(Odisha)

JSC Meeting

10th December, 2011

State Profile

• Total Population : 42 million

• Total Number of districts : 30 districts

• NIPI focus districts : 3 districts

• Population (Census of India 2011) : 2.8 million

Focused District (Census of India 2011)

Angul 1,271,703

Jharsuguda 579,499

Sambalpur 1,044,410

Total (3 Districts) 28,95,612

Odisha NIPI Districts

MDG 4 and 5 Related Indicators Indicator % (rate/ratio) in State*

Annual Live born infants CBR 20.0

(Annual Health Survey 2011)

Under 5 Mortality 82

(Annual Health Survey 2011)

Infant mortality 62

(Annual Health Survey 2011)

Neonatal Mortality 40

(Annual Health Survey 2011)

Maternal Mortality 258

(SRS 2009)

ANNUAL HEALTH SURVEY 2010-11

NIPI focused

State and Districts

Infant Mortality

Rate (IMR)

Neo -natal Mortality

Rate

Under five Mortality

Rate Sex Ratio at

Birth

Odisha 62 40 82 905

Angul 50 31 60 834

Jhasuguda 51 41 58 870

Sambalpur 56 35 73 877

NIPI in Odisha • Home Based Post Natal Check Up by ASHAs in 3 NIPI

Focused Districts. • Engaging Yashoda

▫ At 15 district Headquarter Hospitals + Capital Hospital, Bhubaneswar( Proposed)

• Special New Born Care Unit (SNCU-II) ▫ At Sambalpur, Angul & VSS Medical College, Burla

• Routine Immunization strengthening in 3 NIPI districts.

• Support to State Institute of Health & Family Welfare (SIH&FW) ▫ For setting up of State Child Health Resource Centre &

District Health Training and Resource Centre.

• Techno-Managerial Support ▫ Maternal and Child Health Coordinators at block level in 3

NIPI districts

• 2,578 numbers of ASHAs trained in 2 days & 5 days HBPNC Training. • 29,447 Numbers of Mother-Baby Cohorts covered through HBPNC

during January-September, 2011 • More than 2,500 ASHAs have been supported by External Supervisory

Agency (Paribartan). Approx. 30-40 ASHAs are being supervised by 1 Block Supervisor.

• 3 Block Supervisor for each block & 1 Zonal Coordinator to coordinate for 3 Blocks.

• The Block MIS-cum-Field Coordinators trained on 1 day ASHA PNC DES Software.

Home Based Post Natal Care

82%

1.4% 5%0%

20%

40%

60%

80%

100%

PNC Coverage against Reported Deliveries

Mothers referred New born referred

HBPNC Coverage & Referral (Jan-Oct, 2011)

• 59,539 nos. of deliveries have been followed by 156 YASHODAs in 15 DHQs during Jan-Oct, 2011.

• Beside 3 focused district, YASHODAs are also in place at 12 DHQs (Balasore, Dhenkanal, Ganjam, Jagatsinghpur, Jajpur, Kalahandi, Keonjhar, Koraput, Malkangiri, Mayurbhanj, Puri & Rayagada)

• All the YASHODAs have been trained 3 days induction training & 1 day training on post partum care & family planning. This month onwards they now able to take up counseling & post partum care in the hospitals.

• The State Health Society has also the plan to takeover the YASHODA Intervention

Yashoda

88%

97%

89%

80%

85%

90%

95%

100%

YASHODA Outcome (Jan-Oct, 2011)

% newborn initiating breast feeding in 1 hr

% newborn weighed

% newborn administered BCG at birth and zero OPV

4773

2865

1667

775

0

1000

2000

3000

4000

5000

6000

Admissions Inborn Outborn Death

SNCU Report (June, 2010 to October, 2011)

Sick Newborn Care Unit

•*Supported by NIPI (VSS Medical College Hospital-Burla; Angul & Sambalpur)

State SNCU Cell

Deliverables:

• Operational Plans for scaling up of implementation of SNCU-I, SNCU-II and NBC developed

• Training Plans for MO and Nurses on Neonatal Care

• Posting & training of staff in the sites facilitated

• Procurement and maintenance of equipments streamlined

• Monitoring system established: including

a) Deployment of Regional Monitoring teams

b) Development and adoption of monitoring tools

• Monthly Reporting system established; analysed institutions wise disaggregated data available.

