TRAINING PROGRAMME ON EXPECTED
LEVEL OF ACHIEVEMENT (TARGET
FIXATION) FOR FAMILY WELFARE
PROGRAMMES
VENUE: State Institute of Health & Family Welfare,
Magadi Road, Bangalore-560023.
DATE: 23rd and 24th July 2012
TRAINING PROGRAMME DESIGNED AND ORGANISED BY
DEMOGRAPHY AND EVALUATION CELL
(TRAINING PROGRAMME SUPPORTED BY SPMU NRHM)
DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES
GOVERNEMENT OF KARNATAKA
1
CONTENTS
INTRODUCTION
EXPECTED LEVEL OF ACHIEVEMENT FOR
FAMILY WELFARE PROGRAMMES (ELA)
DATA FOR ELA
CALCULATION OF ELA
EXAMPLE
EXPECTED LEVEL OF ACHIEVEMENT FOR
IMMUNIZATION PROGRAMMES
MONTHLY ELA FOR ALL PROGRAMMES
CNAA SURVEY AND ITS IMPORTANCE
FLOW OF DATA FROM DISTRICT TO STATE
ANNEXURES
BLANK REPORTING FORMATS.
CNAA FORMATS
2
TEAM INVOLOVED
Dr. V. Raju
Sri. K.S. Shankar
Project Director, RCH
Joint Director (State Demographer)
Smt. Dakshayini. R
Assistant Statistical Officer
Sri. P. Sunil Kumar
Assistant Statistical Officer
3
INTRODUCTION
The Family Welfare programme is being implemented all over India on the
basis of Target Free Approach since April 1996. Keeping in mind the shortfalls of
Target Free Approach, the Government of India adopts Community Needs
Assessment Approach (CNAA) From September 1997. The demand of the
Community for quality services would be expected to become the driving force
behind the CNAA programme making it a people’s programme. The objective of
the CNAA is to provide family welfare services to the beneficiaries on need based,
client centered, demand driven, high quality integrated services. It has been
observed constantly that some of the family welfare programmes are not up to
the mark and the overall performance (achievement) of the programme is
decreasing year after year. With the result the health indicators calculated on the
basis of District Data is not matching with the survey figures conducted by leading
National Organizations. The target fixed for various family welfare programmes
based on CNAA survey by districts is not comparable with the demographic
calculations, which needs to be, as per the guidelines of Government of India.
Keeping the above inference in mind an attempt has been made, to work out the
targets for various family welfare programmes based on Demographic characters.
The Mathematical Model developed in the Demography section for the
purpose of calculating the targets (which will be henceforth called as Expected
level of Achievement ELA ) for various family welfare programmes is explained in
subsequent paras.
1
EXPECTED LEVEL OF ACHIEVEMENT FOR F.W PROGRAMMES
The mathematical model developed has a two way approach for
calculating the ELA for various family welfare programmes. The first approach will
be calculated based on birth order, and the second approach will be calculated
based on Unmet Need. Both combined will give the final figure for individual
programme. To make things very easy, first the value will be calculated for 1000
population and then it will be calculated for the whole district. The same model
can be used to calculate the target for different health institutions based on the
population covered under its jurisdiction.
DATA REQUIRED FOR CALCULATING THE ELA AND ITS AVAILABALITY
BIRTH RATE: The birth rate of the district is available in the Annual Report
on the registration of births and deaths act 1969 for the year 2009(central act No
18/1969) published by Chief Registrar of Births and Deaths and Directorate of
Economics and Statistics (CNL Division) every year.
(The birth rate is calculated based on the registration of births and deaths as per
the birth and death registration act 1969 in the state).
At the district level The District Health Officer can obtain these figures
from The District Statistical Officer.
POPULATION : The census is conducted once in 10 years, hence decadal
population of the district will be available, the latest being Census 2011. The Mid
Year Population for the respective year is available in the Department of
Economics and Statistics. At the district level the DHO can obtain this population
details from the District Statistical Officer.
2
ELIGIBLE COUPLES: Authenticated data is not available on Eligible Couples
except the reports given by District Health Officers every year on Eligible Couples.
Hence it is assumed that, for every 1000 population 140 couples will be there.
OTHER PARAMETERS: Apart from the above, other important parameters
were also included to build the mathematical model which is presented in a
tabular form. Please see Annexure – 1
DATA USED TO BUILD THE MATHEMATICAL MODEL
Assumed 140 Eligible Couples for every 1000 population
Primary Sterility, Secondary Sterility (14.2) and Early Menopause (5)
constitutes 19.2 out of 140 EC
As per DLHS 3 survey report, the following percentages of population are
using family planning methods. Sterilization 56.9%, O P 0.9%, I U D 1.8%,
C C 1.3% (Total 60.9%)
As per SRS 2009 survey report, If 100 childrens are delivered, then 45.3%
women comes for 1st delivery, 36.4% women comes for 2nd delivery, 12.4%
women comes for 3rd delivery, and 5.9% women comes for 4th and above
deliveries.
