

13. Immunization Session for Shirke Constructions–Kharghar, (Under PHC-Nere,Tal.Panvel,Dist-Raigad)
RCH Indicators
No Of Beneficiaries
BCG 3
DPT 1 5
DPT 2 6
DPT 3
Hep.1 2
Hep.3
Measles
DPT B
Measles 2
Vit 3 1
Vit 4 4
Vit 6
ANC (Res.)
T.T.(P.W.) 1
T.T.(P.W.) II + B

14. Pulse Polio Programme
In Raigad Dist Panvel,Uran,Karjat,Khalapur these areas are categorized as High Risk Ares By Govt of India, as it is near to Mumbai due to which number of migrant people are more.In such we conducted 5 SNIDs(Sub National Immunization Drive) and 2 NIDs(National Immunization Drive) were we contributed to Polio Free INDIA.

15. Performance of Pulse Polio Round Year April 2013 to April 2014
Sr.No.
Polio Round
SNID/NID %
Area (Block) 1
7-Apr-13
SNID
101
Panvel, Uran, Karjat,Khalapur 2
16-Jun-13 95 3
22 Sep. 2013
102 4
24 Nov. 2013
103 5
19 Jan.2014
NID
104
All Disrtict 6
23 Feb.2014
106 7
6-Apr-14

16. Leptospirosis

17. Factors responsible for occurrence of Leptospirosis
Heavy rainfall
Soil pH
Agricultural Practices
Close Association of
humans with domestic animals

18. Reasons for resurgence of Leptospirosis
A typical rural setting conducive for Leptospirosis transmission – Kutcha residence in agriculture field
A typical rural Kutcha human habitation – ‘people living closely with domestic animals’ – a cause of spread of Leptospirosis

19. Reasons for resurgence of Leptospirosis contd
Unplanned development
All developmental projects are not referred for environmental impact assessment

20. Leptospirosis cases/deaths 2010 to 2014
Sr No
Blocks
2010
2011
2012
2013
2014
No.of susp-ects
No. of confirmed
death 1
Pen
172 77 13 17 9 28 5 76 3 2
Alibag
141 89 4 24 16 34 10
Roha 68 46
Mangaon 15
Panvel 23 6
Sudhagad 29 8 7
Tala 21
Karjat  9
Khalapur 42
Mahad 11
Mhasala
Total
495
251 88 67 12
133

21. Suspect Cases 2010 to 2014

22. Confirmed Cases Year 2010 To 2014

23. Deaths Year 2010 To 2014

24. Action taken for control of epidemic
Daily House to House surveillance done by teams of Health Wrokers
and suspected fever patients treated and serious patients refered to
Civil Hospital, Alibag.
All Grampanhcyats instructed to take sanitation measures in villages by
written letter by Medical Officer, PHC.
* Daily Reporting of Fever Cases and Monitoring .
Health education
Keep Personal Hygiene.
Wash hands and legs after working in farms.
Use safe water for drinking.
Keep Cleanliness in villages.
Do not work or go outside without Shoes or Chappals.

25. Action taken for control of epidemic
Health Camps taken in affected villages.
Health Camps taken in Block Pen,Alibag,Roha.
Visits of Experts Team
Expert team including Microbilogist and Physicians from B.J.Medical College, Pune visited the affected area in Gadab PHC.
Clinical Experts team including Epidemiologist, Physicians and Surgeons from Thane.
Pilot Project For Leptospirosis on 2011.

26. Action taken for control of epidemic
Serum samples collected and send for examination of Lepto. to
BJ Medical , Pune.
Serum samples collected and send for examination of Dengue to NIV Pune.
Due to early referral and admission death rate is decreased.
One lacs pamphlets of information on Lepto. circulated in community.
Also appeal given by DHO for prevention of Lepto.
Published in local news papers.

27. Planning for Next 6 Month To Achieve The Targets

28. Fully Immunized Children
Indicators
ELA
Achievement %
Steps to Reach the Target
Under the Responsibility of
BCG
41055
36911 90
1)Due to rapid urbanization of Panvel , construction sites,Brickling area in panvel is more were the migrant population is high,Such areas are Categorizedit as HIGH RISK AREA,and for such areas
a)We have Alternative Micro Plan.
b) Conducting Meeting with Contractors of Construction site and Brickling area by Concerened THO and Medical Officer.
c) This meeting should regard of the tracking working ANC or Mother with there children,providing Knowledge of Health services Facility
d)Special Immunization in such areas.
e)MO,LHv,ANM Sholud give atleast 2 visit a month with sharing there contact numbers with Contractors,ANC,PNC Mother.
2) Close Supervision should be done by MO,LHv,ANM in High Risk Areas and Low Performing areas
3) Tracking Dropout Cases and converting them in Beneficiaries
4)Inclusion of Reputed NGO’s as much as possible inoder to reach the grassroot level.
5)Strong District and Taluka Level Monitoring of Low performing areas by THO,MO,LH,ANM
1)Medical officer,
2)DLS,
3)LHV,
4)ANM,
5)ASHA,
6)Anganwadi Sevika,
7)Social Leader,Social worker,NGO Volunteers.
OPV 0
29728 72
DPT 3
36749
OPV 3
36668 89
Hepatitis B 3
35321 86
Measles
37407 91
Fully Immunized Children
37121
DPT B
37284
33272
OPV B
33115

