Delhi Shahdara & Central Districts - PowerPoint Presentation

Slide1

Delhi

Shahdara

& Central Districts

November 04-11, 2016

Good Practices Observed

No user fees for drugs and diagnostics.

Mobile dental clinics initiative for preventive and curative services.

State of the Art CATS Control room for emergency response system for managing transport of patients

State has a cadre specific assessment system for contractual staff.

Information systems HMIS, MCTS(RCH) and PFMS are well placed along with requisite IT infrastructure.

Review of health programmes including DSHM activities by

Hon. Chief

Minister

and Health Minister.

DAWA app introduced for reporting

on non

availability of medicines in facilities

Points of concern

HR – contractual appointments are vacant

Lack of convergence in community processes

NUHM – CPMU not there

VHND not taken place this year

Delay in release of funds from

treasury.

Procedural difficulties faced by State for more that 200 account heads

About 35% of RE is used by the State while number of activities are not taken up which need to be initiated

Pending infrastructure work since 2011-12

SOPs, protocols and IEC not displayed at many of the observed facilities

Progress on

Kayalakp

is slow

Recommendations

SOPs, protocols, citizen charter, IEC material to be properly displayed

Timely utilization of NHM allocations

Pending infrastructure work need completion

Set up and implement adolescent health programme

To put in place JSY utilization, PMSMA,

partograph

, line listing, MDR, DIEC, NRC

To develop mechanism for better coordination between SHM and MCD

Communicable diseases – to improve reporting, staff shortage and fund utilization

NCDs – to give more stress on community reach, preventive and promotive activities and set up functional NCD cell

To have proper grievance redressal mechanism in place

UHNDs to be conducted monthly

Physical HMIS report to be signed by MO I/C before uploading

To strengthen and do regular supportive supervision and monitoring of programmes

Nirantar

and

Dawa

app to be publicized and put to proper use

State needs to take up HR Need Assessment exercise and to do rational deployment

Action Taken by State/UT

Action Taken Report

S.No

Area of

Concern

Action Plan

1

HR-Contractual

Appointments

are Vacant

Process of

rationalization

of HR in being undertaken by

respective

programme

officers.

In principle approval for empanelment of recruitment agency has been accorded. A

committee

has been constituted for the recruitment through empanelled agencies informed by Ministry of Health and Family Welfare, Government of India.

2

UHND not taken placed this year

Of

the 5050 approved, 4973 were held in 2016-17. In 2017-18, one UHND for each ASHA has been

proposed. Being an

urban

state with high population density UHND’s for neighbouring

ASHA Areas may be clubbed

.

3

NUHM-CPMU not there

Repeated D.O's have been sent to MCD's for formation of CPMU. Also, Mission Director, DSHM had himself visited the office of Municipal Commissioner of Delhi to initiate the process of convergence.

MCD’s have informed inability of register City Health Societies ,

thus hiring of manpower by the local bodies to set up City PMU is not possible. MCD facilities are being managed through DPMU’s

Action Taken Report

S.No

Area of Concern

Action Plan

4

Grievance

Redressal

Mechanism

The State has dedicated portal

for Public

Grievance Management System (PGMS)

to receive public

grievances which are forwarded to the concerned

officers for resolution.

A State Cell is has been constituted to

ensure

proper follow up and disposal of complaints

.

Dawaa

App has been developed to monitor Drug availability, SMS Helpline No-8745051111 is operative for complains related to drug availability

5

Nirantar

and

Dawaa

App to be publicized and put to proper use

Flex

boards have been displayed in patient areas(registration counters, pharmacy ) to ensure w

ide

publicity of the app

.

Action Taken Report

S.No

Area of Concern

Action Plan

6

Communicable Diseases

Total

Fund allocated for Communicable Diseases-39.88

Crores

Total

Fund received during 2016-17- 10.78

Crores

Total expenditure incurred- ~20

Crores

Programme is being managed with inter-

progmatic

loans.

As a part of health system strengthening – multi skilling of available Human Resource is being undertaken.

30 Lab Technicians have

been trained to undertake RNTCP activities.

Under IDSP, reporting is being strengthened by involving all public facilities across the agencies.

7

Pending Infrastructure

work

It pertains to the Municipal

Corporations of Delhi.

Funds have been approved for 30 facilities of EDMC.

Work is completed in 8 facilities of EDMC.

Work is not being taken up in 7 facilities.

Extra funds have been requested for 7 facilities.

The work shall be completed by March 2018 subjected to availability of funds .

Action Taken Report

S.No

Area of Concern

Action Plan

8

SOPs , Protocols , Citizen’s Charter , IEC Material display.

Department-wise

SOPs for the hospitals already disseminated

. Hospitals provided funds for printing copies and work instructions . Judicious display of IEC material being undertaken.

9

Progress

on

Kayakalp

is slow

41 Hospitals

of GNCTD / MCD participated in

Kayakalp

Program.

Internal / Peer / External assessments completed and winners announced .

Internal / Peer / External assessments in PUHCs completed. District wise winners identified.

10

Convergence in Community Processes.

Community processes convergence is well established.

50% of

centers

participating in ASHA programs belong to Local bodies.

Common logistics provision mechanism .

Common Trainings mechanism.

Incentive dissemination and

Action Taken Report

S.No

Area of Concern

Action Plan

11

JSY utilization

There

has been % decline d

ue to implementation of payments in

Aadhaar

based bank accounts.

Efforts are being made to improve

Aadhaar

Based Linkage for the beneficiaries.

12

Maternal Death Review

262(51.57%) Maternal Deaths have been reviewed in 2016-17.

Efforts are being made to ensure 100% MDR.

13

Partogram

Progress update

Onsite trainings of

partogram

under “Care around birth” skill development trainings undertaken in all districts

National Skill Labs linked for capacity enhancement under

Dakshta

programme

.

14

PMSMA

Pradhan

Mantri

Surakshit

Matritav

Abhiyan

(PMSMA) –implemented in Delhi State from 9th July 2016.

Around 180 volunteers have registered on PMSMA portal to provide ANC services of which only 17-20 volunteers per month are providing consistent services.

Action Taken Report

S.No

Area of Concern

Action Plan

15

Adolescent Health program

17 out of a target of 22 Adolescent friendly health clinics functional.

Status of WIFS Program in Delhi

(

F.Y. 2016-17) – 50% ( 13.81

lacs

) and 38% ( 0.85

lacs

) of School

children and out of school children covered respectively.

Peer Education Program

Menstrual Hygiene program – distribution of Sanitary Napkins is being implemented by Directorate of Education

with the State budget.

16

HR

Need assessment and rational deployment .

State has approached National

Health Systems Resource

center

for conducting the HR need assessment study in a large secondary care hospital to facilitate dynamic , workload related norms.

Action Taken Report

S.No

Area of Concern

Action Plan

17

NCDs

– To give more stress on NCDs .

NCD program rollout planned in two districts in the CFY

17-18. Provisions sought in State PIP 2017-18.

Thank

You