CALCULATION OF ELA (REFER FORMULA MODEL)
As already explained above, the ELA is calculated independently by Birth
Rate and Unmet Need. Both of them will be combined to get the final figure. First
it will be calculated for 1000 population and then it will be extrapolated to the
total population. Please refer formula model given at Annexure -2
3
ELA BASED ON BIRTH RATE (FOR 1000 POPULATION)
1. As per the birth rate calculate the No of first child, No of second child etc.,
born according to the percentage.
2. Permanent Method (Sterilization) target will be 50% of women who have
delivered second child + 100% of women who have delivered third and
fourth child
3. Temporary Method (OP,CC,IUD) target will be 50% of women who have
delivered second child + 50% of women who have delivered first child (Out
of this target 40% will be IUD, 40% will be C C and 20% will be O P)
ELA BASED ON UNMET NEED (FOR 1000 POPULATION)
1. First calculate the unmet need,
Unmet Need = Eligible couples – (Birth rate+60.9%of EC+19)
2. To reduce the burden on the Districts, for the year 2012-13 only 50% of
this unmet need is covered (still 50% of the unmet need is not covered)
3. Permanent Method (Sterilization) target will be 10% of 50% of Unmet
Need
4. I U D target will be 20% of 50% of Unmet Need
5. CC target will be 40% of 50% of Unmet Need
6. O P target will be 30% of 50% of Unmet Need
(Since Unmet Need Specific is always less than Unmet Need Spacing as per
the Survey the above percentages are adopted)
4
FINAL EXPECTED LEVEL OF ACHIEVEMENT (FOR1000
POPULATION)
1. Sterilization target will be the sum of Sterilization target from Birth
Rate and Sterilization target from Unmet Need
(as
calculated above)
2. I U D target will be the sum of I U D target from Birth Rate and I U D
Target from Unmet Need (as calculated above)
3. O P & C C target also will be as above
EXAMPLE (REFER READY RECKONER MODEL)
This example is worked out to understand the above concept meticulously. The
example is worked out for 5000 population and the birthrate 19.05. Please refer.
Annexure -3
PROCEDURE: ELA BASED ON BIRTH RATE (FOR 1000
POPULATION)
45.3% OF WOMEN 1ST CHILD 45.3/100*19.05 = 8.6297
36.4% OF WOMEN 2ND CHILD 36.4/100*19.05 = 6.9342
12.4% OF WOMEN 3RD CHILD 12.4/100*19.05 = 2.3622
5.9% OF WOMEN 4TH + CHILD 5.9/100*19.05 = 1.1240
STERLIZATION = 50% OF 2ND CHILD + 100% OF 3RD CHILD + 100% OF 4TH
CHILD
= 50% OF 6.9342 + 100% OF 2.3622 + 100% OF 1.1240
= 3.4671 + 2.3622 + 1.1240
= 6.9533
TEMPORARY METHOD = 50% OF 2ND CHILD + 50% OF 1ST CHILD
= 50% OF 6.9342 + 50% OF 8.6297
= 3.4671 + 4.31485
= 7.78195
I U D = 40% OF 7.78195 = 3.11278
C C = 40% 0F 7.78195 = 3.11278
O. P = 20% OF 7.78195 = 1.55639
5
ELA BASED ON UNMET NEED (FOR 1000 POPULATION)
UNMET NEED = Eligible couples – (Birth rate+60.9%of EC+19)
=
140 - (19.05 +60.9/100*140 + 19)
=
16.69
FOR THE YEAR 2012-2013 ONLY 50% OF THIS UNMET NEED IS COVERED
= 50% OF 16.69
= 8.345
STERLIZATION
= 10 % OF 8.345
= 0.8345
IUD
=
20% OF 8.345
= 1.669
C .C
=
40% OF 8.345
= 3.338
O.P
= 30 % OF 8.345
= 2.5035
FINAL TARGET (FOR 1000 POPULATION)
STERLIZATION
= 6.9533 + 0.8345 = 7.7878
IUD
= 3.11278 + 1.669 = 4.78178
C C
= 3.11278 + 3.338 = 6.45078
O P
= 1.55639+ 2.5035 = 4.05989
6
ELA FOR 5000 POPULATION
STERLIZATION
= 7.7878*5 = 39
IUD
= 4.78178*5 = 24
C C
= 6.45078*5 = 32
O P
= 4.05989*5 = 20
(IMPORTANT NOTE : THE ABOVE FIGURES CAN BE ARRIVED FOR ANY VALUES BY
USING THE MATHEMATICAL MODEL (READY RECKONER MODEL GIVEN AT
ANNEXURE-3) JUST BY ENTERING THE BIRTH RATE, POPULATION AND EC )
EXPECTED LEVEL OF ACHIEVEMENT FOR
IMMUNIZATION PROGRAMMES
The Immunization programme for both pregnant women and infants is
one of the flagship programme of the family welfare department. The health of
the pregnant women and the infants depends upon the care with which they are
looked after by giving sufficient nutrients and immunizing them periodically. The
government has devised lot of programmes and benefits to the beneficiaries to
substantiate the immunization programme.
The demographic calculation for various immunization programmes may
be arrived at using the formulas based on population and other details
(Annexure-4). This should be comparable with the CNAA survey. The BCG, DPT,
POLIO, and MEASLES targets of a particular area will be mainly based on the
number of live births in a year minus the infant deaths in that year. The
information on Infant Deaths may be obtained from the Infant Mortality Rate.
