Gorakhpur Pip

Gorakhpur City
Program Implementation Plan
National Urban Health Mission
Prepared by District Health Officials with support from Urban Health Initiative
NUHM PIP 2013-14 GORAKHPUR Page 1

NATIONAL URBAN HEALTH MISSION
PROGRAMME IMPLEMENTATION PLAN
2013-14
DISTRICT HEALTH SOCIETY

DISTRICT - GORAKHPUR

FOREWORD
National Urban Health Mission aims to improve the health status of urban population in general
and the poor and other disadvantaged sections in particular, by facilitating equitable access to
quality health care through a revamped primary public health care system, targeted outreach
services and involvement of the community and urban local bodies. Under the scheme,
government proposes to set up one Urban Primary Health Centre for every 50,000-60,000
population, an Auxiliary Nursing Midwives (ANM) for 10,000 populations and an Accredited
Social Health Activist (ASHA) (community link worker) for 200 to 500 households.
The Urban area of Gorakhpur city is spread across 142.13 sq.km and hosts a population of 6,
71,048 (Census: 2011). There has been a significant increase in the urban population of
Gorakhpur. This is not only due to the High Total Fertility Rate especially among the urban poor
but also due to the rapid immigration in the last ten years. As Gorakhpur is a transit point and a
relatively developed city among cities of eastern UP, Gorakhpur attracts a large number of
people from surrounding districts i.e. Deoria, Basti, Balia, Maharajganj, Mau, Sidhartha Nagar.
The cities growth has been unplanned and scattered and as a result the population lining in
slums are most vulnerable due to poor environmental conditions and a lack of access to and
availability of quality health services. The increase in the availability of quality health services as
well as IEC/BCC activities in the slum area has been very slow as compared to the high,
unplanned and scattered growth in the city.
After looking at the situation and available information from various surveys it reveals that
Gorakhpur city is behind in many indicators of health and planning of National Urban Health
Mission will complement for the betterment of urban people particularly to urban poor & slum
dwellers.
The NUHM planning for this financial year based on the data, surveys and available information
at city level and hoping that we will initiate the process very systematically so that we can make
the difference in improvement of quality life of urban people specially by reaching the
unreached areas and the most vulnerable population.
Dr. M. P. Singh Mr. Ravi Kumar N G (IAS)

Chief Medical Officer District Magistrate
Gorakhpur Gorakhpur
ACKNOWLEDGEMENT

The present work for the planning of National Urban Health Mission came up after lots of hard
work, dedication and perseverance. This work of planning would not have been completed
without the help and support of a number of people.
We do not have hesitation in saying that this work would not have come up without the
valuable support and continuous encouragement of Mr. Ravi Kumar N G (IAS), District
Magistrate, Gorakhpur. His great leadership and confidence in the team was great source of
motivation.
My special regard goes to Dr. M P Singh, Chief Medical Officer, Gorakhpur, a dynamic and
enthusiastic personality. He has always been a source of great encouragement for us. The
initiation and completion of this work would be substantiated only in his sincere and able
guidance, expertise and precious opinion, keen attention, constructive suggestions and
constant help. His critical reading of all the parts of the work has helped to shape the NUHM
planning in its present form.
I express my gratefulness to Mr. Amit Kumar Ghosh, IAS, Mission Director, National Health
Mission & Mr. Shashank Vikram, IFS, Additional Mission Director, NUHM for overarching
support and building the thoughts in our mind.
I owe my sincere gratitude to Dr. M. R. Gautam (General Manager) & Dr. Usha Gangwar,
(Deputy General Manager-NUHM) who have helped us immensely by providing relevant
information, expert suggestions. This planning work got accomplished with their valuable
support and eagerness to help.
I am privileged to have such good city level team especially Mr. Anand Chaubey (Div. PM,
NRHM – Gorakhpur Division), Mr. Kumar Pankaj Anand (DPM, NRHM – Gorakhpur District), Mr.
Arun Kumar Verma (DCPM, NRHM – Gorakhpur District), Mr. Nilesh Kumar (City Manager, UHI
– Gorakhpur city) and his team who have supported, helped, put their great efforts into
planning of NUHM at city level.
I am also pleased to appreciate the precious help and motivation which I got from my
respective departments DUDA, ICDS, Nagar Nigam, District Ayurvedic and Yunani Department,
District Homeopathic Department , Education department, IDSP unit, BRD Medical College, SIC
(DWH and DH), DMO, DLO,DTO and DIO of Gorakhpur district.
Last but not the least; I would like to thanks all those people who were involved in the planning
process directly or indirectly.
Dr. J. P. Singh
Additional Chief Medical Officer (ACMO)
Gorakhpur District

ABBREVIATION
ABER Annual Blood Examination Rate

AES Acute Encephalitis Syndrome
API Annual Parasite Index
ANM Auxiliary Nurse Midwife
ASHA Accredited Social Health Activist
AWC Aanaganwadi Center
AWW Aanganwadi Worker
BPL Below Poverty Line
CDPO Child Development Project Officer
CMO Chief Medical Officer
CPR Contraceptive Prevalence Rate
CDS Community Development Society
DHS District Health Society
DUDA District Urban Development Authority
FLW Front Line Worker
GSS Gramin Sewa Sansthan
HMIS Health Management Information System
ICDS Integrated Child Development Services
IDSP Integrated Disease Surveillance Program
IDSP Integrated Disease Surveillance Program
IDSMT Integrated Development of Small and Medium Towns
IMR Infant Mortality Ratio
IUCD Intra Uterine Copper Device
JE Japanese Encephalitis
JnNURM Jawaharlal Nehru National Urban Renewable Mission
KFAs Key Focus Areas
LHV Lady Health Visitor
LT Lab Technician
MAS Mahil Arogya Samiti
MCTS Mother and Child Tracking System
MMR Maternal Mortality Ratio
MO Medical Officer
MSS Manav Sewa Sansthan
MTP Medical Termination of Pregnancy
NPCB National Program for Control of Blindness
NRHM National Rural Health Mission
NUHM National Urban Health Mission
NVBDCP National Vector Borne Disease Control Porgram
OCP Oral Contraceptive Pills
OT Operation Theater

PGSS Poorvanchal Gramin Sewa Sansthan
PGVS Poorvanchal Gramin Vikas Sansthan
PPP Public Private Partnership
PSI Population Services International
RCH Reproductive and Child Health
SAM Severely Acute Malnourishment
TB Tuberculosis
UA Urban Agglomeration
U – ASHA Urban Accredited Social Health Activist
U – CHC Urban Community Health Center
UHI Urban Health Initiative
UHP Urban Health Post
UHSND Urban Health Sanitation and Nutrition Day
ULBs Urban Local Bodies
U – PHC Urban Primary Health Center
VHSND Village Health Sanitation and Nutrition Day
Urban health Plan under NUHM 2013-14

Gorakhpur City
Table of Contents
Sl.No. Description Page. No.
1 District Profile
2 Health system and Infrastructure
3 Health Indicators
4 Key Issues of intervention

 Family Planning
 Maternal Health
 Childhood morbidity and health services
 Environmental Health Conditions
 Inadequate primary health infrastructure
5 Strategies, Activities and Work Plan

 Mapping and listing
 Strengthening of Service Delivery Infrastructure:
 Targeted Outreach Activities for slum population
 Program Management Arrangements:
6 Financial Assessment (Budget)

