9th Common Review Mission-NHM presentation of Anantapur District

1. Welcome

2. Presented to
The 9th Common
Review Mission
team
Anantapuramu
District Review

3. Glimpses
Situated in Rayalaseema region
Largest district in Andhra Pradesh_
19,130,000 sq.Kms
52nd largest district in India
Fifth largest populated district in AP
Hub of educational activity
Ranked 10th in GDDP among 13 districts

4. Historical Background
ᇹGot its name from 'Anantasagaram',
a big tank, which means "Endless Ocean“
ᇹFormed in the year 1882 having been
separated from Bellary District
ᇹIn the year 1956, the present
district was carved out
ᇹPresently with 5 revenue divisions,
63 mandals, 7 Municipalities ,
5 Nagara Panchayathis

5. .
Ô It is bounded by Bellary, Kurnool
District on the North, Cuddapah and
Kolar Districts of Karnataka on
South East and North respectively.
Ô The District is roughly oblong in
shape, the longer side running
North to South with a portion
of Chitradurg District of Karnataka
State intruding into it from west
between Kundurpi and Amarapuram
Mandals.

6. Geopolitical Picture
2 Parliamentary Constituencies
14 Assembly Constituencies
2 Legislative Council Constituencies

7. Administrative Divisions

8. Others
Gram Panchayats
• 1003
Villages
• 964
Habitations
• 3411

9. Number of Colleges = 49
Number of Schools = 3983
Number of AWCs = 5126

11. Prasanthi nilayam,Puttaparthy Gugudu

12. Lephakshi Iskcon Temple

13. Yogi Vemana Samadhi Jambu Dweepa

14. Dharmavaram Sarees Kasapuram Anajaneya Swamy

15. Thimamma Marri Maanu, Guttibavala, Kadiri

16. Other places to visit
#Sri Kadiri Laxmi Narasimha Swamy Temple
# Chintala Venkataramana Temple ,Tadipatri
# Doddeswara Swamy temple built during the
Pallava Reign, Hemavathi
# Sri Ranganatha Swamy Temple,Alurkona
#"Degurla Narasimha Swamy“ temple,
Pennaahobilam
# Rayadurg fort
# Gooty fort

17. ORGANOGRAM
DMHO
DIO ADMHO DTCO DPMO DC-RBSK DMO PODTT DPM-DBCS AO(Admin)
AddlDMHO

18. DMHO with Hon’ble CM

19. Demographic Profile
Description Total Rural Urban
Population 4,081,148 2,935,437 1,145,711
71.93% 28.07%
Male 2,064,495 1,489,157 575,338
Female 2,016,653 1,446,280 570,373
Population growth 12.10%
Density/km2 213
Proportion to AP Population 4.83%
Sex Ratio 977 971 991
Child sex Ratio 927 928 926
Census 2011

20. Demographic Profile
Description Total Rural Urban
Average literacy 63.57 59.21 74.69
Male 73.02 69.41 82.32
Female 53.97 48.77 67.06%
Total Child Population 445,956 323,884 122,072
Male 231,369 167,977 63,392
Female 214,587 155,907 58,680
Child proportion 10.93% 11.03% 10.65%
Boys 11.21% 11.28% 11.02%
Girls 10.64% 10.76% 10.29%
CBR 18.7
CDR 7.3
Census
2011

21. Urban Demographics
Urban Agglomerations inside
Anantapur
Population Male Female
Anantapur(Urban Agglomerate) 341,895 172,414 169,481
Cities inside Anantapur
District
Population Male Female
Anantapur 262,340 131,506 130,834
Hindupur 151,835 76,625 75,210
Guntakal 126,479 62,695 63,784
Dharmavaram 121,992 62,186 59,806
Tadipatri 108,249 54,027 34,222
Census 2011

22. Urban Profile
Name of area Populati
on
No.. o
f HH
Notifi
ed
slums
Non N
otified
slums
Slum
Populat
ion
Slum
HH
Total
HH
Anantapuramu 2,68,503 68,245 51 09 1,01530 22,563 90,817
Guntakal 1,26,479 28,106 48 02 56,652 12,589 40,695
Dhamavaram 1,21,992 27,109 35 05 70152 15,589 42,698
Tadipatri 54,041 12,509 33 01 33538 7,452 19,961
Hindupur 1,51,835 33,741 40 13 72075 16,016 49,751
722850 169710 207 30 333947 74209 243922
Census 2011

24. Infrastructure

25. 18
CHNCs

26. Rural
Public
Health
Facilities
SC 586
PHC 80
CHC 15(5-DH, 10
APVVP)
AH 2
DH 1

27. Map Showing
Health Facilities
PHCs
CHCs
AH
DH

28. Urban
Public
Health
Facilities
PPU 4
UFWC 8
MCH
_Municipality
4
UHCs 19
GGH 1
CD hospital 1
CEmNOC 8
FRUs 5

29. AYUSH
Public
Health
Facilities
Type Number
NRHM 43
State Owned 53
Co-located _NRHM 43
Co-located
State Owned 33
Rented buildings 0
State owned Not co-
located-Rent free
20

30. AYUSH_type
Type State
Owned
NHM Total
Ayurvedic 28 22 50
Unani 13 06 19
Homeo 12 13 25
Naturopat
hy
0 2 02
Sidda 0 0 00
Grand
Total
53 43 96

31. Private Type of facility Number
Nursing Homes 182
Dental hospitals 29
Clinics 48
Polyclinics 07
Diagnostic centres_Basic 89
Diagnostics_ Advanced O6
Physiotherapy 02
RDT Hospitals(Reputed Intl.NGO) 02
RDT-Super Specialty Hospital 01
Satya Sai Hospitals 01
Satya Sai Super Specialty Hospital 01
Health
Facilities

32. Facilities in district_Current scenario
Type of
facility
Number
As per
population
norms
Number
functional
Number
deficit
% of
deficiency
SC 587 586 1 0.17
AWC 4224 5126 +902 #
PHC 98 80 18 18.36
UHC 23 19 4 17
CHC 25 15 10 40
AH(FRU) 9 2 7 78
DH 01 01 0 0

33. Sub centres

34. Service delivery

35. Service delivery in SCs

36. Bed strength * Doctors for population
Total number of beds available in
Public health facilities
1914
Beds per 1000 population 0.46
Doctors per 1000 population
(In public Health facilities)
0.4

37. Health Admn & Deliverance
PHCs per CHNC
As per norms 4-6
Existing 2-8
Average 4
PHCs per CHC
As per norms 4-6
Existing 2-8
Average 5
As per norms 6
Existing 3-18
Average 7
SCs per PHC Average habitations covered
Per SC 6
Per PHC 42
Per CHC 227

38. Average Rural population
covered by SC/PHC/CHC
Type of facility Population covered
SC 5009
PHC 36693
CHC 195696
Facility wise population Number %
SCs more than 5000 294 50%
PHCs more than 30,000 53 66%
CHC > 1,20000 11 73%

39. Average rural area covered in Sq
kms
Type of facility Area in Sq kms
SC 23.51
PHC 172.26
CHC 918.73

40. Time to care from village to PHC
Time to care Number %
Within 30 mins 91 9.51
more than 30 mins
Less than 1 hour
360 37.65
More than I hour 505 52.82
0 – 5 kms 6 – 10 kms More than 10 kms
91 360 505
Average radial distance between PHCs and Villages in kms

41. Vulnerability Score _ NHSRC
Vulner
ability
Rank
Score SCs PHCs CHC,AH,DH
Number % Number % Number %
V0 0-10 112 19.11 04 5 12 66.66
V1 11-20 465 79.35 76 9 6 33.33
V2 21-30 8 1.36 0 0 0 0
V3 31-40 1 0.17 0 0 0 0
V4 .>40 0 0 0 0 0 0

42. Building Status
Type of
facility
Total Govt % Private
Rented
% Govt. rent free
Sub Centr
es
586 294 50.1 292 49.9 0
PHCs 80 79 98.75 1

43. CEmNOCs
1 Tadipatri
2 Gooty
3 Uravakonda
4 Kalyanadurg
5 CK Palli
6 Penugonda
7 Kadiri
8 Madakasira

44. Blood Banks & Storage Centres
1 Anantapur
2 Ananthapur
3 Bathalapalli
4 Kadiri
5 Puttaparthy
6 Hindupur
Blood Bank
Blood Storage centers
1 Gooty
2 Guntakal
3 Tadipatri
4 Dharmavaram
5 Kalyandurg
6 Madakasira
Pvt Govt
2 4

45. FUNCTIOL
FRUs
1 GGH
2 Hindupur
3 Penukonda
4 Guntakal
5 Kadiri

46. FBNC
SNCU _ Anantapur, GGH
NBSU = 11
1 Tadipatri
2 Gooty
3 Guntakal
4 Uravakonda
5 Rayadurg
6 Kalyanadurg
7 Madakasira
8 Hindupur
9 Penugonda
10 Dharmavaram
11 Kadiri
NBCC = 73

47. Ultra Sounds
1 Tadipatri
2 Gooty
3 Guntakal
4 Anantapur
5 Dharmavaram
6 Kadiri
7 Penugonda
8 Hindupur
9 Madakasira
USG
Machines

48. RNTCP Infrastructure
Type Number
DMCs 47
Govt 45
NGO 2
PHIs 110
TUs 19_Govt
Medical
college
01
• District TB control
centre is located in
Government General
hospital,Campus

49. RNTCP infrastructure
Sl.no Equipment Number Status
1. X-Ray plant 01 Working
2 Microscopes 59 47 working
12 non functional
3 LED Microscopes 4 Working
4 Xerox 01 Working
5 Computer System 02 Working
6 Air Conditioners 02 Working

50. Infrastructure Infrastructure
Type of facility Number
Government 07
Private _ NGO based hospitals 01
Number of Ophthalmic
Surgeons available
10
Number of PMOAs 19

51. Program Response (Facilities)
HIV Counseling & Testing Centers
Stand alone ICTCs 18
FI-ICTCs (PHC) 80
FI-ICTCs (PPP) 09
Mobile ICTC 01
Care, Support and Treatment
ART Centers 03
Link ART Plus 03
Link ART Centers 05 (4 Newly Sa
nctioned)
CSC Vihaan 03
District Level Network 01
Targeted Interventions
Core composite 10
FSW 01
Pehchan 01
Link worker Scheme 01
Blood Safety
Blood Banks 06
Blood Storage Centers 6
STI clinics
DSRCs 04
TI-STI Clinics/PHCs 6 +24
IEC
Permanent Hoardings 17

52. FICTCs -82
Mandal wise distribution of Existing ICTCs
Stand alone ICTCs - 18
Mobile ICTC - 1
FI-ICTC (PPP) - 09

53. ART Centre -3
Link ART Plus Centre - 3
Link ART Centre - 5
Newly Link ARTs - 4
CSC Vihaan - 03
Blood Banks
Blood Storage Centres
DSRCs
Mandal wise distribution of Existing Facilities

54. Infra
Type of facility Number
District Office 01
Urban leprosy centers 6

55. Immunization
Cold Chain System
EQUIPMENT Number
Number of WIC 0
Number of WIF 0
Number of ILRs at District CCMU 6
Number of DFs at District CCMU 5
Number of functional Peripheral
CCPs in the district
119
Gap in CCPs in periphery 04

56. IDSP _ Infrastructure
Equipments Located
Equipment
existing
Functioning
(Y / N)
Data Centre Equipments
DSU Yes Yes
MC Yes No
Training Centre
Equipments
DSU Yes Yes
MC Yes No
Broadband Connectivity Yes Yes
Inter wise Yes Yes
1075 Connectivity Yes Yes

57. SRL – STATE REFERENCE
LABORATORY-AMC-IDSP
Department of Microbiology
Under SRL
 ICTC Centers - 28
 PPTCT Centers - 04
 Blood bank Centers - 08
CD4 Counts - 01

58. Virology
o Viral Research Diagnostic Laboratory (VRDL) is
under process.
o ICMR team has visited the department of Micro
biology for starting VRDL.
o ICMR team satisfied with space, location and
staff pattern
o Memorandum of Agreement (MOA) has
approved
o Awaiting for process from ICMR.