TT(PW) target depends upon the the number of ANC registration. The district wise
7
target of various immunization programmes and family welfare programmes for
the year 2012-13 may be calculated using the demographic indicators.
CNAA SURVEY AND ITS IMPORTANCE
Involvement of community for any welfare programme or any
Government programme will be always successful. The community, at large, will
spell out what their requirement is and their will be total transparency in
implementing the programme. The base worker or the key worker of the health
sector i.e., ANM is the most important link of the CNAA survey. The success of the
programme or the fair estimation of each programmes targets will always
depends upon the interest and responsibility with which the ANM works. To make
the process very simple and to document the process in a systematic way several
formats were devised and designed earlier which were used even today for
conducting the CNAA survey. The following table gives an overview of the CNAA
formats and its flow from one level to another level.
SL NO
FORM NO
1
2
3
I
II
III
4
5
6
7
8
9
IV
V
VI
VII
VIII
IX
FORMS
FORMS TO BE USED FOR
PREPARING ACTION PLAN
(SURVEY)
ACTION
PLAN/REPORTING
FORMAT
SUB CENTRE
PHC
FRU/SUB DISTRICT
HOSPITAL/DISTRICT
HOSPITAL/TALUK’s
DISTRICT
STATE
SUB CENTRE
PHC
CHC/TALUKA
DISTRICT
REPORTING FORMS
(DISCOUNUED AFTER THE
INTRODUCTION OF NRHM
FORMS WHICH WERE
REPLACED BY HMIS FORMATS)
SUBCENTRE ACTION PLAN TO BE READY BY END OF MARCH
DISTRICT MUST COMPILE BY END OF APRIL AND FORWARD TO STATE
8
FLOW OF DATA FROM DISTRICT TO STATE
The information flow from district to state, on time and in stipulated
formats, is a must for the evaluation and review of family welfare programmes. It
is observed that most of the districts are not following the time schedule
(Annexure - 5) as well as the format, this cause’s undue delay in preparing the
final state report. The cutoff date and other details of different formats are listed
in a tabular form, all the concerned are requested to strictly adhere to the time
schedule. The Web-based application of HMIS will collect all the details which are
required for monitoring the family welfare programmes. The details of HMIS and
its implication at the facility level may be seen in HMIS Training Manual.
9
ANNEXURES
ANNEXURE 1
DETAILS OF PARAMETERS CONSIDERED FOR THE MATHEMATICAL MODEL
SL
NO
PARAMETER/INDICATOR
AVAILABALITY/SOURCE
WHOM TO CONTACT AT STATE/DISTRICT
1 BIRTH RATE
ANNUAL REPORT ON REGISTRATION OF BIRTHS AND
DEATHS
DEMOGRAPHER AT STATE LEVEL AND DISTRICT STATISTICAL
OFFICER AT DISTRICT LEVEL
2 POPULATION
CENSUS OF INDIA (2011 PROVISIONAL POPULATION)
DEMOGRAPHER AT STATE LEVEL AND DISTRICT STATISTICAL
OFFICER AT DISTRICT LEVEL
3 ELIGIBLE COUPLES
EC COUPLE REGISTER MAINTAINED AT ALL SUBCENTRES
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
4 PRIMARY STERLITY
EC COUPLE REGISTER MAINTAINED AT ALL SUBCENTRES
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
5 SECONDARY STERLITY
EC COUPLE REGISTER MAINTAINED AT ALL SUBCENTRES
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
6 EARLY MENOPAUSE
EC COUPLE REGISTER MAINTAINED AT ALL SUBCENTRES
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
7
PERCENTAGE OF POPULATION
COVERED FOR STERLIZATION
DLHS 3 SURVEY REPORT
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
8
PERCENTAGE OF POPULATION
COVERED FOR IUD
DLHS 3 SURVEY REPORT
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
DETAILS OF PARAMETERS CONSIDERED FOR THE MATHEMATICAL MODEL
SL
NO
PARAMETER/INDICATOR
AVAILABALITY/SOURCE
WHOM TO CONTACT AT STATE/DISTRICT
9
PERCENTAGE OF POPULATION
COVERED FOR CC
DLHS 3 SURVEY REPORT
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
10
PERCENTAGE OF POPULATION
COVERED FOR O.P
DLHS 3 SURVEY REPORT
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
11
PERCENTAGE DISTRIBUTION OF LIVE
SRS 2009 (REPORT NO 1 OF 2011/STATEMENT 36)
BIRTHS BY 1ST BIRTH ORDER
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
12
PERCENTAGE DISTRIBUTION OF LIVE
SRS 2009 (REPORT NO 1 OF 2011/STATEMENT 36)
BIRTHS BY 2ND BIRTH ORDER
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
13
PERCENTAGE DISTRIBUTION OF LIVE
