The need of an Aganwadi Center was identified through baseline survey, which indicated 58 numbers of children in the age group of 0-6 years.
It is the responsibility of the Government (Dept of Women & Child Development - DWCD) to provide an Anganwadi Center for 40 and more children as per the SC order NO: PUCL vs. Union of India & Ors. Civil WP No.196/2001 date13th December 2006.
CIVIC followed this process:
06-04-2010: A formal application requesting for an Anganwadi Center was submitted by CIVIC with the People’s Committee to the Director and Deputy director – DWCD
06-05-2010: No action or communication was received. A RTI was filed asking about the departmental norms/rules that need to be followed on the original application AND actions taken on the original applications to both the Director & Deputy director – DWCD) till this day.
26-05-2010: An order was passed by the government sanctioning the Anganwadi Center (attachment) and asking the CDPO to take further actions.
07-06-2010: Deputy director – DWCD replied for the RTI application (see attachment for more) saying the CDPO has initiated the survey of children and necessary steps.
26-06-2010: An Anganwadi teacher is allotted. She visited Rajeevgandinagar to discuss with the community and to find out the building facility to start the center.
The formal discussions are on with the Taluk Panchayat for place and salary of the teacher by the DD. The outcomes in little time have shown the community of its rights and ways in which, particularly through RTI, to access them.
1.JANANI SURAKSHA YOJANA– (Helping the poor pregnant women after deliver)
Objective:Janani Suraksha scheme is continuation of the previous delivery allowance scheme of the Central Government.
The objective is to give financial assistance to the poor pregnant women during delivery
Benefits:
v1.Under this scheme pregnant women belonging to below poverty line families and SC, ST families will getanassistance of Rs. 500 if delivered at home, Rs. 600 for urban institutional delivery.
vThis benefit is available if delivered in recognized private health institutions other than government hospitals also.
Criterias:
vThe woman delivering at home or admitted to sub-center/government hospital/registered private hospital (general ward) must belong to BPL family.
vCurrent delivery must be the first or second live delivery.
vShe should be above 19 years of age and must have got ANC check up at-least 3 times.
vMust have taken Iron and Folic acid tablets and TT injection.
vSC/ST Women not belonging to BPL families are also entitled for this benefit if they are admitted to general ward of Government or Registered Private Hospital
vIncase a woman is eligible for the scheme but does not possess a BPL card, she is guided through ASHA or Anganwadi worker, to obtain a certificate to the effect that her annual income is below Rs. 17,000, from the concerned revenue authority of Gram Panchayat
MADILU SCHEME –(Caring For the mother and the child)
Objective: Madilu scheme is started by the government to provide postnatal care for the mother and the child. The objective of this scheme is to encourage poor pregnant women to deliver in health centers and hospitals in order to considerably reduce maternal and infant mortality in the state.
Benefits:
v1.The pregnant women have to register their names with the Junior Female Health Assistant of the area. The beneficiaries will get Rs. 1000 during the second trimester ante natal checkup (ie. between 4th and 6th month) and Rs. 1000 during the third trimester ante natal checkup (ie. between 7th and 9th month), totaling Rs. 2000 paid through bearer cheque.
vUnder this scheme a kit given to the mother to her infant. This scheme a kit containing: Mosquito curtain, Medium sized carpet, Medium sized bed sheet, A thick blanket for mother, Bathing Soap, Washing soap, Cloth to tie abdomen of mother, Sanitary pads, Comb and coconut oil, Towel, Tooth paste and brush, bed spread over rubber sheet for the baby, Bed sheet for baby, Bathing soap for baby, Rubber sheet for baby, Diaper, Baby vest, Sweater, cap and socks for baby, One plastic kit bag.
Criterias: The beneficiaries must belong to below poverty line families, and delivered in government hospitals. The benefit is limited to two live deliveries.
3. PRASOOTHI ARAIKE - (Care for the pregnant)
Objective:Prasooti Araike scheme was introduced for the benefit of pregnant
women belonging to below poverty line SC and ST families.
Benefits:
vThe beneficiaries will get Rs. 1000 during the second trimester ante natal checkup (ie. between 4th and 6th month) and Rs. 1000 during the third trimester ante natal checkup (ie., between 7th and 9th month), totaling Rs. 2000 paid through bearer cheque.
