S r e e r a ma n a g a r , O f f R d 1 2 , B a n j a r a H i l l s , H y d e r a b a d

2011
Primary Health Centers
in Andhra Pradesh
Capacity to Provide Reproductive Health
Services
Praveen Nirmalan, B.R. Shamanna, S. Saravanan
PRASHASA Health Consultants Pvt Ltd
Table of Contents
KEYPOINTS ......................................................................................................................................... 1
INTRODUCTION .................................................................................................................................. 2
GENERALCHARACTERISTICS ....................................................................................................... 3
AVAILABILITYOFHEALTHCAREPERSONNEL ......................................................................... 4
TRAININGRECEIVEDBYPERSONNELINLAST5YEARS .................................................... 10
INFRASTRUCTURE .......................................................................................................................... 14
PERFORMANCEINDICATORSFORTHEONEMONTHPRECEDINGSURVEY ............... 21
SERVICESPROVIDED .................................................................................................................... 21
NUMBEROFCASES ........................................................................................................................ 21

Primary Health Centers and RCH in Andhra Pradesh

PRASHASA HEALTH CONSULTANTS www.prashasa.co.in Page 1


KEYPOINTS
Nearly50%ofPrimaryHealthCenters(PHC)didnotfunctionfor24hours
Less than 5% of PHCs were run in partnership with a Non-Governmental
Organization
Onein5PHCsdidnothaveamedicalofficer,aladymedicalofficerwasnotavailable
for 60% of PHCs. 67% of PHCs that did not have a medical officer did not have a
medicalofficeroncontracttoo.
OneinfivePHCsdidnothaveastaffnurseorladyhealthassistant
One-fourthofPHCsdidnothaveapharmacistoralabtechnician
Nearlyone-tenthofPHCsdidnothaveanANM
Nearly50%ofmedicalofficersinthePHChadnotreceivedtraininginimmunization
orinthemanagementofreproductivetract/sexuallytransmittedinfectionsinthepast
5years
Nearly80%ofmedicalofficerswerenottrainedinnon-scalpelvasectomy,inmedical
terminationofpregnancy,miniLAPorBasicObstetricEmergencyCareinthepast5
years
Only35%ofmedicalofficersweretrainedinIntegratedManagementofNeonataland
Childhoodillnesses
Nearly 50% PHCs did not have a Boyles Apparatus, over 35% did not have
medicines for anesthesia, 10% did not have facilities for neonatal resuscitation and
15%didnothaveababywarmerorincubator.

Primary Health Centers and RCH in Andhra Pradesh
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INTRODUCTION
TheDistrictLevelHouseholdFacilitySurveyisanationwidesurveythatcovers601districts
from 34 states of India. The third round of the District Level Household and Facility Survey
(DLHS-3)carriedoutduring2007-08wasdesignedtocollectdataatdistrictlevelonvarious
aspectsofhealthcareutilizationforReproductive&ChildHealth(RCH)andtoprovideRCH
outcomeindicatorsatthedistrictlevel.

A population linked health care facility survey was conducted in DLHS-3. All Community
HealthCentres(CHCs)andtheDistrictHospitals(DH)werecoveredatthedistrictlevel.All
Sub-Centres and Primary Health Centres (PHCs) expected to serve the population of
selected PSU were also covered. The average sampled rural population served per Sub-
Centre,PHCandCHCinAndhraPradeshare10,702;48,110and1,37,650respectively.In
all 846 villages were surveyed in Andhra Pradesh as part of the DLHS-3 and the RCH
services of these sampled villages were catered by 885 Sub-Centres, 646 PHCs and 162
CHCs.

Thisfactsheetpresentstheoverallperformanceandcapacityofthe646PHCswithrespect
tomaternalandchildhealthservicesforthestateofAndhraPradesh.

Primary Health Centers and RCH in Andhra Pradesh
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GENERALCHARACTERISTICS



51.08%
48.92%
Yes No
PHC functions for 24 hours
3.56%
96.44%
Yes No
PHC run by NGO
Primary Health Centers and RCH in Andhra Pradesh
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AVAILABILITYOFHEALTHCAREPERSONNEL