SRS 2009 (REPORT NO 1 OF 2011/STATEMENT 36)
BIRTHS BY 3RD BIRTH ORDER
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
14
PERCENTAGE DISTRIBUTION OF LIVE
SRS 2009 (REPORT NO 1 OF 2011/STATEMENT 36)
BIRTHS BY 4TH BIRTH ORDER
DEMOGRAPHER AT STATE LEVEL AND ASSISTANT STATISTICAL
OFFICER AT DHO OFFICE AT DISTRICT LEVEL
ANNEXURE-2
MATHEMATICAL MODEL FOR FIXING FAMILY WELFARE TARGET (FORMULA MODEL)
FOR 1000 POPULATION
F.W METHOD
F.W.TARGET FOR THE DISTRICT 2012-2013
0.2*(0.5*E12+0.5*D11)+F9
O P
( A5*A16)/1000
0.4*(0.5*E12+0.5*D11)+F10
C C
(A6*A16)/1000
0.4*(0.5*E12+0.5*D11)+F11
I U D
(A7*A16)/1000
(0.5*D11+C10+B9)+F12
STERLIZATION
(A8*A16)/1000
0.5*(F13*0.3)
0.5*(F13*0.4)
BIRTH RATE (E 13)
E.C. COUPLES (F 14)
POPULATION OF THE DISTRICT (A 16)
O P (F9)
UNMET NEED
( F 13)
F14-(F14*0.609+E13+19)
C C (F10)
0.5*(0.1*F13)
I U D (F11)
0.453*E13
0.5*(F13*0.2)
STERLIZATION (F12)
0.364*E13
FIRST CHILD (E12)
SECOND CHILD (D 11)
0.124*E13
THIRD CHILD (C10)
FOURTH CHILD + (B9)
0.059*E13
ANNEXURE-3
MATHEMATICAL MODEL FOR FIXING FAMILY WELFARE TARGET (FORMULA MODEL)
FOR 1000 POPULATION
F.W METHOD
F.W.TARGET FOR THE DISTRICT 2012-2013
4.05989
O P
20
6.45077
C C
32
4.78177
I U D
24
7.78775
STERLIZATION
39
2.50350
3.338000
19.05
140.000
5000
O P (F9)
C C (F10)
16.6900
UNMET NEED
(F13)
0.83450
8.6297
I U D (F11)
1.66900
STERLIZATION (F12)
6.9342
FIRST CHILD (E12)
SECOND CHILD (D11)
2.3622
THIRD CHILD (C10)
FOURTH CHILD + (B9)
1.1240
ANNEXURE-4
FORMULA's
SL
NO
ITEM
FORMULA
1
BIRTH RATE
[(TOTAL NO OF LIVE BIRTHS/TOTAL POPULATION)]*1000
2
ANC REGISTRATION
[(POPULATION / 1000) * BIRTH RATE] + 10% WASTAGE
3
EARLY REGISTRATION OF ANC's
80% OF ANC REGISTRATION
4
HIGH RISK ANC
15% OF ANC REGISTRATION
5
ANEMIA IN MOTHERS
50% OF ANC REGISTRATION
6
TT 1 & TT2 FOR MOTHERS (TT PW)
100% OF ANC REGISTRATION
7
ANC 4 VISITS
95% OF EARLY ANC REGISTRATION
8
EXPECTED TOTAL DELIVARIES
90% OF TOTAL ANC
9
MTP (MMA)
1% OF ANC
10 MTP(MVA) (WITHIN 3 MONTHS OF PREGNANACYONLY)
1% OF ANC
11 INSTITUTIONAL DELIVARIES
99% OF TOTAL DELIVARIES
12
EXPECTED NUMBER OF WOMEN RECEIVING POST NATAL CARE
100% OF EXPECTED DELIVARIES
BETWEEN 48 HOURS AND 14 DAYS
13 HIGH RISK NEW BORN
10% OF LIVE BIRTHS.
SL
NO
ITEM
FORMULA
14 0 - 5 YEARSD CHILDREN TARGET FOR PULSE POLIO
12% OF POPULATION
15 VITAMIN A
12% OF POPULATION
16 NUMBER OF ACUTE DIARRHEO CASES
( 12% OF POPULATION)] * 3
17 ACUTE RESPIRATORY INFECTION CASES
( 12% OF POPULATION)] * 2
18 DPT (5 - 6 YEARS)
1.76% OF THE TOTAL POPULATION
19 TT 10 YEARS
1.76% OF THE TOTAL POPULATION
20 TT 16 YEARS
1.76% OF THE TOTAL POPULATION
21 BCG, DPT, POLIO & MEASLES
LIVE BIRTHS (1-IMR/1000)
22
23
24
25
Sterlization
OP
CC
IUD
As per the target model developed by D & E Cell based
on Demographic Indicators (Eligible Couples per 1000
population is assumed as 140)
BLANK FORMATS
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO AGE OF WIVES
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
RURAL
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION BY 30TH MARCH EVERY
YEAR AND ALSO E-MAIL IT TO: [email protected]
DISTRICT :
Sl
Particulars
No
No of Eliglible
Couples
1
a) SC
b) ST
c) Others
1a
2
Sub Total
Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5 C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
Total(2a+3a+4a
7 +5a+6a)
No. of Couples
not using any
8 method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
YEAR :
AGE OF WIVES
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45-49
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO AGE OF WIVES URBAN
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION BY 30TH MARCH EVERY
YEAR AND ALSO E-MAIL IT TO: [email protected]
DISTRICT :
Sl
Particulars
No
No of Eliglible
Couples
1
a) SC
b) ST
c) Others
1a
2
Sub Total
Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5 C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
Total(2a+3a+4a
7 +5a+6a)
No. of Couples
not using any
8 method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
YEAR :
AGE OF WIVES
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45-49
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO AGE OF WIVES
RURAL + URBAN
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION BY 30TH MARCH EVERY
