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National Institute of Health and Family Welfare:

NRHM/ RCH-II

Check List
Information to be collected from State

I. General Information :-

• Name of the state :- _______________________________________


• Total Population :- _______________________________________

• Details in number :- _______________________________________

(Kindly attach the list of the names along with population as well)

Districts Block /Tahsils Villages

II. Health Facilities:-

Sr. No. Health Facilities In number


1 District Hospital
2 SDH
3 FRU
4 CHC
5 24x7 PHC
6 PHC/APHC/NPHC
7 Sub Centre
Additional Facilities
8
(Base Hospitals/Armed Forces/NGO/Corporate sector)

Attach a list of facilities district wise


III. Training Information:-

A. State Level Training :-

• State Training Coordinator(s) :- _________________________________________


• Contact details Office :- _________________ Mobile :- _______________
Email :- _________________________________________
• Training Calendar for the current year
(Kindly procure a copy)

B. Training Centres/Institutes:-

Name of Type of Training


Name of Institutes/
Level Director/Principal with Programme
Training Centre
Contact Details Conducted
State

Regional/Division

District

NGO/Private/
Any other Organization
C. RCH Training Information :-

Category to be Training Training


Load Training Duration
Name of Training Trained Achievemen
(Category wise Achievemen of
Activity (Category wise t (Last
break up required)
break up t (Cumulative) Training
required) Quarter)

Maternal Health
SBA
EMOC
BEMOC
LSAS
Blood Storage Unit
RTI/STI
MTP/MVA
IMEP
Adv. LAP Trg

Child Health
IMNCI
F-IMNCI
FBNBC
NSSK
Immunization
IYCF
HBNC
SNCU

Family Planning
Minilap
IUCD
NSV
Minilap
Laproscopic Sterlization
Category to be Training Training
Load Training Duration
Name of Training Trained Achievemen
(Category wise Achievemen of
Activity (Category wise t (Last
break up required)
break up t (Cumulative) Training
required) Quarter)

Disease Control Programme


RNTCP
NLEP
NVBDCP
IDSP
NPCB
NPPCD
Mental health Prog.

Other Programme

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