1 of 69

District Yearly Review Presentation

Fiscal Year : 2076/77

Malika Rural Municipality

Health Section

Myagdi District, Gandaki Province

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

2 of 69

Presentation Outline

  • Service outlets
  • Human resource situation
  • Infrastructure of Health Facility
  • Financial resource
  • 3 years trend & Key Issues
  • Progress of annual programs
  • Innovations & their effectiveness
  • High priority issues of the district & expected result

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

3 of 69

Service Outlets

Show the location of health facilities in district map indicating HF Location

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

4 of 69

Target Population 2076/77

Total Population

18,514

Under 1 year

408

12-23 months

455

Under 5 years

2,160

10-19 Years

3,968

WRA 15-49 Years

5,502

Expected Pregnancy

496

Female Pop 15-49 years

5,502

60 & + Years

1,439

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

5 of 69

स्वास्थ्य संस्थाको विवरण

क्र.सं.

स्वास्थ्य संस्थाको नाम

वडा नं

गाउँ/टोल

स्वामित्व

१

निस्कोट स्वास्थ्य चौकी

१

​

छ

२

रुम स्वास्थ्य चौकी

२

​

छ

३

डाडागाउँ सा.स्वा.ई.

३

​

छैन

४

ओखरबोट स्वास्थ्य चौकी

४

​

छ

५

देवीस्थान स्वास्थ्य चौकी

५

​

छ

६

दरवाङ्ग प्रा.स्वा.के.

६

​

छ

७

विम स्वास्थ्य चौकी

७

​

छ

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

6 of 69

No of Service Site by wards

SN

Wards

​

No of Service Site

DHIS 2

IUCD

Implant

SAS MA

Birthing Centre

BEONC Site

CEONC Site

PMTCT

HTC

TB Microscopic

Basic Lab

OTC

NRH

ART Center

VIA site

SAS CAC

VASECTOMY Site

MINILAP Site

1

1

-

-

-

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

2

2

-

1

1

1

1

-

-

1

-

-

-

1

-

-

-

-

-

-

3

3

-

-

-

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

4

4

-

-

1

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

5

5

1

5

1

-

1

-

-

1

-

-

-

-

-

-

-

-

-

-

6

6

1

1

-

1

1

1

-

1

-

1

1

1

-

-

-

-

-

-

7

7

-

-

-

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

7 of 69

Information by wards

Sn

Wards

​

Information (in number and yes/no)

Vaccine sub store

Number of functional ambulances

​

Number of computer skilled HR in palika*

Availability of Internet service in HFs

Access of road (motorable) to center of local level

1

1

-

-

-

-

1

2

2

-

-

-

-

1

3

3

-

-

-

-

1

4

4

-

-

-

-

1

5

5

-

-

1

-

1

6

6

1

1

1

1

1

7

7

-

-

-

-

1

Total

1

1

2

1

7

* = Health coordinators/sub coordinators

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

8 of 69

आबश्यक औजार उपकरण (हाल नभएको कारण सेवामा कठिनाई भएको)

उपकरणको नाम

आबश्यक परिमाण

B.P set

21

Dressing Set

21

Plus OXymeter

14

E.N.T set

7

Tnternet

7

Delivery set

21

matress

14

Adult weaight machine

21

Screen

200 miter

Blanket,Nebulizer machine

7

Dental set

7

Geneter

1

Baby warmer

4

Fetal Dloper

7

Delivery Bed

4

Simple Bed

7

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

9 of 69

Health Facility Population Ratio �(Note: Use Target Population)

Health Facility

Average

Min

Max

Remarks

Public Hospital

-

​

​

-

PHCC

18620

-

-

-

HP

2633

1803

3600

-

UHC

-

-

-

-

CHU

1252

-

-

-

Note :

* Target population for public hospital = Total target population of district

*Target population for PHCC, HP, = Target population of respective VDC/Municipality

* Target population for UHC & CHU = Target population of respective wards of VDC/Municipality

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

10 of 69

Human Resource Situation

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Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

