Format for listing SQAC/SISC/DQAC and DISC members in State/UT website
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1 Format for listing SQAC/SISC/DQAC and DISC members in /UT website / Sikkim Year SQAC Type of Committee (Prepare separate list for SQAC,SISC,DQAC and DISC and indicate the same) Designation in the So. ame of Committee (Chairperson/Vice Chairperson/ Convener/ Secretary/ ) Designation in the state (Secretary/MD/Director/ Joint Director/Deputy Director/Empaneled Gynaecologist/Surgeon etc) Since (Month/year) Address Contact number 1 K. Bhandari Chairperson Director General Cum Secretary/Health 22/1/2014 Health Secretariat Tashing Bimal Kumar Rai Vice Chairperson Mission Director/ HM 22/1/2014 Health Secretariat Tashing I.L Sharma Convener Director Health Services II 22/1/2014 Health Secretariat Tashing Shenga Secretary Additional Director/ RCH 22/1/2014 Health Secretariat Tashing /1/ Deputy Director/ FP 6 K.B Gurung 7 Anita Bhutia PCC cum Superintendent/ STM Joint Director/ RCH 8 R. Deokata HoD (Gynae & Obs) STM 9 P.K Rai HoD, Anesthesia, STM 10 Passang Phempu HoD, Surgery, STM 11 Ruth Yonzong HoD, Pediatrics, STM 22/1/2014 STM Gangtok /1/2014 Health Secretariat Tashing /1/2014 STM Gangtok /1/2014 STM Gangtok /1/2014 STM Gangtok /1/2014 STM Gangtok
2 12 Mrs. Uden Bhutia Joint Director, ursing 13 Dr Gautam Dey Medical Superintendent, CRH Representative from Law & Parliamentary Affairs Law & Parliamentary Affairs 14 Deptt Deptt 15 Mr. Rinzing Bhutia Assistant Director, Sanitation Cell 22/1/2014 Health Secretariat Tashing 22/1/2014 CRH Tadong 22/1/ /1/2014 Health Annex buding, Convey Ground, Tadong Format for listing SQAC/SISC/DQAC and DISC members in /UT website / Sikkim Year DQAC Type of Committee (Prepare separate list for SQAC,SISC,DQAC and DISC and indicate the same) Designation in the Committee (Chairperson/Vice Chairperson/ Convener/ Designation in the state (Secretary/MD/Director/ Joint Director/Deputy Director/Empaneled Since So. ame of Secretary/ ) Gynaecologist/Surgeon etc) (Month/year) Address Contact number Office of Collecterate 1 Chairperson Collector 22/1/2014 (/S/E/W) 2 Convener Chief Medical Officer 22/1/2014 (/S/E/W) 3 4 Secretary Medical Superintendent Reproductive and Chd Health Officer 22/1/2014 (/S/E/W) 22/1/2014 (/S/E/W)
3 5 6 7 ogist 22/1/2014 (/S/E/W) 22/1/2014 Surgeon (/S/E/W) 22/1/2014 (/S/E/W) 22/1/2014 Anesthetist (/S/E/W) 22/1/2014 (/S/E/W) Pediatrician Assistant ursing Superintendent Representative from the Law & parliamentary Affair Department Assistant Director, sanitation Cell Deputy Director, IEC 22/1/2014 (/S/E/W) 22/1/2014 (/S/E/W) 22/1/2014 Law Department (/S/E/W) 22/1/2014 (/S/E/W) 22/1/2014 (/S/E/W)
4 S.o ame of ame of trained/ Empanelled provider Qualification Place of Posting (ame of Facity and Level) Contact umber Line Listing Of Sterization Trained/Empaneled Providers Trained/ Empaneled Services provided in last one year for Minap Laparoscopic Sterization SV umber of Minap performed If not performed surgery, please quote the reason for nonperformance umber of Laparoscopic Sterization performed If not performed surgery, please quote the reason for nonperformance umber of SV performed If not performed surgery, please quote the reason for nonperformance Remarks East R.. Deokata Chungd en Lepcha Mani Gurung Paras Mani Karki (STM) Yes Yes Yes 0 (STM (STM (STM Yes Yes Yes o 0 o Minap camp held Untrained - - Yes o Untrained - -
5 Chimi Palmu Theengh Deepika Pradhan Passang. D. Phempu nadikpa Wangch uk Tsherin g Bhutia Manoj Sarda M. P. Sharma J. B Gurung (STM DH Mangan, ogist, (STM (STM) (STM) ogist, Singtam ogist, Yes o Untrained Yes Yes Yes Yes Yes Yes Yes Yes o
6 Singtam Rebecca Lama Tukki Doma Bhutia Ranjeeta Khati Ashok Kr. Rai Uttam Kharka DR. Rajesh Kharel (HM) Sangey ogist Gyalsing ogist, Gyalsing ogist, Mangan Joint Director, Mangan ogist, STM ogist, amchi ogist, Yes Yes Yes o Yes o - - Yes Yes Yes o Yes o Yes
7 Pelzang Tamang amchi S. M. Pradhan Sr. Consulta nt surgeon. amchi - - Yes
