CHFW_Review

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District Review Anantapuramu:

District Review Anantapuramu Presented to THE COMMISSIONER HEALTH and FAMILY WELFARE 18.08.2015

Slide 3:

ANANTHAPURAMU Dist Map Consisting 63 Mandals 1 D.Hirehal 2 Bommanahal 3 Vidapanakal 4 Vajrakarur 5 Guntakal 6 Gooty 7 Peddavadugur 8 Yadiki 9 Tadpatri 10 Peddapappur 11 Singanamala 12 Pamidi 13 Garladinne 14 Kudair 15 Uravakonda 16 Beluguppa 17 Kanekal 18 Rayadurg 19 Gummagatta 20 Brahmasamudram 21 Settur 22 Kunurpi 23 Kalyandurg 24 Atmakur 25 Anantapur 26 B.K.Samudram 27 Narpala 28 Putlur 29 Yellanur 30 Tadimarri 31 Bathalapalle 32 Raptadu 33 Kanaganapalle 34 Kambadur 35 Ramagiri 36 C.K. Palli 37 Dharmavaram 38 Mudigubba 39 Talupula 40 N.P. Kunta 41 Tanakal 42 Nallacheruvu 43 Gandlapenta 44 Kadiri 45 Amadagur 46 O.D. Cheruvu 47 Nallamada 48 Gorantla 49 Puttaparthi 50 Bukkapatnam 51 Kothacheruvu 52 Penu Konda 53 Roddam 54 Somandepalle 55 Chilamathur 56 Lepakshi 57 Hindupur 58 Parigi 59 Madakasira 60 Gudibanda 61Amarapuram 62 Agali 63 Rolla YSR Kadapa Chitthoor Kurnool Bellary Chitradurg Tumkur Tumkur Kolar Karnataka State

District Profile-Socio Economic Cultural:

District Profile-Socio Economic Cultural Description Total Rural Urban Population 4,081,148 2,935,437 1,145,711 71.93% 28.07% Male 2,064,495 1,489,157 575,338 Female 2,016,653 1,446,280 570,373 Population growth 12.10% Density/km2 213 Proportion to AP Population 4.83% Sex Ratio 977 971 991 Child sex Ratio 927 928 926 Description Total Rural Urban Average literacy 63.57 59.21 74.69 Male 73.02 69.41 82.32 Female 53.97 48.77 67.06% Total Child Population 445,956 323,884 122,072 Male 231,369 167,977 63,392 Female 214,587 155,907 58,680 Child proportion 10.93% 11.03% 10.65% Boys 11.21% 11.28% 11.02% Girls 10.64% 10.76% 10.29%

Urban:

Urban Urban Agglomerations inside Anantapur Population Male Female Anantapur (Urban Agglomerate) 341,895 172,414 169,481 Cities inside Anantapur District Population Male Female Anantapur 262,340 131,506 130,834 Hindupur 151,835 76,625 75,210 Guntakal 126,479 62,695 63,784 Dharmavaram 121,992 62,186 59,806 Tadipatri 108,249 54,027 34,222

Health Profile:

Health Profile

Health facilities-Public:

Health facilities-Public Rural PHC 80 CHC 11(5_DH, 6 APVVP) AH 6 DH 1 Urban PPU 4 UFWC 8 MCH _Municipality 4 UHCs 19 GGH 1 CEmNOC =8

Slide 8:

Cluster Map Number of clusters: 18

Slide 9:

Number of SCs = 586 Map showing health facilities

Status of BBs / BSUs:

Status of BBs / BSUs BBs Existing - 5 Proposed - 1 BSUs Existing- 5 Proposed-2

Status of New Born Stabilization Units:

Status of New Born Stabilization Units NBSUs Existing Proposed : 2014-15 1 Hndupur 2. Gooty 3. Guntakal 4. Kadiri 5. Dharmavaram 6. Penukonda 7. Madakasira 8. Kalyanadurg 9. Uravakonda 10. Tadipatri 11. Rayadurg 1. Singanamala 2. Nallamada 3. Pamidi 4. C.K.Palli 5. Tanakal 6. Konakondla 7. Kanekal

Status of Ultra Sound Scaning Machines:

Status of Ultra Sound Scaning Machines ● ▼ Existing Proposed ● ● ● ● ● ● ● ● ▼ ▼ ▼ ▼ Konakondla ▼ ▼ ▼ ▼ ▼ ▼ ● ▼

Health Indicators:

Health Indicators

Trends and Targets for Maternal & Child Health Indicators:

Trends and Targets for Maternal & Child Health Indicators Indicator India Andhra Pradesh Current status NHM Goal Trends as per SRS NHM Targets Maternal Health 2004-06 2007-09 2010-12 2016-17 MMR 167 100 154 134 110 <85 Child Health 2010 2011 2012 U5 Mortality Rate 49 48 45 43 <27 IMR 40 25 46 43 41 25 NMR* 28 30 28 24 12 Early NMR** 22 24 24 24 12 TFR $ 2.4 <2.1 1.8 1.8 1,8 1.8 *Neonatal Mortality Rate – newborn deaths within 28 days of birth **ENMR – newborn deaths within one week after birth $ TFR – Total Fertility Rate, number of children a woman will bear in her life time 14

Slide 15:

INFANT MORTALITY RATE S.no Description Status 1 Anantapur 45 2 Srikakulam 47 3 Vizianagaram 45 4 Visakapatnam 39 5 Prakasam 37 6 Nellore 35 7 East Godavari 34 8 West godavari 28 9 Chittor 35 10 Kurnool 43 11 YSR Kadapa 38 12 Krishna 25 13 Guntur 31 Source : SRS 2013/CHFW Office

Slide 16:

MATERNAL MORTALITY RATIO Source : SRS 2010-12 S.no Description Status 1 Anantapur 98 2 Srikakulam 98 3 Vizianagaram 107 4 Visakapatnam 115 5 Prakasam 87 6 Nellore 77 7 East Godavari 74 8 West godavari 80 9 Chittor 86 10 Kurnool 108 11 YSR Kadapa 85 12 Krishna 79 13 Guntur 83

Full Immunization Coverage BCG, 3 doses of DPT & OPV & Measles:

Below 20% Between 20% - 40% Between 40% - 60% Between 60% - 80% Above 80% Full Immunization Coverage BCG, 3 doses of DPT & OPV & Measles DLHS-4

Maternal & Child Health:

Maternal & Child Health

Delivery Points-Public:

Delivery Points-Public Type of facility Number 24x7 42 CHC 11 AH 6 DH 1 GGH 1 PHCs 28

Institutional deliveries & JSY _2014-15 in %:

Institutional deliveries & JSY _ 2014-15 in %

Institutional deliveries & JSY _2015-16(July 2015) in %:

Institutional deliveries & JSY _ 2015-16(July 2015) in %

ANC Registrations _ Cluster wise(July 2015):

ANC Registrations _ Cluster wise(July 2015)

High Risk PW Cluster Wise:

High Risk PW Cluster Wise

Cluster Wise _ Institutional deliveries(July 2015):

Cluster Wise _ Institutional deliveries(July 2015)

Zero dose Immunization _ Cluster wise:

Zero dose Immunization _ Cluster wise

Average number of deliveries in 24x7 PHCs:

Average number of deliveries in 24x7 PHCs

Maternal deaths_2015-16-Upto July:

Maternal deaths_2015-16-Upto July Annual apprehended Proportinate Apprehended Maternal deaths CBMDR FBMDR 74 25 24 23 0 Home 2 Transit 5 Facility 17 GGH 04 CHC 1 Private/NGO 3 Out of district 4 Out of state 5

Cluster wise maternal deaths_2015-16(July 2015):

Cluster wise maternal deaths_2015-16(July 2015)

Infant deaths _ Cluster wise _ July 2015:

Infant deaths _ Cluster wise _ July 2015

Maternal Deaths_Causes:

Maternal Deaths_Causes

Infant deaths:

Infant deaths Annual Apprehended Proportionate Apprehended Infant deaths IDR done 3392 1131 340 290

Infant deaths-Causes:

Infant deaths-Causes

MCTS:

MCTS

MCTS as on date:

MCTS as on date Indicator Rank in state Percentage Mother registration 6 89 Child registration 6 86

MCTS _ Mother:

MCTS _ Mother Annual ELA Proptinate ELA No registered % First trimester % % of high Risk 86818 33062 29393 89 17164 58 13.35

MCTS _ Child:

MCTS _ Child Annual ELA Proportinate ELA Registered Percentage 75374 28704 24749 86%

MCTS_Child Uploading_Cluster Wise:

MCTS_Child Uploading_Cluster Wise

MCTS Uploading_Mothers_Cluster wise:

MCTS Uploading_Mothers_Cluster wise

NVBDCP IDSP:

NVBDCP IDSP

Malaria Incidence Cluster wise July 2015:

Malaria Incidence Cluster wise July 2015 Cluster PV PF Total Anantapur 44 8 52 C.K.Palli 1 0 1 Dharmavaram 4 2 6 Gooty 2 3 5 Hindupur 0 0 0 Kadiri 44 4 48 Kalyandurg 0 0 0 Kanekal 0 0 0 Konakondla 4 1 5 Madakasira 0 0 0 Nallamada 1 1 2 Pamidi 59 0 59 Penukonda 6 7 13 Rayadurg 0 0 0 Singanamala 7 0 7 Tadipatri 9 10 19 Tanakal 11 3 14 Uravakonda 9 1 10

Dengue incidence cluster wise _2015:

Dengue incidence cluster wise _2015 Anantapur 178 27 C.K.Palli 10 2 Dharmavaram 35 6 Gooty 28 2 Hindupur 23 6 Kadiri 81 40 Kalyandurg 24 4 Kanekal 5 1 Konakondla 15 1 Madakasira 0 0 Nallamada 62 15 Pamidi 20 2 Penukonda 48 11 Rayadurg 13 2 Singanamala 47 1 Tadipatri 40 8 Tanakal 91 19 Uravakonda 20 2 TOTAL 740 149

IDSP:

IDSP S. No. Name of the Disease April 2014 to Dec. 2014 Jan 2015 to July 2015 1 Acute Diarrhoeal Disease (including acute gastroenteritis) 84062 55325 2 Bacillary Dysentery 18669 12043 3 Viral Hepatitis 101 81 4 Enteric Fever 13936 7703 5 Malaria 19220 14912 6 Dengue / DHF / DSS 31 398 7 Chikungunya 42 32 15 Acute Respiratory Infection (ARI) / Influenza Like Illness (ILI) 172022 128480 16 Pneumonia 1270 768 19 Dog bite 34014 29490 20 Snake bite 814 683

NRHM:

NRHM

NRHM _ HR support:

NRHM _ HR support HR Sanctioned Inposition 2 nd ANM 586 470 SN 24 x7 84 62 SN CEmNOC 25 17 SN NBSU 33 0 SN SNCU 14 12 SN NRC 3 3 MOs ( Specilaist - Paediatrician -SNCU) 4 3 AYUSH_MO 43 16 ASHA 3057 3044

DPMUs- NRHM & NUHM:

DPMUs- NRHM & NUHM HR NRHM NUHM DPMO 01 0 DPO 01 0 Accounts Officer 0 0 MIS Assistant 01 Not Sanctioned

NRHM_2014-15:

NRHM_2014-15 Sl.no Component % of performance 1 RCH Flexi pool 83.25 2 NRHM Additionalities 62.60 3 Immunization 22.69 4 IPPI 95.19 5 Total 67.88

NRHM_2015-16_upto 17.08.2015:

NRHM_2015-16_upto 17.08.2015 Sl.no Component % of performance 1 RCH Flexi pool 65.66 2 NRHM Additionalities 34.90 3 Immunization 2.36 4 others 82.81 5 Total 52.45

NRHM _ Major components-2014-15:

NRHM _ Major components-2014-15 Sl.no intervention Percentage of expenditure 1 JSY 89.33 2 JSSK 44.63 3 FP 89.24 4 UIP 47.01 5 HDS 50.31 6 SC untied 48.76 7 2 nd ANM 100 8 ASHA PBI 100 9 24X7 100 10 CEmNOC 100

NRHM _ Major components-2015-16:

NRHM _ Major components-2015-16 Sl.no intervention Percentage of expenditure 1 JSY 96.12 2 JSSK 44.63 3 FP 4 UIP 5 HDS 6 SC untied 7 2 nd ANM 94.89 8 ASHA PBI 100 9 24X7 97.99 10 CEmNOC 98.29

Slide 52:

Anantapuramu

District Map:

District Map

Where do we stand compared to our neighbors:

Where do we stand compared to our neighbors MMR* IMR* U5MR* India 167 40 49 Andhra Pradesh 110 41 43 Karnataka 144 32 37 Tamil Nadu 90 21 24 Kerala 66 12 13 * SRS REPORT 2012 55

MDGs-AP STATUS :

MDGs-AP STATUS INDICATOR TARGET FOR 2015 STATUS Maternal Health MMR 74 110 ( 2010-12) % of deliveries assisted by skilled health professional 100% 95.6%( 2009) Child Health U5 MR 33 43 (2012) IMR 23 41 (2012) Immunized against Measles 100% 90.4 (2009) Out of 8 Millennium Development Goals 3 pertain to health and family Welfare Goal 4 : Reduce Child Mortality Goal 5: Improve Maternal Health Goal 6 : Combat HIV/AIDS, Malaria and TB 56

Preventable Under-5 deaths through Universal Coverage of Individual Interventions :

Preventable Under-5 deaths through Universal Coverage of Individual Interventions 57

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