79.26%
20.74%
Yes No
Medical Officer available
40.56%
59.44%
Yes No
Lady Medical Officer available
Primary Health Centers and RCH in Andhra Pradesh
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8.359%
91.64%
Yes No
Ayush Medical Officer available
14.86%
85.14%
Yes No
Medical Officer contractual available
Primary Health Centers and RCH in Andhra Pradesh
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32.84%
67.16%
Yes No
Medical Officer contractual available if MO post not filled
78.33%
21.67%
Yes No
Staff Nurse available
Primary Health Centers and RCH in Andhra Pradesh
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74.15%
25.85%
Yes No
Pharmacist available
78.02%
21.98%
Yes No
LHV/Health assistant available
Primary Health Centers and RCH in Andhra Pradesh
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81.89%
18.11%
Yes No
Male Health assistant available
74.15%
25.85%
Yes No
Lab Tech available
Primary Health Centers and RCH in Andhra Pradesh
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91.64%
8.359%
Yes No
ANM/Female Health Worker available
58.67%
41.33%
Yes No
Additional ANM/Staff nurse available
Primary Health Centers and RCH in Andhra Pradesh
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TRAININGRECEIVEDBYPERSONNELINLAST5YEARS

27.01%
72.99%
Yes No
Integrated skill development training for 12 days
50.47%
49.53%
Yes No
Immunization Training
Primary Health Centers and RCH in Andhra Pradesh
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21.17%
78.83%
Yes No
Non scalpel vasectomy Training
16.27%
83.73%
Yes No
Medical Termination of Pregnancy Training
Primary Health Centers and RCH in Andhra Pradesh
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18.67%
81.33%
Yes No
Mini Lap Training
46.13%
53.87%
Yes No
RTI/STI Training
Primary Health Centers and RCH in Andhra Pradesh
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19.62%
80.38%
Yes No
Basic Emergency Obstetric Care Training
35.86%
64.14%
Yes No
Integrated Management of Neonatal and Childhood Illnesses Training
Primary Health Centers and RCH in Andhra Pradesh
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INFRASTRUCTURE

30.17%
69.83%
Yes No
Skilled Birth Attendant Training
91.95%
8.05%
Yes No
Labour room Available
Primary Health Centers and RCH in Andhra Pradesh
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88.39%
11.61%
Yes No
OT Minor Available
51.75%
48.25%
Yes No
Boyle's Apparatus Available
Primary Health Centers and RCH in Andhra Pradesh
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61.54%
38.46%
Yes No
Anesthetic Medicines Available
95.82%
4.18%
Yes No
Delivery Table Available
Primary Health Centers and RCH in Andhra Pradesh
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96.03%
3.971%
Yes No
Functional IUD Insertion kit Available
97.32%
2.676%
Yes No
Functional Normal delivery kit Available
Primary Health Centers and RCH in Andhra Pradesh
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95%
5%
Yes No
Functional equipment for assisted vacuum delivery Available
93.81%
6.192%
Yes No
Functional equipment for assisted forceps delivery Available
Primary Health Centers and RCH in Andhra Pradesh
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91.59%
8.406%
Yes No
Functional equipment for newborn care and neonatal resuscitation Available
96.61%
3.393%
Yes No
Functional surgical set for minilap Available
Primary Health Centers and RCH in Andhra Pradesh
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89.64%
10.36%
Yes No
Functional equipment for manual vacuum Available
85.21%
14.79%
Yes No
Functional baby warmer incubator Available
Primary Health Centers and RCH in Andhra Pradesh
PRASHASA HEALTH CONSULTANTS www.prashasa.co.in Page 21

PERFORMANCEINDICATORSFORTHEONEMONTHPRECEDING
SURVEY

SERVICESPROVIDED NUMBEROFCASES
PopulationCovered
31,079,070
Numberofeligiblecouples
14,43,317(4.64%ofpopulation)
Numberofcasesprovidedwithantenatalcare
services

32,310(2.24%ofeligiblecouples)
NumberofDeliveriesperformed
35,331(2.45%ofeligiblecouples)
Numberofcomplicatedpregnancies/delivery
casesreferred?
12,719
Numberofwomenprovidedwithpostnatalcare
services
16,410(46.45%ofalldeliveries)
Numberofnewborncareprovided
50,533
NumberofMTPsperformed
3,670

No.ofManualVacuumAspirationsdone
3,670(10.39%ofalldeliveries)

FAMILYPLANNINGANDCONTRACEPTION/OTHERSERVICES
No.oforalpillsusers

554,927

No.ofcondomusers

372,685
No.ofwomengivenECpills

315,630
No.ofIUDinsertioncases

10,113

NumberofSterilizationCases
MALE3,135

FEMALE..13,267

NumberofRTI/STIcasesprovidedservices

12,762