Annual activities report 2012-13 of Primary Health Centre(N),Paschimbad managed by ARM,under PPP of NRHM,Govt. of Odisha.

1. PHC ANNUAL PROGRESS REPORT 2012-13
ANNUAL PROGRESS REPORT
20122012-2013
Primary Health Center (N)
Paschimabad, Jaleswar
Balasore, Odisha
Supported By:
National Rural Health Mission (NRHM)
Govt. of Odisha
Managed By:
Alternative for Rural Movement (ARM)
Baliapal, Balasore-756026
Mob:9040127260
Page 1

2. PHC ANNUAL PROGRESS REPORT 2012-13
Page 2
PREFACE
Health is an important social issue in rural packets of Odisha. Though
Govt. of Odisha has provided a lot of facilities and services in rural areas
but still there is a gap. The reasons are many and this gap can be only
minimized through positive mindset, proactive approach, massive
awareness, strategic planning, commitment, dedication etc. National
Rural Health Mission (NRHM) launched in the year 2005 with a mission
to provide acceptable, affordable, and quality healthcare to the rural population. With a view to
improve the health care services by the poor and underserved population one new initiative
called Public Private Partnership (PPP) was started in the year 2007. Alternative for Rural
Movement (ARM), Baliapal selected to manage the Paschimabad PHC (N) of Jaleswar Block
under the PPP programme to carter the health service in the unreached areas. Since then ARM
is managing the PHC in a holistic manner and providing committed service to the periphery
area. ARM involved in organizing various Outreach Programmes, awareness campaigns, RCM
camps, Diabetic camps, Health Camps time to time to enhance the awareness and acceptance
among the community. The involvement and ownership by the community is explained in the
report. Also provision of Ambulance service to the PHC is a value addition in the field of health
service.
It gives me immense pleasure in presenting before you “Annual Progress Report 2012-2013”, a
document that highlights our efforts, activities, achievements, initiatives, innovations and best
practices, carried out by Alternative for Rural Movement (ARM), Baliapal in partnership with
NRHM, Govt. of Odisha.
RAJENDRA KUMAR RANA
Coordinating Member, ARM

3. PHC ANNUAL PROGRESS REPORT 2012-13
Page 3
Paschimabad PHC (N) – A new
dimension in Health Services
Paschimabad PHC (N) started with a mission to
bring constructive transformation in the rural
health situations by involving the public and the
health providers in a participatory mode towards
socio economic development. In the process NRHM
joined hands with ARM in the year 2007 to provide
better health facilities to the rural community.
NRHM
PRINCIPLES
OF
PHC
(NEW)
PASCHIMBARD
Scope:
Effective planning and delivery of services in the PHC on behalf of the State Health dept.
Provide curative preventive and promotive service at the PHC
Total participation in all the National health programmes
Strengthen referral services for secondary health care centers like SHD
Promote client centered integrated PH communication strategy to bring about a change in
the perception and practices of local population through Community Health Partnership
Programme (CHPP )
Encouraging institutional services for pregnant women, family planning and sterilization etc.
Objectives:
•
To provide preventive, promotive and curatives health services through PHC management.
•
To enhance the quality, accessibility, availability, acceptability and efficiency of rural health
services.
•
To exchange the skills and expertise between public and privet sector
•
To mobilize additional resources for better health services
•
•
•
To strengthen the existing health system by improving the management, planning and
strategies.
To widen the range of services and number of services provided.
To define, delineate and share the risks
To widen the range of services and number of services provided.