YEAR AND ALSO E-MAIL IT TO: [email protected]
Sl
No
1
No of Eliglible
Couples
a) SC
b) ST
c) Others
1a Sub Total
2 Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5
C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
Total(2a+3a+4a
7 +5a+6a)
8
AGE OF WIVES
Particulars
No. of Couples
not using any
method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45-49
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO NO OF LIVING CHILDREN
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
RURAL
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION
BY 30TH MARCH EVERY YEAR AND ALSO E-MAIL IT TO: [email protected]
DISTRICT :
Sl
No
1
No of Eliglible
Couples
b) ST
c) Others
1a Sub Total
2 Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5 C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
8
NO. OF LIVING CHILDREN
Particulars
a) SC
7
YEAR :
Total
(2a+3a+4a+5a+
6a)
No. of Couples
not using any
method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
0
1
2
3
4
5 or more
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO NO OF LIVING CHILDREN
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
URBAN
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION
BY 30TH MARCH EVERY YEAR AND ALSO E-MAIL IT TO: [email protected]
DISTRICT :
Sl
No
1
No of Eliglible
Couples
b) ST
c) Others
1a Sub Total
2 Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5
C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
8
NO. OF LIVING CHILDREN
Particulars
a) SC
7
YEAR :
Total
(2a+3a+4a+5a+
6a)
No. of Couples
not using any
method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
0
1
2
3
4
5 or more
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
FAMILY PLANNING ACCEPTORS ACCORDING TO NO OF LIVING CHILDREN
URBAN+RURAL
(EXTRACT FROM ELIGIBLE COUPLE REGISTER)
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION
BY 30TH MARCH EVERY YEAR AND ALSO E-MAIL IT TO: [email protected]
DISTRICT :
Sl
No
1
No of Eliglible
Couples
b) ST
c) Others
1a Sub Total
2 Vesectomy
a) SC
b) ST
c) Others
2a Sub Total
3 Tubectomy
a) SC
b) ST
c) Others
3a Sub Total
4 IUD
a) SC
b)ST
c) Others
4a Sub Total
5
C.C Users
a) SC
b) ST
c) Others
5a Sub Total
6 O.P users
a) SC
b) ST
c) Others
6a Sub Total
8
NO. OF LIVING CHILDREN
Particulars
a) SC
7
YEAR :
Total
(2a+3a+4a+5a+
6a)
No. of Couples
not using any
method
a) SC
b) ST
c) Others
8a Sub Total
Grand Total
(7+8a) must be
equal to 1a
0
1
2
3
4
5 or more
Total
DISTRICT HEALTH AND FAMILY WELFARE SERVICES
ANNUAL STATEMENT OF ELIGIBLE COUPLES
DISTRICT:______________________
YEAR:__________________
THIS REPORT SHOULD BE FORWARDED TO DEMOGRAPHY SECTION BY 30TH MARCH EVERY YEAR
AND ALSO E-mail IT TO: [email protected]
NUMBER OF ELIGIBLE COUPLES ACCORDING TO AGE OF WIVES
AGE OF
WIVES
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
TOTAL
NO OF
LIVING
CHILDREN
0
1
2
3
4
5&
ABOVE
TOTAL
RURAL + URBAN
TOTAL NO OF ELIGIBLE COUPLES
URBAN
SC
ST
OTHERS
TOTAL
SC
RURAL
ST
OTHERS
TOTAL
OTHERS
TOTAL
SC
NUMBER OF ELIGIBLE COUPLES ACCORDING TO LIVING CHILDREN RURAL + URBAN
TOTAL NO OF ELIGIBLE COUPLES
RURAL
URBAN
TOTAL
ST
OTHERS
TOTAL
SC
ST
OTHERS
TOTAL
SC
ST
OTHERS
TOTAL
TOTAL
SC
ST
FORM-1
SUB-CENTRE (S.C.) ACTION PLAN
A. General information__________________
State________________________________
District______________________________
P.H.C________________________________
Sub-Centre___________________________
No. of villages under the sub-centre_______
Year_________________________
Population of S.C______________
Birth rate:Dist/State___________
Eligible couples_______________
(As on 1st Apri)
ANC=(PopulationXBirth rate)+10%
Sl No
1
2
3
4
Consultation with
No. of Consultation
When consultation made
(month of year)
Performance in last year
Planned performance in
current year
Panchayat or health committee of the Panchayat
Anganwadi worker/TBA
Women in Mahila Swasthya Sangh
Families on house to house basis.
Sl No
Service
Antenatal Care
1
Total ANC Cases registered in the area
2
No. of high risk pregnant women detected and refferred
3
No. of TT doeses given
TT-1
TT-2
Booster
4
No. of pregnant women with anaemia treated
5
No. of Pregnant women given prophyaxis with IFA tablets.
