Operational and Functionality Monthly

Report of Ayushman Arogya Mandir

(Ayush) 2021-22 (FORM_1)
Total points 0/0

Every CHO/ Medical Officer should send this information to State by 3rd of the Month.

Email *

gadsirkatnalli.bdr@gmail.com

Name of the District *

Bidar

Reporting Month *

March 2024

Name of Ayushman Arogya Mandir (Ayush) *

AHWC Sirkatnahalli
Place of Ayushman Arogya Mandir (Ayush) *

Sirkatnahalli

Type of Health Facility *

AYUSH Dispensary

Health Sub-center

AYUSH Stream *

Ayueveda

Unani

Homoeopathy

Siddha

District Progamme Manager (DPMU)/District AYUSH Society formed *

Yes

No

MOU with National Health Mission (NHM) *

Yes

No
MoU with Private Partners ( Private/Govt. AYUSH Medical *
College/University/NGO/ SHGs etc)

Yes

No

if yes, Name the organization with whom MOU signed

Inter-sectoral convergence e.g. Village Health Sanitation and Nutrition Committee *

(VHSNCs) /Village Health Nutrition Day (VHND)

Yes

No

1. Branding done *

Yes

No

2. Herbal garden available *

Yes

No
If "Yes" no. of plants planted in Herbal Garden

20

Establishment of Herbal Garden *

Completed

In progress

Yet to be Started

3. Lab services available *

Yes

No

4. Medicine available *

Yes

No

5. IT network available (Internet available) *

Yes

No
6. Laptop/Desktop Received *

Yes

No

7. CHOs/Medical officer Status (Whether CHO/Medical officer posted) *

Yes

No

8. Yoga Instructor/s appointed *

Yes

No

If yes, how many yoga instructor appointed

One

Yoga Instructor - 1 Name

Kushala

Yoga Instructor - 2 Name

No
Whether Facility Operational Satisfying any 5 out of 8 (1, 4,7&8) are essential *

Yes

No

1. Training of CHOs/Medical officers completed *

Yes

No

No. of CHOs/Medical officers trained *

No

2. Training of Yoga instructor/s completed *

Yes

No

No. of Yoga instructors trained

3. Training of ASHAs/ANMs completed *

Yes

No

If "Yes" No. of ASHAs given training in AYUSH

No

If "Yes" No of ANMs given training in AYUSH

No

4. OPD started *

Yes

No

"If ""Yes"" Total. of OPD in current month" (as per HMIS web protal) *

456

5. Family Empanelment Started *

Yes

No
If "Yes" No. of people empanelment done

6. CBAC survey started for 30 age and above *

Yes

No

If "Yes" No. of people underwent for CBAC survey

7. Screening for DM (Diabetes) *

Yes

No

If "Yes" no. of people screened for DM

No. of people of DM on treatment/follow-up

8. Screening for HT *

Yes

No

If "Yes" no. of people screened for HT *

14

No. of HT cases on treatment/follow-up *

14

9. Screening for Oral cancer *

Yes

No

If "Yes" no. of suspected cases referred

"No. of Referral for Breast cancer

"No. of Referrel for Cervix cancer

10, Prakruti Parikshan (18+ age population) *

Yes

No

If "Yes" no. of people underwent for prakruti Parikshan

Of those underwent for Prakruti Parikshan No. of people counseled for lifestyle

11. IEC activity done at community level *

Yes

No

If "Yes" How many IEC activities conducted

If "Yes" What kind of IEC activities undertaken (mention any 3 activities and the
records must be maintained at the Ayushman Arogya Mandir (Ayush))

Has a Public meeting been Organizing/Participate in Ayushman Arogya Mandir *

(Ayush) catchment area?

Yes

No

If "Yes" How many Public Meetings have been organized/Participate?

If "Yes" What kind of Public meetings have been organized/Participated (mention

any 3 Public meetings and the records must be maintained at the Ayushman
Arogya Mandir (Ayush)).

12. Yoga Sessions started *

Yes

no
If "Yes" No. of Yoga sessions conducted in month at Ayushman Arogya Mandir
(Ayush) and at Community level

10

No. of Male attended yoga sessions in month at Ayushman Arogya Mandir

(Ayush) and at Community level

No. of Female attended yoga sessions in month at Ayushman Arogya Mandir

(Ayush) and at Community level

10

No. of Childrens attended yoga sessions in month at Ayushman Arogya Mandir

(Ayush) and at Community level

15

13. Distribution of medicinal plant started to families *

Yes

No

IF "Yes" no. of families distributed medicinal plants in catchment area

Has the life style assessment camp been Organized? *

Yes

No

If "Yes" How many life style assessment camp been Organized in Ayushman
Arogya Mandir (Ayush) catchment area?

How many persons are participated in life style assessment camp?

14. Performance-based incentives received to CHOs/Medical officer *

Yes

No

Performance based incentives received to ASHAs

Yes

No
"Performance based incentives received to Ayushman Arogya Mandir
(Ayush) team

Yes

No

Whether Facility Functional Satisfying any 9 of 14 (1 to 5 & 11 to 14 are essential *

points)

Yes

No

What are major challenges in operationalization of Ayushman Arogya Mandir

(Ayush) (Mention three major key challenges)

1.Yoga hall.. 2.meeting hall.3.lab required..

Remarks

Name of the CHOs/Medical Officer

Dr Saraswati. Bagare

Mobile Number *

9972051743

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Forms