Criterias:
vThe pregnant women have to register their names with the Junior Female Health Assistant of the area.
vDuring every ANC checkup, the Medical Officer of the Health Center/Hospital puts the signature, date and seal on the ANC card.
vAn information booklet on the dietary requirements for the pregnant woman has to be provided by IEC wing, to each of them.
vThis facility is extended to all pregnant women belonging to below poverty line families.
The benefit is limited to the first two deliveries. The Junior Female Health Assistant has to record the ANC registration number along with noting whether it is first or second delivery
Job responsibilities of Medical Officer: · Punctuality of all the staff to be ensured.
· Maintenance of cleanliness in and around the hospital and surrounding premises by giving proper instructions to the designated staff.
· Citizen charters, attendants and patients charter should be followed.
· Conducting ANC’s deliveries operations and M.T.Ps as per the schedule.
· Maintenance of all registers like Admission, Parturition, O.T. and M.T.P. Registers properly and also ensure the maintenance of Call Book, Referral Book Minutes Book, Visitors Book, Inspection Book etc.
· Ensure up to date payment of bills like Water, Electricity, Telephone and Bread Bills and imprest amount bills regularly otherwise action to be initiated for the clearance of bills.
· Sanction of leave, increments and submission of pension papers etc. of all the officials.
· IEC programmes conduct and awareness created among patients, for the promotion of Family Welfare and Maternal Child Health Programmes.
· Active participation in all the programmes, which are implemented from time to time from higher authorities.
· Issue of Birth and Death certificates.
· Send reports and data of the performances.
· Conduct weekly meeting cum training to staff.
· Participate in all national programmes and any other work entrusted from time to tome.
Job responsibilities of ANM/LHV
· Field visits – survey and EC register maintenance.
· Supervision of the link workers.
· Conducting outreach immunization.
· Motivating women for FP Adoption.
· Distribution of OP/CC at the field level.
· ANC Registration at the field level (appraising the community)
· Conducting Awareness programme in the community on various subjects.
· Maintenance of Registers for both FP and immunization.
· Taking cases from Health Center to MH for to after they are screened by the MO.
· Assist MO in the outpatient clinic, in Health check up camps, ANC clinic, immunization clinic, MTP and IUDC clinic. In the MH assist in regular OPD.
· Active participation in all the National Programme.
· Maintaining Diaries.
· Supervision of the cleaning activity in the hospital.
· Autoclaving the instruments/syringes/needless well in Advance.
· Making Dressing and swabs and keeping adequate dressing materials ready at all times.
· Ensure washing and fumigation of OT on every Saturday in MH and once in 15 days in HC.
· Maintenance of the immunization stock register.
· Ensuring cleanliness of the linen used for patients and supervising the disinfections, etc of the linen prior to giving it to the laundry.
· Supervision of the cleanliness.
· Administering medicines and treatments as per MO’s interactions.
· Admissions and dischargers in the MH and keeping records as indicated.
· Supervision of the work of Class IV staff.
· Maintaining records and submitting required records and reports from time to time to the higher officers.
· Preparation of monthly reports/weekly reports and quarterly reports.
· Maintaining patients charts registers and reports and apprising herself of the condition of the patient.
· Providing bedside care to mother and neonates in her area where indicated. s Standard Management
Job responsibilities of Staff Nurse · Supervise the work done by Ayah/ Group D.
· Autoclave the instruments & linen required for the OT/Labor Ward. Ensure that these are kept ready a day before the conduct of operation.
· In case any instruments required for the OT are not functioning, inform the MO at earliest.
· Maintain the chart/Register of fumigation (and Autoclaving).
· Always keep ready the emergency and pre – medication drugs in the OT.
· Prepare the patient for surgery/delivery.
· Administer pre-medications to the patient as per the instructions of the MO
· Assist the MO during surgery.
· Observe the patient post –operatively as long as she is in OT.
· Assess the general condition of the patient before shifting her to the ward.
Job responsibilities of Ambulance Driver
· To attend to emergencies round the clock, including shifting of patients and bringing doctors not in the premises, to the hospitals, for the emergencies.
· To ensure admission of patient at referral hospital and ensure accompanying staff is returned to institution.
· To attend camps as per advance programme.
· To attend health units work as per advance programme.
· To maintain log book and movement register.
· To bring indents collectively for the zone as indicated by the superintendents.
· To make alternate arrangements during leave period and intimate the duty staff.
· Ensure the vehicle is cleaned and maintained, timely servicing is done and annual insurance is paid.
· First Aid kit is available.
