Rangamati ABC Diagnostic Center Docs.ppt
- 1. Performance Sharing Performance Sharing Meeting Meeting Name of the presenter Dr. Shahid Talukder Civil Surgeon Rangamati Hill District.
- 2. Demographic & Administrative Profile of the District,Rangamati. Total Population in endemic Area: 680606 Male in endemic Area: 346288 Female in endemic area: 3343018 Population in endemic area according to age group: <1 yr 1-5 yr 5-14 yr 15+yr 14762 68060 119497 478287 No. of Household in endemic Area: 168630 No. of Community Clinic: 103 No. of Union sub-centre: 48 Name of working NGO(s): BRAC, RHDC,Smiling Sun Clinic, Christian Mission Hospital, Hill
- 3. Manpower of the District Position Total Posts Presently occupied GOB Sector Doctors: 176 93 Nurses: 225 171 HI: 13 08 AHI: 37 34 HA: 185 159 MT (Lab): 23 22 Statistician: 11 9 CHCP: 139 137 NGO Sector District Manager: 2 (BRAC), 2 Supervisor 10 10 Field Organizer: 43 43 Lab Tech: 32 32 Shastho Kormi: 228 228 Shastho Sebika: 665 665
- 4. EDPT : GOB EDPT : GOB (January’2018-February’2019) (January’2018-February’2019) Year Total Test done (Microscopy + RDT) Total +ve Pf Pv Mixed UM SM Death 2018 28265(1159 4+16671) 424 400 23 1 383 18 21% of Brac 2019 (Up to Feb) 2637 18 15 2 1 16 0 16% of BRAC
- 5. EDPT : NGO EDPT : NGO (January’2018-February’2019) (January’2018-February’2019) Year Total Test done (Microsc opy + RDT) Total +ve Pf Pv Mixed UM SM Death 2018 120696 2590 2303 226 61 2364 0 -0 2019 (Up to Feb) 16374 131 113 16 2 115 0 0-
- 6. Present Status of Drugs & Diagnostics Present Status of Drugs & Diagnostics (January’2018-February’2019) (January’2018-February’2019) Ite m Prev ious Stoc k Received Consumed Balance Coar tem (cou rse) 6 tab-1200 12- 1200 18- 2550 24- 6690 1035 1045 1370 4640 165 155 1180 2050 RDT 153360 127970 25390
- 7. LLIN/ ITN coverage in Upazila / District: LLIN/ ITN coverage in Upazila / District: (January’2018-February’2019) (January’2018-February’2019) Year Total LLIN Distributed (1) Total Household (2) Coverage 2 net/HH {(Total LLIN ) ÷2 / Total HH} * 100 2018 18200 2019 (Up to Feb)
- 8. Report from Community Clinics in Report from Community Clinics in (January’2018-February’2019) (January’2018-February’2019) Year Number of CC Number of CHCP Number of Test done Number of +ve cases 2018 96 137 4285 31 2019 96 137 587 0
- 9. Monitoring & Supervision Monitoring & Supervision (January’2018-February’2019) (January’2018-February’2019) Year Number of Scheduled visit Number of visit conducted Key Findings Measures undertaken 2018 40 2019 (Up to Feb) 10
- 10. Monthly Performance Sharing Meeting Monthly Performance Sharing Meeting (January’2018-February’2019) (January’2018-February’2019) Year Number of Schedule d meeting Number of meeting conducted Key Findings Measures undertaken 2018 12 12 Case trend is lowering till to May and increased upto July but lower than previous year : Logistic supply is ok : BCC activities is satisfactory : Additional case screening in response to positive cases is done by both Gov-NGO : Special Health camp by NGO and SMT are done. Case reduction 64% than previous year Weekly upozilla wise positive cases reporting : Every Severe malaria case is treated co-coordinately followed by home visit for additional cases : Close monitoring of hot spot villages from district chief Health Personnel. 2019 (Up to 2 2
- 11. Obstacles and Limitation Geographical inaccessibility even having some never to reach areas along the boarder with India & Myanmar Delay in EDPT. Its hard to catch all patients having symptoms of malaria within 24 hours at hard to and never to reach areas Delay in Severe malaria case and pregnant women to reach at secondary and tertiary level hospital due to very poor communication facilities and low socioeconomic condition Cultural and social stigma Cross broader challenges.
- 12. Suggestion and Recommendation Special transports to move from district to upozillas and within the upozillas for 4 mostly affected upozillas Joint effort with different forces institutional health services to work in never to reach areas is needed. Involvement and engagement of community leaders may impact a great role for diagnosis and treatment of malaria disease earlier. Special planning for four upozillas by the UH&FPO and his team is recommend and implementation of the planning is also important. A well-equipped floating hospital in the lake areas to ensure early treatment of severe malaria cases, we can consider a proposal. Reinforcing of monitoring, supervision and surveillance activities.