Healthcare Field Visits Report - HR, Drugs Availability, and Diagnostics Insights
Gain insights from field visits in Northeast India and West Bengal revealing highlighted issues in human resources, drugs availability, and diagnostics across various regions. Explore findings on additional MO requirements, training completion, EDL status, drugs availability, and diagnostic services offered in different states.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
PHC AB-HWC Issues Highlighted during field Visits of NE & West Bengal
Human Resource Assam- Additional MO may be required based on high OPD. NCD app Training of One batch completed. VIA Training to only 10 SNs (VIA not performed) Arunachal Pradesh- MO- 2, Ayush-2 SN-4, LT-1, Pharma-1, ANM-3 Training- MO-1 Days, NCD Training for MO and Staff Nurse- 2 days completed. (Shortfall of VIA Training) Sikkim- No HR Issues , NCD and VBIA Training And NCD app traning completed. Additionally, Mental Health Training Mizoram- HR is not an issue. MO and SN have not gone under NCD and VIA Training. Manipur- NCD Training for MO not started. Tripura- All HR available VIA Training , HWC orientation and NCD app Training not yet imparted. Meghalaya- MO-1, Ayush-1, Dental-1 LT-1 SN- 4-5, ANM-2-3 Training of Doctors, SN & ANMs NCD App, (VIA Training for SN Completed) West Bengal- MO-1, SN-2, Pharma-1, LT-1 (LT Hired in Tb Program as contractual NTCP Program), NCD Training is done. Nagaland- VIA training not done all others have be completed. Recommendation- for MO s not equipped to train and reorientation training of NCD management may also be started.
Drugs EDL- West Bengal -not displayed. Meghalaya- DVDMS is available till PHC And EDL Nagaland- EDL Not displayed Tripura- EDL not displayed Arunachal No State Specific EDL Sikkim- EDL Not displayed Mizoram- EDL Not displayed Assam- (148) EDL Displayed Manipur EDL Displayed.
Drugs Drugs availability West Bengal- (50) with an IT enabled Software available. Nagaland- (50-60) but not as per desired EDL. Meghalaya- (50-60) with IT enable drugs management system. Anti epileptic drugs not available. Tripura- Centralized procurement is formed (40-45) (-DHF, DSW and NHM) and Supply chain management system in Place. Buffer stock not maintained. Arunachal- (46) No NCD Drug available at PHC. Buffer stock is not maintained. Near Expiry drugs available at PHCs. Mukhya Mantri Kalyan Kosh also support drugs supply in State. Sikkim-(50-60) Major issues in procurement of drugs. Manual indenting and non availability of DVDMS Buffer is not maintained. Mizoram- () DVDMS is not existent. NCD Drugs available Assam- (148) EDL Displayed. The No .of Oxytocin Vials were near expiry in large quantity and Pediatric Syrup for Antibiotics were not available .manual indenting is done. Transportation cost of around Rs 500 for (from DH to PHC) Manipur- NCD Medicine was available but did not display GoVT SUPPLY Stamping on medicine. Manual Indenting is done. EDL was displayed
Diagnostics AP- (9-10)- User fees Charged. In house mechanism only. Tb facility is not available. ANC is free but Assam- (16)- Hb Meter not available Sahli s test done. All In house test and No User Charges Meghalaya- (52)- 5-6 are done in house and 50-60 test done with KRISHNA Lab (PPP mode). Manipur-(8-9) In House. No expiry mentioned in Safe delivery kit. Mobile Lab Path is also there. Mizoram- (12-14) In house User Charge is applied. Nagaland- (8-10) In house. No user fee. WB- (12-15) In house and free Sikkim(14-20)- In house & Free. But long Tripura- (18-20) In house & User Charges are heavy for pt referred to DH. OOP expenditure on drugs was very High. Urine Sample Bottles which were used and thrown outside was again sold outside the PHC.
