1. Directorate of Family Welfare, Orissa CDMO Conference 22.01.2010 Child Health Review

2. Child Health Strategies  IMNCI (Integrated Management of Neonatal & Childhood illness)  FIMNCI (Facility based Integrated Management of Neonatal & Childhood illness)  SNCU (Sick Newborn Care Unit)  PD (Pustikar Diwas)  NSSK ( Navajata Sishu Surakha Karyakram)

3. IMNCI District Training Achievement till Dec 09 Basic Training % FUSFTT AWWANM Balasore575910 Bolangir495410 Boudh678901 Deogarh717600 Gajapati433910 Kalahandi424300 Kandhamal375110 Keonjhar373801 Koraput9710534

4. District Training Achievement till Dec 09 Basic Training % FUSFTT AWWANM Malkangiri465700 Mayurbhanj93113183 Nawarangpur262051 Nuapada746013 Rayagada726600 Sonepur442810 Sundargarh473900

5. Sl. No. District Implementation Status ( %age) PNC Visit (24hr) 3 PNC Visit Young infant referral Sick child referral NMR (per 1000 LB) 1234567 1Balasore84701198 2Bolangir3149375327 3Boudh4948NA 9 4Deogarh4082101613 5Gajapati9282341110 6Kalahandi6777122016 7Kandhamal57122243826 8KeonjharNA 9Koraput6242353223 10Malkangiri9662508840 11Mayurbhanj706322107 12Nawarangapur9387356940 13Nuapada6380444640 14Rayagada3570 36 15Sonepur4642456952 16Sundargarh4876272027 IMNCI Implementation status in 3 rd Qtr. (Oct. 09 to Dec. 09)

6. Issues in IMNCI Implementation Distribution of drugs / formats down below to AWC level Formation IMNCI Coordination Committee and regular meetings Joint review with ICDS at District & Block level Training of Supervisors in IMNCI Review progress on monthly basis Timely reporting from the Block to District and up to the State Additional venue for Basic Health workers training to be started Supervisory training to be given priority Issues of Deogarh on activating Banai: Approval will be given shortly RI Coordinator to remain in charge of MCH programmes in the absence of Child Survival Coordinator / Dy Manager Child Health Involvement of Med Colleges on conducting TOT for new districts and field assessment

7. Status of SNCU at Districts. DistrictStatusSuggestion AngulCompletedTo be operationalised on 1 st Feb.2010 Rayagada Sonepur Kandhamal Puri VSS MCH Sambalpur Civil work completed Electrical assessment pending. Assessment of Electrification to be done by Suptd. Eng/ Asst. Eng.(GED) which should be facilitated by CDMOs. BalasoreCivil works incomplete. Civil work to be expedited.

8. Other SNCU Issues Staff nurse to be recruited in Sonepur Kandhamal Puri Sambalpur Rayagada FBNC trained Staff Nurses should work exclusively in SNCU. Funds for recurring & maintenance Expenses have been provided to District with functional SNCU. Funds should be utilised to resolve day to day operational issues. SNCU Committee meeting to be held monthly.

9. Issues- Pustikar Diwas Irregular Reporting Boudh, Koraput, Nuapada, Malkangiri, Nayagarh, Sundargarh Very high case load on Pustikar Diwas Day: Screening at VHND to be strengthened One client receiving admitted several times for monetary benefits only: genuineness of cases should be checked at District/ Block level. Transparency in selection of pharmacy shops and investigation centres while referring cases for medicine and investigation Coordination with WCD (ICDS) functionaries in field level is weak District level meeting with DSWO should be done regularly Operational Guidelines and formats should be strictly used during Programme Implementation

13. Child Health Expenditure Expenditure analysis of Districts under Child Health as on 31.12.09 (Rs in Lakhs) Sl No District Budget Expenditure inuccred % of Expenditure till Sep'09 till Dec'09 till Sep'09 till Dec'09 1Angul 22.61 2.48 3.4711%15% 2Balasore 45.05 8.01 12.5518%28% 3Baragarh 26.31 4.22 9.6316%37% 4Bhadrak 33.28 2.74 5.078%15% 5Bolangir 34.50 1.43 6.184%18% 6Boudh 7.49 0.19 1.342%18% 7Cuttack 43.74 13.10 15.8930%36% 8Deogarh 5.99 0.32 0.585%10% 9Dhenkanal 22.41 6.13 9.6627%43% 10Gajapati 11.21 0.46 7.574%68% 11Ganjam 64.99 9.11 13.4914%21% 12Jagatsinghpur 19.80 0.56 1.993%10% 13Jajpur 37.42 6.56 8.2518%22% 14Jharsuguda 10.04 0.87 1.299%13% 15Kalahandi 36.52 1.11 4.463%12%