8 Format for listing empaneled providers for uploading in /UT website Sikkim Year Empanelment List for (Prepare separate list for Minap, Lap and Vasectomy and indicate the same) List Enclosed (Annexure I) So ame of East ame of Empanelled Sterization Provider R.. Deokata Qualification (MBBS/MS- Gynae/DGO/DB/MS- Surgery/Other Specialty Designation Consultant Gr.1, Gyne and Obs Department, STM Type of Facity Posted (PHC/CHC/ SDH/DH) (STM) Chungden Lepcha ogist, STM (STM) Mani Gurung ogist, STM (STM) Paras Mani Karki ogist, STM (STM) Chimi Palmu Theengh ogist, STM (STM) Postal address of facity where empaneled provider is posted Contact number STM, STM, STM, STM, STM, Deepika Pradhan ogist, STM STM,
9 East West orth 16 South Passang. D. Phempunadikpa Wangchuk Tshering Bhutia Chief Consultant-cum- HoD Surgery & Trainer, STM Chief Consultant-cum Trainer, Deptt of Surgery, STM (STM) (STM) (STM) Manoj Sarda Surgeon, STM (STM) M. P. Sharma J. B Gurung Rebecca Lama Tukki Doma Bhutia Ranjeeta Khati Ashok Kr. Rai Uttam Kharka ogist, Singtam ogist, Singtam ogist Gyalsing ogist, Gyalsing ogist, Mangan Medical Officer, Mangan ogist, Singtam Singtam Gyalshing Gyalshing Mangan Mangan STM, STM, STM, Singtam, East Sikkim, Singtam Singtam, East Sikkim, Singtam Gyalshing, West Sikkim Gyalshing, West Sikkim Mangan, orth Sikkim Mangan, orth Sikkim
10 East DR. Rajesh Kharel Sangey Pelzang Tamang S. M. Pradhan B. K. Kanungo Anup Pradhan Latha Kharka Haifizur Rahman Pesona Grace Lucksom Anup Kharel amchi amchi amchi, South Sikkim ogist, amchi amchi, South ogist, amchi Sr. Consultant surgeon. amchi Associate Professor, Manipal Associate Professor, Manipal Associate Professor, Manipal Associate Professor, Manipal Associate Professor, Manipal Associate Professor, Manipal amchi amchi amchi, Manipal, Manipal, Manipal, Manipal, Manipal, Manipal Sikkim amchi, South Sikkim amchi, South Sikkim ,,,,,,
11 26 27 Annet Thatal Rishika Raj Associate Professor, Manipal Senior Resident, Manipal, Manipal, Manipal,,
12 Annual /Biannual Report Format :- Sikkim Report Type: (Annual /Biannual) Reporting period : I. Famy Planning performance Services Q1 Q2 Q3 Q4 Total Interval Minap Laparoscopy PPS Female Sterization Male sterization IUCD PPIUCD PPIUCD Acceptance (Out of total public health institutional deliveries) 6% 7.9% 7.9% 8.4% 7.8%
13 ASHA Scheme Performance: Services Q1 Q2 Q3 Q4 Total HDC (percentage distribution of condoms, OCP and ECP) CC-65, OCP-33, ECP-12 CC-58, OCP-30, ECP-24 CC-48, OCP-38, ECP-11 CC-64, OCP-37, ECP-2 CC-59, OCP-27, ECP-13 ESB Schemes (To be fled by states where scheme is implemented) PTK Utization Status of Functionality of QAC umber of meetings held Frequency of meetings held(quarterly/half yearly): Minutes of the meeting prepared (Yes/o) umber of deaths,complication and faure reported umber of Enquiries conducted for each category Remedial steps taken
14 Status of FPIS Claims FRESH/EW CLAIMS SUBMITTED I ( Apr 2016 to March 2017) OUTSTADIG CLAIMS from previous years (before Apr 2016) CLAIMS PAID I CLAIMS REJECTED ( ) OUTSTADIG CLAIMS TILL 31st MARCH 2017 Complication Death Faure COMPLICATIO DEATH FAILURE S.o STATE Complication Death Faure Complication Death Faure o. of Fresh/new Complication Claims submitted in paid Total o. of outstanding Complication Claims from previous years paid in Total o. of Fresh/new death Claims submitted in paid Total o. of outstanding death Claims from previous years paid in Total o. of Fresh/new faure Claims submitted in paid Total o. of outstanding faure Claims from previous years paid in Total Complication Death Faure o. of complication Claims (submitted in year ) not paid o of old pending complication claims from previous years not paid o. of death Claims (submitted in year ) not paid o of old pending death claims from previous years not paid o. of faure Claims (submitted in year ) not paid o of old pending faure claims from previous years not paid 1 Si k ki m i l i l i l i l i l i l i l Specify reasons for claim rejection (Death/complication/faure) Status of Death Audit ame of umber of Death reported umber of death audits conducted umber of deaths attributed to sterization Reason of death Sikkim Action taken
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