BMEMP@.............! Assam Manipur Nagaland Tripura
Population Based Screening & CBAC Manipur- Not Started at PHC but working at SHCs. (As PHC Not converted as HWCs). NCD follow up mechanism is existent (Referral Slip are in use) Nagaland- CBAC Filling & PBS Completed. Meghalaya- Started CBAC & PBS. NCD follow up is also existent (Separate Slip & register available). ASHA facing issue due to unavailabilty of Family members at the time of visit. So ASHAs are becoming reluctant to go again. Arunachal CBAC Started but reorientation required. MO is not confident of Digital recording of Glucometer. Coz of which treatment is not initiated for Diabetes Patients. Same problem with BP apparatus as well. Tripura- ASHAs and ANM were also screened and trained. CBAC and PB Screening at PHC & SC. But follow is non-existent at the facilities visted. Mizoram- CBAC initiated recently but not completed. Sikkim- CBAC and PBS Initiated. Follow up is also ensured (with referral Slip record available at SC only and not at PHC) Assam- CBAC & PBS @ SHC & PHC. And NCD cases follow up is also existent. West Bengal- CBAC is being filled at SC and PHC but follow up is non existent.
Portal Entry Meghalaya- Started daily/Monthly. But MO not doing on daily basis. Per facility 1 tablet for ANMs has been availed. Nagaland- Not done on daily basis. Tablet is available with ANMs. Sikkim- Monthly & Daily reporting ensured. Tablet available with ANM. WB- Monthly & Not daily reporting Arunachal- Not done on daily basis. Laptop at PHC & Tablet is available with ANMs. Log- In issues. Manipur- Reporting on monthly basis. PHC does not have tablets. But have desktops. Training was pending for IT applications. Doing manual reporting to District. Tripura- Daily not happening. Monthly ensured. NCD app entry is irregular. WB- State preparing there own software. Hence not entering data. Mizoram- ensuing Monthly and daily. Assam- Monthly reporting is ensured and Daily reporting has also started. Tablet is not available. In general issue of INTERNET CONNECTIVITY in NE States.
Branding Branding has been completed. All the NE States and West Bengal have done STATE SPECIFIC BRANDING except Assam and Tripura. West Bengal- State Specific, Done (Signage not displayed) Quality is good. Tripura- Branding Quality is good.
Wellness Wellness Activity- Not Started at Majority NE States Sikkim CHO trained Additionally on Yoga. Doing Herbal Gardening, etc. Tripura- Trained ASHAs also on Yoga in their 5 days training Sessions Meghalaya & Nagaland- Taken up Zumba
RCH Meghalaya- PHC is delivery point (Minus abortion care). Facility planning available Nagaland- No CAC services. All RCH Services available WB- Not a delivery point (No IUCD, CAC service) Tripura- RMNCHA provided. CAC not existent. Manipur- RMNCHA available CAC not available. Assam- RMNCHA available CAC not available. Arunachal- Delivery Point. Not all services Mizoram- Delivery point. Sikkim- Delivery Point
& Beyond! (Provision of Expanded Range of Services) Meghalaya- till 7th services available, only. Nagaland- NCD Services at PHC but VIA not started. Tripura- Expanded range of services not started. But performs palliative Care. Mizoram- NCD Services existent. VIA is done at few facilities. Sikkim- all packages have started except ENT. West Bengal- providing RCH Services only except Delivery Services at PHCs. Assam & Manipur- Training Started but service delivery not done. Manipur- Also doing palliative care.
Best Practices Meghalaya- Yoga included in curriculum for MLHPs. Distribution of NCD Screening Kits to all ANM at HWCs. On World elderly Day State provided walkers and walking Sticks to elderly pt. Tele- consultation has been initiated up to PHC level in two districts (Ribhoi & East Khasi Hill) Manipur- handholding session from PHC doctors to SCs staff. IT reporting for NCD done by doctors as well. West Bengal- Every Saturday Meeting Tripura- ASHAs are trained on Yoga Assam- NCD follow up is there. Tracking Bag for Follow up on monthly basis in one Distt. State s CHO Portal for performance monitoring . Tripura, Sikkim & Meghalaya- have 5-7 Days Induction Training for CHOs.
THANK YOU THANK YOU
