1. Uttar pradesh
Fellow: Dr. Aman Preet Kaur
Mentor: Mr. Ajit Kumar Singh

3. District & Facilities selected
Intervention District Collaborating District
Name :Varanasi Name :Kannauj
Facilities selected Facilities selected
DH:
Pandit Deen Dayal
Upadhyaya Hospital
DH:
Combined District Hospital
CHC: Arajilines CHC: Saurikh
PHC: Baragaon PHC: Sekunderpur
SC: Paterwa SC: Muraiyabuzurg

4. Introduction & Background
Intervention District
Varanasi
Collaborating District
Kannauj
Demography Population-3,676,841
Male-52%
Female-48%
Rural-56.56%
Urban-43.44%
Sex Ratio:913
Child sex ratio:885
Average literacy:75.6%
Population-1,656,616
Male-53%
Female-47%
Rural-83.05%
Urban-16.95%
Sex Ratio:879
Child sex ratio:898
Average literacy:72.7%
No. of health facilities Medical college: 1
Divisional hospital:1
District hospital:4
CHC: 8
PHC: 4 + 22 APHC
UPHC: 24
SC:306
Medical college: 1
District hospital:1
CHC: 7
PHC: 28
SC:188

5. MHD- Indicators for Varanasi
Indicators Baseline (avg./month) Current(March)
Maternal Health
MMR
ANC Registration in 1st
trimester
ANC check up in 3rd
trimester
Total deliveries
C section
346
9920
6297
3318
189
9971
6884
3506
201
Child Health
IMR/NNMR
Bed occupancy rate at SNCU
BCG
Full immunization
Number of newborns weighed at
birth
Less than 2500 grams
78/53
433
8247
6686
3153
449
422
7931
6526
3451
349
OPD
IPD
138257
9690
148055
10118
No of IUCD Insertions 2146 1700

6. MHD –Indicator: Kannauj
Indicators Baseline
(avg./month)
Current(April)
Maternal Health
MMR
ANC Registration in 1st
trimester
ANC check up in 3rd
trimester
Total deliveries
C section
267
4331
2652
3088
11
4348
2918
3698
14
Child Health
IMR/NNMR
BCG
Full immunization
Number of newborns weighed at birth
Less than 2500 grams
78/55
1518
3696
1712
373
1392
3194
1820
200
OPD
IPD
60,007
2483
44,247
1899
No of IUCD Insertions 1626 1829

7. Progress- Varanasi

9. WARD MANAGEMENT AWARD

10. District hospital-PDDU
 SOPs made
 RKS Meeting and Regular system of weekly meetings started with
CMS
 After meeting digital X ray started
 Proper seating arrangement for attendants in trauma center
 PAC form implemented in OT from 4/5/2016
 ASHA jyoti kendra fully functional from 8/3/2016
 Cervix cancer training at sampoorna clinic

11. CHC Arajilines
SOPs made
Stay of mothers after delivery
increased from 4 hours to 24
hours(counselling)
Citizen charter gone for printing
BMW training given
Shared action plan with new MOIC
RO water supply started

12. PHC Baragaon
Condemnation line listing
started on 15/5/2016
Painting of the facility
Bleaching solution provided
Minilap trained person
deployed
Person trained on PPIUCD

13. Miscellaneous work
 Opening of bank account- 100 % account
opened and payments done to JSY
beneficiaries also 100 % due payments has
been clear to ASHAs.
 Facilitated in PIP Planning
 Block to DHAP to state level
 Line listing of HRP done in month of
March,2016
 HMIS/MCTS training of all Block program
managers/MCTS operators ,C.M.O, Nodal
ACMO and R.I. operators at division level.
 Save birth response team created in
April,2016
 21st
of each month chosen for male
sterilization
 Regional depo for all contraceptives
 23rd
and 24th
May,2016 MDR training of BPM
and MOIC

14. Progress- Kannauj

16.  MCTS HRP tracking and managing started based on the one being done in Bihar
District Hospital
 SNCU inaugurated at DH on 2nd
March,2016
 Protocols displayed at DH
 BHT implemented
 3 days inventory indent system started
CHC
 SOPs made
 New MCH building handed over on 12/04/2016
 HMIS reviewed in CHC, based on the discrepancies found in register entries and data fed , a
pilot started in the month of April for maintaining a register with HMIS heads and getting it
filled daily

17. Bottlenecks
 Sewerage line blocked and clogging of water in toilets in DH of Varanasi
and Kannauj both.
 Pest control not done
 No guards in both the DH
 Canteen still unkempt in DH of Kannauj, encroachments,no action taken on
unwanted bills
 MCH wing yet not constructed, should have been constructed by 2014-
Arajilines
 Water accumulation problem in CHC not sorted,power supply irregular, no
ward boy/aaya
 No MO posted at PHC-Sekunderpur
 Shortage of class 4th
employees in Baragaon

18. Way Forward
HRP MCTS tracking implementation in Varanasi
Overall DHAP not proper, planning not started at all levels-
decentralised
Fund allocation needs to be done, money not available at
lower level
HMIS based review not happening
MCTS tracking with pregnancy
Consolidation of SOPs

19. Thank You