Challenges

  • To control vector density as well as reduce diseases burden.
  • Monitoring and control of VBDs in 20 High risk PHCs is a challenge.
  • Controlling of the migration people from Chhattisgarh and Odissa.
  • Strengthening of Laboratory services.
  • Establishment and repairing gambusia hatcheries.
  • Due to lack of Budget and delay of Budget.
  • Awareness and accessibility of Health services.
  • Illiteracy of Tribal people is a major challenge to overcome this problem increase IEC activities with all departments ( Accessibility of Health services and stopping in approaching of traditional healers in their villages )
  • Listing out the Private Local Medical Practitioners and private Labs. Putting Fever Registers in practitioners and Labs touching with our ANMs and ASHA workers and other PHC staff to give treatment to all fever cases.
  • Follow up of fever cases for seven days by the concerned ANM or ASHA worker in their area. Listing of the Chronic diseases in the Village by ANM and ASHA.
  • Follow up of admitted cases in Local Private Hospital (Village level)/ Corporate Hospital / Area Hospital (Division Level) by the concerned PHC Staff, It is very important.
  • Identification of Fever cases in ASHRAMA Schools everyday and follow up treatment by Arogya mithra, ANM.
  • Sick Children should not move to their native places until the diseases subside. If any fever case moves, the hostel warden should intimate concerned PHC Medical Officer and the same information pass to the DMO Office.
  • Listing of the chronic diseases in ASHRMA School wise by Arogya mithra or ANM.
  • Implementation of stencil card system also a challenge.
  • Conducting of Medical Camps in High risk Villages with intersectoral convergence.
  • Filling up the Vacant posts of Health Assistant and LT. Providing of T.A. to the Deputed staff from plain area to Tribal area.
  • Training to Indoor residual Spraying workers in the ground level by the S.U.O.s.
  • Training to the 104 services LTs is important, so that we can cover interior area cases. Identification and shifting of severe malaria cases particularly in children age group and Pregnant women.
  • Training to ASHA Mithras and Saksaratha coordinators on RDT Kits for fever cases in their areas so that we can strengthen the School children of the ASHRAMA Schools. As well as to the villagers by the Saksratha coordinators.
  • Every Malaria Positive case should seen by the Medical Officer.