Wayanad District IHCI Monthly Report
Sep 2020
Registrations till Sep 2020: 23,980
Wayand District saw its first cases of COVID-19 in Feb 2020. Since then a combination of fear of infection, and a series of lockdowns has resulted in patients turning up at the health facilities only for emergencies. Also, the directives from the State confined routine outpatients to their homes. In addition, delivery of drugs to the houses of the patients were not, and are still not documented.
To view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options, click the hamburger menu on the right top corner of this graph.
Registrations across Facility Type: Types = SDH, FHC & PHC
The reason for lesser registrations at the SDH and CHC is that these are converted into COVID-19 First Line Treatment Centers or full-fledged COVID-19 designated centers, and so no NCD clinics are held presently in these facilities.
However, a new advisory is expected from the State on restarting NCD program without putting the geriatric population at risk.
Treatment Analysis: (cards=4063)
Though Missed visits, and Door step delivery of drugs are shown separately, some facilities are marking them together. Hence this break up is not accurate, though their totals are.
Supportive Supervision: (n=36 Facilities)
| Details | No. | Percent |
|---|---|---|
| Functional Digital BP Monitor | 20 | 36% |
| Designated Nurse | 4 | 11% |
| Opportunisitc Screening | 0 | 0% |
| Card Storage System | 30 | 83% |
| Defaulter Retrieval System | 2 | 6% |
| Drugs given for >30 days | 36 | 100% |
| Facilities without M.O. | 0 | 0% |
No. of facilities with risk of stock-outs: n=37 Facilities
| Drugs | Nil Stock | High-risk <30 days |
Medium-risk <60 days |
Low-risk <90 days |
|---|---|---|---|---|
| Amlodipine | 0 | 0 | 0 | 0 |
| Telmisartan+Losartan | 0 | 0 | 0 | 0 |
| HCTZ+Clorthalidone | 7 | 3 | 5 | 6 |
Most of the hospitals having stock out for Chlorthalidone do not have patients who require Chlorthalidone or diuretics. Also, borrowing between facilities within the district has helped to tide over all deficits so far. Credit for monitoring this IHCI protocol drug distribution system without stock outs goes to the Warehouse Manager.
PS: Mouse over the bar-graphs to see the data.
To view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options, click the hamburger menu on the right top corner of this graph.
Key Achievements & Recommendations
- Documenting the NCD drugs that were distributed to the patients at their houses, will reduce the number of Missed Visits.
- Restarting the Patient Support Groups (PSG) with the Palliative Care Team instead of ASHAs as ASHAs are now deputed for COVID-19 duties.
- State Advisory on restarting NCD program without putting the older patients into danger on the anvil.
- More Tribal Mobile Medical Units.
High & Low Performers
- The Annual and Quarterly high and low performing facilities being ascertained from the Annual and Quarterly Review, as most of the facilities cancelled their NCD Clinics due to COVID-19
- Certificates of Appreciation will be given this year onwards along with usual prizes to the top three facilities with best Hypertension Control Rates in the Annual Review
- An additional prize would be awarded to the District Hospital, Mananthavady, which has the best control rates once the data from the hospital is got.
Annexure 1: List of facilities requiring specific action
Facilities without drugs
Diuretics:
Meppady, Ambalavayal, Thondernad, Cheeral, Vazhavatta, Mullankolly, DH Mananthavady.
There were no stock outs in any facility for ARB and CCB
Notes:
Training of pharmacists on Morbidity pattern forecasting due
Virtual training in view of COVID-19
PS: Mouse over the card to see the additional notes.
Facilities <30-day stock of drugs
CCB:
Begur
Mouseover to see facilities with <30-day stock for ARB and Diuretic protocol drugs
ARB:
Vazhavatta
Diuretics:
Pozhuthana, Padinjarathara, Begur
PS: Mouse over the card to see the additional notes.
Facilities with least registrations
Zero Registrations:
All SDH and most FHC had zero registrations.
Only 6 of the 37 facilities registered one or more cases in the month.
Zero Registratons:
Except for Vengapally, Periya, Noolpuzha, Pozhuthana, Padinjarathara, and Vazhavatta, all other facilities had zero registrations.
PS: Mouse over the card to see the additional notes.
Staffing
Facilities having NCD Nurse
Two CHCs are having designated nurse, and they cover only eight hours in a day.
Also, almost all PHCs in the district require a designated NCD nurse.
NCD Nurse: continued
In addition:
Some staff nurses are on COVID-19 duty, and some others on quarantine.
A designated NCD nurse is a must for NCD and IHCI integration in Wayanad
PS: Mouse over the card to see the additional notes.
|