7 Annexure
Table -1
Table -2
Table -3
Table -4
Target for the Year
Detailed Budget
Summary Budget
District Profile Gorakhpur

Gorakhpur occupies the north eastern corner of the state of Uttar Pradesh, and is located to
the north of the river Ghaghra. It is bounded by districts of Maharajganj in the North, Ambedkar
Nagar, Azamgarh and Mau in the south, Kushinagar and Deoria in the east and Sant Kabir Na gar
in the West. Gorakhpur is rich in culture and has significant historical importance. Gorakhpur is
considered a religious center, as many historical temples and sites are located here. The famous
Gita Press, which publishes Hindu religious texts, is als o located in the splendid city. Gorakhnath
temple is a major tourist attraction of Gorakhpur city. It is well connected to all major cities of
India. The North Easter Railway headquarter is situated in the city, which is one of the most
utilized forms of transportation. Frequent bus services are also available from Gorakhpur to
major cities of Uttar Pradesh including the National capital of India.
Gorakhpur Map
The Urban Agglomeration (U.A.) of Gorakhpur includes municipal area as well as Air Force
areas. The U.A. is spread across 142.13 sq.km and hosts a population of 6,71,048. Among the
total male population, males constitute 53% and females constitute 47%. Go rakhpur has an
average literacy rate of 82.11 while the sex ratio is 944 females per 1,000 males as per census
2011. The highest growth in the population was recorded during the period 1981 - 91 when the
decadal growth rate was registered at 24.6%. Rapid growth of the urban population has
resulted from urban migration and naturally high urban population growth. Population growth
during the last decade was 17.69 of the total district while in the urban area of Gorakhpur, it
was 12.78%.

As Gorakhpur is a transit point and a relatively developed city among cities of eastern UP,
Gorakhpur attracts a large number of people from surrounding districts i.e. Deoria, Basti, Balia,
Maharajganj, Mau, Sidhartha Nagar. The cities growth has been unplanned and scattered and
as a result the population lining in slums are vulnerable due to poor environmental conditions
and a lack of access to and availability of quality health services.
The poor in urban areas are vulnerable to health risks as a consequence of living in a degraded
environment, inaccessibility to health care, irregular employment, widespread illiteracy and
lack of negotiating capacity to demand better services. Large numbers of slums are not listed in
official records and therefore remain outside the purview of public services including health
which further accentuate their vulnerability. As the vulnerability of urban poor is influenced by
a variety of factors, the variation in these factors results in some slums being more vulnerable
than others.
In Gorakhpur Urban Agglomeration the share of slum population compared to the total
population is quiet high. As per the field report of Urban Health Initiative - UHI (a project being
implemented in the urban slums of eleven cities of UP for increasing Contraceptive usage and
thereby reducing the Maternal Mortality Ratio - MMR and Infant Mortality Ratio - IMR), 67% of
the total population is living in slum and slum-like conditions in Gorakhpur city. Therefore,
around two – third of the urban population lives in slums under inhumane conditions and with
increased susceptibility to disease and ill-health. Trends in growth of urban poverty suggest that
the number of poor will increase considerably unless a well-planned, long-term intervention
strategy is in place. A significant proportion of slums are not listed in official records and
therefore remains outside the purview of public services.
The information about BPL population living in slums is not available from the Municipal
Corporation. Most of the slum population lining in UA are migrants from nearby rural areas and
districts, who are vulnerable due to their poor economic status, lack of basic health, education
and civic facilities. In term of the socio-economic growth of the city, the health condition of the
slum dwellers are very poor. Awas Vikas Parishad and Gorakhpur Development Authority are
taking care of the housing needs of the poor people. Poor people are dependent on
Government run hospitals, dispensaries and RMPs for availing health facilities.
Table 1 : Demographic profile (based on 2011 census)
S.No. Indicator Gorakhpur

1 Total population of Gorakhpur district 44,36275
2 Urban population Gorakhpur City 8,36,129
3 Urban population as percentage of the total 18.84%
population
4 Urban slum population 4,49,438

5 Slum population as percentage of urban population 54%
Health system and Infrastructure: -
Health services are provided by the Public sector (Department of Medical, Health and Family
Welfare) and the Private sector (hospitals, nursing homes, and clinics). In addition, a couple of
charitable hospitals provide subsidized health services to the poor. Central Government health
facilities, which include Railways hospitals, ESI hospital and dispensaries and Cantonment
hospitals and dispensaries, also provide health care services.
Table 3: Availability of Health Facilities
S. No. Type of Facilities Number

1 Government Health Facilities
1.1 First Tier (Primary Health Care Facilities)
a. Urban Family Welfare Center 1
b. D-Type Urban Health Center 17*
c TB Clinic 1
1.2 Second/Tertiary Tier Facilities
a. District Hospital 1

b. District Women Hospital 1
c. Post – Partum Center 2
d. Medical College 1
e. Eye Hospital 1
f. Railway hospital 1
g. Air Force hospital 1
h. Defence Hospital 1
i. Homeopathy Dispensary 3
j. Ayurvedic Dispensary 2
k. Yunani Dispensary 1
1.3 Private Facilities
a. Private Allopathic Dispensary 162
b. Private Hospital/Maternity Homes 89
*- Two are urban health posts

Source: Office of Chief Medical Officer, 2011
First Tier Facilities
Primary health care is provided by 19 First Tier centers located in various parts of the city (Refer
Table 2). The majority of primary health services are provided by D-Type health centers and
their main responsibilities are focused on OPD services, ANC registration, ANC check-ups, family
welfare services and routine immunization. There are seventeen D-Type health posts which
includes – 2 supported by NRHM, 6 supported by State government and NRHM and the
remaining 9 supported by the state government.
Second Tier Facilities
In Gorakhpur, there are three government – run secondary/tertiary level hospitals i.e. BRD
Medical College, District Women Hospital and District Hospital. All these three facilities are
having high clientele load and they act as tertiary referral point for not only the entire district of
Gorakhpur as well as the neighboring districts. In addition, one Air Force Hospital, one Defense
hospital and one Railway hospital is there which is only for their employee.
Private (For Profit) Health Facilities
A large number of slum residents seek medical care from the private sector, which includes
private doctors, clinics and nursing homes. According to information available at the CMO office
Gorakhpur, there are 162 Private Doctors and 89 Private hospitals/Nursing homes/maternity

homes in the city. At present, four clinics have been accredited for Family Planning and 5 clinics
have been registered for MTP services.
Private Non-Profit Facilities
There are four prominent private non-profit health care facilities in the city, which organizes
various health camps including free check-ups and distribution of general medicine to people
suffering from various infections and contagious disease. These facilities are the Guru
Gorakhnath Dharamarth Hospital, Fatimah Hospital, Hanuman Prasad Poddar Cancer Hospital
and Charu Chandra Trust Leprosy Hospital.
Health Indicators: -
High population growth rate in urban areas is not only due to rapid immigration but also due to
limited use of family planning method especially among the urban poor. The Total Fertility Rate
among urban population is 3.4 children per woman, which is much higher than 3.4 average of
entire UP. The Maternal Mortality Ratio (MMR) and Infant Mortality Ratio (IMR) is 354 and 61
respectively.
Table 3: Health indicators
Total Urban Urban Poor

