1. health and fitness

PROGRESS REPORT
THE AAP KI SEHAT
JULY - SEPTEMBER 2013
A BRIEF REPORT OF PROGRESS MADE BY AAP KI SEHAT IN IMPROVING HEALTH CONDITIONS
IN RURAL PAKISTAN DURING THE PERIOD JULY 01 THROUGH SEPTEMBER 30, 2013
PROGRESS THIS QUARTER
PROGRAM PROGRESS & DEVELOPMENT
1.
Site for new units finalized
In Mardan and Sahiwal, regional managements short listed two sites Mulkiyan palow & Khatako palow as
site #1 and Akbar Abad, Sher poor, Fazal Abad & Nazar Abad as site # 2 in Mardan region and Chak #
60/5.L & 58/5-L in Sahiwal. The regional managements conducted several broad based community meetings
to ascertain willingness of community active participation by presenting working methodology, role of the
organization and role of the community etc. In these meetings community members came up with different
questions and queries. All the questions were answered to their satisfaction. Respective regional
managements finalized site # 1 (Mulkiyan palow & Khatako palow) as site for unit # 39 in Mardan and chak
60/5-L as site for unit # 41 in Sahiwal.
2.
Graduation of a unit
Graduation of units is the premise of AAP KI SEHAT i.e. to educate communities, build their capacities and
let them move forward putting in practice the learnt skills with technical support of AAP KI SEHAT and
replace them with new communities to be benefited by the AAP KI SEHAT program interventions to complete
project cycle of three years.
Regional managements of Mardan and Sahiwal regions conducted several trainings and meetings with
communities of unit # 30 & 31 and unit # 31, 32, 33 & 34 respectively before finally graduated out AAP KI
SEHAT program at different times during the quarter under reporting, after completing three year project
cycle. AAP KI SEHAT staff shared achievements of community in the shape of improvement in health
indicators and positive change in behavior of community members through health education and
participation of the community. The communities were given training on sustainable development
techniques of community development. Communities were assured of AAP KI SEHAT technical support &
assistance including training facilities for the communities on request to learn new and contemporary
information and skills for not only maintaining but also improving health and development indicators of their
own. They really appreciated the change but at the same time staff was a bit apprehensive about their jobs.
It was made clear to them AAP KI SEHAT takes into account collective benefits and bigger task of community
development.
3.
Baseline survey completed
In Sahiwal and Mardan, field staff of unit # 40 and unit # 38 started collecting data on demographics and
knowledge and practices of health indicators for the baseline survey after receiving appropriate training in
AAP KI SEHAT baseline survey methodology and project interventions. The baseline survey of unit 40 of
Sahiwal region was started on June 17 and completed on August 28, 2013. Baseline survey of unit # 38 of
Mardan region started on June 24 and completed on September 7, 2013. The supervisory staff remained
around not only to help the surveyors on difficult situations but also to correct for their mistakes and
error/omission. Regional supervisory staff validated the baseline survey data by taking 5% random sample.
In Sahiwal, there were 4083 people residing in 778 households in unit # 40 and there were 4388 people
inhabiting in 707 households.
4.
PHC interventions started
In Sahiwal, baseline survey of unit # 40 has been completed on August 28, 2013. After receiving a five-day
refresher training on AAP KI SEHAT PHC and Community Development interventions the field staff started
out AAP KI SEHAT PHC and Community Development interventions on September 13, 2013 under direct
supervision of supervisory staff who remained there to rectify any problem arose during field work through
motivation, knowledge sharing and re-training.
5.
Data digitization completed
In Mardan, process of digitization of baseline survey data of unit # 38 has been completed during the quarter
under reporting. The regional supervisor checked out all survey forms for errors/ omissions and then handed
over to Admin and Finance assistant for data entry. All 707 forms fully digitized during the month under
reporting.
6.
Data digitization underway
In Sahiwal, process of digitization of baseline survey data of unit # 40 remained underway during the quarter
under reporting. Till filing of this report, data of 100 households have been digitized.
7.
Campaign against Dengue
In Sahiwal, field staff launched a campaign against Dengue fever during the month under reporting. The
field staff educated community members on its mode of spread and vector of the disease which breeds and
nurtures in fresh water. The field staff also educated them on prevention of the disease as there is no
treatment available yet. Field staff provided information on protection from dengue as to keep water pots
covered, do not keep water in open pots, keep the plant pot dry, in and around houses, keep room coolers
devoid of water, keep body covered at dawn and dusk, keep garbage away and do not let water to
accumulate in things like old tyres etc.