• District, Regional and State level Review Mechanism established.

HR:

• One Management Consultant is in place at state level

Strengthening Immunization

• Immunization Training completed for BMCHCs from 21 to 24 October

• Walk In Cooler (WIC) Operators have been appointed at 7 District Vaccines & Central Store. for 24 hour monitoring of WIC

• Cold chain Tag Monitors to be purchased by DFW. Orders for supply given to SDMU.

• Sub centre wise Micro planning completed in 3 NIPI focus districts.

Immunization Status (HMIS April-September, 2011)

Support to State Institute of Health &

Family Welfare (SIH&FW)

• Personnel support ( 8 Technical and secretarial) • Technical-cum-Training Officer, Documentation Officer,

Management Consultant, Nursing Consultant, Management Consultant, Field Research Coordinator, IT Officer (vacant) & Accountant

• Equipment (software and hardware) and other logistics support

• Infrastructure development (Facility, SCHRC, Documentation centre)

• Workshops and review meetings • Develop District Health Training and Resource

Centre, at Angul, Jharsuguda & Sambalpur

State Child Health Resource Centre

State Child Health Resource Centre (SCHRC) is one of the NIPI assisted interventions at State Institute of Health & Family Welfare (SIH&FW), Orissa.

The Centre aims at providing resource support for facilitating and stimulating technical discourse on Child Healthcare interventions in the state.

Vision & Mission

Vision: Developing a comprehensive platform by collecting, learning & disseminating information on child health & related issues using modern cost effective techniques & technologies Mission: Establishing a close link between research & action -thereby reducing knowledge gaps & demystifying child health perceptions.

Training Documentation & Reports Development of Resource Materials for frontline workers. i.e. for S.N, A.N.M, ASHA, Yashoda Evaluation & Research Advocacy (Conclave/Workshop/Campaign/Meeting) Distance Learning Courses Strengthening of DHTRC

Activities of SCHRC

A seminar on SCHRC on 19.05.2010 A state level workshop on “Child Rearing Practices in Orissa” on 04.09. 2010 JSY Evaluation Study Phase-II A state Child Health Conclave on 26. 10. 2010 Sensitization workshop for GKS members on childhood malaria on 23.12.2010 at Banapur CHC Workshop on “Under nutrition among under 5 children on 17.01.2011 at Kuchinda SDH Training on “Gender Sensitization for District level Managers” on 20th & 21st Jan. 2011 Training programme on “Interpersonal Communication for Child Health Coordinators & District Training Coordinators” on 29th & 30th April 2011 Workshop on “SCHRC Intervention for Child and Maternal Health Issues for LHVs of Angul district” on 5th June 2001 A for day training organized on “Immunization for Block level Managers” from 21st to 24th September 2011.

Major Activities of SCHRC- Completed (Training & Advocacy)

Developed a website (www.schrcodisha.org) Published Documents

A Training Module on “Management of Diarrhoea in Children” A Quarterly News Letter focusing child health issues and state’s intervention A Report on “State Level Workshop on Child Rearing Practices in Orissa” A Booklet In Oriya on “Role of Yashoda in Child & Maternal Health Care” A Report on “Training Programme of JYS Evaluation Study, Phase-II” A Process Document on ASHA-PNC Programme in three NIPI Focused Districts of Orissa”

VHND appraisal in Sambalpur, Nayagarh, Kandhamal ASHA DES Software Training Report

(Others) Two certificate courses through IGNOU for nursing personnel SCHRC library—more than 150 books both in the form of soft and hard copies. Strengthening District Health Training Resource Centre (DHTRC)

Other Activities of SCHRC- Completed (Documentation)

Techno Managerial Support Sl No Position titles* Sanctioned In position

1 District Training Coordinator (Angul, Jharsuguda & Sambalpur)

3 1

2 Data Assistant 3 3

3 Child Health Supervisor (District Level) 17 14

4 Block Maternal & Child Health Coordinator (Block Level)

22 16

5 Accounts Executive (State level) 1 1

* Designation of NIPI supported positions at State, Division, District, Block and facility levels

Sl No Positions titles* Status

1 District Maternal & Child Health Coordinator (District level)

14

2 Financial Analyst (State level) 1

3 Documentation & Media Consultant (State level) 1

4 HR Consultant (State Level) 1

Positions Taken over by NRHM in course of time