A LOOK AT THE FIELD VISITS

GROUP NO. 1

4th Aug11 : CHC, Bassi

5th Aug11 : a) PHC, Tunga

9th Aug11 : DH, Dausa

It is headed by a PMO Total no. of beds: 150 Population covered: 20 lac No. of OPD/day: 500-600 IPD/day: 80 All major services available.

All type of general surgeries performed Total 35 doctors are present Deliveries done under JSY/day: 10 Yashoda & Priyadarshani are available Blood bank functional & blood donation camps held per month

All diagnostic & investigation facilities available except MRI Laboratory & O.T. is well equipped
Special cases are referred to SMS, Jaipur Provisions for BPL are adequate Enquiry counter & STD clinic present.

Pharmacy with all kinds of drugs including ayurvedic, homeopathic & unani drugs is present

1 public health manager is present

Family planning checkups done by doctors on routine basis through field visits

Nursery is present 14 incubators are available & usually all of them are occupied Mostly cases of jaundice, low birth weights, & malnutrition are reported

Labor room present with 50 beds & 4 doctors

No. of caesarian cases done in past 7 months: 25 12 AYUSH nurses are available (3 morning, 3 evening, 3 night, 3 rest of the time) Total 35 ASHAs are present but only 20 are working

Emergency room is present

No fee for bed. Rates of OPD: Rs 5, IPD: Rs 20, X-ray: Rs 60, USG: Rs 200(full abdomen) & Rs 120(specific part) Total no. of ambulance: 2 Eye OPD with 2 eye testing machines present Medical camps are frequently organized by NGOs

4 X-ray machines & 1 USG machine available No. of beds in; Gynecology Dept. : 50 Surgery Dept. : 6 Medicine Dept. : 7(male) & 6(female) Pediatric Dept. : 6 Ophtha Dept. :6 Centrally air-conditioned ICU in neonatal ward Round-the-clock electricity & water supply Easily accessible location

No ICU & sterilization room 1 dental chair in dental OPD, & that too nonfunctional

No pediatric surgeon & dermatologist available

Physiotherapy services not provided No diet provided to indoor patients, except milk

Labor room is over-crowded, increased chances of hospital-borne infections in neonates

Used syringes are disposed undestructed just outside the hospital premises Waste disposal not done as per the government guidelines

S. No.

Personnel

IPHS norm

Current Availability

1
2 3

Hospital Superintendent
Medical specialist Surgery specialist

1
3 2

1
1+1 2

4
5 6 7 8 9 10 11 12 13

Obs & Gynae specialist

Psychiatrist Pediatrician Anesthetist ENT surgeon Ophthalmologist Orthopedician Radiologist Casualty/ General duty doctors Dental surgeon

4
1 2 2 1 1 1 1 6 1

4
1 3 1 2 1 1 1 16 1

14

AYUSH physician

Major specialist services available. Population covered: 25,ooo No. of beds: 30 (10 males & 20 females). Bed occupancy rate is high due to services provided. Avg. OPD: 600 (IPD- 25)/day

Essential laboratory services available: BT, CT,Hb, WIDAL, Dengue, AFB, Blood sugar.

All vaccination & immunization services are provided by trained staff under doctors supervision.

Free medications given by MRS to BPL sector, widows and physically disabled.

Waste disposal done by health care waste management on alternate days. Communication facilities are available. Equipments like: X-ray machine,sonography machine, ECG, Autoclave, Hot air oven, Centrifuge & Incubator are available.

HIV counseling and promotional desk available.

Patients are referred to SMS, Jaipur for higher treatments. Gynae cases are referred to Mahila chikitsalaya, while paediatric cases are referred to Jan Kalyan hospital. Kitchen is not available, but meals to the indoor patient is provided by JSY.

Patient education regarding malaria,TB,Breast feeding and blood, eye donation.

Fees: OPD- Rs 2, IPD- Rs 5, ECG- Rs 30, USG- Rs 165, Dengue- Rs 240, X ray- Rs 60 Full time electricity and water availability. Positive patient feedback regarding Doctors services.

Block CMO and NRHM health manager desk available.

S. no. 1

PERSONNEL

IPHS norm 1

CURRENT AVAILABIL ITY

General surgeon

2
3 4 5 6

Physician
Obstetrician /Gynecologist Pediatrician Anesthetist Public health programme manager

1
1 1 1 1

1
1 1 1

7
8 9 10 11

Eye surgeon
Medical officer ANM Nurse/Midwife & Staff nurse Wardboys

1 7 2

3 5 10

12

Data entry operator1

500-600 deliveries per month,but only 1 gynae available. Non availability of full time Anesthetist, eye surgeon, public health program manager. Drinking water source unhygienic.

Blood bank nonfunctional

Overall cleanliness and hygiene unsatisfactory.

Building is under construction due to expanding infrastructure, may lead to some accident.. Electricals and circuits uncovered.

Lack of ventilation and sanitation facilities.

All facilities are available(proper data handling, proper store, laboratory & labour room) Total OPD: 90-100/day No. of beds: 6 Other services like nutrition services and school health programmes are also available

Labor room is available and deliveries are conducted there.JSY also is also being applied..

ASHA worker employed as well as trained.ANM also present

A day for immunization is fixed and the sessions are held as per government guidelines.
Residential facilities available for female health workers.

Patients are referred to: CHC, Bassi TB centre, Shastri nagar Medical college, Jaipur National programmes available: AIDS control and TB control programme.Save the girl child programme also in progress.

Lab available, equipped with microscope. Tests carried out for malaria and TB, but not for HIV

S. No. 1

Personnel
Medical officer

Recommended Current Availability 2( one may be AYUSH & one may be Lady M.O.) 2

2
3

Pharmacist
Nurse- midwife(staff nurse)

3( one foe 24hrs 1 ANM and 2 on 2 GNM contractual basis) 1 1 -

4 5

Health worker(female) Health educator

6
7 8

Health assistant
Lab technician Class 4

2
1 4

6
1 1

Quarter for AYUSH is available but services are not provided.

Pharmacy for drug dispensing and storage is not available.

Overall cleanliness is good, but not in labor room. Easily accessible by road but not by rail. Hospital waste being thrown inside the premises.

Family planning education and male/female sterilization done once every month No ambulance or jeep available. Incubators present but non functional because of untrained staff.

Population covered: 5,000 Immunization sessions held as per government guidelines. Family planning checkups & survey done on routine basis.

Ante natal care services delivered

Drugs like PCM, citrizine, metrogyl, & DOTS available ORS given to children suffering from dehydration & diarrhoea Free distribution of oral contraceptives

First aid services are given

1 health worker & 1 nurse present Co-ordinated services with AWWs, ASHA, & village health & sanitation committee are provided Overall infrastructure is satisfactory Easily accessible location

TEAM 1 AASIM KHAN ACHINT KUMAR ADITYA SOOD AARUSHI ANA ADITI