(wherever
available)
Infant Mortality Rate (AHS 2010 – 61 48 NA
11)
Under-five Mortality Rate (AHS 82 65 NA
2010 – 11)
Maternal Mortality Ratio (AHS – 354 NA NA
2010)
3.4 (UP – NFHS NA NA
Total Fertility Rate
3)
Full Immunization (percentage) 78.46% 74.58% NA
(District Health Department 2012-
13
Number of SAM children identified NA NA NA
(ICDS data)
Annual Blood Examination Rate 1.372% NA NA
(ABER) for malaria (District Health
Department 2012-13)
Annual Parasite Index (API) (District .0002 NA NA
Health Department 2012-13)
Dengue Case Fatality Rate (District 0 0 0

Total Urban Urban Poor
(wherever
available)
Annual New Smear Positive case 0.001% NA NA
detection rate (District Health
Department 2012-13)
Treatment success rate among new 100% NA NA
smear positive cases (District
Leprosy Prevalence Rate (District 0.62% 0.64% NA
No. of outbreaks reported under NA NA NA
IDSP in past year
Seasonal outbreaks of fatal acute encephalitis syndrome (AES) occur regularly in Gorakhpur.
Japanese encephalitis virus (JEV) has been the major and consistent cause of these outbreaks in
the district, accounting for ≈10%–15% of total AES cases annually. This disease has claimed
more than thousands of lives in the last thirty years and currently, >2,000 patients with AES are
admitted each year to Medical College, Gorakhpur. Both preventive and curative measures
need to be taken in order to fight this seasonal epidemic.
Apart from the district headquarter of Gorakhpur whose total population is 6,71,048 there are
no other cities/towns in Gorakhpur whose population is more than 50,000. The highest
population is of Sahjanwa which is just around 30,000. Thus, NUHM will be implemented in
Gorakhpur city only in Gorakhpur district while all the block headquarters is being covered
under NRHM.
Table 4: Details of cities/towns to be covered under NUHM as per 2011 census

Sl.no. Name of Type (state Population No. of Slum Whether
the capital/district as per slums population covered
city/town headquarters/other) 2011 under
census JnNURM,
BSUP, 1IDSMT
1 Gorakhpur District Headquarter 6,71,048 166 4,49,438 RAY/UIDSSMT
city
The fund for the NUHM will flow to the District Health Society (DHS) through the state
government/state health societies. The DHS will have to maintain separate accounts for NUHM.
The NUHM will be implemented in Gorakhpur city with the support of different development

partners – Urban Health Initiative (UHI), Population Services International (PSI), Unicef, WHO,
MSS, GSS, PGVS, PGSS, DAUD etc. All the above development partners are having lots of
experience of working in the urban slums and Key Focused Areas covering the marginalized
sections of the society. Their suggestions will be of great help in improving the health status of
the urban poor.
Table 5: Details of cities/towns taken up for NUHM implementation in 2013-14
Sl. Name of Type (state Population Slum Implementing Development

No. City/Town capital/district population Authority Partner , if
headquarters/ot (City/ Dist. any
her) Health
Society)
1 Gorakhpu District 6,71,048 4,49,438 District Health UHI, PSI,
r city Headquarter Society (DHS) WHO, Unicef,
PGVS, PGSS,
MSS, GSS,
DAUD etc.
Table 6: State’s Allocation under Infrastructure Maintenance (Treasury Route) head of NRHM
FMR Activity Amount Approved in Amount Approved in

Code 2012-13 (Rs in Lakhs) 2013-14 (Rs in Lakhs)
Infrastructure Maintenance
1. Urban Family Welfare Centres 0 0

(UFWCs)
2. Urban Revamping Scheme 0 0
(Health Posts)
Total 0 0
Key Issues: -
There are lots of issues prevalent in the urban areas especially in the slums which result in poor
health conditions of the inhabitants. Some of the key issues are listed below: -
 Poor households not knowing where to go to meet health need.

 Weak and dysfunctional public system of outreach.

 Contaminated water, poor sanitation.
 Poor environmental health, poor housing.
 Unregistered practitioners first point of contact – use of irrational and unethical
medical practice.
 Community organizations helpless in health matters.
 Weak public health planning capacity in urban local bodies.
 Large private sector but poor cannot access them.
 Problems of targeting the poor on the basis of BPL card.
 No convergence among wider determinants of health.
 No system of counseling and care for Adolescents.
 Over congested secondary and tertiary facilities and under underutilized primary
care facilities.
 Problem of drug abuse and alcoholism
 Many slums not having primary health care facility.
 High incidence of domestic violence.
 Multiplicity of urban local bodies, State government, etc. management of health
needs of urban people.
 No norms for urban health facilities.
 No concerted campaigns for behavior Change.
 Problems of unauthorized settlements.
As a result of the above issues, the indicators of health are very poor especially related to
Maternal and Child Health attributing to the high MMR and IMR. Besides these, the unplanned
and scattered growth of the urban population particularly slum dwellers have resulted in
increasing the incidence of many diseases – Tuberculosis, Diabetes, Leprosy, Cancer ,
communicable diseases, Vector Borne Diseases (JE/AES, Malaria, Dengue) etc. Some of the
major outcomes of the increased slum population in Gorakhpur city are listed below: -
1. Family Planning: -
High population growth rate in urban areas is not only because of rapid in-migration but
also because of large families and the limited use of family planning methods especially
among the urban poor. Addressing the high fertility and low use of family planning
methods is not only important from the view point of reducing the rapid growth of
population but also to reduce high parity and closely spaced births which have a
significant bearing on maternal and child health. The Contraceptive Prevalence Rate
(CPR) of Gorakhpur district is 38.4 (DLHS – 3) and it is expected that the CPR amongst
the most vulnerable population will be much lower owing to lack of awareness and poor
accessibility of health facilities.

Though knowledge about methods of family planning is high but as mentioned above
only 38.8 percent of the population is using any method. The total unmet need for
Family planning is 31.1 for Gorakhpur district (DLHS – 3).
2. Maternal Health
Pregnancy and child birth are the leading causes of death, dis ease and disability among
women of reproductive age. Lack of antenatal care is an important risk factor for
maternal health which is contributed largely due to inaccessibility of health facilities in
the urban areas. Also, the availability of Front-Line Workers (FLWs) is very low in the
urban slums as compared to the rural areas where ASHAs are the fulcrum of the client-
outreach activities. The Reproductive and Child Health Program recommends that as
part of antenatal care, pregnant women should be provided with at least three
antenatal check-ups, two doses of tetanus toxoid vaccine and iron and folic acid
supplementation for at least three months during pregnancy. However, only 9.1% of the
mothers in the urban poor households received the recommended three or more
antenatal check-ups as against the urban average of 36.8 percent.
3. Childhood morbidity and health services

Outbreaks of Vaccine Preventable Diseases are more common in urban slums owing to
high population density and continuous influx of a new pool of infective agents with the
immigrating population. Apart from this, around thousands of children have died due to
the Outbreak of Japanese Encephalitis and Acute Encephalitis syndrome in the eastern
region of Gorakhpur. Although vaccines have been developed for this deadly disease,
yet their reach to children in urban slums is a major area of concern. Also, there is high
drop-out and left-out rates of immunization among urban poor households as compared
to the urban average and rural areas. This is mainly due to the weak birth registration
system particularly for the urban slums. Many of the births particularly home deliveries
in the urban slums remain unregistered. This is compounded by inaccessibility of health
facilities for the urban slum population and lack of FLWs for providing the required
information.
4. Environmental Health Conditions

