Project Strategy Goal Decreasing MMR at certain level Intermediate objective 1. Increase no.

of institutional deliveries from 54% to 75% 2. Less no. of complicated deliveries. 3. Increase in full ANC coverage rate from 17% to 50% & institutional deliveries ,Increased SBA attendance at home delivery from 5% to 35% Output 1. Adequate and quality infrastructure are used by pregnant women 2. Increased distribution and utilization of IFA tablets and thereby decrease in prevalence rate of anemia. 3. Strengthening or upgrading of desired level of FRUs and 24*7

Objectively verified indicator Decrease in MMR

Source of verification SRS

Assumptions

1.

Increase No. of institutional deliveries 2. Decrease in the no. of assisted [interventional labour] 3. Full ANC coverage rate, % increase in institutional deliveries, % increase of SBA attended home deliveries. 1. No. of OPD and IPD at health facility 2. Increase no. of IFA tablets distributed 3. No. of filled vacant posts : vacancies

1. NFHS 2. Hospital register survey 3. NFHS , DLHS, Surveys

1. Have support from their family members 2. Provided the mothers receive regular ANC services & follow up. 3. Pregnant females follow the advice given by SBA at time of ANC & women have good decision making power. 1. Transportation system allows pregnant women to avail services 2. Easy access to public health centre & pregnant females follow regular IFA consumption. 3. BCC/IEC campaigns are able to bring sufficient acceptance/utiliz ation level of health care. 1. In bidding process desirable infrastructure builder group have selected and enough

1. IPD and OPD registers 2. Supply registers and distributi on register( SDR) 3. H R registers

Activity 1. Development of new infrastructure (150 SC, 30 PHC, 8 CHC) and strengthen old infrastructure.

Means 1. Capital funds 2. PROMIS , Decentralisatio n of power for drug procurement to CMO & drug

Cost

2. increase the supply of IFA tablets 3. Recruitment & selection of 690 vacant positions out of 1390 vacancies [Medical Officer=300 ,Lab technicians =155, Staff nurse =53 , 2nd ANM = 187]

procurement cost born 60% by state & 40% by district level 3. Advertisement in national & state dailies, Weekly walk in interviews.

funds have been released. 2. Pharma. comp. dont go on strike. 3. Sufficient no. of eligible applicants appear for the interview.

Work plan activity: As our activity is Development of new infrastructure(150 SC, 30 PHC , 8 CHC) and strengthen old infrastructure with in 1 years. I will propose a plan before CMHO for release enough fund from state government and then give an advertisement in 2 local newspapers about bidding for tenders of build infrastructure with proper explanation and invite interested infrastructure groups and then select one best suitable group. Than order for instruments which are required and repair of nonfunctional instruments to a company by same process of bidding.