Job responsibilities of AYAH (A) In the OT 1. Ware prescribed OT gowns while working in the OT.
2. Sweep & swab the OT everyday and clean the OT equipments.
3. Use separate cleaning material (Broom, swab, etc.) for the OT.
4. Fumigate the OT once in 15 days for minor OT and once a week in Major OT and as and when required, under the supervision of the Staff Nurse Using.
a. OT care instrument OR
b. 150 gms of potassium permanganate in 500 ml o formalin + 1 liter water for 10X10X10 sized room.
c. Carbonise OT ever day.
5. After surgery.
a. Wash and soak the instrument, gloves and lined in bleaching power solution for half an hour use one cup of bleaching powder with 10 cups of water. Thereafter clean and put up for drying.
b. Clean the OT.
c. Keep the equipments and instruments in order under the supervision of Staff Nurse.
6. Help in preparation of the patient for OT (by helping the giving enema).
7. Help in shifting the patient to the ward after the procedure.
8. Segregate the waste into following three categories and then dispose accordingly.
a. Infective
b. Non infective
c. Waste sharp
(B) In the Labour Ward
1. Maintain the cleanliness of the labour ward all the 24 hours. Intensive cleaning to be done once a week.
2. Clean the instruments and equipments.
3. Help the staff Nurse in keeping at least 5 sets of delivery kits ready at a given time.
4. provide a gown to each patient in Labour Ward before delivery.
5. Help the Staff Nurse in the preparation of patient in Labour Ward before delivery.
6. Assist the Staff Nurse at the tine of delivery and also in the initiation of Brest feeding.
7. Clean the labour ward cot after each delivery.
8. Shift the mother and baby to the postnatal ward after 2 hours of delivery under the supervision of the Staff Nurse.
(C) In the Maternity Ward
1. Prepare the beds for the patients in advance.
2. Supply milk/bread to the patients as per rules.
3. Wash the solid linen every day.
4. Supply hot water to the patients.
Job Responsibility of Poura Karmikas (PKs) 1. Maintain the cleanliness of the Maternity Hospital and the surrounding premises. Sweep the compound daily.
2. Keep the toilets clean by cleaning then regularly using disinfectants, at least three times daily. Clean with Bleaching powder at least twice a week.
3. In the labour room, dispose off the placenta under aseptic precautions.
4. Assist the Ayah in all the work.
Job Responsibility of House Keeper 1. Ensure premises inside and outside the hospital is clean.
2. Ensure cleanliness is provided to patients and changed daily.
3. Ensure toilets are cleaned at 7.00 AM, 2.00 Pm & 9.PM.
4. Ensure major OT/Minor OT and labour ward are fumidated as per requirements.
5. Ensure visiting hours are strictly regulated.
6. Check Biological Waste Handling and disposal is done as per norms.
7. Monthly dairy rosters of all personnel are prepared.
8. Attend to any patient’s grievances.
9. Ensuring washing of wards, OPD as per schedule once a week.
10. Ensure washing of windows, sinks and lockers, fans, lights and roof is cleaned weekly.
11. Check emergency tray in O.T., Labour ward & OPD daily along with Oxygen Cylinder.
Job Responsibility of Peon
1. Allow the visitors to see the patient only during the visiting hours.
2. Allow only one visitor per patient to stay during nights.
3. Remove the cobwebs in the entire hospital once in a week.
4. Clean all the windows, lockers veranda, and all the sofas every day and swab them once a week.
5. Periodic cleaning of Roof.
6. Help the Staff Nurse in autoclaving.
7. Maintain working condition of the solar water heater.
8. Ensure pumping of water regularly, and control lighting (switching on and off) in the hospital. Report any lapses/ problems immediately to the MO.
9. Supply water to Ayahs for ward cleaning.
10. Maintenance of the materials and furniture, which are kept aside.
11. Look after Tappa! Duties.
12. Ensure that no one smokes tobacco and/or Chews Betel Leaves in the premises.
13. Ensure security to the hospital.
14. Maintain garden.
Laboratory Tests available at Dispensary
Service Charges under each service
Cleaning/laundry Services
• To maintain cleanliness of the hospitals BBMP has privatized cleaning services and Security services to all Maternity homes & Ref Hospitals, New health centers / Urban family welfare centers /
Dispensaries.
• Laundry services is also privatized.
· Bio-Medical Waste management is by Maridi and Ramky. Co