4. PHC ANNUAL PROGRESS REPORT 2012-13
•
•
Page 4
To define, delineate and share the risks
To emphasize the community ownership or acceptance of health services
The major thrust areas of Paschimabad PHC are:
•
•
•
•
•
•
•
Reduction in child & maternal mortality ratio
Provision of community health services like MCH, drinking water, sanitation, immunization
and nutrition for local people.
Prevention and protection chronic / endemic disease with emphasize on communicable and
total diseases.
Provision of integrated and widespread health services to all the target population.
Population control and gender balance measures.
Revitalization of local health practices and brings AYUSH into the mainstream health efforts.
To encourage healthy living and lifestyle in the rural communities.
PHC operational Area:
The Paschimabad PHC operates in 2 Gram Panchayats of Jaleswar Block named Paschimabad
and Baganbadia. The details of villages with serving population is given below:
Sl.
No.
Name of
Block
Name of GPs
Paschimbad
1
Jaleswar
Baiganbadia
Total
2
Villages
Debkumar
Rela
Namkana
Paschimbad
Kismat Paschimbad
Jharipimpal
Baiganbadia
Kalikapur
Ghantiadi
Chhotkhanpur
Akna
Kantapal
12
Total Population
8175
9265
17440

5. PHC ANNUAL PROGRESS REPORT 2012-13
Page 5
Treatment record of patients from Apr 2012 to Mar 2013:
Month
Fever
Malaria
Diarrhea
Sca-
Mea-
ARI
Blood
Common
Total
sles
03
30
Dysentery
0
Diseases
1466
Patients
1578
April
36
03
14
bies
26
May
55
04
29
47
02
39
1
1438
1593
June
44
07
37
22
03
39
2
1448
1602
July
54
01
63
32
04
24
2
2305
2485
Aug
32
02
22
38
02
29
01
2457
2522
Sept
15
02
12
16
0
14
0
1957
2018
Oct
31
02
14
29
0
26
0
2041
2143
Nov
30
02
12
35
0
09
0
1680
1768
Dec
12
01
08
23
0
07
01
1409
1460
Jan
15
01
09
24
0
16
0
1430
1495
Feb
11
0
14
36
0
08
01
1483
1605
Mar
22
0
19
31
0
20
0
1572
1694
357
25
253
359
14
261
08
20686
21963
Total
The above table describes that 21963 no of patients treated for various diseases from Apr 12 to
Mar 13 in the PHC, which shows that on an average 1830 nos of patients are visiting the PHC
per month. This nos encourages us to do more in the field of health services.

6. Page 6
PHC ANNUAL PROGRESS REPORT 2012-13
The below mentioned table speaks about the nos of female and children benefited out of
the service provide by the PHC.
Patients Treated (Male, Female & Children):
Month
Patients
Total Patients
Male
Female
Children
Apr
529
653
396
1578
May
581
681
331
1593
Jun
556
656
390
1602
July
871
1035
579
2485
Aug
810
941
771
2522
Sept
690
832
496
2018
Oct
738
909
496
2143
Nov
657
767
344
1768
Dec
512
652
296
1460
Jan
531
689
275
1495
Feb
539
729
337
1605
Mar
570
728
396
1694
Total
7584
9272
5107
21963
The table mentioned above shows that about 34.53 % of female members and 23.25 % of children out of total patients registered are benefited out of the services provided by the PHC.

7. PHC ANNUAL PROGRESS REPORT 2012-13
Page 7
The above graph shows that the PHC is more useful to women community members than others, which also means that the objective behind the function of PHC is in right direction and
need some more effort to reach the unreached.
Facts and figures of PHC (N)
151 Institutional delivery conducted in the PHC
238 cases referred to Jaleswar hospital for further treatment
694 Indoor patients registered in the PHC
21269 Out Door patients registered in the PHC
75 nos of RTI/STD patients treats in the PHC
443 nos of people availed the ambulance service
210 ANC cases treated at the PHC
1455 nos of patients have carried out their pathological test at the PHC
Record of pathological test conducted in PHC:
The following table depicts the nos of patients benefited at the PHC for various types of pathological tests.