8.
Training Coordinators - first level referral
In Mardan and Sahiwal, Training Coordinators carried out monitoring of AAP KI SEHAT field interventions
alongside other supervisory staff at household level in all operational units. Training Coordinators also
provided consultative services during field visits to the referred cases especially on maternal and child
health. Training Coordinators conducted examinations of all those referred to her. They not only educated
the community members but also motivated them and encouraged them to keep on practicing newly learnt
positive healthy behaviors. They also referred all high risk cases to nearby government health facility for
more elaborate examination and health care. They went over household and unit records and checked them
for accuracy and completeness. They also took skills and knowledge test of field staff and conducted handson training on topics need retraining. They assessed knowledge of respondents at household level by using
AAP KI SEHAT monitoring tool.
Training Coordinators at both places also helped Regional Supervisor in monitoring baseline surveys going
on in unit # 38 and unit # 40 respectively.
9.
Scarcity of vaccine
The problem with availability of vaccine, especially of TT, BCG, Penta and Measles, continues to hamper
getting vaccinations targets achieved in both regions. Reason being previously Federal government used to
provide all kind of vaccine but due to devolution now purchase of vaccine is a provincial matter. Regional
managements are working in close contact with district health officials and are endeavoring hard to get their
target achieved.
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10.
Follow-up of graduated out units
In Sahiwal, regional management continued to provide technical support and services to the communities
of graduated units. Supervisory staff visited graduated unit # 9 and 32 during the month under reporting.
AAP KI SEHAT supervisory staff worked together with Unit Committee and discussed matters of development
and other issues of community interest especially registration of the Unit Committee as Community Citizen
Board. Regional supervisory staff provided technical support and guidance to the community on the
subjects/ area selected/ identified by the community structure.
11.
Continuous Education of Medical Practitioners and Barbers
AAP KI SEHAT field workers continue to coordinate and educate local barbers and medical practitioners on
the mode of transmission of Hepatitis B & C, AIDS and other communicable diseases and methods to avoid
them along with their critical role and even bigger responsibilities. Field staff also educates community
members about the mode of transmission and their role and responsibilities in avoidance of the diseases.
Communities and health care providers and barbers are continuously educated on the importance of using
new syringe for every injection, using new needle for ear and nose pricks, and other piercing instrument to
avoid direct implant of blood. Both communities as well as care providers are being educated on importance
of using disposable razor to avoid such deadly diseases.
Now a visible change can be seen especially in service providers. At least they have started talking about
hazards of used syringes and razors.
12.
Health education in Schools
In Mardan and Sahiwal, AAP KI SEHAT field staff conducted health education sessions for schools teachers
and students in the project areas. In the health education sessions, during the month of August 2013, field
staff educated on the themes like prevention of Malaria; Dengue; importance of Personal Hygiene; Potable
water; Balanced Diet and causes of Diarrhea and making ORS & role of ORS in dehydration.
13.
Monitoring of field activities
In Mardan, Regional Supervisor checked and verified household records of 135 households and Training
Coordinator monitored 179 households of all operational field units during the quarter under reporting.
During household visits, household records of Growth Monitoring and EPI were checked for accuracy and
completeness. Training Coordinator also monitored knowledge of women at household level. All the
mistakes/ weakness found in records/ knowledge were got corrected on the spot through instructions and
short hands-on training. Also deficiencies found in knowledge of field staff were made up through monthly
hands-on training of field staff.
In Sahiwal, Regional Supervisor visited 130 households and Training Coordinator monitored 150 households
for checking and verification of records in all operational units during the quarter under reporting. During
the monitoring visits, supervisory staff checked field records for completeness and accuracy. Any deficiency/
mistakes found in the records were made up through instructions and hands-on trainings. The supervisory
staff also monitored knowledge at household level.
Field equipment was also checked for their functional orderliness and found in good working order.
All regional supervisory staff used AAP KI SEHAT monitoring tool to assess knowledge of beneficiaries at
household level.
14.
Field staff congregations
Field and managerial staff congregated in corresponding regions to discuss progress and problems pertaining
to implementation during the month under reporting and finalized work plans for the forthcoming month.