59. Serology Services offered
1. Dengue ELISA test
2. Chikungunya ELISA test
3. HBsAg
4. RPR Flocculation test
5. ASO
6. CRP
7. WIDAL
8. RA
9. ICTC, PPTCT, CD4 counts

60. Infra structure _ Urban
Number of UHCs In Government
Buildings
In Private
buildings
19 13 06

61. Constructions under NHM
Type of facility 2009 - 10 2010-11 2011-12 2012-13
SC 11/11 17/23 4/9 10/25
CHNCs 0/5
SNCUs 1/1
NBSUs 11/11
NRC 1/1
PHCs 12/12 1/2
FRUs 5/5
Training building
DEIC 1/1
DWH 1/1
Trauma Centre(2) 2/2

62. Constructions _ NHM
Facility Amount in Rs.
Central Ware
House
_ Phase 1
Rs.1,76,00000
Central Ware
House _
Phase 2
Rs.1,44,60000
Year Type of facility Number
2007-08 CEmNOC 7/7

63. NHM- Total expenditure-Constructions
Year Amount in Rs
2007-08 91,00000
2008-09 1,36,00000
2009-10 1,28,39,500
2010-11 65,41000
2011-12 2,039,3000
2012-13 2,997,6000
2013-14 2,828,4794
2014-15 1,911,9617
2015-16 48,00438
Total 14,46,54,349

64. Baby Friendly Hospital Services
 At DH, Hindupur
 National accreditation for
breastfeeding counseling

65. Human
Resources

66. HR _ DoPHFW(Static)-PHCs
Cadre Desire
d
Sanctio
ned
In position Vacancy%
on desire
d
% Vacancy
on Sanctio
ned
Regula
r
Regula
r
Contra
ct
Total
MO 160 144 87 22 109 32 24.3
SN 164 101 90 67 157 4.26
LT 80 109 31 28 59 26.25 46
Pharm
cist
80 89 53 12 65 18.75 27

67. HR in 24x7 PHCs – 42
Cadre As per
norms
Sanctioned In position Vacancy%
on set nor
ms
% Vacanc
y on
Sanction
ed
Regular Contract Regular Contract
MO 84 82 NA 46 11 32% 30%
SN 126 54 84 50 67 7% 5%
LT 42 28 0 12 12 43% 14%
Pharmacist 42 42 0 23 6 31% 31%
Watchmen 42 NA 42 0 41 2% 2%
Contingent
Worker
42 NA 42 0 42 0 0
Sr. Asst 42 42 NA 35 0 17% 17%

68. HR In CEmNOC
Name &Type of
Facility
Specialist(GynObs) Staff Nurses Theatre Assistants
Sanctioned In
Position
Sanctio
ned
In
Position
Sanctioned In
Position
CHC Tadipatri 01 00 03 02 02 00
CHC Uravakonda 01 00 03 01 02 00
CHC Madakasira 01 00 03 01 02 00
CHC Gooty 01 00 03 03 02 00
CHC Dharmavarm 01 00 03 03 02 00
CHC Kalyandurg 01 00 03 02 02 00
PHC Gorantla 01 00 03 03 02 00
AH Kadiri 01 00 04 02 02 00
Total(8) 08 00 25 17 16 00

69. HR under NHM
Cadre Number Place of positioning
Medical officers 4 2 in NRC
2 in SNCU( in place of speciali
sts in SNCU)
Specialists(Paediatricians) 1/4 1 in SNCU
MPHA(F)s_ANM 472/586 SCs
ASHAs 3003/3057 Villages
AYUSH_MOs_NHM 14 AYUSH dispensaries at Mandal
s
AYUSH_Compunders 31 AYUSH dispensaries at Mandal
s
AYUSH_SNO 37 AYUSH dispensaries at Mandal
s
Contingent workers 83/84 24x7 PHCs

70. HR under NHM
Cadre Number Place of working
Staff nurses 134 67/84 in 24x7
17/25 in CEmNOC
14/14 in SNCU
3/3 in NRC
31/33 in NBSU
DPMU
DPM 1 HQS
DAO 1 HQS
MISO 1 HQS
Jr Asst 1 HQS
DEO_RCH 1 HQS

71. On Foreign Service deputation to
NHM
Cadre Positioned
as
From
Dy.CS DPMO_NHM APMHS
Dy.CS DC_RBSK APMHS

72. HR trainings
PODTT
DPHNO Sr. Asst HEO
All in position

73. HR in RNTCP
Designation Sanction Positioned Vacancy
DTCO 01 00 01
MO 01 01 00
DPC 01 00 01
DTBSA 01 00 01
TBHIV Supervisor 01 01 00
DPPM Coordinator 01 00 01
DTB counsellor 01 00 01
DOTS + Supervisor 01 01 00
DEO 01 01 00

74. HR in RNTCP
Designation Sanction Position Vacancy
STS at clusters 19 07 12
STLS 09 09 00
LT at DMCs 11 09 02
TBHV 9 7 2
Radiographer at dist 01 01 00
LT at dist 02 01 01
Lab Attendant(dist) 01 00 01
Sr.Asst(dist) 01 01 01
Jr.Asst (dist) 01 00 01

75. HR –MCH team-in Medical College
Cadre Sanction Position Vacant % of
vacancy
Gynecologist 11 08 3 27%
Pediatrician 8 7 1 13%
Anesthetist 9 7 2 22%
General Medicine 11 10 1 9%
General Surgery 11 7 4 36%

76. Specialty-AMC
Cadre Sanction Position Vacant % of
vacancy
Orthopaedician 6 6 0 0
Chest diseases 4 2 2 50%
ENT 5 4 1 20%
Ophthalmology 6 4 2 33%
Radiotherapy 3 2 1 33%
Dermatology 5 4 1 20%
Psychitrty 4 2 2 50%

77. Teaching HR
Cadre Sanction Position Vacant % of
vacancy
Anatomy 8 3 5 62%
Physiology 8 6 2 25%
Biochemistry 6 5 1 17%
Pharmacology 6 5 1 17%
Pathology 9 8 1 11%
Microbiology 7 7 0 0
Forensic Medcine 7 4 3 43%
SPM 7 7 0 0

78. HR RBSK
Cadre Number in position
Dist Coordinator _ RBSK 1
DEO 1

79. HR in NLEP
District HQS
Cadre Sanctioned In position Vacancy
AddlDMHO 1 0 1
Nucleus MO 1 1 0
PMO 1 1 0
Physiotherapist 1 1 0
HEO 1 1 0
DPMO 1 1 0
DyHEOs 2 2 0
LT 1 1 0

80. HR in NLEP
Peripheral
Designation Positioned
at
Sanctioned In position Vacancy
DPMO ULCs 5 5 0
APMO ULC 1 1 0
DSO ULC 1 1 0
DPMO CHNC 18 18 0

81. HR NVBDCP
Cadre Sanctioned Positioned Vacant
DMO 1 1 0
AMO 2 2 0
MPHEO 1 1 0
MPHS(M) 7 7 0
MPHA(M) 21 4 17
MPHA(M)/LT 7 2 5
Lab Attendant 1 1 0
Field worker 4 2 2

82. HR in HIV/AIDS
Designation Sanctioned Positioned Vacant
Addl DMHO 01 00 01
DPM 01 01 00
Dist ICTC Supervisor 01 01 00
Dist Asst Acounts 01 01 00
Dist Asst M& E 01 01 00
Dist Asst Program 01 01 00

83. HR in IDSP
DSO Addl.DMHO
DEO 01
DM 01
Dist Epidemiologist 01

84. HR in Cold Chain Unit
Designation Position Status
DIO 01 Regular
SO(UIP) 01 Regular
Supply chain
managers
02 On deputation
No sanctioned post
s
Refrigerator
Mechanic
01 On Contract
DEO 01 On Contract

85. AYUSH HR
Medical Officers Compounders SNOs
Sanctio
ned
Positio
ned
Vacant Sanctio
ned
Positio
ned
Vacant Sanctio
ned
Positio
ned
Vacant
96 49 47 96 75 21 67 42 25
Type Medical Officers Compounders SNOs
Sancti
oned
Positi
oned
Vacan
t
Sancti
oned
Positi
oned
Vacan
t
Sancti
oned
Positi
oned
Vacan
t
State 53 35 18 53 44 09 24 5 19
NHM 43 14 29 43 31 12 43 37 6

86. HR in Blood Bank - GGH
Cadre Sanctione
d
Inposition APSACS
Supported
(Yes/No)
MO 2 2 No
SN 3 3 NO
LT 6 6 4_Yes
2_No
Counselor 1 1 Yes
LA 1 1 No
MRA 1 1 No
Attender 1 1 Yes

87. HR  69 Employees
Cadre Number
Pharmacists 23
LTs 23
Drivers 23

88. SNCU
NBSU-HR
SNCU
Cadre Sanction Position Vacant
MO* 4 3 1
SN 14 14 0
LT 1 1 0
DEO 1 1 0
Security 3 3 0
Supporting
staff
4 3 1
NBSUs
SN 33 29 02
4 MOs should be Specialist Paediatricians
One is specialist
Other 2 MBBS

89. NRC _ HR
Cadre Sanction Position Vacant
MO 2 2 0
SN 3 3 0
Nutrition
Counsellor
2 2 0
MSW 1 1 0
Cook cum
caretaker
2 2 0
Attender &
Cleaner
2 1 1

90. NRC-Akshaya

91. HR GGH
Cadre Sanction Position Vacant
Medical
Superintendent
01 00 01
Civil Surgeon
Specialist
08 01 07
DCS 4 0 4
Asst RMO 01 01 0
CAS 17 15 02
Chief radiographer 2 2 0
Radiographer 3 3 3

92. HR GGH
Cadre Sanction Position Vacnt
Head
Nurses
38 37 1
Staff Nurses 78 71 7
LT 5 5 0
OT Asst 3 2 1

93. HR NPCB
Cadre Sanction Position Vacancy
Civil Surgeon 01 01 00
Opthal Asst 1 1 0
Staff nurse 1 1 0
MNO 1 1 0
OT Assit 1 0 1
Driver 1 0 1

94. HR PP Unit
Cadre Sanction In position Vacant
CAS 2 2 0
MPHA(F) 2 2 0
SN 1 1 0
FNO 2 1 1

95. HR _ MPHW(F) Training college
Cadre Sanction position Vacant
Principal 1 0 1
Sister tutor 2 2 0
PHN 4 2 2
MPHEO 1 1 0
Warden 1 0 1
Sweepers 2 1 1
Cook 2 0 2

96. HR in APVVP facilities-Specialists
Cadre Essential Position %Vacancy
on
Essential
Regular Contract
Gynecologist 16 08 00 50%
Paeditrician 16 09 00 43.75%
Anaesthetist 16 04 00 75%

97. HR in APVVP facilities
Cadre Essential Sancti
on
Position %Vacancy
on
Essential
%Vacancy
of
Sanctione
d
Regular Contract
SN 183 155 109 00 40.43 29.67
LT 34 16 06 07 61.76 18.75
Radiographer 14 12 07 04 21.42 8.33
Pharmacist 21 26 20 03 -9.52 11.53
GDMO 45 78 38 31 -53 11.53

98. SC with ANM, without both
47
180
359
NO ANM
1 ANM
2 ANM

99. PHCs without MO, LT, Pharmacist, SN
3
11
24
23
Without SN
Without Doctor
Without LT
Without Pharmacist

100. HR in UHCs
Cadre Sanctioned Position Vacant
MO 19 16 03
ANMs 38 38 00
MO Asst 19 19 00
CO 19 19 00
Watchmen 19 17 02
Sweeper 19 19 00
NUHM not yet launched