Natal Care
6
Total No. of deliveries in the area
7
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
8
No. of institutional deliveries
9
No. of pregnant women reffered to PHC/FRU for delivery
Neo-Natal Care
10 No. of sick new borns referred
MTP
11 No. of women referred for MTP
Sl No
Performance in last year
Serivce
Male
12
13
14
15
16
17
18
RTI/STI
No. of cases detected & referred
IMMUNIZATION
No. of infants immunised (0-1 years)
BCG
DPT-1
DPT-2
DPT-3
OPV-0
OPV-1
OPV-2
OPV-3
Measels
No. of children immunised (more than 18 months)
DPT -Booster
OPV-Booster
No. of children immunised (more than 5 Years)
DT
No. of children immunised (more than 10 Years)
TT
No. of children immunised (more than 16 Years)
TT
IFA
No. of children given IFA small (below 5 years)
19 No. of children administered Vit-A (9months to 3 years)
Dose-1
Dose-2
Dose 3-5
ARI
20 No of cases under 5 with pneumonia
Treated with co-trimozole
Referred
ACUTE DIARRHOEAL DISEASES
21 No. of cases under 5
Cases treated with ORS
Referred
FAMILY PLANNING
No. of eligible couples who accepted permanent methods out of
22 couples with
a) 3 or more children
b) 2
c) 1 child
23 No. of eligible couples who accepted temporary methods
IUD
Oral Pills
Condoms
FACILITY IN SUB-CENTRE
Female
Planned performance in
current year
Male
Female
Sl No
Available
Selected equipment and supplies
Yes
A.
FACILITIES
1
Officer
2
Accomodation (including residence)
3
Water
4
Electricity
B
FURNITURE & EQUIPMENT
1
Examination table
2
Benches for clients
3
Cupboard for drugs
4
Foot stools
5
Vessells for Water storeages
6
Water disposal containers
7
Brooms and mops for cleaning
8
Steam sterilizer
9
Delivery Kits
Quantity/Quality
No
10 Torch light
11 Stove
12 Weighing scale
13 BP Apparatus
14 Haemoglobiometer
15 Vaccine carrier
16 IUD Kits
C
IEC Material
17 Posters
18 Models
19 Flip Chart
(To be submitted by 15th to the District Family Welfare Officer for data entry in NIC-District Computer)
Signature (ANM)
Sl
No
1
2
3
4
5
6
7
8
9
10
11
Item
ORS Packets
Metronidazole Tablets
Co-trimoxazole
Paracetamol
Chloroquine
Antiseptic Solution
Uristix
DD Kits (Disposable
Delivery Kits)
Slides for blood tests
Theramometer
Gloves
IFA larga
12
13
14
15
16
17
IFA Small
Vit-A soluation
Condoms
Oral Pills
IUD's
18
Syringe & Needles
INVENTORY OF VACCINE AND DRUGS
Requirement
Actual quantity
Unit
assessed last
received last year
year
Surplus or
shortage last
year
Requirement for
current year
(To be submitted by 15th to the District Family Welfare Officer for data entry in NIC-District Computer)
FORM-2
PHC ACTION PLAN
General information__________________
Year_________________________
State________________________________
Population of S.C______________
District______________________________
Birth rate:Dist/State___________
P.H.C________________________________
Eligible couples_______________
No. of Sub-Centres under PHC__________
(As on 1st Apri)
A.
Population of PHC (Total Population of all sub-centres under PHC) _____________
Sl No
Service
Antenatal Care
1
Total ANC Cases registered in the area
2
No. of high risk pregnant women detected and refferred
3
No. of TT doeses given
TT-1
TT-2
Booster
4
5
No. of pregnant women with anaemia treated
No. of Pregnant women given prophyaxis with IFA tablets.