The health vulnerability of the slum dwellers is further accentuated by the poor
environmental conditions in which they reside. Access to safe water and sanitary
means of excreta disposal are basic human rights and forma an indispensable
components of primary health care services. Inadequate sanitation, poor hygiene
and water result not only in more sickness and death but also in higher health costs,
lower worker productivity and lower school enrollment and retention rates. The
poor in urban areas bear a disproportionately higher burden of the non-availability

of water as well as its poor quality. Majority of the urban slum households derive
their drinking water either from hand pumps or public taps. Increased coordination
and convergence of departments in-charge of water supply, sanitation and slum
improvements with the health department is a pre-requiste for improving the health
conditions of slum dwellers.
5. Inadequate primary health infrastructure

Urban areas do not have a wide network of primary health care services unlike rural
areas. The rapid growth of urban population has also rendered the already limited
health facilities more inadequate to serve the needs of the urban poor. As a result
some slum settlements are entirely uncovered by health services and the quality of
services in others is seriously compromised.
Strategies, Activities and Work Plan
A multitude of factors like inadequate health services in slums, dilapidated condition of

maternal and child health, prioritizing the poorest urban slums, functional convergence
among different departments and programs and poor capacity of urban local bodies are
the major reasons for the poor health outcomes among the slums dwellers. In order to
strengthen services and improve the health status of the urban poor, the government of
India has launched the National Urban Health Mission (NUHM) as a sub-mission under
the National Health Mission (NHM), the National Rural Health Mission (NRHM) being the
other sub-mission.
The major aim of NUHM will be to “To improve the health status of the urban
population in general, but particularly of the poor and other disadvantaged sections,
by facilitating equitable access to quality health care through a revamped public
health system, partnerships, community based mechanism with the active
involvement of the urban local bodies”. Number of strategies are planned to be
implemented under NUHM in the last six months of this financial year (2013-14): -
1. Mapping and listing: - The situational analysis and several other surveys have shown
that there are large numbers of unlisted slums in the city in which the most vulnerable
population resides and they are in need of immediate attention. As per the survey
conducted by District Urban Development Authority in the year 2003-04, the total
number of listed slums are 110 having a population of 2, 13,835. Thus, around ten years
have passed during which there has been a rapid increase in the urban population – the
field data base of Urban Health Initiative (UHI), a project being implemented to support
the Government of Uttar Pradesh in the urban slums of eleven cities including
Gorakhpur city on increasing the Contraceptive Prevalence Rate (CPR) to reduce MMR

and IMR, shows that the number of slums have increased to 166 and the population has
doubled and reached to 4, 49, 438. Apart from this, UHI has also mapped all the health
facilities in the urban area. Thus, all the above information will be used in planning of
the NUHM activities this year.
However, there is fair percentage of marginalized section of the population residing in

very poor conditions in the city and they need to be mapped and listed for planning of
services and outreach activities. They are the most vulnerable among the entire slum
population of the city and they need immediate attention and hence, special type of
camps will be organized in these areas. Though, UHI has mapped the public health
facilities, however, facility surveys (availability of infrastructure, HR, drugs, Consumables
and equipment) will be conducted in order to prepare estimates for up
gradation/strengthening the same as per norms and standards. Also, the survey will be
conducted in order to provide an assessment of existing community based structures in
order to determine whether these could take on the role of MAS and assess capacity
(staffs, systems) of the Urban Local Bodies (ULBs) to manage NUHM.
2. Strengthening of Service Delivery Infrastructure:
The Service Delivery will be strengthened in order to meet the requirements of the slum
population.
Urban - Primary Health Centers (U-PHC): There are seventeen Urban Health Posts
(UHPs) in Gorakhpur city and all of them are running on rented accommodation. Out of
these seventeen UHPs, nine are supported by the state government; six are supported
by both the state government and NRHM while the remaining two are supported by
NRHM.
In order to have easy accessibility of health services, it is planned to have 23 U – PHCs in

Gorakhpur city. All these 23 UHPs will either operate in the previous establishments if
they have the required infrastructure of four rooms or they will be shifted to other
premises of minimum of four rooms. Thus, seventeen UHPs will be upgraded into new U
– PHCs and six new U – PHCs will be opened.
S.No. Name of UHPs Supported By Up gradation under

NUHM
1 Basantpur State Government Up graded
2 Mohaddipur State Government Up graded

3 Jharna Tola State Government Up graded
4 Jatepur State Government Up graded
5 Purdilpur State Government Up graded
6 Deewan Bazar State Government Up graded
7 Civil line State Government Up graded
8 Shahpur State Government Up graded
9 Chhote Quazipur State Government Up graded
10 Jafra Bazar NRHM and State Government Up graded
11 Humayunpur NRHM and State Government Up graded
12 Nizampur NRHM and State Government Up graded
13 Turkmanpur NRHM and State Government Up graded
14 Gorakhnath NRHM and State Government Up graded
15 Betiahata NRHM and State Government Up graded
16 Shivpur NRHM Up graded
Sahbajganj
17 Andhiyari Bag NRHM Up graded
In the next financial year it will be proposed with the District Administration and Urban
Local Bodies (ULB) regarding land for constructing UPHCs. The working hours of the U –
PHC would be from 12.00 Noon to 8.00 PM. The staffs at each U-PHC will include MOI/C
-1, MO, Staff Nurse – 3, Pharmacist – 1, ANMs – 5, Support Staff – 3 and M & E unit
(MCTS/HMIS Operator) – 1. The services provided by U – PHC would include OPD
(Consultation), basic lab diagnosis, drug/contraceptive dispensing and delivery of
Reproductive and Child Health (RCH) services, as well as preventive and curative aspects
of all communicable and non-communicable diseases.
In Gorakhpur city, Fourteen Medical Officers will be posted who will be working in the
capacity of Medical Officer In Charge (MOIC). Apart from him, there will be: -
 Medical Officer - 46 Full- time on Contractual basis.
 Staff Nurse - 46 (@2 per UPHC) on Contractual basis.
 ANM - 115 (@ 5 per UPHC) on Contractual basis.
 Pharmacist - 23 (@ 1 per UPHC) on contractual basis.
 LT - 23 (@ 1 per UPHC) on contractual basis.
 MCTS/HMIS Officer - 14 (@ 1 per UPHC) on contractual basis.
 Support staff - 69 (@ 3 per UPHC) on contractual basis.
Urban – Community Health Centers (U – CHC): U – CHC consisting of 30 – 50 beds and

providing in-patient care in cities will be planned in the next financial year.