Field staff spoke about shortage of vaccine which is impeding achieving immunization objectives.
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SOCIAL MOBILIZATION & COMMUNITY DEVELOPMENT
1.
Citizen Community Board registration
In Mardan, organized communities of unit # 27, 30 and 34 got their Unit Committees registered as Citizen
Community Board with Social welfare Department Mardan as a result of their concerted efforts. The Unit
Committee of unit # 27 registered under registration # DO/SW/864, Unit Committee of unit #30 under
registration # DO/SW/ 863 and Unit Committee of unit # 34 registered under registration # DO/SW/868.
Now the communities will get development funds to take local development initiatives and have been made
them more independent.
2.
Cleanliness campaign
In Mardan, organized community of unit # 33 carried out a cleanliness campaign on August 17, 2013 in the
wake of decision made in the last Unit Committee meeting. The community members brought instruments
of cleaning including wheelbarrow to remove litter at a distant place out of village. The participants remove
silt and solid waste including plastic bags from the drains to ensure free flow of waste water. Participants
expressed gratitude over the successful endeavor and further decided to educate community other members
to avoid tossing of solid waste into the streets which usually gets into the drains causing chocking.
3.
COs’ meetings
In both regions, members of COs’ held their meeting to discuss local problems, issues and opportunities of
development available to make progress. The process of formation of community organization is underway
in AAP KI SEHAT project units. Social Organizers attended several community meetings in AAP KI SEHAT
units to sensitize and motivate community members to take on challenges of development once organized.
4.
Formation of COs
In both regions, Regional Supervisors, Female Volunteer Health Assistant and Male Volunteer Health
Assistant educated on importance of community organization and Social Organizer carried out individual
and corner meetings in different newly added units. Social Organizers underscoring importance of
community organization and its role in getting local problem solved through concerted efforts. These
meetings helped create mass awareness among villagers. Social Organizers also highlighted the need of
active community participation to achieve the development goals. AAP KI SEHAT intervention regarding
community organization and motivation was also discussed in detail.
5.
Unit Health Committee meetings
In Mardan, members of unit committee members of unit # 32 convened on September 23, 2013, at Hamza
Khan Killi. The meeting discussed importance of fund raising at length with special reference to local
development initiatives on self-help. It was decided to collect donations/ contribution from the members
and from other motivated community members. They collected Rs. 900/- on the spot. It was also decided
to keep track record of each and every penny either collected or spent.
Members of unit committee of unit # 33 convened on September 23, 2013, at Palosay killi. The meeting
discussed the importance of getting registered as Citizen Community Board with emphasis on members to
the requirements for submission of documents. It was decided to broaden the membership of Unit
Committee and make sure that every member must provide photocopies of their ID cards as well as
membership fee in time to be able to submit application.
Members of unit committee of unit # 34 convened on September 17, 2013, at Aziz abad killi (Fatima). The
meeting discussed the current issues being faced in the unit area especially problems related to
infrastructure. The meeting formulated a five-member committee to identify such problems to work on.
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Members of Unit Committee of unit # 35 convened on September 26, 2013, at Khud-e-Noor killi. The
meeting discussed the importance of registration as Citizen Community Board to carry out development
work at local level. It was decided to get Citizen Community Board registration as early as possible.
In Sahiwal, members of both female unit committee of unit # 35 held their meetings on August 22, 2013.
The meeting discussed the importance of environmental hygiene with special reference to stagnant waste
water in streets. It was further discussed that solid waste thrown into the dilapidated drains causing the
issue. The meeting decided to educate people to avoid tossing of solid waste into the streets and drains
which ultimately results in chocking of drains which may result in outbreak of Malaria and Dengue fever.
Members of female unit committee of unit # 37 convened on August 17, 2013. The meeting discussed the
importance of environmental hygiene with special reference to heaps of litter in the streets. It was observed
that people tossed solid waste into the streets rather than to put aside in the house to dispose it off proper
later on. It was further discussed that solid waste thrown into the dilapidated drains causes chocking of
drains. The meeting decided to educate people to avoid tossing of solid waste into the streets and drains to
avoid disease spread especially Malaria and Dengue.
6.