Natal Care
6
Total No. of deliveries in the area
7
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
c) Untrained birth attendant
8
No. of institutional deliveries
a) At PHC
b) At Sub-Centre
9
No. of pregnant women reffered to PHC/FRU for delivery
Neo-Natal Care
10 No. of sick new borns referred
Treated
Referred
11 MTP
12 No. of MTP's referred to FRU/District.
Performance
in last year
Planned performance in
current year compiled
from sub-centre plans
Sl No
Serivce
Performance in last year
Male
RTI/STI
13 No. of cases detected & referred
a) identified by ANM
b) Dealt with at PHC
i) Treated
ii) Referred
IMMUNIZATION
14 No. of infants immunised (0-1 years)
BCG
DPT-1
DPT-2
DPT-3
OPV-0
OPV-1
OPV-2
OPV-3
Measels
15 No. of children immunised (more than 18 months)
DPT -Booster
OPV-Booster
16 No. of children immunised (more than 5 Years)
DT
17 No. of children immunised (more than 10 Years)
TT
18 No. of children immunised (more than 16 Years)
TT
IFA
19 No. of children given IFA small (below 5 years)
20 No. of children administered Vit-A (9months to 3 years)
Dose-1
Dose-2
Dose 3-5
ARI
21 No of cases under 5 with pneumonia
Treated with co-trimozole
Referred
ACUTE DIARRHOEAL DISEASES
22 No. of cases under 5
a) identified by ANM
b) Attended at PHC
i) Treated
ii) Referred
FAMILY PLANNING
23 Male Sterilisation
a) conventional
b) NSV
24 Female Sterilisation
a) Abdominal
b) Laproscopic
25 IUD Insertion
a) By ANM's
b) By PHC
26 Oral Pills users
27 Condom Users
MATERIAL & SUPPLIES
Female
Planned performance in
current year
Male
Female
SL
No
Items
CONTRACEPTIVES
1
Nirodh Pieces
2
Oral Pills Cycles
3
IUD's
4
Tubal Rings
5
Dai Kits
VACCINE DOSES
6
DPT
7
OPV
8
TT
9
BCG
10 Measles
11 DT
PROPHYLACTIC DRUGS
12 IFA Tab. Large
13 IFA Tab. Small
14 Vit-A Solution
15 ORS Packets
CONTRIMOXAZOLE
16 Tablet Paediatric
EQUIPMENTS AND FACILITIES
Quantity
Used in
previous
Stock
Position on
1st April
Additional Quantity
required in current year
Sl No
Items
1
Vechiles
2
Refrigerator
3
ILR
4
Deep Freezer
5
Cold Box
6
Vaccine/Day Carrier
7
X-Ray machine
8
IUD Kits
9
Examination Table
10 Weighing Machine (Infant)
11 B.P.Insturment
12 Strethoscope
13 Needles
14 Syringes
15 Autoclave
16 Steam Sterilizer Drugs
17 Operation Theratre
18 MTP Suction Aspirators
19 Equipment for infant Resucitation
20 Microscope & Lab. Equipment
21 Oxygen Cylinder
22 Labour Room Table & Equipment
23 O.T. Table
24 Surgical Equipments relating to PHC expertise
STAFF POSTION
No. Available
No of Functioning
SL
No
Category of Staff
1
Medical Officer-1
2
Medical Officer-2
3
Lady Medical Officer
4
Dental Surgeon
5
Staff Nurse/Nurse Midwife
6
Pharamacist/Compounder
7
Lab. Technical/Lab. Asst.
Number
sanctioned
Number in
Position
Number vacant since that
date
8
9
Computer
10 Malaria Supervisor
11 Block Extn. Educator.
12 Public Health Nurse
13 Lady Health Visitor
14 Driver
15 Multi Purpose Worker-Male
16 Multi Purpose Worker-Female
17 Class-IV Staff
Signature of (MO/PHC)
FORM-3
TALUK ACTION PLAN
A. General information__________________
State________________________________
District______________________________
No. of PHC Under Taluka__________________________
Population under the Taluka __________________________
Birth Rate District /State_______________________
Sl No
Service
Year_________________________
Eligible couples_______________
(As on 1st Apri)
Performance in last
year from PHC Plans
Planned performance
in next year as
compiled
Antenatal Care
1
2
3
4
5
Total ANC Cases registered in the FRU
No. of high risk women TREATED
No. of TT doeses given
TT-1
TT-2
Booster
No. of pregnant women with anaemia treated
No. of Pregnant women given prophyaxis with IFA tablets.
Natal Care
6
7
8
9
Total No. of deliveries in the District
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
c) Untrained birth attendant
No. of institutional deliveries
a) At District hospitals
b) At FRU
c) At PHC
d) At Sub-Centres.
No. of pregnant women reffered to District Hospitals.
Neo-Natal Care
10 No. of sick new borns Treated
11 No. of Sick new borns referred to District Hospital
12 MTP
Total no. of MTPs done
a) referral cases
b) direct cases
RTI/STI
13 No. of cases
a) Identified
b) Treated
c) Referred to District Hospital
Male
Female
Male
Female
14
15
16
17
18
19
20
21
22
23
24
25
26
27
IMMUNIZATION
No. of infants immunised (0-1 years)
BCG
DPT-1
DPT-2
DPT-3
OPV-0
OPV-1
OPV-2
OPV-3
Measels
No. of children immunised (more than 18 months)
DPT -Booster
OPV-Booster
No. of children immunised (more than 5 Years)
DT
No. of children immunised (more than 10 Years)
TT
No. of children immunised (more than 16 Years)
TT
IFA
No. of children given IFA Small (below 5 years)
Vit-A
No. of children administered Vit-A
Dose-1
Dose-2
Dose 3-5
ARI
No of cases under 5 with pneumonia
a) Treated with co-trimozole
b) Referred to District Hospital
ACUTE DIARRHOEAL DISEASES
No. of cases under 5
a) Treated with ORS
b) Referred to District Hospital
FAMILY PLANNING
Male Sterilization
a) Conventional
b) NSV
Female Sterilisation
a) Abdominal
b) Laprascopic
IUD insertion
a) By ANM
b) By PHC doctor
c) By FRU doctor
Oral Pills Users
Condom Users
Male
Female
Male
Female
MATERIAL & SUPPLIES
Sl No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Items
SL
No
1
2
3
4
stock
Additional
position
Quantity
on 1st required in
April
current year
CONTRACEPTIVES
Nirodh Pieces
Oral Pills Cycles
IUD's
Tubal Rings
Dai Kits
VACCINE DOSES
DPT
OPV
TT
BCG
Measles
DT
PROPHYLACTIC DRUGS
IFA Tab. Large
IFA Tab. Small
Vit-A Solution
ORS Packets
CONTRIMOXAZOLE
Tablet Paediatric
RTI/STI Drugs
Sl No
1
2
3
4
5
Unit
Qty. used in
previous
year
Items
No. Available
No of Functioning
Category of Staff
Sanctioned (No)
Vacant (No.)
