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Section‐VII
Essential Drugs and Supplies
7. Essential Drugs and Supplies
7.1
EDL available and displayed‐ State level
Availability and prominent display
of essential drug list (EDL) are
important means
to ensure all required/ essential drugs are available at the FRU. The ELD was found to be displayed at 100 percent SDHs, while
over a fourth of BMCs,
CHCs, DWHs and MCs either did
not have the EDL or did
not display it.
EDL available and displayed‐ Division wise
Division wise analysis of availability and display of essential
drug list (EDL) shows that one
in
every four facilities in the state did not comply with the instructions
of displaying the EDL
prominently. Gonda on the other
hand was the only division with
100 percent compliance. Gorakhpur
(36%) followed by Azamgarh (50%)
and Jhansi
(50%) were at the bottom of the chart.
In DWH Firozabad, Etah, Mau,
Budaun,
Deoria, Jhansi, Hardoi, Meerut, Mirzapur, Varanasi. In CHC Farah
(Mathura), Kasganj (Kasganj),
Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), Bisalpur (Pilibhit),
Khalilabad (Sant Kabir Nagar),
Mehdawal (Sant Kabir Nagar), Rath
(Hamirpur), Rudauli (Faizabad), Tanda
(Ambedkar Nagar), Jagdishpur (Amethi),
Sahjanwa (Gorakhpur), Pipraich
(Gorakhpur), Gauri Bazar (Deoria),
Salempur (Deoria), Kasia (Kushinagar),
KALYANPUR (Kanpur Nagar),
Anoopshahar (Bulandshair), Dadri (GB
Nagar), HAPUR (Hapur), Najibabad
(Bijnour), Deoband (Saharanpur),
Fatehpur (Saharanpur), Chakiya (Chandauli),
Badlapur (Jaunpur), Shahganj (Jaunpur),
Saidpur (Ghazipur). In
DCH Maharajganj, Kannuj, Veerangna
Awantibai Mahila Chikitsalya ,
(Lucknow). In BMC Faizabad
Road (Lucknow), Silverjublie (Lucknow) Essential Drug List was not available.
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7.2
Computerized Inventory management‐ State level
The graph portrays a grim
picture of use of computerized
inventory management, an important
management tool for overall
supply chain management in Uttar
Pradesh. Only
56 percent of DCHs, 41 percent of DWHs and a very small number of CHCs and BMCs were found to be accessing/using
the computerized
inventory management. None of the SDHs was found to be accessing it.
Division wise‐
The overall situation of
computerized inventory management in
the state needs
major improvement with little over
one fourth
facilities in the state doing
it. Aligarh division presents the best picture with one in every two facilities having access
to and using computerized
inventory management while Basti and Jhansi have none. In Sub Divisional Hospital Khurja and Sikandrabad (Bulandshair),
DWH Mathura, Mainpuri, Firozabad,
Etah, Pratapgarh, Azamgarh,
Mau, Bareilly, Budaun,, Sidharth Nagar, Basti, Hamirpur, Mahoba,
Faizabad, Sultanpur,
Balrampur, Bahraich, Gorakhpur, Jhansi, Jalaun, Etawah, Farrukhabad, Hardoi, Unnao , Meerut, Moradabad, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi, Farah (Mathura), Ghosi
(Mau), Rasra (Ballia), Bisalpur
(Pilibhit), Khalilabad
(Sant Kabir Nagar), Mehdawal
(Sant Kabir Nagar), Rath (Hamirpur),
Tanda (Ambedkar Nagar), Jagdishpur
(Amethi), Sahjanwa (Gorakhpur), Pipraich
(Gorakhpur), Gauri Bazar (Deoria),
Salempur (Deoria), Kasia (Kushinagar),
Anoopshahar (Bulandshair), HAPUR (Hapur), Najibabad (Bijnor), Deoband (Saharanpur), Fatehpur (Saharanpur), Chakiya (Chandauli),
Badlapur (Jaunpur), Shahganj (Jaunpur),
Saidpur (Ghazipur), DCH Shikohabad
(Firozabad), District Combined Hospital (Kaushambi), District Combined Hospital (Chitrakoot), District Combined Hospital (Ambedkar
Nagar), District Combined Hospital
(Maharajganj), M.K.R. HOSPITAL (Kanpur
Nagar). In BMC District Combined
Hospital (Auriya), Rani Laxmi Bai
Combned (Lucknow), District Combined
Hospital (GB Nagar), DCH Sonebhadra
(Sonebhadra), LBS (Varanasi).
In BMC Chandernagar (Lucknow),
N.K.Road (Lucknow), Faizabad Road (Lucknow), Aliganj (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow), Aishbagh (Lucknow) computerized inventory is not available.
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7.3
IFA Tablets‐ State level
Availability and access to adequate quantity of IFA tablets
is critical for managing high
level
of anemia prevalent in the state, particularly among pregnant women
and adolescent girls. SDHs
and BMCs are the only
facilities ensuring 100 percent availability
of IFA tablets while at all
other facilities the percentage availably was in eighties.
Division wise‐
The graph shows the division wise availability and access
to IFA tablets. On average 13
percent facilities in the state
reported stock out of
IFA tablets at the time of
survey, while
there were 6 divisions where the
availability was 100 percent. Jhansi
division was an
exception with more than 83
percent of its facilities not
having IFA stock available which
is alarming.
In DWH Mau, Banda, Jhansi,
Jalaun, Sitapur,
Rae Bareli, Rampur, Varanasi. In CHC Atrauli (Aligarh), Kasganj
(Kasganj), Husainganj (Fatehpur),
Bikapur (Faizabad), Sohawal (Faizabad),
Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Jagdishpur (Amethi), Amethi (Amethi), Babina (Jhansi), TALBEHAT (Lalitpur),
KALYANPUR (Kanpur Nagar), Badalpur
(GB Nagar). In DCH District
Combined Hospital (Maharajganj), District
Combined Hospital (Kannuj), DCH‐Sanjay
Nagar (Ghaziabad) IFA tablets were
not available.