Social Organization and Community Development activities round-up
During the community meetings held in Mardan the participants discussed Importance of Immunization;
Growth Monitoring and Promotion; potable water; Balanced Diet; Iodine Deficiency Disorder & Iodized salt;
Personal hygiene; Prevention of Hepatitis and role of ORS/ ORT in management of Diarrhea. The participants
also discussed developmental issues like importance of organization and CO formation in their meetings.
In Sahiwal, field staff facilitated community meetings to discuss health and related developmental issues.
The communities discussed importance of Balanced Diet; Potable water; Environmental hygiene; Proper
disposal of solid waste; proper disposal of human waste; prevention of Dengue; Typhoid fever; Tuberculosis
(TB); Diarrhea and role of ORS/ ORT in management of Diarrhea and protection from scorching heat in their
meetings with special reference to health. The participants discussed thoroughly the following developmental
issues like importance of organization; AAP KI SEHAT; cleaning & construction of drains and village profile
in the meeting.
HUMAN RESOURCE DEVELOPMENT
1.
Training on data compilation
In Sahiwal and Mardan, regional managements conducted one-day training of field staff of unit # 39 and 40
and unit # 38 respectively on baseline data compilation during the quarter under reporting. The trainings
were conducted in respective regional office buildings. Regional Supervisors and Training Coordinators were
the trainers. The trainers went over all segments of baseline survey form and how to extract information
from these forms. They also emphasized importance of data collection, recording, accuracy and its timely
reporting for decision making. They also highlighted how to fill out data collection tools according to different
target populations. This improved dexterity of the field staff and they filled out all target populations on
different data collection tools after extracting relevant information from baseline survey forms.
2.
Refresher initial training
In Mardan and Sahiwal, five-day refresher trainings of field staff of unit # 38 and unit # 39 respectively
have been conducted during the quarter under reporting, after completion of baseline surveys. The purpose
of the trainings were to refresh field staff knowledge and skill before start of activities at household level.
The trainings were held at respective regional office buildings and Regional Supervisors and Training
Coordinators were the trainers. They went over all the topics/ interventions to refresh trainees’ knowledge
and skills acquired during initial training conducted before start of baseline surveys.
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3.
Community training for recruitment
In Mardan and Sahiwal, , regional managements conducted three-day community trainings for recruitment
of field staff of unit # 38 from September 12 through 14, and for unit # 41 from September 16 through 18,
2013 respectively. The community trainings were held in field settings. In Sahiwal, out of the twelve
participants three were male and nine were female and in Mardan out of seven participants four were female
and 3 were male. The trainers went over importance of primary health care, role of field workers, AAP KI
SEHAT field interventions. Before start of the training, selection criteria and methodology was explained. All
the topics covered one by one. At the end of the training participants were asked to present topic of their
choice and evaluated for different skills of communication. One male and two female candidates with highest
scores at each place were offered jobs and they accepted it.
4.
Initial training
In Mardan and Sahiwal, regional managements started two-week initial training of field staff on AAP KI
SEHAT interventions and baseline survey of unit # 39 and unit # 41 respectively. The trainings were held
in respective AAP KI SEHAT regional offices from September 10 and 19, 2013 respectively. Regional
Supervisors and Training Coordinator were the lead trainers and used mixed methodology partly didactic
and partly participatory. Before start of the trainings a pre-test was taken. Every participant was provided
with writing materials as well as hands/ training manual. The trainers apprised the participants of AAP KI
SEHAT goals and objectives and their importance. The trainer also explained importance and execution of
each and every intervention and its contribution of realizing objectives and goals. At the end of the training
a post-test was taken to assess the dexterity of the field staff which came out to be satisfactory.
5.
Training attended
In Sahiwal, AAP KI SEHAT supervisory staff attended a short First Aid training organized by Rescue 1122 at
PTCL training hall on September 19, 2013. The participants were apprised of how to stop internal and
external bleeding. The trainers also acquainted participants with how to check vital signs (heart and
respiratory rate) and resuscitation procedure in case of cardiac standstill and /or holding of breath. Regional
Supervisor also requested training team of Rescue 1122 to organize the same short training for whole AAP
KI SEHAT field staff and the team assured of conducting such training in near future.
6.
Refresher training
In Mardan, regional management conducted one-day refresher training of all field staff on importance and
methods of family planning. The training was held on August 5, 2013, at regional office building and Training
Coordinator was the resource person. The trainer discussed importance of family planning in connection
with the current situation in Pakistan, different temporary and permanent child spacing methods, their
efficacy and side effects as well as motivational themes.