29. Steps to Reach the Target Under the Responsibility of
Indicators
ELA
Achievement %
Steps to Reach the Target
Under the Responsibility of
Vit A 1
41055
40784 99
6)Detailed and Repeated Review of Low performing areas until the Target is reached.
7)As Medical Mobile Team is Active in Karjat Block covering 60 villages as present,in such village many beneficiaries are left out ,considering such data We can reach the unreached with special immunization schemes.
8)Inclusion Of Private Hospital Data.
9)With the help of Anganwadi Sevika,ANM,Asha,Adoloscent Girls,and Sarpanch ,Counselling and motivation of Anc Mothers Will be done regarding Early Registration, Early immnuzation,Folic acid suplementatiopn and Danger signs during the pregnancy and child health.
1)Medical officer,
2)DLS,
3)LHV,
4)ANM,
5)ASHA,
6)Anganwadi Sevika,
7)Social Leader,Social worker,NGO Volunteers.
Vit A 2
37284
39530
106
DPT (5 Yrs)
47315
31961 68
TT (10 Yrs)
48956
41746 85
TT (16 Yrs)
50597
44289 88
ANC Registered (Total)
45160
38242
T.T.(P.W.) 1
28370 63
T.T.(P.W.) II + B
31545 70

30. Two or less than two children
Indicators
ELA
Achievement %
Steps to Reach the Target
Under the Responsibility of
Sterilisation
11100
78%
Appraisal of the Concerned Staff for good performance.
To take routing review of low performing phc & block
To find alternatives for the
rapid increase in the ELA
To distribut the work according to manpawar in such areas in order to rapid the target achivment
5 ) Raising Incentives Based
Schemes for worker.
Inclusion of Reputed NGO’s
as much as possible inoder
to reach the grassroot level.
Strong District and Taluka
Level Monitoring of Low performing areas.
Detailed and Repeated
Review of Low
performing areas until the
Target is reached
7) Inclusion Of Private Hospital
Data
1)Medical officer,
2)DLS,
3)LHV,
4)ANM,
5)ASHA,
6)Anganwadi Sevika,
7)Social Leader,Social worker,NGO Volunteers.
Two or less than two children
7215
80%

31. Two or less than two children
Indicators
ELA
Achievement %
Steps to Reach the Target
Under the Responsibility of
Sterilisation
11100
78%
8 ) Close Supervision should be
done by MO,LHv,ANM in Low
Performing areas
9 ) Strong District and Taluka
Level Monitoring of Low
performing THO,MO,LHv,ANM
)Regular follow up to camp
& benifishary & cuselling
them
11) Trained newly appointed medical officer for nsv ,tubectomy to increase the no of surgeons
12) We reopen closed operation thaeater
13) We gives health education about family planning programme to unsecured couples
1)Medical officer,
2)DLS,
3)LHV,
4)ANM,
5)ASHA,
6)Anganwadi Sevika,
7)Social Leader,Social worker,NGO Volunteers.
Two or less than two children
7215
80%

32. INNOVATIVE SCHEME

33. Shrafalya Yojana (Early Detection, Safe motherhood)
Aims & Objectives :-
1) 100 % ANC registration at six weeks.
2) Supplementation of Doxinet plus tablet if hypermesis is there otherwise providing folic acid tablet for ANC mothers.
3) To give early advice about MTP.

34. Action Plan
1) Surveillance and line listing of mothers in the reproductive age group between 19 to 49.
2) Taking date of monthly period of these mothers by ASHAs.
3) Doing 1st UPT if monthly period extend up to 7 to 10 days. If this UPT comes positive then registration of it to the ANM of SC in that area through phone. And if the test is negative then again doing UPT after 15 days. If the test is positive registration of it to the ANM of SC in that area through phone. And if negative advice to consult to the Medical Officer.
4) By the observation of palms grading as severe anemia, anemia and normal and advice accordingly.
5) Advice to Conduct to medical officer if the PV bleeding is more the 3-5 days during meustrual period.
Information on copper T, Condoms, Contraceptive pills and family planning can be given on the same day.

35. Expected Budget Contingency 10000 UPT kit (10 for each ASHA) 50000
Tablet folic acid 5 MG
Tablet Doxinet
ASHA Incentives (Rs. 5 per Case)
558000
ASHA Incentives
Within 45 days Rs. 50
Within 60 days Rs. 25
768000

36. THANK you