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7.4
IFA tablets (blue) ‐ State level
Availability of blue IFA tablets
shows all SDH facilities had the
same available while all
other facilities had much less.
Only 13 percent of the BMCs
reported having blue IFA tablets
in their stock.
Division wise‐
Division wise availability of blue IFA tablets shows that
little over one third FRUs had
the same available. None of the
divisions have reported more than
two third of facilities with
Blue IFA supply. Jhansi and
Mirzapur divisions
have reported complete stock‐out of the same at all of their facilities.
In DWH Agra, Mathura, Mainpuri,
Etah, Azamgarh, Mau, Budaun,
Shahjahanpur, Sidharth Nagar, Banda,
Barabanki, Bahraich, Deoria, Jhansi,
Jalaun, Etawah, Sitapur, Unnao ,
Kheri, Meerut, Ghaziabad, Mirzapur, Rampur, Moradabad,Muzaffar Nagar, Chandauli,
Jaunpur, Varanasi. In CHC Farah
(Mathura), Tundla
(Firozabad), Jasrana (Firozabad), Atrauli (Aligarh), SADABAD (Hathras), Sarai Akeel (Kaushambi), Husainganj (Fatehpur), Kunda
(Pratapgarh), Patti (Pratapgarh),
Bilariyaganj (Azamgarh), Ghosi (Mau),
Bisalpur (Pilibhit), Uska Bazar
(Sidharth Nagar), Khalilabad
(Sant Kabir Nagar), Haisar Bazar
(Sant Kabir Nagar), Mehdawal
(Sant Kabir Nagar), Bikapur (Faizabad),
Sohawal (Faizabad), POORABAZAR
(Faizabad), Haidergarh
(Barabanki), Ram Snehi Ghat
(Barabanki), Tanda (Ambedkar Nagar), Kadipur
(Sultanpur), Jagdishpur
(Amethi), Amethi (Amethi), Tulsipur
(Balrampur), Kaisarganj (Bahraich),
Sahjanwa (Gorakhpur), Pipraich
(Gorakhpur), Partawal (Maharajganj), Babina
(Jhansi), TALBEHAT (Lalitpur), BHIDNOO
(Kanpur Nagar), KALYANPUR (Kanpur
Nagar), Jaswant Nagar (Etawah),
PUKHRAYA (Kanpur Dehat), KAKORI
(Lucknow), Gosaiganj (Lucknow), Sidhauli
FRU (Sitapur), Nawabganj (Unnao ),
Gola (Kheri), Sardhana (Meerut),
Baghpat (Baghpat), Badalpur (GB
Nagar), Bhangel (GB Nagar), HAPUR
(Hapur), Chunar (Mirzapur),
Chopan (Sonebhadra), BHADOHI (SRNo‐ Bhadohi), SAMBHAL (Sambhal), Najibabad (Bijnor), Fatehpur (Saharanpur), Jansath
(Muzaffar Nagar), Sakaldiha (Chandauli),
Chakiya (Chandauli), Badlapur (Jaunpur),
Kerakat
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(Jaunpur), Shahganj (Jaunpur), Saidpur
(Ghazipur), Arajiline (Varanasi).
In DCH District Combined Hospital (Chitrakoot),
District Combined Hospital (Maharajganj),
District Combined Hospital (Auriya),
District Combined Hospital (Kanpur
Dehat), District Combined Hospital
(Kannuj), Rani Laxmi Bai
Combned (Lucknow), BRD Hospital,
Mahanagar (Lucknow), DCH‐Sanjay Nagar
(Ghaziabad), District Combined Hospital
(GB Nagar), DCH Sonebhadra
(Sonebhadra), DCH Gyanpur (SRNo‐
Bhadohi), DCH
Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli). In BMC LBS (Varanasi). In BMC Chandernagar (Lucknow), N.K.Road (Lucknow), Faizabad Road (Lucknow), Silverjublie (Lucknow), Aliganj (Lucknow), Redcross (Lucknow), Tudiaganj (Lucknow) IFA (Blue) tablet is not available.
7.5
IFA syrup with dispenser ‐ State level
The availability if
IFA syrup with dispenser shows 100
percent SDH facilities have it
in their
stock, followed by BMC (88%). Only 20 percent medical colleges
had IFA syrup with dispenser
and less than 50 percent CHCs
and DCHs have
reported availability of the same.
Division wise‐
The divisional analysis of shows a little over half of the
facilities in the state have
reported
the availability of IFA syrup with dispenser. Chitrakoot was the only division with 100 percent availability at all it facilities, while Azamgarh, Jhansi, Mirzapur and
Faizabad divisions had less than
20 percent facilities reporting stock
availability of IFA
syrup with dispenser.
