There is inadequate supply of all of the drugs except IFA, OPs, IUD 380, ORS packets andVitamin A in the selected PHCs.At the district level, there was training on the IUCD 380A providers. The strengthening of fixed day of IUCD services at various facilities are lacking. There was no increased focus onIUCD services at the HSCs. The issues affecting the implementation of the Family Planning programme are due to inability of the programme to change fertility preferences of eligiblecouples through effective behavior change communication (BCC).There was no access to information on Adolescent Reproductive & Sexual Health (ARSH)through services at District Hospital, PHCs & HSC level. There was no increase of awarenesslevels on adolescent health issues. There are no regular health camps at gram punchayat andvillage level.There is a provision of incentive/ awards etc. to ANMs etc. (Muskaan Programme -Incentive toASHA and ANM) in the district. This programme launched in October 2007. Under this programme ASHA, AWW and ANM hold meeting with Mahila Mandals in AWCs withobjectives for more ANC and immunization coverage.In Begusarai district, Rogi Kalyan Samitis has been formed in all health facilities till PHClevel; registration of RKS has been completed. There is a provision of Janani Bal SurakshaYojana Helpline in each block through Rogi Kalyan Samitis. There is a Hospital ManagementCommittee/Rogi Kalyan Samiti at all PHCs and CHCs.The district does not have any comprehensive BCC strategy. All the programme officersimplement the BCC activity as per their respective programmes.The District Health Society is not monitoring the progress and neither are the committees at theBlock and Gram Panchayat levels. No Verbal Autopsies (Maternal, Neo-natal, Infant & ChildDeath audits) are carried out any levels.Data validation and computerized data availability up to PHCs with district linkages. The DataCenters are available in the hospital, Sub-Divisional Hospital & PHC etc. The Data Centerscontain one computer with UPS, printer, phone connection, Internet connection, Computer operator, Misc. etc.The District Health Officer is the Nodal Person in the district for ensuring the proper disposalof Biomedical Waste.
III. Situational Analysis in Sitamarhi district:
The district hospital has its own good building. It has the facilities of the labour room, laboratory, OPD room; JSY maintainedrecords, piped water supply and etc. The new born care corner was available in the hospital.The Belsand PHC is functioning from the own building with the facilities of labour room,laboratory, OPD room but irregular electric supply with having the generator facility. Thequarters of Medical Officers and other paramedical staff were not in good conditions which