7.
Refresher training
In Mardan, regional management conducted one-day refresher training of all field staff on filling out Monthly
Health Summaries. The training was held on July 5, 2013, at regional office building and Regional Supervisor
and Training Coordinator was the resource person. The trainers discussed guidelines for filling out the
reporting form and provided support to prepare first report under direct supervision. Now both of trainers
as well as trainees are confident that field staff would prepare progress report independently.
8.
Training workshop attended
In Mardan, Regional Supervisor attended five-day training workshop jointly organized by National Disaster
Management authority Pakistan, Provincial Disaster Management Authority Khyber Pakhtunkhwa and
Humanitarian Country Team Pakistan. The training workshop was held in a local hall from July 1 through 5,
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2013. Total of 38 participants from 7 different NGOs and GOs attended the training workshop. The trainer
highlighted the role of different Humanitarian groups in man-made as well as natural disasters.
The coordinator discussed in detail procedure, planning, coordination and implementation process of the
networks in disasters. He further elaborated on coordination mechanism between these networks and
government agencies during and after the disasters and role of Office for the Coordination of Humanitarian
Affairs (OCHA) which is responsible for bringing together humanitarian actors in Pakistan to ensure a
coherent response to emergencies and to assist people when they most need humanitarian assistance. He
also highlighted funds generation mechanism of UN agencies for meeting emergencies and disasters
throughout the world.
Every day is marked with group work. Group Leader presented his group work. Other participants asked
questions of their interest which were replied. At the end of the worked DCO distributed training certificates
among participants.
9.
Community capacity building
In Mardan, regional management of AAP KI SEHAT Mardan region conducted community capacity building
trainings of unit committees of unit # 32 (Hamza Khan killi), Unit # 33 (Palosay) unit # 34 (Azizabad), unit
# 35 (Khud-e-Noor killi) and unit # 36 (Gala Dhier) in respective unit offices on during the qurter under
reporting. The trainings were conducted in the field settings on the topic of Fundraising, Planning and
Management. Total 52 unit committee members participated in the trainings. The Regional Supervisor and
Social Organizer were the trainers.
In Sahiwal, two trainings of male and female Unit Committees of unit # 40 were conducted on August 20,
2013 in field the backdrop. Total of 19 participants attended the trainings on ‘Fund Raising’ and Regional
Supervisor and Assistant Social Organizer were the trainers. Mixed approach was adopted which was partly
didactic and partly participatory. Now communities look more confident after attending the training
workshops.
10.
Hands-on trainings
In both regions, regional managements conducted hands-on training of field staff on issues came into notice
while monitoring of field activities during the month under reporting. These focused trainings were conducted
on need basis within the units. The deficiencies in knowledge or skill or queries of field staff were taken care
of. This was further strengthened with one day short training on the day field staff congregated for monthly
meetings.
11.
Field staff knowledge test
Field staff knowledge and skill test was carried out by regional managements at respective regional offices
during the month under reporting. The random questions from almost all interventions were included in the
written test to assess the dexterity of the staff. After that a hands-on training was conducted on the basis
of result of the test.
INTERACTIONS/COLLABORATIONS
1.
Polio Day (SNID)
In Sahiwal, AAP KI SEHAT participated in Special National Immunization Day (SNID) as a part of Polio
Eradication Campaign observed in collaboration with WHO, UNICEF and other allied donors. The National
Immunization Day was observed from July 1 through 3, 2013. AAP KI SEHAT Sahiwal field staff participated
enthusiastically along with public sector Polio teams. During the SNID campaign, AAP KI SEHAT teams tried
their level best to ensure administering polio drops to each and every child in project areas.
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2.
Coordination meeting with regard to NID
In Sahiwal, Regional Supervisor attended meeting with district health authorities on August 5, 2013. The
meeting was called upon by district health authorities and was held in the DCO office Sahiwal. Purpose of
the meeting was to finalize the National Immunization Day (NID) plans schedule on August 19 through 21,
2013. The meeting was chaired by DCO and told that special teams of officers’ grade 17 and above had
been established to monitor the performance of Polio teams. The meeting was also attended by
representatives from UNICEF, religious scholars and line departments and NGOs. EDO (H) and DO (H)
briefed the meeting on current situation and told that 791 teams would be constituted along with 109 teams
stationed at fixed places and 70 teams would be on the move at bus terminal/stops and Railway station to
give out Polio drops to commuting children and a few teams to would visit brick kilns and nomad
communities. For all these activities to be carried out in smoothly and effectively a total of 2080 workers
would participate in the NID activities. All the participants attending the meeting pledged to participate
enthusiastically in the campaign.
