Bihar PPIUCD Insertion at delivery points and good

Transcript:Bihar PPIUCD Insertion at delivery points and good:
Bihar PPIUCD Insertion at delivery points and good record keeping. Availability of FP commodities in new packing. Establishment of KMC in delivery points. Open Vial policy and AVD being followed. District Action Plans in place for all communicable & vector borne diseases. Sanjivani – Online Patient Registration System. Bi-monthly outreach Camps are being organized in the slum localities of each UPHCs. Positives Free Drugs & Diagnostics services not up to the mark Sufficient number of medicines not available. High out of pocket expenditure ANC up to Rs1000 , Delivery Rs. 5000-7000 . Most PWs/emergency patients coming to govt facilities by private vehicle Huge shortage in numbers of health facilities/ delivery points and number of beds. Quality hugely compromised Delivery rooms lack basic amenities Lack of basic facilities and cleanliness in District hospital of West Champaran. Poor BMW management at all facilities. Training weak. No structure at district level to support training. ASHA training on the ground has slowed down substantially since 2014. Issues Weak HR and Program Management : HR policy under preparation for many years not implemented yet Delay in recruitment affecting all programs Weak supportive supervision. District officials not visiting Disease surveillance grossly compromised due to HR shortage State/ District Health Mission meetings not taking place regularly In spite RMNCH+A DP support no high risk PW list available in any facility visited Delay in transfer of Funds from State Treasury to SHS i.e. 60 -65 days. Funds for 2016-17 not received by SHS as on 13.11.2016. Issues Action Taken by State Issue -Free drugs and diagnostics Issue -High out of pocket expenses Issue -Delay in transfer of funds from state treasury Issue – ASHA Training Issue –Referral services Issue –BMW management and Cleanliness Thank You