11 of 69

Infrastructure Of Health Facility

Description

Total

Number

Completed during 2076/77

Under Constructed

Key Issues and recommendation

​

​

​

Hospital

-

-

-

PHCC

1

-

-

HP

5

3

-

Birthing Center

3

-

-

BEONC Site

1

-

-

CEONC Site

-

-

-

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

12 of 69

Ambulance Service/Office Vehicle

Ownership

Ambulance

Total functional Pop. Ratio

Registered

Functional

Public

​

​

​

Private /NGO/Other

1

1

Total

1

1

​

  1. Key Issues and recommendations

​

Type

Office Vehicle

Total

Functional

Manufacture date

Renewal

Status

Pick-up

​

​

​

​

Jeep/car

​

​

​

​

Motorbike

​

​

​

​

1. Key Issues and recommendations

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

13 of 69

Financial Resource F.Y. 2076/77

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

14 of 69

Medicine Procurement Status 2076-77

S.N

Name of local level

Conditional grant of MoHP

Local budget

Amount allocated

Expenditure

Amount allocated

Expenditure

1

​

8,50,000

​

11,50,000

​

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

15 of 69

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  1. TB Microscopic Camp – Ruma
  2. TB Quartely Review Meeting
  3. FCHV Day
  4. World Breastfeeeding Week
  5. Non-Communicable Disease Orientation
  6. Dengue Orientation
  7. SBA Onsite Coaching
  8. VIA Camp
  9. Rota Vaccine Orientation
  10. Sterilization Camp Orientation for FCHV
  11. MR Orientation
  12. Nutritional Assessment Programme
  13. Equipment / Materials Management
  14. Office Management
  15. Safe motherhood Programme

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

16 of 69

lg;t{ ah]6sf ;DkGg ul/Psf lqmofsnfkx? -@)&^.&&_

  • School Health Programme
  • Egg distribution for women
  • Medicine
  • First Aid Kit Box Distribution
  • Hygiene Promotion Programme
  • FCHV Promotion Programme
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Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

17 of 69

Program Indicators

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

18 of 69

HMIS Reporting Status

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

19 of 69

LMIS Reporting Status

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

20 of 69

Average People Served By Type

Persons

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

21 of 69

Immunization Achievement %

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

22 of 69

wards Wise % Of Children Under One Year Immunized With BCG

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

23 of 69

wards Wise % Of Children Under One Year Immunized With DPT-Hepb-Hib1st And 3rd

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

24 of 69

wards Wise % Of Children Immunized With MR 1st And 2nd

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

25 of 69

Municipal Wise JE Achievement In %

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

26 of 69

Municipal wise Td 2 & 2+ Achievement in %

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

27 of 69

Dropout Rate�(BCG Vs MR 1st) and (DPT-HepB-Hib1st Vs 3rd)

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

28 of 69

wards wise Dropout Rate�BCG vs MR 1st

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

29 of 69

wards wise Dropout Rate�DPT-HepB-Hib1st vs 3rd

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

30 of 69

Vaccine Waste Rate

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

31 of 69

Nutrition: New Growth Monitoring

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

32 of 69

Average Visits of Growth Monitoring

times

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

33 of 69

% of New growth monitoring

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

34 of 69

Breast Feeding & Complimentary Feeding Practice

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

35 of 69

Pregnant Women Receiving� Iron Tablets (New) & Albendazole Tab.

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

36 of 69

Vitamin A & Iron Distribution To� Post Partum Mother

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

37 of 69

CB-IMNCI-Incidence of ARI/1000

/1000

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

38 of 69

CB-IMNCI-Incidence of ARI/1000

/1000

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

39 of 69

Proportion Of Pneumonia Among New ARI Cases

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

40 of 69

Proportion Of Severe Pneumonia Among New ARI Cases

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

41 of 69

Incidence of CDD (Per 1000 children of <5yrs)

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

42 of 69

Incidence of CDD (Per 1000 children of <5yrs)

/1000

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

43 of 69

Percentage of Severe Dehydration among New CDD cases

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

44 of 69

Diarrheal Cases Treated With Zinc And ORS Among Children Under Five Years With Diarrhea

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

45 of 69

Trend of Safe Motherhood Program

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

46 of 69

Local level wise ANC 1st (any time) and 4 times ANC as per protocol % among Live Birth

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

47 of 69

Municipal wise % of Institutional Delivery

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

48 of 69

Ward wise % of CHX applied among Reported Live Birth

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

49 of 69

Safe Abortion Care

Safe Abortion Care

2074/75

2075/76

2076/77

1. No of CAC (Surgical Abortion)

 -

- 

- 

2. No of CAC (Medical Abortion)

244

237 

248

3. Proportion of <20 yrs women receiving abortion service

 6.1

2.5 

8.79

4. No of abortion complication

 -

- 

- 

5. Proportion of Long term contraception among post abortion contraception used

 11.1

11.4 

 11

6. No of PAC

 1

6 

5

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

50 of 69

Case Registered in F.Y. 2076/77

  • No. of Maternal death reported : 0 person (0 /1,00,000 L.B.)
  • No. Neonatal death reported : 0 person (0/1,000 L.B.)