101. Equipment
status

102. Availability of equipment in delivery
points
Item Percentage of
availability
Labour table 98%
OT Table 97%
Electrical Suction Machine 98%
Boyle apparatus 32%
Pulse Oxymeter 57%
Autoclave 97%
Waste shredder 13%

103. Availability of equipment in delivery
points
Item % of availability
Waste autoclave 20%
Minilap Kit 93%
IUCD kit 97%
C-Sec Delivery kit
FRUs
100%
Semi Auto analyzer 10%
Centrifuge 70%
Microscope
Binocular
97%

104. Equipment _ SNCU
Name of equiupment Available Working
Ventilator 0 0
Portable X Ray 1 1
Blod Gas Analyser 0 O
Infantometer 1 1
Single Surface Phototherapy 6 6
Double sided light Phototherapy 2 2
Double outlet Oxygen concentrator 0 0
Pulse Oxymeter 11 10
Controlled Slow Suction 0 0
Servo controlled radiant warmer 21 21
Generator 0 0
Infusion pump 8 8

105. Specialty Diagnostics
• Available at GGH, and DH,Hindupur
• Radiologist not available at Hindupur
• X-Ray available at 11/13 APVVP facilities
• ECG facility available at all APVVP facilities

106. Equipment status_Blood bank
Name Equipment Quantity Status
Donor coach 3 2 not working
Incubators 4 2 not working
Blood collection monitor 2 Working
Digital calorimeter 1 Working
Coagulameter 1 Working
ELISA reader 2 1 not working
ELISA washer 2 1 not working
VDRL Rotator 1 Working

107. Equipment status _ Blood bank
Name Equipment Quantity Status
Refrigerator water bath 1 Working
Cell counter 1 Working
Platelet agitator 1 Working
-40 Refrigerator 1 Working
-80 Refrigerator 1 Working
Plasma thawing bath 1 Working
Blood bank refrigerators 2 Working
Micro channel Pipette 6 Working

108. Equipment NVBDCP
Item name Total Quantity in field Quantity at District
Stirrup pumps 47 43 7
Knapsac Sprayers 40 39 1
Power sprayers 08 08 00
Fogging machines 11 10 1
Fit Pumps 31 30 01

109. Health
Indicators

110. INFANT MORTALITY RATE
40 39
31
21
12
S.no Description Status
1 Anantapur 45
2 Srikakulam 47
3 Vizianagaram 45
4 Visakapatnam 39
5 Prakasam 37
6 Nellore 35
7 East Godavari 34
8 West godavari 28
9 Chittor 35
10 Kurnool 43
11 YSR Kadapa 38
12 Krishna 25
13 Guntur 31
Source : SRS 2013/CHFW Office

111. Progress
Reduction
in IMR
61
60.3
47
45
0
20
40
60
80
2005 2006-07
2012 2013
SRS SRS SRS
RCH -2
Baseline
N
R
H
M S
N
C
U

112. MATERNAL MORTALITY RATIO
INDIA AP KARNATAKA TAMILNADU KERALA
167
92
133
79
61
Source : SRS 2010-12
S.no Description Status
1 Anantapur 98
2 Srikakulam 98
3 Vizianagaram 107
4 Visakapatnam 115
5 Prakasam 87
6 Nellore 77
7 East Godavari 74
8 West godavari 80
9 Chittor 86
10 Kurnool 108
11 YSR Kadapa 85
12 Krishna 79
13 Guntur 83

113. Progress
Reduction in
MMR
154
134
117
98
0
20
40
60
80
100
120
140
160
180
2004-06 2007-09 2010-12 2011-13
SRS SRS SRS SRS
N
R
H
M M
D
R

114. Below 20%
Between 20% - 40%
Between 40% - 60%
Between 60% - 80%
Above 80%
Measles Vaccine -1 Coverage
DLHS-4

115. Immunization %(Children 12-23mnths)
66.2
97.4 81.8 84.4 85.871.2
97.9
92.8 94.7
79.5
0
20
40
60
80
100
120
FI BCG 3 doses of DPT MCV 1 Vit.A
dlhs 4
dlhs 3

116. Full immunization(2013-14)
Source: CHFW

117. TFR
4.9
3.9
2.4
1.7
0
1
2
3
4
5
6
1981 1991 2001 2012
TFR

119. RMNCH+A ranking-(13-14)[14-15]
Indicators
Composite Index
Overall Index Pregnancy care Child Birth
Postnatal maternal &
new born care
Reproductive age group
2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14 2014-15 2013-14
1 Anantapur 0.3134 0.4679 0.28 0.4012 0.2356 0.2618 0.4838 0.7431 0.163 0.3267
2 Chittoor 0.3912 0.4726 0.3681 0.4863 0.0976 0.3444 0.6694 0.6627 0.2594 0.2613
3 Cuddapah 0.3968 0.5401 0.5291 0.5683 0.4598 0.5605 0.4212 0.5277 0.0726 0.4934
4 East Godavari 0.5167 0.5826 0.5051 0.7311 0.5597 0.7904 0.476 0.422 0.5612 0.3948
5 Guntur 0.4123 0.4486 0.1453 0.2076 0.2385 0.6052 0.5997 0.527 0.7189 0.5627
6 Krishna 0.5889 0.5496 0.5345 0.5663 0.9334 0.6667 0.5484 0.5396 0.4026 0.4213
7 Kurnool 0.2639 0.2849 0.3172 0.3515 0.2075 0.3752 0.2981 0.1614 0.1743 0.2896
8 Nellore 0.3211 0.3761 0.2962 0.3437 0.3247 0.3916 0.2771 0.4086 0.4325 0.3606
9 Prakasam 0.2417 0.2835 0.043 0.0088 0.1891 0.3782 0.4599 0.5091 0.262 0.2704
10 Srikakulam 0.3352 0.4889 0.3224 0.414 0.3466 0.5967 0.3576 0.4694 0.3076 0.5387
11 Vishakapatnam 0.3161 0.5954 0.2399 0.5987 0.2872 0.6783 0.3545 0.5002 0.4079 0.6657
12 Vizianagaram 0.6782 0.5546 0.8837 0.5868 0.5631 0.5246 0.5565 0.5598 0.6535 0.5221
13 West Godavari 0.4416 0.5312 0.4368 0.552 0.489 0.6306 0.4533 0.5173 0.3827 0.4202

120. MCTS Progress From : 1/4/2015 Upto the Month Of : September, 2015
S.No
Name of the
District
Mother Services
Child Services
Ante-Natal Care Intra-Natal Care Post-Natal Care
ANC
Regist
ration
s
agains
t ELA1
High
Risk
identif
ied
agains
t ANC
registr
ation
Received
MO
Checkup
(2nd &
4th
ANC)agai
nst ANC
registrati
on
Pregna
nt
women
transpo
rted
through
108 vs
ELA 3
Total
Live
Births /
Child
Registra
tion
against
ELA 2
Delivery
outcom
e
reporte
d
against
ANC
registra
tion
Deliverie
s in
Public
Instituti
ons
against
Live
births
Home
Delive
ries
again
st
Live
births
C-
Sectio
ns out
of
Institu
tional
Deliver
ies
Breast
feedin
g
within
1 hr
against
Live
births
48
hours
Stay in
Hospital
against
instituti
onal
deliverie
s
Postn
atal
care
again
st
Live
births
Total
Live
Births /
Child
Registra
tion
against
ELA
Zero
Dose
agains
t Live
births
3rd
Dose
agains
t Live
births
Full
Immunizatio
n against
Live Births
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Anantapur 92 18 47 0 88 75 47 1 27 61 58 80 88 93 39 0.11929
2 Chittoor 87 13 34 0 85 78 62 0 28 60 66 79 85 83 39 0.11997
3 East Godavari 88 10 32 0 86 85 41 0 48 46 67 77 86 75 39 0.10288
4 Guntur 80 17 47 0 88 95 29 0 47 47 80 85 88 89 40 0.11194
5 Kadapa 90 11 44 0 87 78 31 2 37 53 42 82 87 88 41 0.1673
6 Krishna 90 15 44 0 95 89 34 0 54 40 64 86 95 90 41 0.12109
7 Kurnool 92 8 34 0 83 73 47 9 29 62 46 71 83 65 39 0.11441
8 Prakasam 83 15 43 0 87 85 27 0 42 50 64 82 87 87 42 0.15754
9
Sri Potti Sriramulu
Nellore 86 15 41 0 87 79 33 1 42 48 68 75 87 79 42 0.18708
10 Srikakulam 95 14 43 0 93 82 49 0 48 44 60 77 93 85 41 0.18763
11 Visakhapatnam 88 13 43 0 83 75 63 7 30 61 65 72 83 78 40 0.13139
12 Vizianagaram 99 16 37 0 92 81 61 0 38 58 57 81 92 89 40 0.20701
13 West Godavari 90 12 32 0 95 92 42 0 59 37 67 83 95 81 41 0.13177

121. MCTS Progress From : 1/4/2015 Upto the Month Of : September, 2015
Ante-Natal Care
S.No
Name of the
Health Block
Mother Services
Child Services
Intra-Natal Care Post-Natal Care
ANC
Regist
ration
s
agains
t ELA1
High
Risk
identifi
ed
against
ANC
registr
ation
Received
MO
Checkup
(2nd & 4th
ANC)against
ANC
registration
Total
Live
Births /
Child
Registrat
ion
against
ELA 2
Delivery
outcome
reported
against
ANC
registrat
ion
Deliveries
in Public
Institution
s against
Live births
Home
Deliver
ies
agains
t Live
births
C-
Sectio
ns out
of
Institu
tional
Delive
ries
Breast
feeding
within 1
hr against
Live births
48 hours
Stay in
Hospital
against
institution
al
deliveries
Postna
tal care
against
Live
births
Total
Live
Births /
Child
Registrat
ion
against
ELA
Zero
Dose
again
st
Live
births
3rd
Dose
against
Live
births
Full
Immunizati
on against
Live Births
1 2 3 4 5 7 8 9 10 11 12 13 14 15 16 17 18
1 Gooty 89 17 44 89 85 64 3 31 65 36 91 89 97 40 5.77181
2 Pamidi 98 27 47 88 75 58 2 32 61 46 86 88 90 40 4.1456
3 Konakondla 188 28 44 170 62 48 4 33 51 75 71 170 95 38 2.14067
4 Tadipathri 88 32 49 89 80 44 1 30 60 57 80 89 98 40 2.27503
5 Singanamala 116 20 44 117 80 52 0 31 58 46 77 117 93 40 2.88397
6 Anantapur 79 38 41 82 84 51 0 33 59 51 83 82 85 40 2.16272
7 Uravakonda 99 32 54 89 75 53 0 24 67 57 85 89 96 39 5.81395
8 Dharmavaram 92 49 45 102 82 37 1 26 59 48 76 102 93 38 2.50458
9 C.K.Palli 87 27 40 94 78 55 0 25 59 60 74 94 95 40 5.84329
10 Kalyandurg 100 27 60 102 86 36 0 10 82 79 91 102 97 40 1.86461
11 Kanekal 126 19 40 109 66 30 2 15 69 49 75 109 81 40 2.75908
12 Rayadurg 113 31 52 104 62 36 3 10 63 25 70 104 93 37 3.14327
13 Penukonda 93 45 40 93 74 60 0 26 58 55 75 93 94 40 1.8617
14 Nallamada 94 38 52 88 69 35 0 31 55 58 79 88 98 39 2.56257
15 Tanakallu 93 41 59 81 71 58 0 23 68 69 85 81 98 40 5.22134
16 Kadiri 89 21 48 85 74 50 0 22 65 65 81 85 96 39 2.48411
17 Hindupur 92 55 39 82 77 67 3 28 66 61 87 82 92 39 2.14435
18 Madakasira 88 23 49 81 71 61 1 25 54 65 69 81 96 38 1.85029
19
Urban Health
Facilities 73 29 48 72 77 37 2 34 57 57 82 72 91 39 0.58988

