Sunita Subedi and Lila Paudel, Fulbari HP Chitwan Introduction - - PowerPoint PPT Presentation

Sunita Subedi and Lila Paudel, Fulbari HP Chitwan

Introduction

• Fullbari VDC located in Chitwan District
• f Narayani Zone
• Total Population: 4800
• Mixed population (Brahamin /Chhetri, Janjati,

Dalit and Terai ethinc group)

• Average Family size : 5.3
• None of the I/NGOs, CBOs working

with in VDC currently

• known as VDC of “Full Literate” ( 100% literacy)
• Schools: 4

HP’s catchment Area

• Fulbari VDC all
• Mangalpur VDC ward 1,2
• Bharatpur municipality ward 13, 14,
• Shivnagar VDC ward 2, 5,6, 7
• Gitanagar VDC- Indrapuri

• More than 8000 people (est.popn)
• Serving Mixed population
• More Brahamin/ chhetri and Dalit

Beneficiaries

• Own building : 7 rooms
• OPD room
• Dispensary,
• Laboratory,
• Surgery ( minor boils and

abscess),

• Administration
• Store
• Meeting hall
• Toilet facility

Infrastructure

Total staffs- 8

• Health Assistant-1
• Senior AHW- 2
• Sr. ANM-1
• AHW-1 ( Padnam-VHW)
• ANM-1 ( Padnam- MCHW)
• Lab Assistant- 1 ( from HFoMC)
• Office Assistant-1

Staffing

Available Free Health Services

• Immunization
• Nutrition- Growth monitoring, Vit-A, Iron and

albendazole Distribution

• Diarrhea- ORS and Zinc distribution
• ARI
• Safe motherhood- ANC, PNC
• Family Planning- Counseling, condom, pills and

Depo

• Disease control- Malaria slide collection,

treatment,

• TB- sputum collection and testing and treatment
• Leprosy- treatment
• HIV/AIDS and STDs- Health Education and STDs

treatment

• OPD services
• Community level services: PHCORC and EPI clinic

Milestones

Milestones Date

Established SHP 2054/06/09 Upgraded to HP from SHP- 2069/02/23 Re- formation of HFOMC 2069/04/24 Started to Prepare a yearly work plan and approved by DPHO 2069/04/24 Started public Audit as well as routine audit ( establish a audit committee) 2069/04/24 Household survey 2069/05/19 Extension of lab service 0269/06/07 Recording and updating household vital data through survey separately 2069/07/11

Why Fullbari HP Different??

• Household survey each year

Why Fullbari HP Different??

• Good Recording keeping and

updating health profile of every households

Why Fullbari HP Different??

• Proper Mobilization of FCHVs

for HHS

Why Fullbari HP Different??

• Functional Lab Services

Strength of Lab

• Free TB services
• Free Malaria Services
• Measles sentinel site
• Screening of diabetic patients and

continuous follow up

• Stop misuse of antibiotics
• Free service to HFOMC member and FCHVs
• 50% subsidy to students
• Full/partial subsidy to poor

Why Fullbari HP Different??

• Monthly routine health check up- camp- mentally

retarded pupils (Sustha Manasthiti kalyan Vidhaylaya)

• Creation of Communicable disease management

Fund

• Declare Model HP based on population related

services

• Yearly Annual Review meeting
• Annual presentation of health service statics to

stakeholders and public

• Social Audit
• Open Defecation free VDC

SERVICE STATISTICS

OPD Service Utilization

3443 3992 4461 8121

1000 2000 3000 4000 5000 6000 7000 8000 9000

066/067 067/068 068/069 069/070

Number

• f OPD cases

Fiscal Year

Re-formation of HFOMC Household Survey Started Lab Services

Monthly Distribution of OPD cases

567 415 399 333 271 256 275 284 390 389 385 497 706 805 704 528 525 465 666 651 720 690 790 871 100 200 300 400 500 600 700 800 900 1000

Shrawan Bhadra Ashwin Karthik Mangsir Poush Magh Falgun Chaitra Baisakh Jestha Ashar Shrawan Bhadra Ashwin Karthik Mangsir Poush Magh Falgun Chaitra Baisakh Jestha Ashar 068/069 069/70

Number of OPD cases FY/Months

Household survey Reformation of HFOMC Prepare yearly work plan

Immunization Coverage

49% 66% 79% 105% 38% 73% 81% 102% 65% 52% 78% 105% 0% 20% 40% 60% 80% 100% 120% 066/067 067/068 068/069 069/070

Measlse DPT 3rd BCG

Re-formation of HFOMC Household Survey

% of New Growth Monitoring

78% 72% 72% 105% 0% 20% 40% 60% 80% 100% 120% 066/067 067/068 068/069 069/070 Percents Fiscal Years

Re-formation of HFOMC Household Survey

ANC and PNC coverage

39% 33% 28% 47% 43% 23% 16% 45% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 066/067 067/068 068/069 069/070 Percents Fiscal Years

ANC ( 4th Visit) PNC (1st, 2nd, 3rd)

Re-formation of HFOMC Household Survey

HFOMC Meetings

9 4 7 17

2 4 6 8 10 12 14 16 18

066/067 067/068 068/069 069/070

Number of meetings Fiscal year

Re- formation of HFOMC

Contraceptive Prevalence Rate ( CPR)

46% 59% 64%

0% 10% 20% 30% 40% 50% 60% 70%

067/068 068/069 069/070 Percents

Fiscal Years

Re-formation of HFOMC Household Survey

Findings from Household survey

Population Pyramid

Age group

Educational Status

(N=3273)

87% 12% 1% 0% Hindu Buddhist Others

99.29% 0.70% literate illiterate

Religion of household

(N=961)

Occupation of Household (n= 961)

0% 5% 10% 15% 20% 25% 30% 35% 40%

agriculture services foreign employment business labor

38% 29% 20% 8% 5%

Type of fuel use for cooking ( n=961)

0% 10% 20% 30% 40% 50% 60% 70% 80%

cylinder gas bio- gas wood electricity 70% 17% 12% 1%

Type of Toilet (n=961)

Source of Drinking

water

(n=961)

98% 1% 1% tub-well well tap

12% 88%

kachhi pakki

Published Excellent work of Fulbari HP

Upcoming -plans

• Establish Birthing center
• Extend 24 hours service
• Declare Full Immunization VDC
• Declare Uterus prolapsed free VDC
• Start Safe Abortion service
• Extend Family planning service (Copper-T and Implant)
• Extend lab services
• Well managed recording and reporting system
• HP building construction
• Declare organic free VDC in collaboration with Agriculture

Take Home Message

Local Innovation

Updated household informatio n though HHS

Multi- sectoral collaboration

Increase service utilization Increase quality of care

Functional Lab DPHO Agriculture HFOMC VDC Schools Proper and updated Record Keeping