  • Still Birth : = 4 Person(Fresh 0 and Macerated 4 )

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

51 of 69

Family Planning Programme: CPR

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

52 of 69

New Acceptor Among WRA

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

53 of 69

Proportion of Pills Cycle � Distribution by FCHV among Total

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

54 of 69

Malaria Control Program:�Annual Blood Slide Examination In No.

Number

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

55 of 69

TB Case Notification Rate�(PBC New & relapse and all form)

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

56 of 69

TB Case Notification Rate�(All form of TB)

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

57 of 69

Treatment Cured and Success Rate in (New PBC)

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

58 of 69

Leprosy New Case Detection Rate

/10,000

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

59 of 69

Leprosy Registered Prevalence Rate (Per 10,000)

/10,000

…… persons are receiving the Treatment.

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

60 of 69

PMTCT

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

61 of 69

% New OPD Visit Among�Total Population

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

62 of 69

% of Elderly and Female Patient �on OPD Among Total Population

%

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

63 of 69

Covid-19 Related

COVID 19 RELATED

Number of quarantine centre

3

Total available bed in quarantine

50

Number of isolation centre

0

Total available bed in isolation

0

Total PCR sample collected

31

Total infected person (COVID-19 positive) Female

0

Total infected person (COVID-19 positive) Male

1

Total number of cured cases (Female)

0

Total cured cases (Male)

1

Total numbe of death cases

0

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

64 of 69

Top 10 Health Problem FY 2076/77

S.N.

Disease

Number

1

Upper Respiratory Tract Infection (URTI) 

5088

2

Gastritis (APD)

1839

3

Falls/Injuries/Fractures

1638

4

Headache

1608

5

PUO

796

6

Acute Tonsilitis Cases

763

7

Diarrhoea Cases

758

8

Dental Caries Cases

742

9

ARI/Lower Respiratory Tract Infection (LRTI) Cases

716

10

Pharyngitis/Sore Throat Cases

653

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

65 of 69

कार्यक्रम विश्लेषण फारम

क्षेत्र

समस्याहरु

समस्याका कारणहरु

स्वास्थ्य सेवाको गुणस्तर

अनुगमनको कमी

​

स्वास्थ्य सुचना प्रणालीको एकीकृत व्यवस्थापन

DHIS तालिम नहुनु

​

तथ्यांकको गुणस्तर

ज्ञानको कमी

​

सेवा प्रवाह

कर्मचारीको अभाव

​

पूर्वाधार

२ नम्बर वडामा आफ्नो जग्गा भएर पनि भवन नहुनु

​

मानव संसाधन

पर्र्याप्त दक्ष जनशक्ती नहुनु

​

नेतृत्व र सुशासन तथा वित्तीय व्यवस्थापन

सुमुधुर नहुनु

​

खरीद तथा आपुर्ती

समयमा नै नहुनु

​

​

​

​

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

66 of 69

कार्य योजना फारम

क्र.सं.

प्रस्तावित क्रियाकलापहरु

जिम्मेवार व्यक्ती

समय सिमा

सहयोगी निकाय

१

सामुदायीक ईकाई विस्तार

​

कार्तिक मसान्त

​

२

कर्मचारी थप

​

कार्तिक मसान्त

​

३

स्वास्थ्य सामाग्री थप

​

माघ मसान्त

​

४

समय समयमा अनुगमन

​

तत्कालै

​

५

भावना माग

​

कार्तिक मसान्त

​

६

सेवा प्रदायकलाई आवश्यकता अनुसार तालिम

​

​

​

७

खोप भवन निर्माण, फर्निचर व्यवस्थापन

​

पुस मसान्त

​

८

बैठक भवन निर्माण

​

कार्यपालिकामा माग

​

९

संस्था अगाडी पहिरो व्यवस्थापन

​

माघ मसान्त

​

१०

कम्प्युटर तालिम

​

कार्यपालिका र स्वा.का. मा माग

​

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

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सुत्केरी भेटघाट कार्यक्रम

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

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मालिका धुरी, बिम/दुखु

देउताभीर गुफा, देवीस्थान

बराहताल, निस्कोट

भाले बस्ने ताल, दुखु

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..

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Thank You !

Health Directorate

Gandaki Province

समृद्ध नेपाल, सुखी नेपाली

Health Office, ……………..