In DWH Mainpuri, Azamgarh, Mau,
Budaun, Shajahanpur, Faizabad, Barabanki,
Sultanpur, Bahraich, Jhansi, Jalaun, Sitapur, Unnao , Mirzapur,
Rampur, Muzaffar Nagar, Chandauli,
Ghazipur, Varanasi. In CHC Jasrana
(Firozabad), Atrauli (Aligarh), Kasganj
(Kasganj), Sarai Akeel (Kaushambi),
Bindki (Fatehpur),
Husainganj
(Fatehpur), Lalganj (Azamgarh), Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Rasra (Ballia), Khalilabad (Sant
Kabir Nagar), Haisar Bazar (Sant
Kabir Nagar), Mehdawal (Sant Kabir
Nagar),, Bikapur (Faizabad)
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POORABAZAR (Faizabad), Haidergarh (Barabanki), Ram Snehi Ghat (Barabanki), Dewa (Barabanki), Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Kadipur
(Sultanpur), Jagdishpur (Amethi), Amethi
(Amethi), Colonelganj (Gonda), Tulsipur
(Balrampur), Kaisarganj (Bahraich),
Sahjanwa (Gorakhpur), Pipraich (Gorakhpur),
Partawal (Maharajganj), Babina (Jhansi),
TALBEHAT (Lalitpur), BHIDNOO (Kanpur
Nagar), KALYANPUR (Kanpur Nagar),
Jaswant Nagar (Etawah), KAKORI
(Lucknow), Gosaiganj (Lucknow),
Sidhauli FRU (Sitapur), Nawabganj (Unnao ), Gola (Kheri), Mawana (Meerut), Daurala (Meerut), Sardhana (Meerut), Baraut
(Baghpat), Baghpat (Baghpat), Chunar
(Mirzapur), BHADOHI
(SRNo‐ Bhadohi), Najibabad
(Bijnor), Jansath (Muzaffar Nagar),
Sakaldiha (Chandauli), Chakiya (Chandauli),
Shahganj (Jaunpur), Saidpur (Ghazipur).
In DCH District Combined Hospital
(Ambedkar Nagar), District Combined
Hospital (Maharajganj), District Combined
Hospital (Auriya), District Combined
Hospital (Kannuj), Rani Laxmi
Bai Combned (Lucknow), BRD Hospital,
Mahanagar (Lucknow), RML
Hospital,Gomtinagar (Lucknow),
DCH‐Sanjay Nagar (Ghaziabad), DCH
Sonebhadra (Sonebhadra), DCH Gyanpur
(SRNo‐ Bhadohi), DCH Amroha (Amroha),
Pt. K.P.T District Hospital
(Chandauli), LBS (Varanasi). In BMC
Tudiaganj (Lucknow) IFA
Syrup with dispenser was not available.
7.6
Vitamin A syrup ‐ State level
Vitamin‐A syrup is an important drug supplement for
the growth and wellbeing of a
child.
100 percent SDHs have reported availability of the Vit A
syrup while DCH on the other
hand had 44 percent facilities
reporting stock out of Vit
A syrup.
Division wise‐
The divisional analysis of availability of Vit A syrup shows that about 17 percent facilities in the state reported stock‐out, while Saharanpur was the only division
with 100 percent facilities
reporting availability of Vit A stock.
In DWH Mau, Sidharth Nagar,
Farrukhabad, Raebareli, CHC Atrauli
(Aligarh), Kasganj (Kasganj), Husainganj
(Fatehpur), Ghosi
(Mau), Rasra (Ballia), Bisalpur (Pilibhit), Uska Bazar
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(Sidharth Nagar), PUKHRAYA (Kanpur Dehat), Sardhana (Meerut), Bikapur (Faizabad), Colonelganj (Gonda), Sahjanwa (Gorakhpur), Partawal (Maharajganj), Chunar (Mirzapur), Shahganj (Jaunpur). In DCH District Combined
Hospital (Kaushambi), District Combined
Hospital (Chitrakoot), District Combined
Hospital (Maharajganj), M.K.R. HOSPITAL
(Kanpur Nagar), District Combined
Hospital (Auriya), District
Combined Hospital (Kannuj), Veerangna
Jhalkaribai Mahila Hos.273
(Lucknow), Rani Laxmi Bai Combned
(Lucknow), DCH‐Sanjay Nagar (Ghaziabad),
DCH Amroha (Amroha), Pt. K.P.T
District Hospital
(Chandauli), Chandernagar (Lucknow) Vitamin A Syrup was not available.
7.7 ORS Packets ‐ Sate level
ORS was found to
be universally available across all
facilities with some stock‐out
reported
by medical colleges (30%), DWH (11%), CHC (6%) and DCH (4%).
Division wise‐
Divisional analysis on availability
of ORS
packets shows that on an average 92 percent facilities had ORS, with
8 divisions having 100 percent
supply. Saharanpur division was an
exception with
only one in every two facilities having ORS supply.
In DWH Faizabad, Barabanki,
Jalaun, Sitapur, Rampur. In
CHC Ghosi (Mau), Rudauli
(Faizabad), BHIDNOO (Kanpur Nagar),
Dadri (GB Nagar), Deoband
(Saharanpur), Fatehpur
(Saharanpur) ORS packets was not available.
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7.8
Zinc Tablets ‐ State level
Zinc tablet is an important
drug for
effective control of diarrheal diseases. While the SDHs have ensured 100 percent availability of zinc tablets, 50 percent of the medical colleges did not have zinc tablets in their stock.
Division wise‐
The divisional analysis of the
availability of
zinc tablets shows little over half (55%) of the facilities having
it in their stock. None of
the facilities in Jhansi division
had stock of zinc tablets
followed by Gorakhpur division where
over 90
percent facilities reported stock‐out.