122. Comparative analysis based on
RMNCH +A indicators
SHISD report
Month Rank in AP
Sept 2013 6th
Sept 2014 6th
Sept 2015 3rd

123. ELAs/Demographic denominators
Year Projecte
d
populati
on
Estimated
ECs
Birth
rate
IMR Deliveri
es
Expecte
d/Live
births
Expecte
d
Infants
TT(PW) 2years
Childre
n
Estimat
ed
Source Projected 17% of
total
populatio
n
SRS SRS Derived Derived Derived Derived
2013-14 4,130,592 702,201 18.6 47 73,767 74,569 86,307 71,164
2014-15 4,175,000 709,750 18.8 47 78,462 74774 86308 72075
2015-16 4,224,000 718,080 18.7 45 78,925 75374 86818 72730

124. RMNCH+A Indicators
Progress & Performance

127. RMNCH+A Indicators _ ANC
Year ANC registrations
against ELA
High Risk identified against
ANC registered
Received MO check
up(2nd & 4th ) against
ANC registrations
2013-14 91 10 45
2014-15 96 13 64
2015-16 92 18 47
91
10
45
96
13
64
92
18
47
ANC Vs ELA HR PW VsANC MO 2nd & 4th
2015-16
2014-15
2013-14

128. RMNCH+A Indicators _ Intra natal
Year Total live
births/Child
registrations
against ELA
Delivery
outcome
reported
against ANC
registrations
Deliveries in
Public
Institutions
against live
births
Home
deliveries
against live
births
C-Sections
against
Institutional
deliveries
2013-14 79 44 40 3 24
2014-15 100 72 45 2 25
2015-16 88 75 47 1 27
79
44 40
3
44
100
72
45
2
25
88
75
47
1
27
LB Vs Child
birth ELA
Delivery
outcome Vs
Delivries in
PHIs Vs LBs
HD Vs LBs C-Sec Vs IDs
2015-16
2014-15
2013-14

129. RMNCH+A _ Postnatal
Year Breastfeeding within 1 hour
against live births
48 hours stay
against institutional
deliveries
Postnatal care
against live births
2013-14 41 37 47
2014-15 55 58 68
2015-16 61 58 80
41 37
47
55 58
68
61 58
80
Breastfeeding in 1
hour
48 hrs stay PN care
2015-16
2014-15
2013-14

130. RMNCH+A _ Child Services
Year Total live births/Child
registrations ELA
Zero dose
against live
births
3rd dose
against live
births
Full
Immunizations
against live
births
2013-14 102% 87% 95% 88%
2014-15 110% 87% 95% 86%
2015-16 87% 93% 2% 72%

131. Sources

132. Reproductive Health
Anemia in Women 15-49 years
63.2
67.9
12.4 14.8
0
10
20
30
40
50
60
70
80
Anemia_Total Anemia_Rural Severe anemia_Total Severe anemia_Rural
DLHS 4

133. Awareness on RTI/STI-HIV/AIDS
31.4
23.4
81.5 78.5
10.3 10.4
25.3 22.123.3
19.8
71 68.3
7.8 9.2
45.5 41.6
0
10
20
30
40
50
60
70
80
90
Total Rural Total Rural Total Rural Total Rural
Women heard about RTI/STI Women heard about
HIV/AIDS
Women who had symptoms
of RTI/STI
Women who underwent
testing HIV/AIDS
dlhs 3
dlhs 4

134. RTI/STI _ HMIS
Year Total OPD
Total RTI/STI
cases - Male
Total RTI/
STI cases
- Female
Total RTI/STI
cases
RTI/STI ca
ses as %ge
of Total O
PD
Number of
wet mount
tests condu
cted
2012-13 4,246,460 704 581 1,285 0.030% 16
2013-14 3,946,344 280 170 450 0.011% 46
2014-15 5,591,196 4971 11365 16336 0.29% 481
2015-16 3,502,623 4176 4803 13979 0.39% 369

135. Performance and Progress
MATERNAL and CHILD HEALTH

136. ANC
Antenatal
Care

137. Focused ANC with Dedication
Patient amenities

138. Recording Height & Weight

139. ANC Package & Infant Weighing

140. Waiting Place & Transportation

141. Counseling & Health Education

142. AN Care _dlhs
0
10
20
30
40
50
60
70
80
90
100
any ANC 1st tri 30r>ANC 100 IFA Full ANC
98.8
80.2
88.2
45.4 43.2
98.8
64.8
86.1
40.7 36.3 dlhs 4
dlhs 3

143. ANC HMIS_NRHM
109%
82% 82%
91%
110%
90%
86%
97%
102% 103%
89%
108%
0%
20%
40%
60%
80%
100%
120%
ANC reg Vs Expected
pregnancies
3 ANC chckups Vs
ANC reg
TT booster Vs ANC
reg
100 IFA Vs ANC reg
2013-14
14-15
15-16

144. ANC HMIS_NHM
54 56
62
70%
89 89
99
107
84 82
85.4
89.3
0
20
40
60
80
100
120
2012-13 2013-14 14-15 2015-16
First trimester
3 ANC Vs estimated
TT/TT booster Vs registration

145. ANC_MCTS
Indicator 2011-1
2
2012-13 2013-1
4
2014-
15
2015-1
6
Total ANC registration 96 99 99 100 91
PW registered in 1t trimester 31 61 56 46 24
ANC 3 68 68 73 83 44
TT 2 91 89 91 99 75
IFA tablets 100 53 62 73 84 58
Full ANC 39 47 60 72 20

146. Anemia in PW
Anemia Status by Haemoglobin Levels in % _ DLHS 4
74.7
82.4
18.3
19.4
0 10 20 30 40 50 60 70 80 90
PW with Anemia_total
PW with Anemai_Rural
PW with Severe Anemia_total
PW with Severe Anemia_Rural

147. Anemia _ HMIS-NHM
16704 16387
29939
22412
0
5000
10000
15000
20000
25000
30000
35000
2012-13 2013-14 14-15 2015-16
PW-Anemia Number
19.2 18.9
31.3
50.1
0
10
20
30
40
50
60
2012-13 2013-14 14-15 2015-16
% of PW with Anemia
918
766
833
299
0
100
200
300
400
500
600
700
800
900
1000
2012-13 2013-14 14-15 2015-16
Severe Anemia-treated in facility-number
1.1
0.9 0.87
0.6
0
0.2
0.4
0.6
0.8
1
1.2
2012-13 2013-14 14-15 2015-16
Severe Anemia-treated in facility- in %

148. Delivery care

149. Delivery care
82
42.5
39.5
5.9
21
14.7
66.7
36.2
30.5
2.9
9.8
31.7
0 10 20 30 40 50 60 70 80 90
ID
GovID
PvtID
CS Gov
CS Pvt
HD
dlhs 3
dlhs 4

150. Deliveries on Estimated _ HMIS NHM
YEAR Home SBA Home NSBA IDs Total
reported
deliveries
Unreporte
d deliverie
s on estim
ated
2012 -13 2% 1% 50% 53% 47%
2013-14 1% 1% 20% 22% 78%
2014-15 2.7% 0.5% 20% 27.4% 72.8%
2015-16 0.4% 0.4% 32% 32.6% 67.4%

151. Deliveries on Reported _ HMIS NHM
Year ID(Pub) ID(Pvt) Home SBA Home NSBA
2012-13 45.9 49.2% 3.9% 1%
2013-14 93.3% Not reported 4.3% 2.4%
2014-15 96% Not reported 2.4% 1.9%
2015-16 97% Not reported 1.4% 1.4%

152. Intranatal
Delivery
Services
And
Care

153. Delivery points
Type of facility Number
24x7 42
CHC 15
AH 2
DH 1
GGH 1
PHCs 28
99

154. Delivery Care_HMIS-NHM
21.9
20.5
93.3
1.5
6.7
1.7
28.5
27.3
95.5
1.25
4.4
6%
32.8
31.8
97.1
0.94
2.8
12.6
0 20 40 60 80 100 120
Reported Vs Expected
ID Vs Estimated
ID Vs Reported
HD Vs Estimated
HD Vs Reported
CS Vs IDs(Pvt+Pub)
2015-16
2014-15
2013-14

155. Deliveries' benchmarks
Type of hospital Benchmark
Director of Public Health & Family Welfare
PHC 25 -30
CHC 50
APVVP
CHC(30 beds) 50
CHC(50 beds) 75
AH(100) 150
DH(300) 500
CHFW

156. Delivery performance of 24x7 PHCs
Parameter 2013-14 2014-15 2015-16
Total deliveries 5689 5899 2522
Average Deliveries per month all facility 479 491 420
Average deliveries per month per facility 11 12 10
RDHMIS

157. Mean deliveries in 24x7
0
2
4
6
8
10
12
14
16
1 to 5 6 to 10 11 to 15 16 to 20 20 to 25 > 25
Min Outlier Max Outlier
Number 2013-14 2014-15 2015-16
1 to 5 7 6 9
6 to 10 15 10 15
11 to 15 10 14 10
16 to 20 6 6 4
21 to 25 4 6 4
> 25 0 0 0
RDHMIS

158. Deliveries _ MCTS-in%
Indicator 2011-
12
2012-13 2013-14 2014-15 2015-16
Total
deliveries
66 68 76 81 75
IDs 94 95 96 97 98
Public 34 38 43 47 40
Private 60 57 53 50 52
Home 4 3 3 2 1
C-Sec 15 18 20 25 27

159. C-Sec against Reported
Institutional deliveries
6.8 6.9
4.8
0.2
0
1
2
3
4
5
6
7
8
15-16 14-15 13-14 12 to 13
13
6
11.1
9.16
0
2
4
6
8
10
12
14
15-16 14-15 13-14 12 to
13
Complicated Pregnancies
against Reported Institutional
deliveries
HMIS-NHM

160. 87.6
94.2
89.4
91.2
84
86
88
90
92
94
96
15-16 14-15 13-14 12 to 13
Normal against Reported Institutional
deliveries
HMIS-NHM

161. PNC

162. PNC
76.9
73.1
77.7
73.8
77.8
79.8
80.6
82.9
68
70
72
74
76
78
80
82
84
Total Rural Total Rural
PNC Within 48 hours of ID PNC Within 14 days of ID
dlhs 4
dlhs 3

163. Discharge after minimum stay of 48
hours
59.2
57.1
56 56.5 57 57.5 58 58.5 59 59.5
Total
Rural
Dischargeafterminimumstayof48hours
dlhs 4

164. PNC _ MCTS
Indicator 2011-12 2012-13 2013-1
4
2014-1
5
2015-16
PNC within 48 hours 41.83% 40% 49% 49% 37%
PNC after 7 days 9.43% 9% 9% 12% 9%
No postnatal visit 18.98% 27% 19% 14% 31%

165. PNC Complications in % Vs
reported deliveries
0.2 0.2
2.2
0.9
0
1
2
3
2012-13 2013-14 2014-15 2015-16
PNC complications
HMIS-NHM

166. Quality of ANC_ Anemia in PW
Indicator 2012-13 2013-14 2014-15 2015-16
ANC having Hb less than 11 19.2% 18.9% 31.3% 50%
ANC having Hb less than 7
treated at Institutions
1% 0.9% 0.8% 0.6%
HMIS_NHM

167. JSY
Year Publi
c
Deliv
eries
JSY pai
d
% JSY
Paid
1000 %
1000
paid
600 %
600
paid
SC %
SC ava
iled
ST % ST av
ailed be
nfit
2012-1
3
1778
9
14887 83.6% 12,538 84.2% 2349 15.8 2388 16 982 6.7
2013-1
4
18,18
1
17,423 95.8% 15,137 86.8% 2276 13.2 2913 16.7 100
8
5.7
2014-1
5
20,41
8
22,324 109.3 19,377 86.8% 2944 13.2 3959 17.7 133
9
5.9
2015-1
6
12,37
5
10,693 86.4% 9915 92.7% 1578 7.3 1603 15 662 6.2