8. PHC ANNUAL PROGRESS REPORT 2012-13
Month
Stools
Urine
(General)
Urine
Bloo
(Pregenan
d
cy)
(MP)
Blood
Blood
Page 8
Blood
Blood
Blood
Blood
Blood
Blood
(DC)
(FBS/
PPBS)
(BTCT)
(CRT)
(TLC)
(HB)
(ESR)
(Grouping)
Total
Apr
09
27
0
17
22
0
01
01
07
06
0
0
90
May
16
29
0
19
23
0
0
0
13
06
0
02
108
June
12
25
0
0
13
0
03
03
05
07
0
02
70
July
10
38
0
25
38
0
02
02
0
03
0
126
244
Aug
11
91
0
84
91
01
02
02
0
03
0
06
291
Sept
19
66
0
62
72
02
01
01
02
03
0
05
233
Oct
04
58
0
50
48
01
02
02
0
07
0
05
177
Nov
03
33
0
25
28
0
0
0
01
09
0
04
103
Dec
05
13
0
04
06
0
0
0
0
07
0
06
41
Jan
15
17
0
14
16
0
0
0
0
05
0
06
73
Feb
02
07
0
02
05
0
0
0
0
05
0
04
25
Mar
--
--
--
--
--
--
--
--
--
--
--
--
--
106
404
0
302
362
04
11
11
28
61
0
166
1455
Total
The graph below shows that large nos of patients gone for various types of pathological tests at
the PHC which also describes the accessibility of the PHC by the community members of the area.

9. Page 9
PHC ANNUAL PROGRESS REPORT 2012-13
Health Extension Activities:
Focus Group Discussion: 20 nos of Focus Group Discussions were conducted at various places under the PHC serving area. 553 nos of community members orientated on various aspects
of PHC such as NRHM Mission, aim & Objectives of PHC, scope of the PHC, Role of ASHA and
AWWs, Malaria awareness, prevention & control, control of STD / RTI, control of Diarrhea, ANC
& PNC, safe motherhood tips, promotion of breast feeding, family planning, promotion of institutional delivery system, early management of motherhood problems etc. The details of FGDs
organized are given below:
Sl
.
N
o
Village
Venue
Total Participants
Sl.
No
Village
Venue
Total Participants
11
Paschimbad
Dt: 21.11.12
Pira Masjit
20
29
12
Chhutkhanpur
Dt: 23.11.12
M.E.
school
20
42
13
Devkumar
Dt: 27.11.12
Gouridi
Patna
29
26
1
Devkumar.
Dt: 14.09.12
Majhi jena sahi
U.P School
Jharpipol.
Dt: 20.09.12
Mahadev Mandir
2
Kalikapur
Dt: 26.09.12
U.G.M.E School
3
4
Rela
Dt: 01.10.12
Hurshikesh Nodal
Upra Bidyalaya
42
14
Devkumar
Dt: 28.11.12
Satagariya
Sahi
Namkana
Dt: 02.10.12
Prathamika Bidyalaya
32
15
Akna
Dt: 29.11.12
Majhi Sahi
5
Kantapal
Dt: 03.10.12
Anganbadi
6
36
16
Kismat Paschimbad
Dt: 30.11.12
Anganbadi
Center
Baiganbadia
Dt: 04.10.12
Prathamika Bidyalaya
36
17
Jharpipol
Dt: 22.02.13
Majhi Sahi
7
8
Paschimbad
Dt: 16.10.12
Paschimbad U.P
School
32
18
Rela
Dt: 02.03.13
Acharya
Sahi
16
Akna
Dt: 17.10.12
Giri Sahi
9
28
19
Baiganbadia
Dt: 23.03.13
Mahadev
Mandir
23
Ghantiyadi
Dt: 16.11.12
Prathamika Bidyalaya
21
20
Namkana
Dt: 28.03.13
Patnayak
Sahi
19
1
0
Sub Total
318
32
22
21
27
Sub Total
235
Grand Total
553