In DWH Agra, Mathura, Mainpuri,
Firozabad, Azamgarh, Mau, Ballia, Bareilly, Budaun, Sidharth Nagar,
Faizabad, Barabanki, Sultanpur,
Gonda, Bahraich, Gorakhpur, Deoria,
Jhansi,
Jalaun, Farrukhabad, Sitapur, Meerut, Ghaziabad, Moradabad, Muzaffar Nagar, Chandauli, Ghazipur, Varanasi. In CHC Farah (Mathura), Kurawali (Mainpuri), Kasganj
(Kasganj), Sarai Akeel (Kaushambi),
Bindki (Fatehpur), Husainganj (Fatehpur),
Phoolpur (Azamgarh), Bilariyaganj
(Azamgarh), Rasra (Ballia), Uska
Bazar (Sidharth Nagar), Panwari
(Mahoba), Rudauli (Faizabad), Haidergarh
(Barabanki), Ram Snehi Ghat
(Barabanki), Amethi (Amethi),
Colonelganj (Gonda), Tulsipur (Balrampur),
Sahjanwa (Gorakhpur), Pipraich (Gorakhpur),
Gauri Bazar (Deoria), Salempur
(Deoria), Kasia (Kushinagar), Partawal
(Maharajganj), Babina (Jhansi),, TALBEHAT
(Lalitpur), Kayamganj (Farrukhabad), KAKORI
(Lucknow), Gosaiganj (Lucknow), Nawabganj
(Unnao ), Mawana (Meerut), Daurala
(Meerut), Sardhana (Meerut), Badalpur
(GB Nagar), Bhangel (GB Nagar),
Chunar (Mirzapur), Chopan (Sonebhadra),
Deoband (Saharanpur), Fatehpur
(Saharanpur), Sakaldiha
(Chandauli), Chakiya (Chandauli), Shahganj (Jaunpur), Saidpur (Ghazipur), Cholapur (Varanasi). In DCH District Combined Hospital
(Ambedkar Nagar), District Combined Hospital
(Maharajganj), M.K.R. HOSPITAL
(Kanpur Nagar), Veerangna Jhalkaribai
Mahila Hos.273 (Lucknow), Rani Laxmi
Bai Combned (Lucknow), BRD
Hospital, Mahanagar (Lucknow), LBRNoHospital
(Lucknow), DCH‐Sanjay Nagar (Ghaziabad),
DCH Sonebhadra (Sonebhadra), DCH Gyanpur
(SRNo‐ Bhadohi), DCH Amroha (Amroha),
LBS (Varanasi).
In BMC Silverjublie (Lucknow) Zinc tablets was not available.
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7.9
Injection Magnesium sulphate ‐ State level
Ensuring availability of injection
magnesium sulphate is critical in
the management of
labour and PPH. All SDH facilities reported availability of mag‐sulph injection while one in every two BMcs reported
stock out of the same followed
by
46 percent of CHCs and 28 percent DCHs.
Division wise‐
On an average two thirds of
the FRUs
had injection magnesium sulphate in their stock. While Saharanpur was the only division with 100 percent availability
reported, Varanasi division on
the other had
less than one fourth facilities reporting availability of mag‐suph injection.
In DWH Banda, Sultanpur, Jhansi,
Jalaun, Raebareli, Chandauli, Ghazipur.
In CHC Farah (Mathura), Kurawali
(Mainpuri), Atrauli (Aligarh), Kasganj
(Kasganj), Husainganj (Fatehpur),
Kunda (Pratapgarh), Patti (Pratapgarh),
Phoolpur (Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau),
Rasra (Ballia), FAREEDPUR (Bareilly),
Uska Bazar (Sidharth Nagar), Panwari
(Mahoba), Bikapur (Faizabad), POORABAZAR
(Faizabad), Ram Snehi Ghat
(Barabanki), Jalalpur (Ambedkar Nagar),
Tanda (Ambedkar Nagar), Colonelganj (Gonda), Kaisarganj (Bahraich), Pipraich (Gorakhpur), Gauri Bazar (Deoria), Salempur
(Deoria), Kasia (Kushinagar), Partawal
(Maharajganj), BHIDNOO (Kanpur Nagar),
KALYANPUR (Kanpur Nagar), Jaswant Nagar (Etawah), PUKHRAYA (Kanpur Dehat), BAKSHI KA TALAB (Lucknow), KAKORI (Lucknow), Gosaiganj (Lucknow), Nawabganj (Unnao ), Daurala (Meerut), Sardhana (Meerut), Muradnagar (Ghaziabad),
Baghpat (Baghpat), Dadri (GB Nagar),
HAPUR (Hapur), Najibabad (Bijnor),
Sakaldiha (Chandauli), Badlapur (Jaunpur),
Kerakat (Jaunpur), Shahganj (Jaunpur),
Saidpur (Ghazipur), Arajiline (Varanasi),
Cholapur (Varanasi).
In DCH District Combined Hospital
(Ambedkar Nagar), District Combined Hospital
(Kannuj), Rani Laxmi Bai Combned
(Lucknow), DCH Gyanpur (SRNo‐
Bhadohi), DCH Amroha (Amroha), Pt.
K.P.T District Hospital (Chandauli),
LBS (Varanasi), N.K.Road
(Lucknow), Faizabad
Road Lucknow, Aliganj
Lucknow, Tudiaganj Lucknow injection magnesium sulphate was not available.
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7.10
Injection Oxytocin ‐ State level
Injection oxytocin is another
critical lifesaving drug used in
safe delivery care services and
its availability across facilities shows a mixed picture with BMCs, DCH and SDHs reporting 100 percent availability.
About 14 percent CHCs on the
other had reported stock out of
the same. Surprisingly 10 percent
medical colleges too have
reported stock out.
Division wise‐
Divisional analysis of the
availability of oxytocin injection
shows as almost 92 percent
facilities in the state having
its availability with about
8 divisions reporting 100 percent availability.
In DWH Atrauli (Aligarh), Kasganj
(Kasganj), Patti (Pratapgarh), Ghosi
(Mau), Uska Bazar (Sidharth Nagar),
Rudauli (Faizabad), Jalalpur
(Ambedkar Nagar), Tanda (Ambedkar
Nagar), Amethi (Amethi), Pipraich
(Gorakhpur), BAKSHI KA TALAB (Lucknow), KAKORI (Lucknow), Sardhana (Meerut), Dadri
(GB Nagar), Badlapur (Jaunpur),
Saidpur (Ghazipur) Injection Oxytocin was not available.
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7.11
Misoprostol Tablets ‐ State level
Tablet misoprostol is another
critical
lifesaving drug in safe delivery care specifically in managing PPH.