3.
Polio Day (NID)
In Sahiwal, AAP KI SEHAT participated in Special National Immunization Day (SNID) as a part of Polio
Eradication Campaign observed in collaboration with WHO, UNICEF and other allied donors. The National
Immunization Day was observed from August 19 through 21, 2013. AAP KI SEHAT Sahiwal field staff
participated enthusiastically along with public sector Polio teams. During the SNID campaign, AAP KI SEHAT
teams tried their level best to ensure administering polio drops to each and every child in project areas.
4.
Measles Day meeting
In Sahiwal, Regional Supervisor attended a coordination meeting called upon by District health authorities
in DCO office on September 2, 2013. The meeting was held in connection with upcoming vaccination against
Measles campaign from September 5 through 14, 2013. In the meeting EDO (H) and DO (H) gave
presentation on the current situation. During the last year 615 cases of Measles were reported but was no
casualty taken place. This year no case of Measles has been reported this year. In the briefing it was told
that Sahiwal was included in the 12 District of Punjab province where the campaign had been announced.
All children from age 6 months through 10 years will be vaccinated during the campaign.
5.
Campaign against Measles
In Sahiwal, the recent Measles outbreak claimed death of huge number of children on one hand and scores
of children affected and hospitalized on the other hand. During the quarter under reporting, AAP KI SEHAT
participated in campaign against Measles in collaboration with District health authorities in project areas
from September 5 through 14, 2013. Children of age between 6 months to 10 years were vaccinated in the
project area during the campaign. AAP KI SEHAT field staff also educated community members to isolate
affected children from healthy ones and sought medical help. They also educated on importance of
vaccination in this regard and motivated community to get their children vaccinated as soon as possible.
VISITORS
1.
Functionary from AWAZ Welfare
2.
PEACE Coordinator visited
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IV.
STATUS OF ONGOING ACTIVITIES
Table A
(ANTENATAL CARE)
The following table showing distribution of pregnant women during current month & last month by number, new
pregnancies added to Maternal Care Program for antenatal examination, the % of them examined and their pregnancy
status in each region during September 2013.
Unit
#
Region
Mardan
Sahiwal
New
Pregnancies
1-31
32-37
1-33
34-40
Total
Pregnancies
Current
month
Last
month
28
72
75
39
118
108
Status
Examined
%
Green
Graduated units
100
26
Graduated units
98
45
Weight gain
Yellow
Red
<1
Kg
%
≥1
Kg
%
62
12
0
100
55
0
0
86
Table B
(Pregnancies Outcome)
The following table showing distribution of pregnancies outcome registered with Maternal Care Program, number of
antenatal examinations done, number of TT inoculation before termination of pregnancy and complications developed
during delivery in each region during September 2013.
Unit
Region
Ende
d#
Live
%
Still
%
Abort
%
32-37
1-33
30
100
2
0
34-40
45
99
0
6.01504
#
Mardan
Sahiwal
Antenatal
examinations
Pregnancy outcome
Twin
%
1-31
<2
%
≥2
%
Tetanus
Toxoid
Complications
<2
%
≥2
%
%
0
100
0
17
83
6
Graduated units
3
0
100
Graduated units
5
20
80
Table C
(Postnatal & Neonatal Care)
The following table showing distribution of pregnancies ended by number, distribution of delivery assistants by
category and distribution of place of delivery in each region during September 2013.
Region
Mardan
Sahiwal
Delivery Assisted by
Pregnancies
ended #
Untrained %
32-37
1-33
30
0
34-40
45
30
Unit #
1-31
None
Trained %
%
Graduated units
100
0
Graduated units
70
9
0
Home
%
Place of Delivery
Hospital
MCHC
%
%
Others
%
70
30
0
0
34
52
14
0
Table D
(Postnatal & neonatal care)
The table showing distribution of pregnancies ended, postnatal care provided, neonatal care and initiation of breast
feeding reported in each region during September 2013.