10. PHC ANNUAL PROGRESS REPORT 2012-13
Photographs of the Focus Group Discussion:
Page 10

11. PHC ANNUAL PROGRESS REPORT
Page 11
Health Awareness Campaigns:
Seven nos of Out Reach Programmes conducted under the PHC at various places in which
196 participants participated & oriented. The details of outreach programme conducted are
given below:
Sl.
N
o
Village
Date
Venue
Total Participants
1
Kalikapur
23.09.12
Majhi jena sahi
19
2
Kalikapur
26.09.12
Behera Sahi
23
3
Rela
29.09.12
Acharya Sahi
27
4
Ghantiyadi
30.09.12
Sahu Sahi
26
5
02.10.12
Mahadev Mandir
41
6
Baiganbadia
Kantapal
07.10.12
Jhadhaswar Saskrit Bidyalaya
32
7
Akna
18.10.12
Palasai U.P School
28
Grand Total
196
RCH MELA
Two nos. of Reproductive Child Health (RCH) Mela or
camps conducted under the PHC programme. One conducted at Paschimabad on the occasion of Subarnarekha Mahotshab on 7th Jan 2013 whereas the other
one conducted at Baiganbadia Panchayat Office,
Baiganbadia, Jaleswar on 21st Mar 2013. There are 310
nos and 308 nos of patients treated in the camps respectively.
Free health checkup and medicines distributed to
the patients on the occasion. Dr. Bishnupriya
Dash, Dr. Laxman Jena, Dr. Sapan Kumar Mohanty, Dr. A Islam, Dr. Uttar Kumar Dandapat
were present in the RCH camps and checked the
patients and medicines were distributed to the
patients.

12. PHC ANNUAL PROGRESS REPORT 2012-13
Page 12
Diabetes Treatment Camp
One Diabetic camp was conducted on
27th Mar 2013 at PHC New Paschimabad. In the camp 102 nos of patients
treated. Dr. Pravas Sundar Nayak &
Dr. Bishnupriya Das were present on
the occasion and treated the Diabetic
Patients.
IEC BCC WORKSHOP
One workshop on IEC BCC conducted
at Gram Panchayat Office, Paschimabad on 30th Mar 2013, in which 41
participants attended the programme
out of them mostly are ASHA and Anganwadi Workers. The workshop
aimed at the skill development of various stakeholders on health education
material, advocacy on health rights,
the need for coordination to serve the
community better. In the workshop
Mr. Kabi Prasad Sahu (BPM), DR. Adhip
Kumar
Bera,
Dr.
Dayanuidhi
Khatua & Sarpanch Mr. Rabi Ray, Mr. Ashwini Kumar Dasadhikari, Mr. Pramod Kumar
Bhuyan, Programme Officer, ARM participated in the discussion and oriented other participants on the necessity of Information Education Communication materials and the aspects
of Behavioral Change Communication.

13. PHC ANNUAL PROGRESS REPORT 2012-13
Page 13
PHC staff in Service:
The following staffs are in readiness to serve the people under the PHC area.
Sl.
No
1
Name
Designation
Mobile number
Dr. Adhip Kumar Bera
Medical Officer
09178181012
2
Mr. Pradosh Kumar Chand
Project Coodinator
09937600401
3
Mr. Sujay Kumar Das
Pharmacist
09937836230
4
Miss Namita Sahoo
ANM
09777168414
5
Mr. Parimal Sen
Attendant cum Sweeper
07873160964
6
Dr. D ayanidhi Khatua
Ayush Doctor (Govt. Appointed)
09776834768
There are also AWWs and the ASHA workers are providing service to the community under the
PHC area. The details are given below:
Sl.
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Name
Village
Designation
Mobile number
Namita Pattnayak
Basanti Barik
Asha lata Acharya
Priyanka Jena
Manjulata Jena
Gulubadan Bibi
Sarathi Sahu
Kanakanjali Mohanty
Saraswati Jena
Chabi Rani Sahu
Jharana Das
Ranjulata Majhi
Snehalata Jena
Minati Pradhan
Tapaswani Das
Rita rani Mohapatra
Champabati Barik
Sitamani Giri
Sumati Dalai
Swarnalata Pradhan
Mamata Andia
Minakshi Giri
Bishnupriya Jena
Namkana
Devkumar
Rela
Devkumars
Devkumar
Paschimbad
Paschimbad
Chutkhanpur
Kalikapur
Ghatiyadi
Jharpipol
Akna
Kantapal
Baiganbadia
Paschimbad
Kismat Paschimbad
Pirapada
Akna
Deb Dalaisahi
Devkumar
Chhotkhanpur
Ghantiadi
Kalikapur
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
Asha
AWW
AWW
AWW
AWW
AWW
AWW
AWW
AWW
AWW
09938340832
08658061349
08018283030
09237498227
09237342285
09937240805
09937097096
09776544526
08598088790
08457064642
07873349322
09777756939
09583814340
09178231920
09938555573
09668831077
08018228918
09238838763
07873072691
07894025103
08337913096
08456945076
09556946829
24
25
26
27
28
29
30
Annapurna Rana
Sumati Dhal
Arati Roul
Minati Pradhan
Banalata Mahana
Sangita Mohanty
Nirupama Giri
Akna
Namkana
Rela
Debkumar
Jharpipol
Namkana
Baiganbadia
AWW
AWW
AWW
AWW
AWW
AWW
AWW
09438048827
08457926489
09237333320
09237217938
09178098728
08018539095
09938062773