The BMCs and SDHs have ensured
this was available at all their
facilities while about 46 percent
CHCs reported stock out of
misoprostol tablets.
Division wise‐
On average 30 percent FRUs in the state reported stock out of Misoprostol
tables‐ a
lifesaving drug in managing PPH/
safe delivery care. Huge
inter‐divisional variation reported in
stock status of misoprostol tables
in the state with Basti at
its lowest with two third facilities reporting stock out. Allahabad
division had 93 percent
facilities maintaining the stock of misoprostol.
In DWH Hathras, Sidharth Nagar, Basti, Faizabad, Sultanpur,
Bahraich, Rampur, Chandauli. In
CHC Kheragarh (Agra), Kurawali (Mainpuri), Tundla (Firozabad),
Jasrana (Firozabad), Atrauli (Aligarh),
SADABAD (Hathras), Kasganj (Kasganj),
Patti (Pratapgarh), Lalganj (Azamgarh),
Phoolpur (Azamgarh), Bilariyaganj
(Azamgarh), Ghosi (Mau),
Rasra (Ballia), FAREEDPUR (Bareilly), Bisalpur (Pilibhit), Tilhar (Shajahanpur), Uska Bazar (Sidharth Nagar), Haisar Bazar
(Sant Kabir Nagar), Panwari (Mahoba),
Rudauli (Faizabad), POORABAZAR (Faizabad),
Dewa (Barabanki), Jalalpur (Ambedkar
Nagar), Kaisarganj (Bahraich), Gauri
Bazar (Deoria), Salempur
(Deoria), Babina (Jhansi), TALBEHAT (Lalitpur), KALYANPUR (Kanpur Nagar), BAKSHI KA TALAB (Lucknow), Gosaiganj (Lucknow),
Sidhauli FRU (Sitapur), Mawana
(Meerut), Sardhana (Meerut) Baghpat
(Baghpat),
HAPUR (Hapur), Chunar (Mirzapur), Chopan (Sonebhadra), Fatehpur
(Saharanpur), Sakaldiha (Chandauli), Saidpur (Ghazipur), Arajiline (Varanasi), District Combined Hospital (Chitrakoot), M.K.R. HOSPITAL (Kanpur Nagar), District
Combined Hospital (Kannauj), DCH
Gyanpur (SRN ‐ Bhadohi), LBS
(Varanasi) do not
have misoprostol tablets.
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7.12
Mifepristone tablets ‐ State level
The availability of mifepristone
tablets was highest in medical
colleges (60%) followed
by DWH (52%) and SDH (50%). Only 13 percent BMCs had mifepristone tablets in their stock.
Division wise‐
Little over one third FRUs were found to be having mifepristone tablets in their stock with huge inter divisional
variation
reported. Bareilly had only 13 percent
facilities maintaining the stock
while Allahabad had 71 percent
facilities
reporting availability of this drug.
In DWH Agra, Firozabad, Hathras,
Pratapgarh, Azamgarh, Mau, Bareilly,
Budaun, Shajahanpur, Basti, Barabanki,
Sultanpur, Gorakhpur, Jalaun, Etawah,
Sitapur, Unnao , Kheri,
Meerut, Ghaziabad, Rampur, Moradabad,
Chandauli, Varanasi, CHC kheragarh
(Agra),
Farah (Mathura), Kurawali (Mainpuri), Tundla (Firozabad),
Jasrana (Firozabad), Atrauli (Aligarh),
SADABAD (Hathras), Kasganj (Kasganj),
Bindki (Fatehpur), Husainganj (Fatehpur),
Patti (Pratapgarh), Lalganj (Azamgarh),
Phoolpur (Azamgarh), Bilariyaganj
(Azamgarh), Rasra (Ballia), FAREEDPUR
(Bareilly), Ujhani (Budaun), Bisalpur
(Pilibhit), Tilhar (Shajahanpur), Uska
Bazar (Sidharth Nagar), Haisar Bazar
(Sant Kabir Nagar), Mehdawal (Sant
Kabir Nagar), Panwari (Mahoba),
Rudauli (Faizabad), Bikapur (Faizabad),
Haidergarh (Barabanki), Ram Snehi Ghat
(Barabanki), Dewa (Barabanki), Jalalpur
(Ambedkar Nagar), Tanda (Ambedkar
Nagar), Amethi (Amethi), Colonelganj
(Gonda), Tulsipur (Balrampur), Utraula
(Balrampur), Pipraich (Gorakhpur),
Gauri Bazar (Deoria), Salempur (Deoria), Kasia (Kushinagar), Partawal (Maharajganj), Babina (Jhansi), TALBEHAT (Lalitpur), KALYANPUR (Kanpur Nagar), Ghatampur
(Kanpur Nagar), Jaswant Nagar
(Etawah), PUKHRAYA (Kanpur Dehat), MOHANLALGANJ
(Lucknow), BAKSHI KA TALAB (Lucknow),
KAKORI (Lucknow), Gosaiganj (Lucknow),
Gola (Kheri), Mawana (Meerut),
Daurala (Meerut), Sardhana (Meerut),
Muradnagar (Ghaziabad), Anoopshahar
(Bulandshair), Baghpat (Baghpat),
HAPUR (Hapur), Chunar
(Mirzapur), Chopan (Sonebhadra),
BHADOHI (SRNo‐ Bhadohi), Najibabad
(Bijnor), Deoband (Saharanpur),
Fatehpur
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(Saharanpur), Jansath (Muzaffar Nagar),
Sakaldiha (Chandauli), Chakiya
(Chandauli),
Badlapur (Jaunpur),
Kerakat (Jaunpur),
Shahganj (Jaunpur), Saidpur (Ghazipur),
Arajiline (Varanasi),
Cholapur (Varanasi). District Combined Hospital (Chitrakoot), District Combined Hospital (Ambedkar Nagar), District Combined Hospital
(Maharajganj), M.K.R. HOSPITAL
(Kanpur Nagar), District Combined Hospital
(Kannuj), Veerangna Jhalkaribai Mahila
Hosp (Lucknow), Rani Laxmi Bai
Combned (Lucknow), BRD
Hospital, Mahanagar (Lucknow),
RML Hospital,Gomtinagar (Lucknow),
LBRN Hospital (Lucknow), DCH
Sonebhadra (Sonebhadra), DCH Gyanpur
(SRNo‐ Bhadohi), LBS (Varanasi),
Chandernagar (Lucknow),
N.K.Road (Lucknow),
Faizabad Road (Lucknow),
Silverjublie (Lucknow),
Redcross (Lucknow),
Tudiaganj (Lucknow), Aishbagh (Lucknow) mifepristone tablets was not available.