Birth Weight
Region
Mardan
Sahiwal
Pregnanci
es ended
#
Postnatal
Examined
%
Birth
defects
%
Live
birth
#
32-37
1-33
30
100
0
30
34-40
45
100
0
38
Unit #
<
2.5
kg
%
1-31
≥ 2.5
kg %
Initiation of BF
<½
Hour
1-4 Hour
>4
Hour
None
0
100
0
0
29
39
32
0
Graduated units
6
94
Graduated units
29
71
Table E
Morbidity
The table showing distribution of number of illness reported in each region by probable cause during September 2013.
Region
Mardan
Sahiwal
Unit
Total
DIA
EPI
ARI
Hepatitis
TB
Maternal
Others
#
#
#
#
#
#
#
#
#
0
0
72
1
0
228
1-31
Graduate out
32-37
1-33
218
69
0
34-40
440
74
2
76
1
Graduate out
114
21
Table F
Mortality
The table showing distribution of deaths reported in each region by probable cause during September 2013.
Region
Mardan
Sahiwal
Unit
Total
DIA
EPI
ARI
Hepatitis
TB
Maternal
Others
#
#
#
#
#
#
#
#
#
32-37
1-33
3
0
0
1
0
0
2
34-40
9
0
0
0
0
0
9
1-31
Graduate out
10
0
Graduate out
0
Table G
Children Immunization
The following table showing distribution of number of < 1 children population, immunization activity done and
comparison of fully immunized children in project units with baseline in each region during September 2013.
Region
Total
kids
<1
Last
month
#
Kids <1
Included
this
month #
Kids <1
Excluded
this
month #
32-37
1-33
345
32
38
339
490
Graduated units
34-40
405
41
27
419
Unit #
Total
Kids
<1
This
month
1-31
Mardan
Sahiwal
Shots
given #
Shots
due
#
Fully
Immunized
kids %
Baseline
%
19
95
12
280
69
49
Graduated units
1130
Table H
Women Immunization
The following table showing distribution of WRA population, fully immunized WRAs and their comparison with baseline
in each region during September 2013.
Region
Mardan
Sahiwal
Total
WRA last
month #
WRA
included this
month #
WRA
excluded
this month
#
32-37
1-33
2568
32
1
34-40
2847
5
0
Unit #
1-31
Total
WRA this
month #
Fully
immunized %
Baseline %
40.35
4.37
57.34
29.91
Graduated units
2599
Graduated units
2852
Table I
Growth Monitoring & Promotion
The following table showing distribution of population < 3 children registered with Growth Monitoring & Promotion, %
examined and their status in each region during September 2013.
Unit
Total
Examined
Green
Yellow
Red
III
Grade
#
<3
Kids #
%
%
%
%
%
32-37
1-33
1309
91
4
1
34-40
1372
98
9
1
Region
Mardan
Sahiwal
1-31
Graduated units
61
35
Graduated units
71
11
23
Table J
Child Spacing
The following table showing distribution of eligible couples, type of method under use and comparison of current CPR
with baseline figure in each region during September 2013.
Region
Mardan
Sahiwal
Total
eligible
couples
last
month
#
Eligible
couples
included
this
month #
Eligible
couples
excluded
this
month #
32-37
1-33
2568
32
1
34-40
2844
5
1
Unit
#
Total
eligible
couples
this
month #
Permanent
method %
Total CPR
%
Baseline
%
2599
19.1
Graduated units
1.9
21.0
6
2848
4.8
14.9
7
1-31
Temporary
method %
Graduated units
10.1
Table K
Water & Sanitation
The following table showing distribution of number of baseline and current water sources and access to potable water
as well as distribution of baseline and current number of latrines and their access to latrines in each region during
September 2013.
Region
Mardan
Sahiwal
Unit #
Tot
al
HH
#
Potable Water
Sources #
Baseline
Survey
Current
HH with Access to
Potable Water #
Baseline
Survey
Current
1-31
32-37
1-33
34-40
%
Increase
in Water
Access
Latrines #
Baseline
Survey
HH with Access to
Latrines #
%
Increase
in
Latrine
Access
Current
Baseline
Survey
Current
1788
1786
1788
0
3178
3174
3183
0
Graduate out
31
87
2287
42
59
4119
2291
2341
2344
0
1780
Graduate out
4122
4228
4259
1
3174
Table L
Health Education to Men and on Iodized salt
The following table showing distribution of male population, married population, health education given to married
population along with availability of Iodized salt at local shops in each region during September 2013.
