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

Beneficiaries • More than 8000 people (est.popn) • Serving Mixed population • More Brahamin/ chhetri and Dalit Infrastructure • Own building : 7 rooms • OPD room • Dispensary, • Laboratory, • Surgery ( minor boils and abscess), • Administration • Store • Meeting hall • Toilet facility

Staffing 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

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 2069/04/24 committee) Household survey 2069/05/19 Extension of lab service 0269/06/07 Recording and updating household vital data through survey 2069/07/11 separately

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 Re-formation of HFOMC Household Survey Started Lab Services 9000 8121 8000 7000 6000 4461 5000 Number 3992 of OPD cases 3443 4000 3000 2000 1000 0 066/067 067/068 068/069 069/070 Fiscal Year

Monthly Distribution of OPD cases Reformation of HFOMC Prepare yearly work plan 1000 Household survey 900 871 800 805 790 700 720 690 706 704 666 651 600 Number of 567 500 528 525 OPD cases 497 465 400 415 399 390 389 385 300 333 271 256 275 284 200 100 0 Shrawan Bhadra Ashwin Karthik Poush Magh Falgun Chaitra Baisakh Jestha Ashar Shrawan Bhadra Ashwin Karthik Poush Magh Falgun Chaitra Baisakh Jestha Ashar Mangsir Mangsir 068/069 069/70 FY/Months

Immunization Coverage Measlse DPT 3rd BCG 105% 069/070 102% 105% Re-formation of HFOMC Household Survey 78% 068/069 81% 79% 52% 067/068 73% 66% 65% 066/067 38% 49% 0% 20% 40% 60% 80% 100% 120%

% of New Growth Monitoring Re-formation of HFOMC Household Survey 120% 105% 100% 78% 80% 72% 72% 60% Percents 40% 20% 0% 066/067 067/068 068/069 069/070 Fiscal Years

ANC and PNC coverage Re-formation of HFOMC Household Survey 50% 47% 45% 43% 45% 39% 40% 33% 35% 28% 30% 23% 25% Percents 20% 16% 15% 10% 5% 0% 066/067 067/068 068/069 069/070 Fiscal Years ANC ( 4th Visit) PNC (1st, 2nd, 3rd)

HFOMC Meetings 18 17 Re- formation of HFOMC 16 14 12 10 9 Number of meetings 8 7 6 4 4 2 0 066/067 067/068 068/069 069/070 Fiscal year

Contraceptive Prevalence Rate ( CPR) Re-formation of HFOMC Household Survey 70% 64% 59% 60% 46% 50% 40% Percents 30% 20% 10% 0% 067/068 068/069 069/070 Fiscal Years

Findings from Household survey

Population Pyramid Age group

Religion of household Educational Status (N=961) (N=3273) 0% 12% 1% 0.70% 0 0 87% 99.29% literate illiterate Hindu Buddhist Others

Occupation of Household (n= 961) 38% 40% 29% 35% 30% 20% 25% 20% 15% 8% 5% 10% 5% 0% agriculture services foreign business labor employment

Type of fuel use for cooking ( n=961) 70% 80% 70% 60% 50% 40% 17% 30% 12% 20% 1% 10% 0% cylinder gas bio- gas wood electricity

Source of Drinking water Type of Toilet (n=961) (n=961) 12% 1% 1% 88% 98% tub-well well tap 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 Agriculture HFOMC Updated household informatio Functional n though VDC Lab HHS Proper and Multi- DPHO updated sectoral Record Local Keeping collaboration Innovation Schools Increase service utilization Increase quality of care