Public Private Partnership for Service Delivery:
There are around 300 private health service providers in the Gorakhpur city who will be
partnered for strengthening the service delivery. Accreditation of private service
providers for Family Planning services and Medical Termination of Pregnancy (MTP)
registration will be promoted. At present, there are four Accredited Private Providers
and five nursing homes registered for MTP in the city.
Focused approach will be made on strengthening partnership with non-profit service

providers in the city to provide affordable services to the slum population. There are
four prominent private non-profit health care facilities in the city, which organizes
various health camps including free check-ups and distribution of general medicine to
people suffering from various infections and contagious disease. These facilities are the
Guru Gorakhnath Dharamarth Hospital, Fatimah Hospital, Hanuman Prasad Poddar
Cancer Hospital and Charu Chandra Trust Leprosy Hospital.
3. Targeted Outreach Activities for slum population :
Under NUHM, it will be of paramount importance to strengthen the outreach activities

in the city. All the slum-dwellers as well as the city population should be well informed
about the services available in the city so that they can get easy access to these services.
There should be somebody within the community (similar to the ASHA model under
NRHM) who should be trained and well informed on all health issues so that they can
make the slum population aware through household visits. In order to strengthen these,
a four pronged strategy will be implemented under NUHM: -
Contractual ANMs: -
Outreach services will be provided through the Female Health Workers (FHWs),
essentially ANMs with an induction training of three to six months, who will be
headquartered at the Urban PHCs. Unlike rural areas, Sub-centers will not be set up in
the urban areas as distances and mode of transportation are much better here. It is
planned to have five ANMs per U – PHCs and thus there will be 115 ANMs who will be
catering to the health needs of the urban poor. Mobility support will be provisioned to
them for providing outreach services. On other days, they will provide immunization,
ANC etc. at the PHC itself.

Urban ASHAs (U – ASHAs):
One frontline community worker (U – ASHA) would serve as an effective and demand -
generating link between the health facility and the urban slum population. U –ASHA will
be the fulcrum of the NUHM program as she will be the only grass -root worker who will
be on regular contact with the community. Each one of them will be having a well –
defined service area of about 1,000 – 2,500 beneficiaries/between 200 – 500
households based on spatial consideration. Their roles and responsibility will be very
much similar to the ASHA under NRHM. They will be paid performance based
compensation for promoting universal immunization, referral and escort services for
Reproductive and Child Health (RCH).
As per the field data base of UHI, slum population of Gorakhpur city is around 4.50 lakhs
and after going through the population of each slum, 308 U – ASHA will be required for
covering the entire slum population and KFAs (Refer to annexure 3). All the 308 U –
ASHA will be recruited in this financial year on the basis of the guidelines provided by
the state. The training curriculum/module will be on the same pattern as NRHM
(Integrate package of eight days training). The training will be provided in batches with
each batch strength of 30 U – ASHA.
Mahila Arogya Samiti (MAS):
Mahila Arogya Samiti (MAS) will be formed and they will act as community based peer
educator group in slums, involved in community mobilization, monitoring and referral
with focus on preventive and promoting care, facilitating access to identified facilities
and management of grants received. MAS will be formed for each 50 – 100 households
in the slum population. Existing women groups under the JnNURM, DUDA etc. and other
like structures can be adopted for implementation of NUHM. Self-help groups of women
existing in the slums can also be strengthened to play the role of MAS.
It is planned to form two MAS per U – ASHA area in this financial year. Thus, at the end
of this financial year, there will be 616 MAS operating in slums of Gorakhpur city. All the
members of the MAS will be oriented on their roles and responsibilities including group
organization, governance and management of the group etc. as per the guideline
provided by the state. Bi-monthly meeting of the MAS will be organized through
mobilization by the U – ASHA.

Urban Health Sanitation and Nutrition Days (UHSND):
Following the lines of Village Health Sanitation and Nutrition Days (VHSND), it is planned
to organized Urban Health Sanitation and Nutrition Days (UHSND) once every month
with special focus on KFAs in the slums making the information and the services
available at the door-step of the most vulnerable population. UHSND will be organized
at AWCs in the slums and the mobilization of the slum dwellers will be done by the U –
ASHA, AWWs and the members of MAS. The targeted population will include the entire
slum population with special focus on pregnant women for ANC, children for
immunization and supplementary nutrition, eligible couples for condoms and OCP, TB
patients for Anti-TB drugs etc. As there will be mobilization of significant number of
targeted slum population, hence, it will also be used as an opportunity for discussing
health related issues e.g. importance of institutional delivery, exclusive breast feeding,
prevention of malaria, TB and other communicable diseases, personal hygiene,
sanitation etc. and create awareness on the same.
It is planned to organize 450 UHSND in Gorakhpur in this financial year. Thus, 75 UHSND
will be organized in Gorakhpur city in each month for improving the health and
sanitation of the people living in urban slums. Apart from this, 67 special outreach
camps will be organized in the KFAs reaching to the most vulnerable population. This
camp will consist of specialist doctors and will be organized at strategic locations in the
city.
School – Health Program:
It is planned to cover all the School children including Government Primary school,
Middle School, High School and Inter Colleges and Government aided schools from class
I – Class XII with free health check-ups under “Aashirvad – Bal Swasthya Guarantee
Yojana”(ABGSY).Health examination of all students will be done which will include
health screening, examination, referral and treatment of children along with distribution
of free medicines (Iron Folic Acid and Albendazole).
One medical team will be formed which will include a Doctor, an ANM and an
Ophthalmic Assistant. They all will be deputed on contractual basis and the team will be
visiting schools on a pre-planned schedule. One vehicle will be hired for visiting the
schools in which the team will be visiting. Teachers from all the covered schools (108)
will be provided training under this program. Bal Swasthya card, Referral slip, Registers,
Weighing machines, Height measuring tape, Snalen chart for vision test, Camera and
Torch will be provided under logistic management. One First-aid Box will be provided for
each school in order to deal with any emergency condition.

Public – Private Partnership (PPP):
NUHM would proactively reach out to poor urban settlements through Public – Private
Partnership. It would be encouraged to involve NGOs to facilitate community
mobilization process, training and capacity building of U – ASHAs and MAS and carry out
IEC/BCC activities. It mandates special attention reaching the KFAs like construction
workers, rag pickers, sex workers, brick kiln workers, rickshaw pullers and the street
children.
There are many development partners working in the city of Gorakhpur – DUDA, UHI,
Population Services International (PSI), Poorvanchal Gramin Vikas Sansthan, Gramin
Sewa Sansthan, Manav Sewa Sansthan, Poorvanchal Gramin Sewa Sansthan etc. and
they will be involve under the PPP model in NUHM. A large network of trained volunteer
health worker has been established in the city of Gorakhpur by the above development
partners and they will be an asset in the program of NUHM.
Training and Capacity Building:
The training will be provided to staffs at all levels including Medical Officer, ANMs, LHVs
and UASHA. The Medical Officer including the ones contracted under the School Health
Program will be trained in order to enhance their skills so that they can perform their
roles efficiently. ANMS and LHVs will also be trained as per the guideline of NRHM.
UASHA who will be the fulcrum of outreach activities will be trained as per the module
of NRHM in batches of 30.
4. Program Management Arrangements:
The NUHM in Gorakhpur will be implemented through the District Health Society (DHS)
and the funds will flow to the DHS through the State Health Society (SHS). The DHS will
maintain separate accounts for NUHM. The management of NUHM activities will be
coordinated by an Urban Health Committee at the city level which will be headed by the
District Magistrate (DM) of Gorakhpur.
Intra – sectorial convergence will be established through integrated planning for