14. Child Health Expenditure Expenditure analysis of Districts under Child Health as on 31.12.09 (Rs in Lakhs) Sl No District Budget Expenditure inuccred % of Expenditure till Sep'09 till Dec'09 till Sep'09 till Dec'09 16Kandhamal 16.99 2.95 5.0417%30% 17Kendrapara 28.11 2.87 7.5210%27% 18Keonjhar 33.73 0.77 4.652%14% 19Khurda 30.40 1.93 3.596%12% 20Koraput 23.41 - 0.330%1% 21Malkanagiri 11.97 1.05 2.759%23% 22Mayurbhanj 64.40 13.08 20.1020%31% 23Nawarangpur 21.68 1.84 4.689%22% 24Nayagarh 18.55 - 0.140%1% 25Nuapada 15.83 - 1.370%9% 26Puri 33.50 8.25 12.4025%37% 27Rayagada 19.11 30.11 59.76158%313% 28Sambalpur 24.36 4.63 6.4219%26% 29Sonepur 14.77 0.37 1.452%10% 30Sundargarh 32.14 0.12 4.070%13% Total 810.29 125.24 235.7115%29%

15. Essential New Born care concepts at different levels Name of the facility Type of care availableType of careTraining required 24x7Newborn Care Corner NCC / NBC Prompt Referral NSSK &SBA training FRU/CHCNewborn care corner in LR & OT, NSU / SNCU-I /SCNU-Il Neonatal Stabilisation Unit FBNC training DHHNewborn care corner in LR& OT, SNCU-I / SCNU-II Special Care Newborn Unit FBNC TRAINING

16. STATUS ON SNCU-II CONSTRUCTION (Based on information from districts) As of 20th Nov' 09 Sl. No DistrictsConstruction Status Handing Over Status Payment Status Equipment Status Recruitment Status Training Status Dispatched from State Training of doctors Training of Paramedi cals 1 Angul Completed Handed over to CDMONot DoneYes Interview on dt.27.01.2010. Completed for two doctors & 2 SNs.: At Sishu Bhavan in Cuttackdone 2 Sambalpur 70% civil work completed, electrical work stopped due to non receipt of work order from NRHM ( work stopped since electrical work is not done) Not handed over : payment is dueNot DoneDispatched Recruited 3 SNs and 2 ANMs. Rest 6 SNs and 1 ANM need to be recruited.dodone 3 Sonepur Civil Work-Completed Electrical Work - CompleteddoNot DoneDispatched Recruitment of SN and ANMs not done : not availabledodone 4 Puri Civil Work-Completed Electrical Work & PH - CompleteddoNot DoneYesRecruitment completed will be held in Batch ll Will be done in Batch ll 5 Rayagada Civil Work-Completed Electrical Work - Completed PH Work completeddoNot DoneDispatched Not done : Bisam Cuttack approval has been donecompleted. Will be done after recruitmen t

17. 6 Keonjhar Civil Work - 20% done, previous construction money is not paid. No order for electrical and PHD. Work not completedPaid 30% Initially Dispatched but later diverted to Balesore during CRMCompletedcompleted Will be done in Batch ll 7 Balasore Excavation is overnot doneNot Done Diverted to Kandhamal Advertise is over. Recruitment process is oncompleted will be done 8 VSS Medical College, Burla Civil work - incomplete Electrical work - Not started ( Not done in place of approval) No payment and no order for electrical and PHDnot doneNot DoneReached there Recruitment of 8 SN is overcompleted Will be done in Batch ll 9 MKCG Medical College, Berhamp ur Tenders called for twice failed. GED to execute the elecrification work as per Model Estimates. Renovation will be done by PWD.NA Equipments are idle for last 1 & 1/2 yrsNACompletedNA 10 SCB Medical College, Cuttack Phase l: Civil, electrification and PH work: completed; Phase ll: estimation is done, tenders will be called for.Done UNICEF has given partial payment SDMU to despatch soon Staff Posting will be decided by DMETcompleted Will be done in Batch ll

18. SNCUs supported by UNICEF Koraput2 Mayurbhanj4 Capital Hospital1 MKCG and SCB2 SNCUs supported by NIPI Angul1 Sambalpur1 VSS, Burla1 SNCU Supported by NRHM Puri1 Kandhmal1 Balasore1 Sonepur1 Rayagada1

19. Thank You