Region
Mardan
Sahiwal
Last
month
total >15
Population
added
Excluded
32-37
1-33
5602
0
2
34-40
7319
0
5
Unit
#
Current
month
total >15
population
1-31
Total
married
male
Population
#
Health
Edu
given
#
Iodized Salt
available
Total
Shops
#
I. Salt
Available
#
961
53
41
1105
105
51
Graduated units
5600
2599
Graduated units
7314
12
2300
Table M
Health Education to local opinion leaders
The following table showing distribution of local opinion leaders, topics discussed in health education sessions and
their response to health education in each region during September 2013.
Imam Masjid
Region
Unit #
Total
Topic
discussed
Local Leaders
Health
Education
given
#
Response
#
Sahiwal
Topic
discussed
Participants
#
Response
#
1-31
Mardan
Total
Graduate out
32-37
1-33
25
19
34-40
19
14
34
Graduate out
31
45
33
Table N
Boys’ school health education
The table showing distribution of total numbers of teachers and boy students and number of teachers and boy student
attended health education sessions in each region during September 2013.
Region
Mardan
Sahiwal
Unit
#
Teachers
Total
#
participants
#
Boys Students
Topic discussed
1-31
Total
#
participants
#
Topic discussed
Graduated out
32-37
1-33
18
16
123
Graduated out
102
34-40
55
48
357
563
Table O
Girls’ school health education
The table showing distribution of total number of COs, meetings planned and meetings held and number of
participants in each region during September 2010.
Region
Mardan
Sahiwal
Unit
#
Total
Schools #
HE Sessions
held #
1-31
32-37
Graduated units
4
3
62
1-33
34-40
Participants #
Graduated units
17
14
552
13
Topic discussed
Table P
Care providers
The following table showing distribution of local medical practitioner and barbers and number health education
sessions conducted in each region during the month of September 2013.
Total
practitioners
#
Educated
#
32-37
1-33
16
11
34-40
28
20
Unit
#
Region
Total Barber
#
1-31
Mardan
Sahiwal
Educated #
Graduate out
15
Graduate out
11
45
29
Table Q
Community Organization
The table showing distribution of total number of female and male COs, meetings held and number of participants
attended the meetings in each region during September 2013.
Region
Unit #
Mardan
Sahiwal
Female Cos
Total Cos
#
Meetings
held #
Male Cos
Participants
#
1-31
Total Cos
#
Meetings held
#
Participants
#
19
172
5
55
Graduated units
32-37
1-33
10
0
80
34-40
54
0
87
35
Graduated units
44
Table R
Trainings of Cluster Organizations
The table showing distribution of total number of trainings conducted on different topics for female and male COs,
number of participants attended the trainings in each region during September 2013.
Female cluster organizations
Trai
ning
#
Region
Unit
Mardan
1-31
Sahiwal
32-37
1-33
0
0
34-40
10
119
Participants
#
Male cluster organizations
Conducted
by
Topic/s
Training
#
Participants
#
Graduated out units
0
Graduated out units
7
PH = Personal hygiene
BF = Breast feeding
TB = Tuberculosis
ORS = Oral rehydration solution
VR = Village review
WD = Proper disposal of waste
MC = Maternal Care
Hep = Hepatitis
EH = Environmental hygiene
Diar = Diarrhea
Org = Importance of organization
14
0
66
Topic/s
Conducted
by
EPI = Expanded program of Immunization
GMP = Growth Monitoring & promotion
Wat = Potable water
IS = Iodized salt
Table S
Trainings of Unit Committees
The table showing distribution of total number of trainings conducted on different topics for female and male unit
committees, number of participants attended the trainings in each region during September 2013.
Female Unit committee
Region
Mardan
Sahiwal
Unit
1-31
32-37
1-33
34-40
Trai
ning
#
Participants
#
0
0
0
0
Male unit committee
Conducted
by
Topic/s
Training
#
Graduated out units
3
Graduated out units
0
Participants
#
Topic/s
Conducted
by
33
0
Prepared and submitted by
Dr. Shafique-ur-Rehman, MBBS, MPH
Chief Executive Officer
15