implementation of various health programs like RCH, RNTCP, NVBDCP, NPCB, National
Mental Health Program, and National Program for Health Care of the Elderly etc. at the
city level. Apart from this, Inter – sectorial convergence with Departments of urban
development, Housing and Urban Poverty Alleviation, Women and Child Development,
School Education, Minority Affairs, Water Supply and Sanitation etc. will be established.
Inclusion of department of labor will be ensured to deal with the Surveillance and health
issues of migrant labor in the city of Gorakhpur. This becomes all the more important

considering that there are large number of migrant labors in the city from the rural
areas of Gorakhpur and the neighboring districts of UP and Bihar state. Both types of
convergence will be established through city level Urban Health Committee headed by
the DM of Gorakhpur
The National Urban Health Mission would leverage as far as possible the institutional
structures of the NRHM at the National, State and District level for operationalization of
the NUHM. However, in order to provide dedicated focus to issues relating to Urban
Health, additional managerial and financial resources will be added and strengt hened at
all levels. In this context, City team will comprise of an Urban Health Coordinator (UHC),
who will lead the planning and implementation of NUHM activities in the city. Apart
from planning and implementation, he will also coordinate between different
departments in order to provide a complete package to the urban population. Apart
from the UHC, there will be one Data Entry Operator (DEO) who will be overall
responsible for the overall data of the NUHM programs. Also, there will be an
Accountant who will manage separate accounts of NUHM. All the above staffs will be
part of City Program Management Cell and will be under the banner of District Program
Management Unit (DPMU) of NRHM which will be later known as DPMU - NHM. Thus,
NHM will have two wings – NRHM and NUHM. All the above staffing for NUHM is in line
with the pattern of NRHM.

NUHM PIP of Gorakhpur (2013-14)
Table 1 – Gorakhpur
Total Population of city (in lakhs) (Source : Census 2011) 6,73,446

Slum Population (in lakhs) (Source : UHI Field Database) 4,50,000
Slum Population as percentage of urban population 67%
Number of Notified Slums (Source : DUDA) 110
Number of slums not notified (Source : UHI Field Database) 56
No. of Slum Households (Source : UHI Field Database) 58,237
No. of slums covered under slum improvement programme (BSUP,IDSMT,etc.) NA
Number of slums where households have individual water connections* 166
Number of slums connected to sewerage network* 30
Number of slums having a Primary school 166
No. of slums having AWC 166
No. of slums having primary health care facility 166

Table 2 Gorakhpur district
Sl. No. Name of Disease/ cause of morbidity (e.g. COPD, trauma, cardiovascular disease etc.) Number of cases admitted in 2012
1 Injuries and Trauma 12731

2 Self inflicted injuries/suicide NA
3 Cardiovascular Disease 20559
4 Cancer (Breast cancer) NA
5 Cancer (cervical cancer) NA
6 Cancer (other types) NA
7 Mental health and depression O
8 Chronic Obstructive Pulmonary Disease (COPD) 15656
9 Malaria 2
10 Dengue 44
11 Infectious fever (like H1N1, avian influenza, etc.) NA
12 TB 3633
13 MDR TB NA
14 Diarrhea and gastroenteritis NA
15 Jaundice/Hepatitis NA
16 Skin diseases NA
17 Severely Acute Malnourishment (SAM) NA
18 Iron deficiency disorder NA
19 Others NA

Gorakhpur
Table 3 district
Quality of Quality of Stat Location and Location and Location and No of

housing sanitation us distance of distance of distance of Urba
of nearest AWC nearest Primary nearest n
wat School Primary ASH
er Health A
sup Centre/UHP Prop
ply /UFWC osed
(Pip
Wa ed,
Sl. Name of Popul
rd Han
no. the slum ation
no. d
(IHL,com pum
(kutcha/pucc munity ps, Dista Dista Locat Dista
ope Location Location
a/mixed) toilets, nce nce ion nce
OD) n
well
s,
non
e)
Mahadev UHP
Hand
1 1 Bhagta 2338 Mixed IHL, OD Bhagta 0 Km Jharkhandi 1 Km Jharana 5 Km 2
pumps
Tukda No-1 tola
Mahadev UHP
Hand
2 18 Rampur 1306 Mixed IHL, OD Bhagta Jharkhandi 0.5 km Jharana 5 Km 1
pumps
0.5 km Tukda No-1 tola
UHP
Hand
3 18 Dibhiya 2637 Mixed IHL, OD Dibhiya 0 Km Dibhiya 0 Km Jharana 2 Km
pumps
tola
2
UHP
Hand
4 18 Dibhiya Mixed IHL, OD Dibhiya 0 Km Dibhiya Jharana
pumps
Harijan Basti 286 Harijan Basti 1 Km tola 1 Km
UHP
Hand
5 18 Mixed IHL, OD 0 Km Dibhiya Jharana 1
pumps
Dhobi Tola 798 Dhobi Tola 1 Km tola 3 km

Hand PHC
6 18 Mixed IHL, OD Dibhiya
Khale Tola 712 pumps Ranidiha 0.5 km 0.5 km Khorabar 0.1 km
Hand PHC
7 18 Mixed IHL, OD 0 Km Dibhiya 2
Ranidiha 2327 pumps Ranidiha 1 Km Khorabar 0.5 Km
UHP
Hand
8 18, 8 Mixed 0 Km Girdharganj Jharana 2
pumps
Singhadiya 2276 IHL, OD Singhadiya 0.5 km tola 1 km
UHP
Hand
9 48 Mixed IHI & OD & CT 0 Km Kunraghat Jharana 3
pumps
Vishunpurwa 4589 Vishunpurwa 0.5 km tola .5 km
Mahadev Mahadev UHP
Hand
10 8 Jharkhandi Mixed Jharkhandi 0 Km Kunraghat Jharana 3
pumps
Tukda No-2 3979 IHL, OD Tukda No-2 1 Km tola 1 Km
Hand
UHP
Pump
11 2 Mixed 0 Km Girdharganj Jharana 2
&
tola
Kunraghat 2200 IHL, OD Piped Kunraghat 0 Km 0 Km
Hand
Pump Mahuisugharp UHP
12 69 Mixed 0 Km 1
& ur Betiyahat
Mirzapur 1754 IHL, OD Piped Mirzapur 1.5 km a .5 km
Hand
Pump UHP
13 40 Mixed 0 Km 2
& Betiyahat
Chilmapur 2756 IHL, OD Piped Chilmapur Chilmapur 0 Km a .5 km
Hand
UHP
Mahadev Pump Mahadev Mahadev
14 1 Mixed 0 Km Jharana 5
Jharkhandi & Jharkhandi Jharkhandi
tola
Tukda No-1 8339 IHL, OD Piped Tukda No-1 Tukda No-1 0 Km 3 km
Hand
Pump UHP
15 6 Mixed 0 Km Saraeya 3
Nausar Yadav & Nausar Yadav Turkman
Basti 4567 IHL, OD Piped Basti 3 km pur 3 km
Hand
Pump UHP
16 27 Mixed 0 Km 1
& Deewan
Koiri Tola 1768 IHL, OD Piped Koiri Tola Koiri Tola 0 Km Bazar 2 Km
Hand
13, Pump Bauliya UHP
17 Mixed 0 Km 3
17 & Calony Humaun
Lohiya Nagar 4258 IHL, OD Piped Lohiya Nagar 2 Km pur 0 Km
Hand
Pump Tarang UHP
18 29 Mixed 0 Km 2
Humaunpur & Humaunpur Crosing Humaun
Crossing 2224 IHL, OD Piped Crossing .5 km pur 1.5 km
Hand
Pump Bauliya UHP
19 25 Mixed 0 Km 2
& Calony Humaun
Kasaibada 2376 IHL, OD Piped Kasaibada 2 Km pur .3 km