7.13
Availability of Antibiotics ‐ State level
The analysis of availability of
antibiotics
shows BMCs, MCs and SDHs reporting 100 percent stock availability with 4‐6 percent stock out reported in other FRUs.
Division wise‐
Division wise analysis of
availability of antibiotics portrays a
better picture with 11
divisions maintaining 100 percent
stock across facilities with a
state average of 95 percent
facilities keeping the antibiotics in their stock.
In DWH Hathras, Mau, Jhansi,
CHC Atrauli (Aligarh), Lalganj
(Azamgarh), Ghosi (Mau), Rudauli
(Faizabad), Shahganj (Jaunpur). In
DCH M.K.R. HOSPITAL (Kanpur Nagar)
antibiotics
was not available.
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7.14
Labelled Emergency Tray‐ State level
Availability of properly
labeled emergency tray is a
critical lifesaving practice in
attending emergencies. All BMCs, MCs
and SDHs have maintained the
same as per norms while
92 percent CHCs have been following this practice.
Division wise‐
The divisional analysis of
availability of properly labeled
emergency tray shows that 94
percent facilities in the state
are complying with it.
Basti division had one in three
facilities not
following this norm while there was 100 percent availability in 11 divisions.
In DWH Hathras, Sidharth Nagar. In CHC Kurawali (Mainpuri),
Atrauli (Aligarh), Lalganj
(Azamgarh), Ghosi (Mau), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad),
Tulsipur (Balrampur), Saidpur (Ghazipur)
labeled emergency tray was
not available.
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7.15 Drugs for hypertension,
Diabetes, common ailments e.g
PCM,
metronidazole, anti‐allergic drugs etc‐ State level
Most of the FRUs had stock available for drugs for hypertension,
diabetes, common ailments
like PCM, metronidazole and anti‐allergic drugs while 25 percent BMCs reported stock out.
Division wise
Over 91 percent FRUs in
the state were found to be
maintaining stock of drugs for
hypertension, diabetes, common ailments
for instance PCM, metronidazole and
anti‐allergic drugs . At least
6 divisions reported 100 percent
availability while Azamgarh had three
fourth facilities maintaining it.
In DWH Firozabad, Hathras,
Pratapgarh, Mau, Banda, Jalaun,
Farrukhabad, Chandauli,
CHC Lalganj (Azamgarh), Uska Bazar (Sidharth Nagar), Rudauli (Faizabad), POORABAZAR (Faizabad), Jalalpur
(Ambedkar Nagar), Tulsipur (Balrampur),
Sakaldiha (Chandauli). In
Redcross (Lucknow), Aishbagh
(Lucknow) drugs for hypertension,
Diabetes, common ailments e.g
PCM, metronidazole,
anti‐allergic drugs etc were not available.
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7.16
Adequate Vaccine Stock available ‐ State level
Ensuring availability of adequate
stock of
all essential vaccines as per the National UIP norms is an
important preventive care measure
against several avoidable diseases. Most FRUs in the state had a good stock of the vaccines with 100 percent SDHs
reporting its availability and 82
percent CHCs reporting availability of
the essential vaccines.
Division wise‐
The graph shows that about
15 percent FRUs in the state
have reported stock out of all
or few essential vaccines as per
the national UIP norms. There were
only 3 divisions which have
reported 100 percent stock of vaccines while Jhansi division reported
one in every two FRUs as
not maintaining the stock of vaccines.
In DWH Hathras, Pratapgarh,
Basti. In CHC Kurawali (Mainpuri),
SADABAD (Hathras),
Sarai Akeel (Kaushambi), Husainganj (Fatehpur), Lalganj (Azamgarh),
Rudauli (Faizabad),
Bikapur (Faizabad), Tanda (Ambedkar Nagar), Pukhrayan (Kanpur
Dehat), Baghpat (Baghpat), Sambhal.
In District Combined Hospital
(Chitrakoot),
Veerangna Jhalkaribai Mahila Hos.273 (Lucknow), LBRN Hospital (Lucknow), BMC Chandernagar (Lucknow) adequate vaccine stock was not available.
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7.17
Pregnancy Testing Kits ‐ State level
Availability of pregnancy test kits
is an important intervention in
early identification and management of
pregnancy. Only 50 percent
of SDHs and 20 percent of the medical colleges have reported stock out of the pregnancy test kits.
Division wise‐
The divisional analysis of availability of pregnancy test
kits shows 90 percent
FRUs maintaining the same, with 5
divisions having 100 percent
stock availability. Aligarh and Basti
divisions on
the other hand had one
third of their FRUs
reporting stock out.
Pregnancy testing kits was not available at District Women Hospital Mau, DWH Sidharth Nagar, DWH Faizabad, CHC kheragarh (Agra), Atrauli (Aligarh), Uska
Bazar (Sidharth Nagar), Rudauli
(Faizabad), Poorabazar (Faizabad), Kakori (Lucknow), Jansath (Muzaffar Nagar),
Kasganj
(Kanshiramnagar), District Combined Hospital
Kaushambi, DCH
Sonebhadra, SDH Sikandrabad (Bulandshair) and BMC Aishbagh Lucknow.