168. JSSK
Component Number of beneficiaries'
2013-14 2014-15 2015-16
Given diet one day 1707 2735 712
Given diet two days 5806 7001 2888
Given diet five days 2613 3349 1604
Given free Home to facility 22063 14105
Given Facility to Home
Reverse Transportation
532 1137

169. USG MoUs under JSSK
Number of Health
facilities MoU with
Scanning centres
Number of Scan
centers under MoU
Number of
beneficiaries'
83 33 4957
Free scan under JSSK
Initiated from July 2015
JSSK @ Rs.1000 for Private Specialist Doctors”
Number of beneficiaries' 668

170. MDRs
Indicator Number
expected
Number
conducted
% of
performance
13-
14
14-
15
15-
16
13-
14
14-
15
15-
16
13-
14
14-
15
15-
16
Number of DC
_MDR meeting
s conducted
12 12 12 12 07 00 100 58 00
Number of Su
b committee
meetings held
12 12 6 12 12 6 100 100 100
Number of
CBMDRs
58 85 30 58 85 30 100 100 100
Number of FB
MDR
51 79 26 15 20 03 29 25 20

171. MDR Analysis{14-15},(15-16/Sept)
Description 2013-14 2014-15 2015-16
No % No % No %
Apprehended 87 85 77
Notified 73 95 33
Maternal deaths 58 85 30
CBMDR 58 100 85 100 30 100
FBMDR 15 34.9 20 32.3 3 14.3
Home 07 12 06 7.5 04 13.3
Transit 08 13.8 17 20 5 16.6
Facility 43 74.1 62 72.9 21 70

172. Births
Newborn
Care

173. Births and New Born
57
2.6
72
4
7457.6
1.25
83.1
4.5
85
52.4
3.1
99.1
6.6
90.1
0
20
40
60
80
100
120
live births
reported Vs
estimated
Still births VS
reported 1000LB
New borns
weighed VS
reported LB
Newborns weghed
< 2.5 Vs new born
weighed
Newborns
breastfed within 1
hour VS reported
LBs
2013-14
2014-15
2015-16

174. 908
920
900
890
895
900
905
910
915
920
2013-14
2014-152015-16
Sex Ratio…
SEX RATIO AT BIRTH
HMIS-NHM

175. Birth weight & LBW
87.8
4
dlhs 4
% Weighd at birth LBW % among weighed

176. Child Health
75.7
76.4
22.6
23.7
0 10 20 30 40 50 60 70 80 90
6 to 59 mnts_Anemia(total)
6 to 59 mnts_Anemia(Rural)
6-59 mnts_severe anemia(Total)
6-59 mnts_severe anemia(Rural)
Anemia Status by Hb levels (6-59
months)in % dlhs 4

177. Anemia {6 -9 years}_ dlhs 4
Males Females
0
10
20
30
40
50
60
70
80
66.1
72.1
17.2 20.9
0
10
20
30
40
50
60
70
80
79.6 78.2
13.1 16.9

178. Anemia (6-14 years)_ dlhs 4
Males Females
65.1
71.2
15.4
18.9
0
10
20
30
40
50
60
70
80
Anemia(Total) Anemia(Rural) severe
anemia(Total)
severe
anemia(Rural)
74.2 77.6
10.7 14.4
0
10
20
30
40
50
60
70
80
90
Anemia(Total) Anemia(Rural) severe
anemia(Total)
severe
anemia(Rural)

179. Anemia 10 – 19years _ dlhs 4
Males Females
60.5
67.8
11
14.8
0
10
20
30
40
50
60
70
80
Anemia(Total) Anemia(Rural) severe
anemia(Total)
severe
anemia(Rural)
69.9
77.1
11.6 13.4
0
10
20
30
40
50
60
70
80
90
Anemia(Total) Anemia(Rural) severe
anemia(Total)
severe
anemia(Rural)

180. Immunization performance, Progress
Year Full Immunization Complete Immun
ization
DLHS 3 DLHS 4 HMIS MCTS HMIS MCTS
2007 -08 55%
2012-13 66.2% 108% 85% 102% 79%
2013-14 96% 87% 88% 80%
2014-15 102% 89% 39% 74%
2015-16 100% 66% 76.7% 15%

181. DPT 5_ NHM HMIS
DPT 2nd booster
63% 59.50%
71.20%
85.50%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
2012-13 2013-14 2014-15 2015-16
DPT 5

182. Drop 0ut Rates
Year
Dropout from BCG
to DPT3
Dropout from BCG
to Measles
Dropout from DPT3 to
Measles
2012-13 -2% 0% 3%
2013-14 0 11 11
2014-15 0 0 0
2015-16 3% 1% 0.7%

183. Sessions
Year Sessions
Planned
Sessions
held
% of sessi
ons held
Vs planned
Sessions
ASHA pres
ent
% Sessions
ASHA
absent
2012-13 34,807 33,859 97.2% 28,403 83.8%
2013-14 34,311 33,310 97% 25,903 77.7%
2014-15 43,834 42,989 98% 36,436 84.7%
2015 -16 26,673 26,519 99.4% 23,283 87.7%

184. ORS + Zinc promotion
IYCF practices promotion

185. Awareness in Mothers
on Diarrhea & ARI danger signs
69.1
56.8
77.2
28.4
0
10
20
30
40
50
60
70
80
90
Mothers Awareness on child
diarhoea
Mothers awareeness on
danger signs of ARI
dlhs 4
dlhs 3

186. Childhood diseases
3
75
4.7
80
50
4.6
45.5
2.9
82.4
0
0 10 20 30 40 50 60 70 80 90
Prevalance of diarhoea
Chidren with diarhoe recived ORS
Prevalence of ARI
Children with ARI sought treatment
Children with diarhoea given Zinc +ORS
dlhs 3
dlhs 4

187. IYCF
81.1
54.4
41.8
58.6
34.4
54
0
10
20
30
40
50
60
70
80
90
0 to 5 exclusively
breastfed
6 to 9 reciving
solid/semisolid
feeding along with
breastmilk
12 to 23 months
complementary
feeding with
breastfeeding
Children under 3
years breastfed
within one hour
dlhs 4
dlhs 3

188. IDCF report 2015_IYCF week
Conducted in August 3/2015 – August 15/2015
Indicator Number
Number of villages covered 3411
No.of viallages IYCF counselling is
conducted by ASHA
3411
Households visited by ASHA for condu
ction of IYCF counselling
723484
No. Of U 5 screened 353455
No. Of children detected by ASH as un
dernourished
754
No. Of villages VHSNC was conducted
on sanitation
1003

189. IDCF report 2015_ORS+Zincweek
Conducted in August 3/2015 – August 15/2015
Indicator Number
No.children given ORS 1628
No.Children reportedw with diarhoea
during the week
1628
No of children given Zinc 1628
No of ORS+Zinc corners established 2025
No of schools hand washing
demonstrated
2986
No of slums/H2R areas covered 86

190. Mission Indradhanush _
Phase 2
Indicator Number
Number of sessions planned 732
Number of sessions conducted 732(100%)
No. Of children vaccinated 2134(99.9)
No. Of children vaccinated for first time in life 238(11%)
No. Of PW vaccinated 368
No of children fully vaccinated 507(24%)
No of children completly vaccinated 430(20%)
No of ORS distributed 3232
No, of Zinc tablets distributed 3060

191. VITAMIN A CAMPAIGN
• Conducted in the year 2014
• Two rounds
• 1st round =14/7/2014 to
19.07.2014
• 2nd round = 15/12/2014 to
30/12/2014

192. Vitamin A performance
Dates ELA Covered % Rural % Urban %
1st round 357000 189189 53% 169028 89.34 20161 10.66
2nd round 357000 262308 73% 225617 86.01 36691 13.99%

193. Family
Planning

194. FP
2013-14 2014-15 2015-16
Number of FP camps organized 378 381 74
Number of IUCD camps organized 0 0 0
FP Accredited private centres 49 51 51
FP trainings_MOs 15 06 00
RMNCH+A Counsellors 0 0 0
FDS for FP 14 14 11
FDS for IUCD 5 5 5
Status of PPIUCD service provision 00 01 01
FP Service centres for Camps 18 18 18

195. Permanent Sterilizations _ HMIS-NHM
Indicator 2014-15 2015-16
Public Pvt Total Public Pvt Total
NSV 05 00 05 01 00 01
Laproscopic 5798 00 5798 552 00 552
Minilap 3697 00 3697 1888 00 1888
Post partum 3099 00 3099 1135 00 1135
Female 12594 00 12594 3575 00 3575

196. FP performance - RDHIMS
Sterilizations
32,000_ELA 30,000_ELA ELA-13,533(27,067)
2013-14 2014-15 2015-16
Number % Number % Number %
29,171 91.2 27,449 91.5 9531 70.4

197. FP performance - RDHIMS
Sterilizations -Male
Year ELA Male
ELA
Male
Public Private %
2013-14 32000 1280 41 11 0.16
2014-15 30000 1200 4 11 0.05
2015-16 27067 541 00 01 0.007
% based

198. Female sterilizations
Year ELA Achievement Female
Public Private
Total Total
%
Mini % DPL % Total% Mini % DPL %
2013-
14
32000 29119 58.6 6234 36.6 10824 63.4 41.4 7570 62.7 4491 37.3
2014-
15
30000 27434 64.1 6746 38.3 10829 61.7 35.9 5950 60.3 3909 39.7
2015-
16
27067 9530 47.9 3822 83.7 742 16.3 52.1 3207 64.5 1759 35.5
RDHMIS

199. FP Performance
Spacing
IUCD OP Users CC Users
Year ELA Ach % ELA Ach % ELA Ach %
2013-
14
22000 18961 86.1 25000 2851 11.4 37000 14136 38.2
2014-
15
22000 19625 89.2 24000 3294 13.7 37000 14956 40.4`
2015-
16
8745
17490
8799 100 27484 6127 22.2 39094 5616 14.3

200. ASHA initiative
Home delivery of Contraceptives by ASHA
Initiated in the year 2013-14
Stocks supplied from State
Trainings given to ASHAs
No acceptance from the community
_ as they are insisting on free supply
rather than with payment

201. Quality Assurance _ FP
YEAR Number
2013-14 02
2014-15 02
2015-16 01
Number of FP deaths

202. Abortions
Indicator 2014-15 2015-16
MTP up to 12 weeks 62 80
MTP more than 12 weeks 26 40
Abortions(Spontaneous/Ind
uced)
648 592
Abortion rate against report
ed pregnancies
0.67% 1.32%

203. Abortions/Still births_MCTS
Indicator 2011-12 2012-13 2013-14 2014-15 2015-16
Abortions 0%(226) 1%(446) 1%(900) 2%(1177) 2%(136)
Still births 2%(1602) 3%(2638) 4%(3273) 6%(47) 5%(2071)

204. Progress and Performance
HMIS indicators

205. Key Performance Indicators

206. ANM related
Indicator 2012-13 2013-14 2014-15 2015-16
HMIS MCTS HMIS MCTS HMIS MCTS HMIS MCTS
% of ANC registered Vs
Expected
106 99 110 99 110 100 102 91
% ANC in 1st Trimester Vs
Reported PW
54 61 56 56 62 46 70 24
% 3 ANCs Vs reported 87 68 89 73 99 83 107 44
% HTN in reported 2 1.7 1.5 1.3
% Severe anemia in
reported ANC
1 0.07 0.9 0.1 0.87 0.5 0.6 0.4
% PNC visits within 48 and
14 days Vs total deliveries
96 40 114 49 126 49 157 37
NHM-HMIS