Hand
Pump UHP
20 52 Mixed IHI & OD & CT 0 Km 4
& Deewan
Jatepur South 7041 Piped Jatepur South Jatepur South 0 Km Bazar 1.5 km
Hand
Pump UHP
& Betiyahat
Goplapur 1471 Piped Goplapur Goplapur 0 Km a 3 Km
Hand
Pump UHP
Humaunpur & Humaunpur Humaunpur Deewan
South 19529 Piped South South 0 Km Bazar 0 Km
Hand
Pump UHP
Khurrampur & Khurrampur Khurrampur Chhote
Harijan Basti 1295 Piped Harijan Basti Harijan Basti 0 Km Kajipur 1 Km
Hand
Pump
24 Mixed IHI & OD & CT 0 Km Boxipur 1
&
Muktipur 1200 Piped Muktipur 1 Km DWH 1.5 km
Hand
Pump
&
Miya Bazar 3000 Piped Miya Bazar Miya Bazar 0 Km DWH 0.5 km
Hand
UHP
Pump
26 8 Mixed IHI & OD & CT 0 Km Jharana 12
&
tola
Dargahiya 18398 Piped Dargahiya Dargahiya 0 Km 4 Km
Hand
Pump UHP
Mahewa & Mahewa Mahewa Turkman
Badepurwa 4701 Piped Badepurwa Badepurwa 0 Km pur 3 Km
Hand
Pump UHP
Jungal Tulsi & Jungal Tulsi Jungal Tulsi Mohaddi
Ram 4116 Piped Ram Ram 0 Km pur 5 Km
Hand
UHP
Pump
29 20 Mixed IHI & OD & CT 0 Km Jharana tola Jharana 1
&
tola
Lalganj 803 Piped Lalganj 1 Km 6 Km
Hand
Pump UHP
Mahuisugharp & Mahuisugharp Mahuisugharp Betiyahat
ur 9387 Piped ur ur 0 Km a 0 Km
Hand
Pump UHP
Mirzapur & Mirzapur Mirzapur Nizampu
Godiyan tola 4838 Piped Godiyan tola Godiyan tola 0 Km r 1 Km
Hand UHP
32 6 Nausar Mixed IHL, OD Pump Nausar 0 Km Saraeya Turkman 2
Harijan Basti 2400 & Harijan Basti 1 km pur 3 Km

Piped
Hand
Pump UHP
33 44 Mixed IHL, OD 0 Km Gehuwa Sagar
& Betiyahat
Phulwariya 2424 Piped Phulwariya 1 Km a 2 Km 2
UHP
Hand
34 30 Mixed IHL, OD 0 Km Turkman
pumps
Bahrampur 800 Bahrampur Bahrampur 0 Km pur 3 Km
Hand
Pump UHP
35 33 Mixed IHL, OD 0 Km 6
Ramgarhtal/K & Ramgarhtal/K Ramgarhtal/K Betiyahat
anshiram 8864 Piped anshiram anshiram 0 Km a 5 Km
Hand
Pump Mahewa UHP
36 Mixed IHL, OD 0 Km 1
Chhota & Chhota Badepurwa Turkman
Mahewa 1192 Piped Mahewa 0.5 km pur 2.5 km
Hand
Pump UHP
Betiyahata & Betiyahata Betiyahata Betiyahat
Harijan Basti 2210 Piped Harijan Basti Harijan Basti 0 Km a 1 Km
Hand
Pump UHP
& Turkman
Turkmanpur 4068 Piped Turkmanpur Turkmanpur 0 Km pur 0 Km
UHP
Hand Jungal Tulsi
39 Mixed IHL, OD 2 Km Mohaddi 1
pumps Ram
Akolwa 1598 Khajurahiya 1 Km pur 4 Km
Hand
UHP
Pump
40 Mixed IHL, OD 0 Km Jharana 4
&
tola
Jharana tola 4730 Piped Jharana tola Jharana tola 0 Km 2 Km
Hand
Pump UHP
41 IHI & OD & CT 1
& Turkman
Pahadpur 1435 Mixed Piped Turkmanpur 0.2 km Turkmanpur .05 km pur 1 km
Ahiran Tola Hand NA --- NA PHC
42 19 1433 Mixed IHL & OD 1
pumps 0 Chargawa 6 km
Bhagwanpur Hand Bhagwanpur Bhagwanpur PHC
43 16 No.2 1262 Mixed IHL & OD No.2 0 Km No.2 0 Km
pumps Chargawa 7 km
1
Bichaupur Hand Bichaupur Bhagwanpur PHC
44 16 (Nakaha-2) 543 Mixed IHL & OD (Nakaha-2) 0 Km
pumps 1 km Chargawa 7 km
Chaksa Hand Chaksa Madrasa**
Hussain Pump Hussain UHP
45 47 4993 Mixed IHL & OD 0 Km 0 Km 3
& Humaun
Piped pur 2 km
Ganga Tola Hand Ganga Tola NA
PHC
46 10 2230 Mixed IHL & OD Pump 0 Km 2
Chargawa
& --- 4 km

Piped
Jahidabad IHL Hand Jahidabad Madrasa**

Pump UHP
47 65 2610 Mixed 0 Km 0 Km 2
& Humaun
Piped pur 2 km
Nakaha No. 1 Hand Nakaha No. 1 Bhagwanpur PHC
48 16 924 Mixed IHL & OD 0 Km 1
pumps 1.5 km Chargawa 4 km
Nakaha No. 2 Hand Nakaha No. 2 Bhagwanpur PHC
49 16 1748 Mixed IHL & OD 0 Km 1
pumps 1 km Chargawa 7 km
10 no. Boring Hand 10 no. Boring Rajendra
UHP
Pump Nagar
50 12 4385 Mixed IHL & OD 0 Km Gorakhn 3
&
ath
Piped 1 km 1 km
Andhiyaribagh Hand Andhiyaribagh Andhiyaribagh
East Pump East West UHP
51 21 2066 Mixed IHL & OD 0 Km
& Andhiyari
Piped .2 km Bagh 0 km
2
West Pump West West UHP
& Andhiyari
Piped 0 km Bagh 0 km
South Pump South West UHP
53 51 1782 Mixed IHL & OD 0 Km 1
& Andhiyari
North Pump North West UHP
54 21 2235 Mixed IHL & OD 0 Km 2
& Andhiyari
Piped .1 km Bagh 0 km
Bulakipur Hand Bulakipur Ghosipur
Pump Illahibagh UHP
55 37 1764 Mixed IHL 0 Km 1
& Nizampu
Piped .5 km r .5 km
Ghosipur Hand Ghosipur Ghosipur
Illahibagh Pump Illahibagh Illahibagh UHP
56 60 6035 Mixed IHL & OD 0 Km 0 Km 4
& Nizampu
Piped r .5 km
Jafara Bazar Hand Jafara Bazar Ghosipur
Pump Illahibagh UHP
57 51 3659 Mixed IHL 0 Km 2
& Jafara
Piped 1 km Bazar 0 km
Jafara Bazar Hand Jafara Bazar Andhiyaribagh
North Pump North West UHP
58 51 2366 Mixed IHL 0 Km 2
& Jafara
Piped .2 km Bazar 0 km
Bilandpur Hand Bilandpur Gorakhnath UHP
59 35 2175 Mixed IHL & OD Pump 0 Km 2 Km Gorakhn 2
& ath 1.5 km