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7.18
Urine Albumin and Sugar Testing Kits ‐State level
Most of the health facilities
across the state
are having the availability of urine albumin and sugar testing
kits with 100 of the BMCs
reporting
its stock availability. However, there was stock out of the
kits in 50 percent of the
sub‐divisional hospitals.
Division wise‐
The divisional analysis of
availability of urine albumin and
sugar testing kits shows 88
percent FRUs across the state maintaining the same, with 4 divisions having 100 percent stock availability.
Urine albumin and sugar testing
kit was
not available at District Women Hospital Mau, District Women
Hospital Bareilly, CHC kheragarh
(Agra), Kurawali (Mainpuri), Atrauli
(Aligarh), khair (Aligarh), Husainganj
(Fatehpur), Kunda (Pratapgarh), Patti
(Pratapgarh),
Rudauli (Faizabad), Bikapur (Faizabad), Pukhrayan (Kanpur
Dehat), Kakori (Lucknow), Sardhana
(Meerut), Dadri (GB Nagar),
Kasganj
(Kanshiramnagar), District Combined Hospital (Maharajganj) and SDH Sikandrabad (Bulandshahar).
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7.19
Oral contraceptive Pills ‐ State
While sub‐divisional hospitals had
100 percent stock availability of
the oral contraceptive pills followed
by 90 percent of the medical
colleges, about two fifths of
the district community hospitals and
district women’s hospitals did
not have its availability.
Division wise‐
About 71 percent of the
health facilities in the state
were found to be maintaining the
stock of oral contraceptive pills.
A large number (about three‐fifth)
of the facilities
in Gonda division
and one in every two health facilities in Azamgarh and Saharanpur
divisions were not found to
be stocking OCPs.
OCPs was not available at District Women Hospital Mainpuri,
Etah, Hathras, Pratapgarh,
Azamgarh, Mau, Bareilly, Sidharth Nagar, Basti, Faizabad, Barabanki, Sultanpur, Gonda, Bahraich, Sitapur, Unnao, Meerut, Mirzapur, Muzaffar Nagar, Varanasi, CHC Kurawali
(Mainpuri), Jasrana (Firozabad), Atrauli
(Aligarh), Husainganj (Fatehpur), Phoolpur
(Azamgarh), Bilariyaganj (Azamgarh),
Tilhar (Shajahanpur), Poorabazar
(Faizabad), Jalalpur (Ambedkar
Nagar), Colonelganj (Gonda), Utraula
(Balrampur), CHC Pukhrayan (Kanpur
Dehat), Kakori (Lucknow),
Daurala (Meerut), Baraut (Baghpat),
CHC HAPUR (Hapur), Fatehpur
(Saharanpur), Jansath (Muzaffar
Nagar), Sakaldiha (Chandauli), Shahganj
(Jaunpur), Arajiline (Varanasi),
District Combined Hospital
(Kaushambi), Ambedkar Nagar, Padrauna (Kushinagar), Maharajganj, Kannuj, Rani Laxmi Bai Combined (Lucknow), DCH (Sonebhadra), DCH Amroha (Amroha), Pt. K.P.T District Hospital (Chandauli) and BMC Aishbagh (Lucknow).
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7.20
Emergency Contraceptive Pills ‐ State level
Hundred percent of the
sub‐divisional
hospitals, seventy five percent of the BMCs and seventy one percent
of the CHCs were found to
be stocking emergency contraceptive
pills. However, a large number
of district community hospitals
(three fifths) and almost half
of the district
women’s hospitals in the state had a stock‐out of the ECPs.
Division wise‐
Around three‐fifths of the health
facilities in the state were
found to be stocking
emergency contraceptive pills. Division wise analysis shows a great
variation‐ from 28 percent facilities
in Moradabad division stocking the
ECPs to as high as 83
percent facilities in Saharanpur
division stocking emergency contraceptive pills.
Emergency contraceptive pills are
not in stock in DCH Shikohabad
(Firozabad), DCH (Kaushambi), District
Combined Hospital (Chitrakoot),
District Combined Hospital (Ambedkar Nagar), DCH Padrauna
(Kushinagar), District Combined Hospital
(Maharajganj), District Combined Hospital
(Kannuj), Rani Laxmi Bai Combned
(Lucknow), BRD Hospital, Mahanagar
(Lucknow), RML
Hospital,Gomtinagar (Lucknow), DCH‐Sanjay Nagar
(Ghaziabad), DCH (Sonebhadra),
DCH Amroha (Amroha), Pt.
K.P.T District Hospital (Chandauli),
CHC Kurawali (Mainpuri), Jasrana
(Firozabad), Atrauli (Aligarh), khair
(Aligarh), Husainganj (Fatehpur), Kunda
(Pratapgarh), Tilhar (Shajahanpur), Ram
Snehi Ghat (Barabanki),
Jalalpur (Ambedkar Nagar), Tanda (Ambedkar Nagar), Amethi (Amethi), Colonelganj (Gonda), Utraula (Balrampur), Sahjanwa (Gorakhpur), Pipraich (Gorakhpur), Ghatampur (Kanpur Nagar), CHC Pukhrayan (Kanpur Dehat), Kakori
(Lucknow), Daurala (Meerut), Baraut
(Baghpat), Baghpat (Baghpat), CHC,
Najibabad (Bijnor), Fatehpur
(Saharanpur), Badlapur (Jaunpur), Shahganj
(Jaunpur), Arajiline (Varanasi), District
Women Hospital (Agra),
District Women Hospital (Mainpuri),
District Women Hospital (Hathras),
District Women Hospital
(Azamgarh), District Women Hospital
(Mau), District Women Hospital
(Bareilly), District Women Hospital
(Budaun), District Women Hospital
(Sidharth Nagar), District Women
Hospital (Basti),
District Women Hospital (Banda), District Women Hospital (Faizabad), District Women Hospital (Barabanki), District
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Women Hospital (Sultanpur), District
Women Hospital (Bahraich), DWH URAI
(Jalaun), Dr. RML District Female
Hospital (Farrukhabad), District Women
Hospital (Sitapur), District Women
Hospital (Unnao ), District Women
Hospital (Meerut), District Women
Hospital (Ghaziabad), District Women
Hospital (Mirzapur), District Women
Hospital (Rampur), District Women
Hospital (Moradabad), District
Women Hospital (Bijnor), DWH
Mughalsarai (Chandauli), District Women
Hospital (Varanasi), BMC
Tudiaganj (Lucknow) and BMC Aishbagh (Lucknow).
