Presented by:
Dr. P.N. Bora
State Programme Manager
NRHM, Assam
Indicator Assam India
61 46 53
(Source SRS,
(Source SRS, RGI, (Source 2009,
IMR January 2011) CES, RRC-NE)
RGI, October
2009)
2.6 2.6
TFR (Source RGI, 2009)
(Source RGI,
2009)
Sl. Total unmet need
District For spacing (%) For limiting (%)
No. (%)
1 Barpeta 23.7 6.3 17.4
2 Baska 20.9 4.2 16.7
3 Bongaigaon 36.8 6.7 30.1
4 Cachar 23.7 5.4 18.3
5 Chirang 27.4 7.5 19.9
6 Darrang 15.6 5.2 10.4
7 Dhemaji 20.5 6.3 22.3
8 Dhubri 37.2 10.1 27.1
9 Dibrugarh 32.0 7.4 24.6
10 Goalpara 20.5 5.8 14.7
11 Golaghat 47.0 8.6 38.4
12 Hailakandi 21.4 5.6 15.8
13 Jorhat 22.7 5.9 16.8
14 Kamrup Metro 30.9 6.5 24.4
Sl. Total unmet need
District For spacing (%) For limiting (%)
No. (%)
To Prepare District Level Action Plan indicating fix strategy and camp
approach for sterilization (male and female) with schedule (date, place and
time).
To ensure fixed day LS / PPS / Mini Lap / NSV operation every week in
district hospital, SDCH and FRUs. Every two months CHC/PHC
To ensure IUD insertion every week in all health institution and in the Sub
center in Govt. building where trained GNMs/ANMs are there.
Regular Male & Female sterilization camps at Block PHC, CHC, FRU
bimonthly.
Important Issues to be taken up by the
districts
Camp Approach
Activities:
– Block PHC and CHC where fixed day sterilization
services are not possible will organise LS or NSV
Camp once in two months. The enlisted beneficiaries at
the SC are to be collected by i/c, BPHC every month.
STRATEGY 6
Contd…
STRATEGY 6
Nagaon -1207
Barpeta -600
Udalguri -524
Cachar -519
Sonitpur -480
Darrang -260
Lakhimpur -231
Dhemaji -226
Tinsukia -156
Karimganj -145
Kamrup(R) -140
Nalbari -100
Sivasagar -75
Morigaon -69
Kokrajhar -60
Bongaigaon -55
Dhubri -43
Comparative performance of NSV
Dibrugarh 289
Baska 179
Hailakandi 155
Jorhat 136
Golaghat 58
K-Anglong 56
Goalpara 31
Chirang 9
N.CHills 0
ACTIVITES TO BE PERFORMED AT THE
DIFFERENT LEVELS
Village Level
–IEC / BCC Materials are to be made available for ASHA, AWW and
ANM.
–ASHA will act as a depot holder for Condom, Oral Pill and E-Pill.
Regular replenishment of the contraceptives on exhaustion is to be
ensured by ASHA Facilitator, DCM and Pharmacists of the Block.
Sub Center Level
Fixed day for family planning counseling along with Ante Natal and
Post Natal check up is to be ensured.
JSY Beneficiaries are to be motivated for accepting Post Partum
Sterilization and refer the acceptor to FRU/CHC/SDCH/DH where
PPS can be done.
All contraceptives (Condoms, Oral Pills, E-Pills) are to be made
available throughout the year.
A day is to be fixed for IUD insertion.
All GNM and ANM will have to be trained in alternate methodology of
Copper-T 380A
Doctors trained in MTP will perform safe abortion using MVA/EVA
IEC materials for NSV is to be distributed among the male member of
the eligible couples
One NSV workshop cum training for MO is to be organised registering
at least 20 acceptors (State Level Trainers is to be invited).
Block PHC Level
The list of ANM trained for IUD insertion are to be prepared and target
is to be given after calculating ELA of a particular Sub Center. The
ANM working in the Sub Center having Govt. Building are to be
selected for IUCD Training.
VHND is the best platform for IPC and counseling of eligible couple.
DCM, DME, BPM, ABPM, BEE, Health Educator will monitor and
guide ANM how to perform IPC and Counseling to the Eligible Couple
by visiting VHND regularly
Reporting of FP Activities from April 2011 as per
following format
REPORT ON No. of Camps (Male and Female Sterilization)
YEAR:
Month:
Total Cumulative Female Sterilization Total Cumulative
NSV Camps during
Sl BPHC for the Year Camps during the for the Year
the Month
Month
1 2 3 4 5 6
Reporting of FP Activities from April 2011 as per
following format
1
No. of acceptors with 4 or more children
Total
At NSV Camp
No. of acceptors with 1-2 children
Fixed day for family planning counseling along with Ante Natal and
Post Natal check up is to be ensured.
JSY Beneficiaries are to be motivated for accepting Post Partum
Sterilization.
All contraceptives (Condoms, Oral Pills, E-Pills) are to be made
available throughout the year.
A day is to be fixed for IUD insertion.
Fixed day female sterilization (LS and PPS) is to be observed strictly
Doctors trained in MTP will perform safe abortion upto using
MVA/EVA
IEC materials for NSV is to be distributed among the male member
of the eligible couples
One NSV workshop cum training for MO is to be organised
registering at least 20 acceptors (State Level Trainers is to be
invited).
MO-MBBS are to be trained for conducting mini lap (PPS)
District Hospital/ SDCH Level
Contd..
District Hospital/ SDCH Level
Contd…
District Level
Condom
Oral Pill
IUCD
Thank you