207. ANM related KPIs
Parameter 2012-13 2013-14 2014-15 2015-16
HMIS MCTS HMIS MCTS HMIS MCTS HMIS MCTS
% DPT3 immunisation
against Estimated Live
Births
104 107 94 95 99 95 115 80
% Measles Immunizat
ion against Estimated
Live Births
101 90 83 89 96 87 103 73
% Full immunisation a
gainst Estimated Live
Births
109 86 99 88 103 86 100 72
TT(PW)% against report
ed PW
106 89 85.4 91 110 94 102 75
NHM-HMIS

208. ASHA related
Parameter 2012
-13
2013
-14
2014
-15
2015
-16
% Newborns weighed at birth against
Estimated live Births
70 41% 48 52
% of Newborns having weighed less than
2.5 kg against newborns weighed
3 4% 5% 7
% Newborns visited within 24 hrs of Home
deliveries
60 131% 106 91
% ASHAs present during immunisation
Sessions
84 78% 85 88
NHM-HMIS

209. Facility related
0
10
20
30
40
50
60
70
ANC for Pregnancy
complications
for Post delivery
complications
for Vaginal
discharge
for children with
diarhoea
for children with
ARI
55.2
45.9
31.3
25
70
50
dlhs 4
dlhs 3
NA NA

210. Facility related KPIs
Measure 2012-
13
2013-
14
2014
-15
2015-
16
OPD per 1000 population 1028 955 1339 829
IPD per 1000 population 33 44 52 40
Major surgeries per lakh population. 44 52 251 503
Institutional deliveries against estimate
d deliveries.
50% 20% 20 32
Institutional deliveries against Reporte
d deliveries.
45.9 93% 96 97
NHM-HMIS

211. Facility KPIs
Parameter 2012-
13
2013-
14
2014-
15
2015
-16
% C- Section against Institutional Deliverie
s
9.2% 1.7% 6 13
Abortion Rate against Reported pregnanci
es
0.9% 0.2% 1 2
Total sterilization done per 1000 eligible c
ouples
24 13 4.97 17.75
Total IUD inserted per 1000 eligible couple
s
15 6.11 7.44 9.84
PW with Anemia 19.2% 31.3% 18 5
PW with Severe Anemia 1.1% 0.9% 10 7.4
NHM-HMIS

212. AEFI
Indicator 2013-14 2014-15 2015-1
6
Abscess 0 0 157
Deaths 0 1 3
Others 3 24 44

213. AYUSH Services
Parameter 2012-13 2103-14 2014-15 2015-16
OPD 260,607 215,270 258726 181900
As % of OPD 6.1% 5.5% 4.6% 5.1%
NHM-HMIS

214. Facility related-HMIS NHM
ZERO DOSE IMMUNIZATI
ON Vs Reported Live birth
s
2013-14 2014-15 2015-16
BCG 91% 96% 88
OPV 86% 88% 75
Hep B 2% 37% 60

215. Lab Services
Total
Population
Total HB tested Total HIV tested
Total
VDRL
Tested
Total
Widal
Test
Condu
cted
Blood Smear
Examined
2012-13 4,130,592 47,828 69856 5042 3853 240,023
2013-14 4,130,592 63,330 47,056
6,269 4,592 168,160
Total OPD
HB test
conducted
as %age of
OPD
HB<7gm
as %age of
HB tested
HIV test
conducte
d as %age
of OPD
HIV
positiv
e as
%age
of HIV
tested
VDRL test
conducte
d as %age
of OPD
Widal
test
condu
cted
as
%age
of
OPD
Blood Smear
Examined as % of
Population
2012-13 4,246,460 1.1% 8.6% 1.6% 2.3% 0.1% 0.09% 5.81%
2013-14
3,946,344
1.6% 8.3% 1.2% 2.5% 0.2% 0.12% 4.07%
NHM-HMIS

216. Lab Services
Total
Population
Total HB tested Total HIV tested
Total
VDRL
Tested
Total
Widal
Test
Condu
cted
Blood Smear
Examined
2014-15 4175001 109475 62248 5225 16691 237987
2015- 16 4224011 138843 46554
10653 21172 187892
Total OPD
HB test
conducted
as %age of
OPD
HB<7gm
as %age of
HB tested
HIV test
conducte
d as %age
of OPD
HIV
positiv
e as
%age
of HIV
tested
VDRL test
conducte
d as %age
of OPD
Widal
test
conduc
ted as
%age
of OPD
Blood Smear
Examined as % of
Population
2014 - 15 5591196 2% 5.2% 1% 4% 0.09% 0.2% 5.7%
2015 - 16
3502623
4% 4% 1.3% 4% 0.3% 0.6% 4.4%
NHM-HMIS

217. Grievance
Redressal
Mechanism

218. Grievance Redressal Mechanism
Mee Kosam Website
Weekly Praja Vani at District HQS_ attended by
the DMHO
Weekly Praja Vani at Mandal HQS _ attended by
the Medical Officer
Mobile numbers of DMHO,MO wall written on
all the facilities and DMHO office

219. Suggestion/Complaint boxes

220. IMEP practices
At Patnam PHC

221. Teachings
Trainings
Coaching New
Skills

222. Trainings/Capacity building(1)2014-15
Sl.n
o
Training
programme
Objective Category
trained
Number
trained
Duration
days
1 IMNCI Reduce
NMR,IMR
MPHA(F) 72 08
2 BEmNOC Reduce
MMR,IMR
MOs, 4 10
3 SBA Reduce
MMR,IMR
MPHA(F) 44 21
4 SBA Reduce
MMR,IMR
SNs 12 21
5 NSSK Reduce
NMR,IMR
MPHA(F) 35 02

223. Sl.n
o
Training
programme
Objective Category
trained
Number
trained
Duration
days
6 ARSH Adolescent
Health
MPHA(F)
MPHS(F),HE
100 05
7 STI/RTI Reduce
RTI/STI
Mos,LTs 58 02
8 MAARPU ISC in
IMR,MMR
reduction
ICDS_Superv
isors,MPHA(
F),CRP,APMs
472 06
9 MiniLap Quality FP
services
MOs,SNs
OT Techs
06 12
10 CDAC POs,Pharma
cists,DEOs
192 01
Trainings/Capacity building(2)2014-15

224. Trainings/Capacity building(3)2014-15
Sl.n
o
Training
programme
Objective Category
trained
Number
trained
Duration
days
11 PPIUCD MMR
reduction
MOs
SNs
16_MOs
20_SNs
05

225. Trainings/Capacity building(1)2015-16
Sl.n
o
Training
programme
Objective Category
trained
Number
trained
Duration
days
1 IMNCI Reduce
NMR,IMR
MPHA(F) 24 8
2 Safe birth Checklist Reduce
MMR,IMR
MOs,SNs 41 3
3 SBA Reduce
MMR,IMR
MPHA(F) 12 21
4 SBA Reduce
MMR,IMR
SNs 7 21
5 NSSK Reduce
NMR,IMR
MPHA(F) 36 02

226. Sl.n
o
Training
programme
Objective Category
trained
Number
trained
Duration
days
1 BEmNOC Reduce
MMR,IMR
MOs 4 10
2 MDR_Avni Reduce
MMR,IMR
Deputy
DMHOs/
DEOs
33 01
3 ASHA ToT_HBNC Strengthen
MCH
services
PHN
MPHS(F)
128 02
4 Reorientation on
MCTS_Use of Tablet
PCs
Strengthen
MCH
services
Deputy
DMHOs,MO,
DEOs,MPHA
82 01
Trainings/Capacity building(2)2015-16

227. Total trained
Sl.n
o
Name of
training
Cadre
trained
Traine
d
To be
trained
Trainin
g load
%
1
NSSK
MOs 131 50 181 72%
SNs 300 10 315 95%
MPHA(F) 179 782 961 19%
2
SBA
SNs 302 03 315 96%
MPHA(F) 93 868 961 10%
3 IMNCI MPHA(F) 336 625 961 35%
4 BEmNOC MOs 38 76 114 33%
5 Minilap MOs 36 78 114 32%
6 CDAC MOs 192 24 216 89%
Pharmacists 155 61 216 72%

228. Total trained(2)
Sl.no Name of
training
Cadre
trained
Traine
d
Untrained Training
load
%
7 MAARPU_dist ICDS
Supervisors
MPHA(F)s
CRPs, APMs
615 78 693 89%
8 RTI/STI MOs 50 64 114 44%
SNs 22 115 137 16%
LTs 30 30 60 50%
9 ASHA 6 & 7 ASHAs 2729 328 3057 89%
10 Safe Child Birth
Checklist
MOs 30 151 181 17%
SNs 62 253 315 20%

229. Total trained(3)
Sl.
no
Name of the training Cadre
trained
Number
trained
Number
to be
trained
Trainin
g load
%
11 ARSH MPHS(F) 33 47 80 41%
MPHA(F) 107 854 961 11%
HEs 10 09 19 53%
12 Re-Oreintation on
MCTS_Distribution of
Tablet PCs
Ddmhos
MOs
DEOs
82 0 82 100%
13 MDR Avni Cluster
staff
33 0 33 100%
14 ASHA ToT_HBNC PHN
MPHS(F)
128 0 128 100%

230. Other trainings
• LSAS training – 4 members trained
• RCH portal trainings
• HMIS trainings
• MCCD trainings

231. Free
Diagnostics

232. 108

233. Ambulance Services
Eight Ambulances in APVVP
Sl.
no
Stationed at Type of facility
1 Hindupur DH
2 Penukonda CHC
3 Uravakonda CHC
4 Dharmavaram CHC
5 Gooty CHC
6 Kadiri AH
7 CK Palli CHC
8 Rayadurg CHC

234. 104 PHC Mobile
104
PHC
Mobile

235. 104 PHC Mobile _ Performance
Year Number
of patient
s treated
OPD per 1000
population
2013-14 4,96,823 120.2
2014-15 4,42.826 106
2015-16 2,41,541 57
Year Number of
Lab tests
conducted
Tests per
1000
population
2013-14 2,94,614 71.3
2014-15 2,31.437 55.4
2015-16 90,541 21.4
Each vehicle covers 2 villages per day
Conducts to OPD clinics
23 Vehicles functional
1104 villages are covered
30% of villages are covered

236. Drug policy & Supply chain management

237. Medicines budget allocations
Year Annual budget
allocated
Expenditure %
2012-13 137788935.4 114806268 83.32038249
2013-14 181619920 141494556 77.90695866
2014-15 164702246 163927761 99.52976658
2015-16 185665960 23620549.2 12.72206774

238. Budget per facility 2013-14
Budget allocated per fa
cility annually
2013-2014
Type of facility Drugs Surgicals CTS Total
PHC 49112499.5
4920000
54032499.
5
CHC 20708965 5735920 235430 26680315
AH 8390280 2323925 102360 10816565
DH 5644230 1563325 51180 7258735
GGH 48113630 184228605 785570 233127805

239. Budget per facility 2014-15
Budget allocated per
facility annually
2014-2015
Type of facility Drugs Surgicals CTS Total
PHC 39449960 3891760 43341720
CHC 16567172 4589006 188344 21344522
AH 6712224 1859140 81888 8653252
DH 4515384 1250660 40944 5806988
GGH 52866372 15957392 800000 69623764

240. Budget per facility – 2015-16
Budget allocated per fa
cility annually
2015-2016
Type of facility Drugs Surgicals CTS Total
PHC 59666000 7417300 67083300
CHC 19000000 5736000 378000 25114000
AH 6300000 1900000 130000 8330000
DH 3150000 1015000 65000 4230000
GGH 40866370 19597390 1100000 61563760

241. CDS Medicines

242. Deliveries in GGH
Year Normal Assisted C-Sec Total
2013-14 3713 0 2115 5828
2014-15 4375 432 2644 7451
2015-16 2405 175 1455 4035
36.29
35.48
36
C-Sec in GGH
63.7
58.71
59.6
Normal
2013-14
2014-15
2015-16
5.794.33
Assisted
2013-14
2014-15
2015-16