7.21 IUCDs ‐ State level
Stock of Intra‐Uterine Contraceptive
device was found at 100 percent
of the
sub‐divisional hospitals and BMCs and at a high number of other health
facilities in the state. However,
only 64 percent of the district
community hospitals were found to be stocking IUCDs.
Division wise‐
On an average 86 percent of the health facilities in the state were found to be stocking IUCDs. While Basti,
Jhansi, Meerut and Mirzapur divisions have 100
percent facilities stocking the
contraceptive device, Aligarh division has more than 33 percent facilities not having its stock.
IUCDs are not in stock
at District Combined Hospital
(Kaushambi), District Combined
Hospital (Ambedkar Nagar), DCH
Padrauna
(Kushinagar), District Combined Hospital
(Maharajganj), District Combined Hospital
(Kannauj), Rani Laxmi
Bai Combined (Lucknow), CHC Kurawali (Mainpuri), Atrauli
(Aligarh), Husainganj (Fatehpur),
Colonelganj (Gonda), CHC Pukhrayan
(Kanpur Dehat), Kakori (Lucknow),
Fatehpur (Saharanpur), Shahganj (Jaunpur),
Arajiline (Varanasi). In DWH District
Women Hospital (Etah), District Women
Hospital (Hathras), District Women
Hospital (Mau), District
Women Hospital (Bareilly), and District Women Hospital (Sitapur).
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7.22
Sanitary Napkins ‐ State level
While 100 percent of
the BMCs and SDHs across the
state are having stocks of
sanitary napkins,almost half of the
DCHs and
30‐33 percent of the DWHs and CHCs were not found to be stocking them.
Division wise‐
While Saharanpur and Jhansi
divisions have
100 percent health facilities stocking sanitary napkins, only one‐fourth of the facilities in Azamgarh, little more
than two‐fifth in Kanpur Nagar
and fifty percent of the health
facilities in
Chitrakoot divisions were found to be stocking them.
Sanitary napkins are not in
stock at District Women Hospital
(Hathras), District Women Hospital
(Azamgarh), District Women
Hospital (Mau), District Women Hospital
(Bareilly), District Women Hospital
(Budaun), District
Women Hospital (Basti), District Women Hospital (Banda), District
Women Hospital (Faizabad), District
Women Hospital (Barabanki), District
Women
Hospital (Bahraich), District Women Hospital (Etawah), District Women Hospital
(Sitapur), District Women Hospital (Unnao
), District Women Hospital
(Mirzapur), District Women Hospital
(Bijnor), DWH Mughalsarai (Chandauli),
District Women Hospital (Varanasi),
CHC Farah (Mathura), Kurawali
(Mainpuri), Atrauli (Aligarh), khair
(Aligarh), Husainganj (Fatehpur), Lalganj
(Azamgarh), Phoolpur
(Azamgarh), Bilariyaganj (Azamgarh), Ghosi (Mau), Tilhar (Shajahanpur), Rudauli (Faizabad), Fatehpur (Barabanki), Ram Snehi Ghat (Barabanki),
Dewa (Barabanki), Tanda (Ambedkar
Nagar), Kaisarganj (Bahraich), Kalyanpur
(Kanpur Nagar), Ghatampur (Kanpur Nagar), Pukhrayan (Kanpur Dehat), Kakori (Lucknow), Gosainganj (Lucknow), Daurala
(Meerut), Sardhana (Meerut), Baghpat
(Baghpat), Badalpur (GB Nagar),
Bhangel (GB Nagar), Sakaldiha
(Chandauli), Kasia (Kushinagar), Kasganj
(Kasganj), District Combined Hospital
Chitrakoot, Ambedkar Nagar, Padrauna
(Kushinagar), Maharajganj, Auriya, Kannuj,
Rani Laxmi Bai
Combned (Lucknow), BRD Hospital Mahanagar Lucknow and LBS Varanasi.
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7.23
Gloves, mackintosh, pads, bandages, gauze, cord clamp and mucus extractor etc‐ State level
Essential consumables like gloves,
mackintosh, pads, bandages, gauze,
cord clamp and mucus extractor
etc. were found to be available
in 100 percent of the BMCs,
SDHs and MCs and in
high number of CHCs and DCHs.
Division wise‐
Ninety three percent of the health facilities in the state, on an average, were found to be having the availability
of essential consumables, with
100 percent of the health
facilities in 8 divisions namely
Allahabad, Azamgarh, Basti,
Gorakhpur, Jhansi, Lucknow, Mirzapur and Saharanpur having them.
Gloves, Mackintosh, Pads, bandages,
and
gauze, cord clamp, mucus extractor etc are not in stock in District
Women Hospital (Hathras),
District Women Hospital (Bareilly), CHC Kurawali (Mainpuri), Rudauli (Faizabad), Jalalpur (Ambedkar Nagar), Baraut (Baghpat), Dadri (GB Nagar), Sakaldiha (Chandauli) and Saidpur (Ghazipur).