Vechiles
Computers
Photocopies
X-ray Machines
Cold Chain Equipment
ILR-300
DF2-300
ILR-140
DR2-140
Specialist in FRU/District /CHC
Doctors in PHC
ANMs in Sub-Centre
Male Health Workers
Signature of (D.M.O)
FORM-4
DISTRICT ACTION PLAN
A. General information__________________
State________________________code
District________________________code
No. of Taluka in that District________________
No. of PHC in that District______________________________
Population in that District__________________________
Birth Rate District /State_____________________
Sl No
Service
Year_________________________
Eligible couples_______________
(As on 1st Apri)
Planned performance in current
Performance in
year as compiled from PHC & FRU
last year from
plans
Antenatal Care
1
2
3
4
5
Total No. of ANC Cases registered in the Dist
No. of high risk women TREATED
No. of TT doeses given
TT-1
TT-2
Booster
No. of pregnant women with anaemia treated
No. of Pregnant women given prophyaxis with IFA tablets.
Natal Care
6
7
8
9
Total No. of deliveries in the District
No. of home delivery by
a) ANM/LHV
b) Trained birth attendant
c) Untrained birth attendant
No. of institutional deliveries
a) At District hospitals
b) At FRU
c) At PHC
d) At Sub-Centres.
Neo-Natal Care
No. of sick new borns
Treated
Referred
10 MTP
Total no. of MTPs done
RTI/STI
11 No. of cases
a) Identified
b) Treated
c) Referred to District Hospital
Male Female
Male
Female
12
13
14
15
16
17
18
19
20
21
22
23
24
25
IMMUNIZATION
No. of infants immunised (0-1 years)
BCG
DPT-1
DPT-2
DPT-3
OPV-0
OPV-1
OPV-2
OPV-3
Measels
No. of children immunised (more than 18 months)
DPT -Booster
OPV-Booster
No. of children immunised (more than 5 Years)
DT
No. of children immunised (more than 10 Years)
TT
No. of children immunised (more than 16 Years)
TT
IFA
No. of children given IFA Small (below 5 years)
Vit-A
No. of children administered Vit-A
Dose-1
Dose-2
Dose 3-5
ARI
No of cases under 5 with pneumonia
a) Treated with co-trimozole
b) Referred to District Hospital
ACUTE DIARRHOEAL DISEASES
No. of cases under 5
a) Treated with ORS
b) Referred to District Hospital
FAMILY PLANNING
Male Sterilization
a) Conventional
b) NSV
Female Sterilisation
a) Abdominal
b) Laprascopic
IUD insertion
a) By ANM
b) By PHC doctor
c) By FRU doctor
Oral Pills Users
Condom Users
Male Female
Male
Female
Sl No
Items
MATERIAL & SUPPLIES
CONTRACEPTIVES
1
Nirodh Pieces
2
Oral Pills Cycles
3
IUD's
4
Tubal Rings
5
Dai Kits
VACCINE DOSES
6
DPT
7
OPV
8
TT
9
BCG
10 Measles
11 DT
PROPHYLACTIC DRUGS
12 IFA Tab. Large
13 IFA Tab. Small
14 Vit-A Solution
15 ORS Packets
CONTRIMOXAZOLE
16 Tablet Paediatric
17 RTI/STI Drugs
Unit
Qty.
Additional
used in stock position
Quantity required
previou on 1st April
in current year
s year
EQUIPMENTS AND FACILITIES
Sl No
Items
1
Ambulance
2
B.P.Apparatus
3
Weighing Machine
4
Microscope & Lab Equipments etc
5
Autoclave
6
Oxygen Cylinder
7
MTP Suction Apparatus
8
ILR
9
Deep Freezer
10 Cold Box
11 Refrigerator
12 X-Ray Machine
13 Lapriscope
14 KIT E-haparotomy set
15 KIT F-Min haparotomy set
16 KIT G-IUD insertion set
17 KIT H-Vasectomy set
18 KIT I-Normal delivery set
19 KIT J- Vaccum Extraction set
20 KIT K-Embryotomy set
21 KIT L-Uterine evacuation set
22 KIT M-Equipment for anaesthesia
23 KIT N-Neonatal resucitation set
24 KIT O-Equipment and reagnents for blood tests
25 KIT P-Donor blood transfusion set
No. Available
No of Functioning
STAFF POSTION
SL
No
Category of Staff
1
Medical Officer
2
Specialist
Sanctioned
(No's)
In Position
(No'S)
Vacant since what
date (number)
a) Anaesthetist
b) Gynaecologist
c) Paediatrician
d) Pathologist
e) Dental Surgeon
3
Staff Nurses/Nurse Midwife
4
Pharmacist/compounder
5
Lab.Tech. /Lab Asst.
6
Radiographer
7
Computer
8
Driver
9
Praramedical Supervisiors
Malaria Inspector
BEE
PHN/LHV
HA
10 Multipurpose worker
Male
Female
Signature of (D.M.O)