243. EDL

244. SNCU - Sishu Sanjeevani

245. SNCU – Sishu Sanjeevani

246. SNCU _ Sishu Sanjeevani

247. SNCU performance
Indicator 2013-14 2014-15 2015-16
Total admissions 1228 1253 1149
Admissions per 100 deliveries 21 16.8 28.4
Inborn cases per 100 admissions 51 58 51
% of LBW per 100 admissions 36 37 37
Proportion of very LBW per 100
admissions
14 06 08
Number of beds 20 20 20
Nurse:bed ratio 1:5 1:5 1:5
Specilaist Doctor:bed ratio 1:20 1:20 1:20
BOR 16.8% 17.1% 31.3%

248. In %
Morbidity data SNCU
8.9
13.6
36.9
26.10.2
30.6
18.8
2014-15
RD
Sepsis
LBW
Birth Asphyxia
Congenital
Malformation
Jaundice
Others
10.5
12.9
36.3
33.4
0.0
18.2
25.2
2013-14
RD Sepsis
LBW Birth Asphyxia
Congenital Malformation Jaundice
Others
In %
Morbidity data SNCU

249. 2.4
9.3
37.0
29.1
0.7
19.8
37.8
2015-16
RD
Sepsis
LBW
Birth Asphyxia
Congenital Malformation
Jaundice
Others
Morbidity data SNCU in %

250. NRC Performance
Indicator 2014-15 2015-16
Admissions 122 148
Gender disaggregated Male Female Male Female
51 71 63 85
Referred
HW/Self/Paediatrician
11/4/45 4/4/67
Target weight gain dur
ing stay(%)
34% 51%
Referral rate to higher
centre
0.8% 0.7%
BOR 1.6% 4%

251. Year Total
camps
Total
collecti
ons
Issue
to BSC
Issued
to GGH
%Isseu
d to
PHFs
2014-
15
54 3644 1355 108 40.14%
2015-
16
30 1908 646 74 37.73
Indian Red Cross Society Blood Bank
Anantapuramu

252. Blood bank services
Blood collections
2014-15
Voluntary blood
donations
Replacement
blood donations
Total
2724 4219 6943
2015-16
3299 4475 7774
Collected Utilized Discarded
Blood components Sept and October 2015
Platelet concentrate 164 100 40
Fresh frozen plasma 162 40 1
Cryoprecipitate 0
Plasma 17 5 12
APSACS

253. Chinnari Doctors

254. Sl.
No
. Activity
2014-15 2015-16
Number
Achievemen
t
Referrals Number
Achieveme
nt
Referrals
01.
Schools Screening 3930 3841 (98%) -- 3983
1,023
(26%)
--
Children 3,88,732
3,68,854
(95%)
370 3,82,031
90,755
(23%)
17
02
Chinnari Arogyam
(Birth – 06 yrs)
--
58,732
(Only 05yrs
children)
-- 306454 304147 7484
03 Vidhyarthi Arogyam
-- -- -- 3983
3415
(85.73%)
23718
-- -- -- 3,82,031
281400
(73.65%)

255. •On every Thursday (School Health
Day)
•5-18 years
•Govt. & Govt. Aided Schools & Jr.
Colleges.
•Out of School Children (10-18 yea
rs) at AWCS
•I & FA syrup (3-5 years children)
•Tab. I & FA small (5-9 years)
•Tab. I & FA large (10-18 years)

256. 01. Total No. children treated 2011
02. No. children identified under Arogya Sri 102
03. No. children treated in Arogya Sri 53
04. No. of Children identified Non Arogya Sri 220
05.
No. of children treated under Non Arogya
Sri
24
06.
No. of MR (Mentally Retarded children)
identified for special campaign.
1449
07.
No. children identified for Defective Vision
Children & recommended for spectacles
1086
08. Spectacles supplied for identified children 1086
09.
No. of Nystagmus children identified under
“ Chinnari Choopu”
39
10.
No. of Nystagmus children identified for
surgery
30
11.
No. of Nystagmus children surgery
completed
02
12. Dental cases treated 102

257. •No. of Arogya Clubs formed: 1,535
•No. of Chinnari Doctors Identified: 7,384
•Arogya clubs should be form in all Residential mode ,
UP & High schools

258. AFHCs 18
AH Consultants' 0
AH counselors 16
Peer Educators 9987
AHDs Every Tuesday
Total Clients-2015 8472
RKSK Campaign 2013-14
Group meetings in
Schools
1474
Group meetings in AWC 1840
Adolescents attended in
Schools
53,962
Adolescents attended in
AWCs
22,055

259. 06 Children
was identifie
d for cleft lip
and palate s
urgery for co
operation of
GSR Institut
e of Hydera
bad
36 Children was identif
ied for Nystagmus surg
ery for cooperation of
Gouthami Eye Institute
, Rajamundry, and 02
children surgery compl
eted.

260. DEIC
• Construction completed
• Infrastructure-incomplete
• HR-under process

261. Year ELA No of children
administered
%
2013-14 490877 446446 92%
2014-15 491605 462108 94%

262. RNTCP Performance
Progress Indicator 2013 2014 2015
ACDR 113% 47% 63%
Proportion of New
sputum +ve out of total
New pulmonary cases
113% 151 86
Smear conversion rate 78% 82% 83%
Treatment success rate 82% 67% 90%
Ratio of number of smear
negative to smear
positive
63% 47% 63%

263. MDR TB
# Culture & DST samples are identified as criteria wise. Presently
district has followed criteria C.
# For smear positive patients samples sending to IRL Vizag.
# For smear negative patients samples sending to CBNAAT Chittoor.
# For follow up patients samples sending to DFIT Nellore.
# For initiation of treatment to DR TB cases using RDT Battalapalli
as a DOTS PLUS site.
# Presently 8 XDR Cases registered in the district. (4 Died and 4
under Treatment).

264. DRTB
Drug resistant TB status Indicator Number
Number of samples sent
to C&DST
3237
Confirmed as MDR 189
Treatment started 166
Not initiated on
treatment
23
Referred to other district 10
Died 5
Migrated 2
Refused treatment 6

265. Malaria-Status
Sl.
No
Activity 2013 2014 2015
1 No of BS Collection 459370 492773 329959
2 ABER % 11.8 12.71 8.81
3 SPR 0.04 0.10 0.12
4 Total Positive cases 222 515 414
PV 155 410 335
PF 67 105 79
5 Total Deaths Due
to Malaria
0 0 0
6 No of High Risk
villages
97 126 132

266. Dengue Status
Sl.No 2013 2014 2015
1 No of Suspected Dengue 51 3184 2264
2 No of Confirmed Dengue 9 330 328
3 No of Deaths 0 0 0
4 No of High Risk Villages 76 169 152
5 No of Villages covered under ALO
operations
357 1097 1245
6 No of Villages covered with
Pyrethrum spray
186 638 465
7 No of villages covered with
fogging operations
75 503 73
8 No of Villages covered with 102 62 45

267. Malaria
-High
Risk

268. Malaria-
High
Risk

269. Malaria
High
Risk

270. High
Risk
areas

271. High
Risk

272. Performance
Sno Year 2014-2015 Year 2015-2016 (upto sep-2015
Programme Annual
Target
Achieve
ment
% Annual
Target
Prop.
Target
Achiev
ement
%
1 Cataract Blindness 24000 24713 102.97% 26836 13418 10291 76.69%
2 School Children Eye Screening
A Screening 72348 152336 210.56% 72348 36174 35059 96.91%
B Refractive Errors 4341 4633 106.72% 4341 2170 1227 56.54%
C Spectacles Distribution 3350 4566 136.29% 3350 1675 1191 71.10%
3 Eye Ball Collection 90 28 31.11% 90 45 20 44.44%
4 Other Eye Diseases
A Diabetic Retinopathy 400 117 29.25% 400 200 46 23%
B Glaucoma 250 51 20.11% 250 125 46 36.8%

273. Comparative Month wise Analysis of
Physical performance (Cataract Blindness)
Sno Month
Year 2014-2015
Year 2015-2016(upto Sep-
2015)
Target Achievement Target Achievement
1 April 2000 2370 2236 2137
2 May 2000 2271 2236 1676
3 June 2000 1977 2236 1768
4 July 2000 1937 2236 1837
5 August 2000 1721 2236 1712
6 September 2000 1661 2236 1181

274. IDSP
Performance
Progress Reporting Status in %
2013 2014 2015
Indicator S form P form L form
Timely
Complete
97% 95% 98%
Timely
Incomplete
0 1 0
Not timely
Complete
0 2 1
Incomplete
Late
0 1 0
No reports 3 1 1

275. IDSP-Performance
Outbreaks
Year Type No Number
Investigated
2013 ADD 2 All
Food
Poison
2 All
2014 ADD 1 All
2015 ADD 1
Food
poison
2
H1N1
Year Suspected Confir
med
Deaths
2013 0 0 0
2014 0 0 0
2015 26 16 5

276. Responding to Outbreak

277. NLEP
Performance
Progress

278. Performance Indicators
Indicator Measure
Prevalence 0.79
New case detection rate 11.11
Proportion of child cases in new cases 0.6
Proportion of disabled among new cases 11.4
Proportion of MB cases among New cases 63.2
Treatment completed rate_MB 99
Treatment completed rate_ PB 99
Proportion of new cases correctly diagnosed 99.5

279. NACP
Performance
Progress
Indicator 2014-15 2015-16(Sept)
No % No %
Tested for HIV 164093 96% 75718 88%
Found positive 1554 729
ANC tested 76535 104 37282 101
Found positive 100 48
HIV+ mothers
delivered
179 82
General cases
tested
87558 89 38436 78.4
STI clinic visits 17044 8646`
Episodes
treated
9419 55 5751 68
Partners
treated
5582 3806

280. Performance report
Indicator 2014-25 2015-16
No % No %
RPR tests 1015 4126
RPR tests_PW 7183 4618
Pre ART
registrations
18993
Alive & On ART 9877
Deaths 2751
Lost to follow
up
1412
Missed for
follow up
543
HRG tested for
HIV
24408 11017
HRG found +
HIV
45 14

281. Situation Analysis (Pregnant)
2569
5580 7122
10437
19906 21592
29042
38117
49964
68806 66349 68104
76535
37282
1.60
1.00
0.91 0.90
0.76
0.56
0.88
0.51
0.29 0.25 0.21 0.17
0.13 0.13
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
ANC Tested ANC Positivity

282. Situation Analysis (General Cases)
1327 3483 6120 9369
24646
3490438101
45370
50212
62412
67007
78021
87558
38436
22.83
14.53
12.06
12.54
8.44
8.24
7.35
5.93 4.62
3.62
3.45 2.18 1.66 1.77
0.00
5.00
10.00
15.00
20.00
25.00
0
10000
20000
30000
40000
50000
60000
70000
80000
90000
100000
Non ANC Tested NON ANC Positivity

283. • ASHA PBIs _ Mode of
payment
• Online
• Paid up to Sept’2015

285. ASHA
Description Number
Number of ASHAs desired 4100
Number of ASHAs recruited/Sanctione
d
3057
ASHAs dropped out 54
ASHA in position(Urban & Rural) 3003
ASHA trained –Induction training 3057
ASHA Module 6 & 7 2729 -1st round 2723, 2nd round- 2723
3rd round-199
HBNC trainings 180
HBNC Kits 2983
ASHA Kits 3057

286. ASHA Grievance Redressal
• Grievance redressal
committee constituted in 2013-14
• 7 meetings conducted so far
• 7 Grievances addressed
• ASHA day meetings conducted at PHC level
every 1st Tuesday

