National Institute of Health and Family Welfare:

NRHM/ RCH-II

Check List
Information to be collected from District

I. General Information :-

• Name of the District :- _______________________________________

• Total Population :- _______________________________________

• Details in number :- _______________________________________

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

Sr. No. Block /Tahsils Villages

1
2
3
4

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

1
 III. Training Information:-

A. District Level Training :-

• District 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
District

NGO/Private/
Any other Organization

2
 C. Current status of Training

RCH Trainings
Sr. No. Category Sanctioned In Position
received
1 Specialist
• Obs-Gynae.
• Pediatrician
• Anesthetist
• Surgeon
• Physician
2 Medical Officers (MBBS/GDMOs)

3 AYUSH Doctors

4 Staff Nurses

5 ANM

6 Lab Technician

7 Others (If any)

Append the list of the Names & Posting Details

3
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

4
 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