14. PHC ANNUAL PROGRESS REPORT 2012-13
Page 14
The Road Ahead:
•
•
•
•
•
More emphasis needs to be concentrated on the involvement of women community members in the process.
Special attention needs to be given to the children in respect of their health and treatment
by providing the Child Specialists in the PHC.
Infrastructural development needs to be done to accommodate more patients.
Equipment along with the skilled manpower need to be provided to the PHC so that better
service can be provided to the community.
Massive awareness campaigns needs to be carried out in the periphery villages to aware the
community about the facilities, services and schemes available to benefit the communities.
What they Says………
Damayanti Sahu:
Damayanti Sahu aged about 45 of village Devkumar said that, ARM in partnership with Govt. of Odisha now protecting the community from various
diseases by providing good health facilities and free medicines to the poor.
Basically she praises the effort of providing free medicines those who have
no money to purchase medicines for the shop. Sometimes also awareness
campaigns taken up PHC helps us to meet the doctor and get the medicines
at our doorsteps.
Pitamber Pradhan:
Pitamber Pradhan aged about 48 of village Devkumar explained his experience with Paschimabad PHC (N). He said
when the PHC was managed by Govt. of Odisha, we hardly get any doctor, pharmacist, ANM in the PHC. They always used to remain absent in PHC which really created
a lots of difficulty to get the health facility. But after ARM has been tied up with Govt.
and taken the responsibility of the PHC, now the things have changed and at least we
are getting service in odd hours also which is really very essential for the poor families
of the villages. Now health services increased in PHC along with the Ambulance service, which really helped the community to come to the PHC and utilize the services
available.
Rebati Sahu:
Rabati Sahu aged about 30 of Village Paschimabad says that, before the PHC handed
over to ARM we faced a lots of problem on our part to get treatment within our periphery. We have to go a long
distance and used to spend a lot of money even for small diseases. But after
ARM has taken charge of this PHC we are getting quality medical service in time.
Thanks to ARM and his efforts which really help us in getting health facilities at
our doorstep. Before this building was like a devils house, but now it becomes
the most worshiped place for all of us. Because we are getting the service even
in the odd hours for everybody starting from children to the old member of our
families.

15. PHC ANNUAL PROGRESS REPORT 2012-13
Page 15
Management Arrangement:
NATIONAL RURAL
HEALTH MISSION (NRHM)
Health Extension
Activities in Feeder
Area
DISTRICT PROJECT
MANAGEMENT UNIT
(DPMU)
BLOCK PROJECT
MANAGEMENT UNIT
(BPMU)
PRIMARY
CENTER
HEALTH
(PHC)
•
ALTERNATIVE
FOR RURAL
MOVEMENT
•
•
•
ROGI KALYAN SAMITY (RKS)
SubCenter
•
Increased Health Awareness among the community
Community Involvement in
the overall process
Proper utilization of health
services
Acceptance by the community
Involvement in the decision
SUPERVISION
FINANCE
MANAGEMENT
SKILLED HR
GKS (12)

16. PHC ANNUAL PROGRESS REPORT 2012-13
Document Title
PRIMARY HEALTH CENTRE(New)
AT/PO:Paschimbad
Via:Baliapal
Dist:Balasore,Odisha-756026
INDIA
Mob:9040127260,9238553968,9937600401
Page 16