287. ASHA supportive Structure
• PHC level ASHA facilitators from within the
system = 128-MPHS(F),Sr. ANMs
• At Cluster level 18 Block Community Mobilizers
identified – PHNs/CHOs
• Conducted ASHA facilitators training & HBNC
• ASHAs oriented on HBNC by ASHA facilitators
during ASHA day meeting
• Generating HBNC monthly reports

288. VHSNC
Number of GPs 1003
Number of VHSNC constituted 1003
Percentage of constitution 100
2014-15 2015-16
Number of meetings expected 12,036 6,018
Number of meetings conducted 9,989 5536
Periodicity of meetings Once monthly every GP, First Saturday
% of conduction of meetings 82% 92%

289. VHSNCs

290. VHSNC & ISC

291. PHC Convergence meetings
Number of PHC convergence
committees constituted
80
Expected 80
Periodicity Once monthly, 1oth
Number expected 480
Number conducted 320
% of performance 66%

292. PHC HDS meetings
Number of HDS committees
constituted
98
% Constituted 100%
2014-15 2015-16
Meetings conducted 278 70
Meetings expected 392 196
Periodicity Once in 3 months
% Performance 71% 36%

293. DHS/DLVMC meetings
Year 2012-13 2013-14 2014-15 2015-16
Number 00 02 00 00
 No DLVMC meeting is conducted so far

294. Internet connectivity
% of PHCs having
internet connectivity
91% (73/80)
% of CHCs having
internet connectivity
80% (12/15)
% of CHNC having
internet connectivity
100% (18/18)
% of MOs having Tablet
PCs with SIM on CUG
100%
% of MPHA(F)s having
Tablet PCs with 3G SIM
on CUG
100%
% of PHCs having
Laptops
100%
% of CHCs having
desktops
100%

295. HMIS_NHM
Data entry status-Sept’15
SC PHC CHC AH DH
99% 94% 67% 71% 50%
Facility Progress over years
2012
-13
2013-
14
2014-
15
2015-
16
SC 99 100 100 100
PHC 68 68 85 96
CHC 92 92 92 91
AH 71 86 71 86
DH 100 100 100 100

296. MCTS
• MCTS analysis and
feedback is done regularly
and periodically
• Now the field staff are
uploading immediately
after the service delivery as
they are provided with
Tablet PCs

297. Tablet PCs distribution to field staff by
our JD MHN

298. Video Conferencing by the District Collector
SKYPE review

299. Using Tablet PCs

300. • Implemented in all health
facilities
• Online indenting
• Doorstep delivery

301. QAC • KayaKalp Guidelines
• AEFI Committee
• FPQAC

302. IEC/BCC/SBCC

303. IEC

304. Our Hon’ble CM at our Exhibition stall
at Guttlur Village

305. Our Independence day Tableaux Vivant

306. Independence day –Tableaux vivant

307. IT Minister IPPI Civil Supplies minister in IPPI

308. MDR with JC - II Promoting Male participation -DC

309. World Population Day 2015 with JC-II World Malaria Day 2015

310. Anti leprosy day with JC RCH portal trainings-Ddmho

311. • HMIS Reorientation Workshop
IEC activity book

312. Citizen Charter

318. IEC/BCC Activities
Sl.n
o
Type of activity Topic Number
1 Kalajathas NVBDCP
Water borne
150
2 Kalajathas Pentavalent 100
3 Meetings Age at
Marriagr
586
4 Exhibitions

319. Financial management
NHM
2013-14
Component Allocated Expenditure %
RCH Flexi 181018261 147958058 81.74
Additionalities 187687370 82220720 43
Immunization 7005214 2517270 35.93
IPPI 10580686 10365352 97.96
2014-15
Component Allocated Expenditure %
RCH Flexi 173277362 144256756 83.25
Additionalities 149269907 93437048 62.60
Immunization 14401989 3267729 22.69
IPPI 101677781 10164160 95.19

320. 2015-16
Component Allocated Expenditure %
RCH Flexi 99093334 58731280 59.27
Additionalities 100074779 45011599 44.98
Immunization 15501956 5771159 37.23

321. JSY/JSSK-Financial performance
JSK
Year Allocated Expenditure %
2013-14 30744150 16513500 53.71%
2014-15 39757229 21134500 53.16%
2015-16 35684417 10061800 28.20%
JSSK
Year Allocated Expenditure %
2013-14 3577155 513275 14.35%
2014-15 6576372 2292409 34.86%
2015-16 4283962 2496895 58.28%

322. FP -Financial performance
Family Planning
Year Allocated Expenditure %
2013-14 41516577 25780112 62.09%
2014-15 37341269 20662485 55.33%
2015-16 29331784 4464455 15.22%

323. HDS -Financial performance
HDS
Year Allocated Expenditure %
2013-14 35921362 10479407 29.17%
2014-15 55392997 17963733 32.43%
2015-16 37429264 9967816 23.61

324. JSY/JSSK-Financial performance
SC Untied
Year Allocated Expenditure %
2013-14 5081466 3428525 67.47%
2014-15 1675893 806910 48.15%
2015-16 868983 58621 6.75%
VHSNC
Year Allocated Expenditure %
2013-14 16896136 9967553 58.99%
2014-15 22242174 13058585 58.71%
2015-16 9183589 1073044 11.58%

325. NRHM funds utilization
43.53
19.46
37
Salaries
ASHA
Programs
2013-14
35
17
47 Salaries
ASHA
Programs
2014-15
27.48
31.91
40.59 Salaries
ASHA
Programs

326. Financial management report
RNTCP as on 30.09..2015
Budget received Expenditure Balance % performance
10154293 5092793 5061500 50%

327. Financial HIV/AIDS 2014-15
01.04.2015 to 31.03.2015
DBS & GFATM-II funds
item Releases APSACS Expenditure %
Total 685,500 554,153 81%

328. Financial report _ HIV/AIDS
01.04.2014 to 31.03.2015
DBS(Domestic budgetary Source)
Item Releases from
APSACS
Expenditure %
DSRC contingency 20000 20000 100
Candle light
memorial day
10000 10000 100
Operational
Expenses
342000 352052 100%
IEC 120000 120000 100
World AIDS day 40000 39998 100
VBD camps 113500 00 0

329. Financial report HIV/AIDS
01.04.2014 to 31.03.2015
GFATM-funds
item Releases
APSACS
Expenditure %
World blood don
ation day
20000 6531 0.3%
VBD camps 20000 5572 0.27%

330. Financial report HIV/AIDS
01.04.2015 to 23.10.2015
DBS funds
item Releases A
PSACS
Expenditure %
Candle light memorial
day
5000 4960 99%
Blood transportation
van
35000 0 0%
DSRC counsellors
Outreach activity
30000 16460 55%

331. Financial performance
Sno Year
Budget Relea
sed
Budget util
ised
Balance ava
ilable
Pending due
s to NGOs
1 2013-2014 Rs.47,04,000 Rs.22,33,250 Rs.24,70,750
Rs.31,11,500/
-
Submitted to
District Colle
ctor for appr
oval
2 2014-2015
a) By ROP
b) JBMV-I
Total
Rs.32,13,500
Rs.38,44,900
Rs.70,58,400
Rs.22,54,065 Rs.48,04,335
Grand Total Rs.1,17,62,400 Rs.44,87,315 Rs.72,75,085

332. Financial report_Trainings
OB Receipts Unspe
nt surr
endere
d
Release
d to ot
her dep
ts
Total Expendit
ure
Balance %
1356369 2491283 38070 382490 3466952 1872249 1212213 54%
Training Unspent amt Head Unspent amt
SBA 142480 Interest 348657
NSSK 49118 IOH 421911
IMNCI 220262
BEmNOC 21310
Minilap 8610

333. Financial report _ IDSP
Year Allocated funds Expenditures Balance % of Expenditure
2013-14 736423 723882 12531 98.29
2014-15 955417 769469 185948 80.53
2015-16 539201 305942 233259 56.73

334. Financial Report _ NVBDCP
2015-16
Allocated Expenditure Balance %
26,59,090 4,33,518 22,25,572 16.30%

335. Financial report RBSK
Year Allocated Expenditure %
2013-14 449902 415393 92.32%
2014-15 2133016 118189 5.54%
2015-16 46220 13006 28.13%

336. 104 Mobile Financial report
Year Allocated Expenditure %
2013-14 27346627 26405027 96.55%
2014-15 28325472 24065515 87.57%
2015-16 21964535 11576378 52.70%

337. Monitoring
Supportive Supervision
• GPS fixed to Deputy
DMHOs vehicles
• Supportive supervision
Checklists for SC / PHC /
CHC /CHNO
• Session monitoring(UIP)
• House to House monitoring
• RMNCH+A Supportive
Supervision checklist

338. Monitoring/Supervision
• PCPNDT Checklist
• SKYPE review with clusters
• MCTS analysis - feedback
• HMIS analysis - feedback
• Daily SMS alerts to Deputy
DMHOs & Pos on MCTS
status
• Daily OPD/IPD/Deliveries
performance

339. Monitoring and Supervision
• Deputy DMHOs review once in 15 days
• ASHA nodal officers monthly meeting
• Mandatory monitoring of ANC day every
Friday by all POs
• Quarterly ZP general body meetings
• DDRC meetings

340. Monitoring MCTS uploading

341. Review by our Principal Sec’ &CHFW & DoPH&FW

342. Supportive Supervison

343. Evening meetings

344. CRM preparedness meetings

345. Supportive Supervison
Supportive e Supervision
Building Skills
Teaching them-
Supportive Supervision

346. MH Guidelines
MagSulf & Calcuim Gluconate

347. Teaching & Learning

348. Monitoring and
Supervision
• Mobility support by NRHM
Deputy DMHOs(18)
DPMU_1
RBSK Coordinator_1
DIO mobility(POL)_1

349. PCPNDT
Implementation Status

350. Performance
Sl.n
o
Activity Number
1 Scan centers Registered 152
2 Scan centers _ Renewed 79
3 Scan centers closed 28
4 Functioning as on 26.10.15 128

351. APPAMCEA
2002
Activity Number
Nursing Homes registered 182
Dental hospitals registered 29
Clinics registered 48
Polyclinics 07
Physiotherapy clinics 02
Diagnostics_basic 89
Diagnostic Centres_Hi End 06

352. Prevalence of Chronic
Conditions 10
6.5
7.5
22.8
Respiratory CVD DM HTN
22.8 % of Hypertensive's(18 and above)
10% _Chronic Respiratory disease
6.5% _CVD
7.5% _ DM(18 and above)
Reported prevalence of Chronic Diseases
DLHS_4

353. HIGH PRIORITY
AREAS
Sl.
no
Name of the
area/cluster
1 Madakasira
2 Penugonda
3 Nallamada
4 Dharmavaram
5 Tadipatri
6 Hindupur

354. Good practices
• Focused ANC care day –Every Friday
• Escort activity for HR pregnancies
• Strengthening ISC
• Social Media Usage-
Twitter, Whatsapp, Telegram

355. Free food sponsored by staffs every
Friday-PHC, N.S.Gate

356. Escort activity-intensifying efforts to
reduce MMR

357. CHALLENGES
CONSTRAINTS • Vehicles provided are more
than 15 years old
• POL is inadequate
• Lack of adequate managerial
,logistics support for the
Ddmhos
• Inadequate rental to SCs
• Old computer systems
• HR in DPMU

358. Challenges & Constraints
Dearth of ICT and mass internet connectivity compounde
d by a paucity of ICT related knowledge and skills limitin
g capacities of the HMIS and MCTS to generate, analyze
and disseminate information for use in local decision ma
king

359. Constraints
 Lack of operational research
 Lack of local surveys and evaluations

360. GAPS
• HR
• Equipment for ideal labour
room
• Knee jerk activities

361. Way Forward
• Incorporating primary care
strategies having symbiotic
relationship with secondary
and tertiary level of clinical
care and all stakeholders
• Integrated Comprehensive
MCH approach

363. Thank You

364. Thank You very much