Piped
Rasoolpur Hand Rasoolpur Gorakhnath

South Pump South UHP
60 55 10385 Mixed IHL 0 Km 7
& Gorakhn
Piped 1 km ath 1 km
Rasoolpur Hand Rasoolpur Gorakhnath
Pump UHP
61 55 1778 Mixed IHL & OD 0 Km 1
& Gorakhn
Piped 1 km ath 1 km
Takiya Hand Takiya Gorakhnath
Kawaldah Pump Kawaldah UHP
62 35 1088 Mixed IHL & OD 0 Km 1
& Andhiyari
Sidharipur Hand Sidharipur Gorakhnath
North Pump North UHP
63 35 2073 Mixed IHL & OD 0 Km 2
& Andhiyari
Piped 1.5 km Bagh 1 km
Sidharipur Hand Sidharipur Gorakhnath
64 35 1971 Mixed IHL & OD 0 Km 1
& Andhiyari
Ambedkarnag Hand Ambedkarnag NA
ar IHL & OD & Pump ar UHP
65 35 1234 Mixed 0 Km 1
CT & Jafara
Piped --- Bazar .5 km
Baharampur Hand Baharampur Ghosipur
South/Narsin Pump South/Narsin Illahibagh UHP
66 28 2832 Mixed IHL & OD 0 Km 2
ghpur & ghpur Nizampu
Piped 1.5 km r 1 km
Basiadeeh Domingarah Madhopur UHP
Hand
67 14 920 Mixed IHL & OD Nizampu 1
pumps
1 km 1 km r 1.5 km
Bankatawa Hand Bankatawa Bankatawa
Pump UHP
68 43 3573 Mixed IHL & OD 0 Km 2
& Gorakhn
Piped .5 km ath 1 km
Habart Hand Habart Nizampur
Bandha Pump Bandha UHP
69 28 3380 Mixed IHL & OD 0 Km 2
& Nizampu
Piped 1.5 km r 1 km
Madhopur Hand Madhopur Madhopur
Harijan Basti Pump Harijan Basti UHP
70 14 1792 Mixed IHL & OD 0 Km 1
& Jafara
Rampur Naya Rampur Naya Bankatawa UHP
Hand
71 43 Gawn 1677 Mixed IHL & OD Gawn 0 Km Gorakhn 1
pumps
1.5 km ath 1 km
Rumduttpur Hand Rumduttpur Ghosipur
72 37 1574 Mixed IHL & OD 0 Km UHP 2
North Pump North Illahibagh
2 km Jafara 1 km

& Bazar
Piped
Ramduttpur Hand Ramduttpur Ghosipur
South Pump South Illahibagh UHP
& Jafara
Basaratpur Hand Basaratpur Basaratpur
North Pump North UHP
74 10 1525 Mixed IHL 0 Km 0 Km
& Shahpur
Piped 1 km 1
Jhanjhwa Tola Hand NA NA PHC
75 9 288 Mixed IHL & OD ---
pumps --- Chargawa 3 km
Jungal Hand Jungal NA
Mahuwa Pump Mahuwa PHC
76 9 1704 Mixed IHL & OD 0 Km 1
& Chargawa
Piped --- 2 km
Harsewakpur Hand Harsewakpur NA
No.-1 Pump No.-1 PHC
77 9 1542 Mixed IHL & OD 0 Km 1
& Chargawa
Piped --- 2 km
Krishna Hand Krishna Krishna
Nagar Pump Nagar Nagar UHP
78 57 5531 Mixed IHL 0 Km 0 Km 3
& Jatepur
Piped .3 km
Sudiakuwa Hand Sudiakuwa Sudiakuwa
Pump UHP
79 5 4996 Mixed IHL 0 Km 0 Km 3
& Jatepur
Piped 1 km
Moti Pokhra Hand Moti Pokhra Sudiakuwa
IHL & OD & Pump UHP
80 5 1614 Mixed 0 Km 1
CT & Jatepur
Piped 1 km 1.5 km
Basaratpur Hand Basaratpur Sudiakuwa
& Jatepur
Piped .5 km 1.5 km
1
Goungaly Hand Goungaly NA
Tola Pump Tola UHP
82 10 1069 Mixed IHL 0 Km
& Jatepur
Piped --- 2 km
Bargadwa Hand Bargadwa Bargadwa
Pump UHP
83 43 5028 Mixed IHL & OD 0 Km 0 Km 3
& Gorakhn
Piped ath 2 km
Japti Tola Hand Japti Tola Bargadwa
Pump UHP
84 53 1098 Mixed IHL & OD 0 Km 1 Km 1
& Gorakhn
Piped ath 3 km

Lachchhipur Hand Lachchhipur Bargadwa
Pump UHP
85 53 992 Mixed IHL & OD 0 Km 1 Km 1
& Gorakhn
Piped ath 3 km
Mahesara Hand Mahesara Mahesara
UHP
Moharipur Pump Moharipur Moharipur
86 53 11309 Mixed IHL & OD& CT 0 Km 0 Km Gorakhn 8
&
ath
Piped 5 km
Manbela Hand Manbela Manbela PHC
87 7 2172 Mixed IHL & OD 0 Km 0 Km 2
pumps Chargawa 2 km
Piru Said Hand Piru Said Manbela PHC
88 7 1230 Mixed IHL & OD 0 Km 1
pumps 1 km Chargawa 2.5 km
Tenua Hand Tenua Manbela PHC
pumps 1 km Chargawa 2.5 km
Patarkuiya Hand Patarkuiya Patarkuiya PHC
90 7 324 Mixed IHL & OD 0 Km 0 Km
pumps Chargawa 3 km 1
Bangala Tola Hand Bangala Tola Bangala Tola
Pump PHC
91 7 755 Mixed IHL & OD 0 Km 0 Km
& Chargawa
Piped 4 km
Chargawa Hand Chargawa Chargawa
Pump PHC
92 9 1474 Mixed IHL & OD 0 Km 0 Km 0 Km 1
& Chargawa
Piped
Fathepur Hand Fathepur Madrasa** PHC
93 7 2055 Mixed IHL & OD 0 Km 0 Km 2
pumps Chargawa 1 km
Hamidpur Hand Hamidpur Chargawa PHC
94 9 1116 Mixed IHL & OD 0 Km 1.5 km 1.5 km 1
pumps Chargawa
Jhungian Tola Jhungian Tola Jhungian Tola UHP
Hand Shivpur
95 7 2785 Mixed IHL & OD 0 Km 2
pumps Shahbajg
.5 km anj 1 km
Karim Nagar Hand Karim Nagar Chargawa PHC
96 9 1422 Mixed IHL & OD 0 Km 1 km 1
pumps Chargawa 1 km
Semara No. 1 Hand Semara No. 1 Chargawa
Pump PHC
97 4 2218 Mixed IHL 0 Km 1 km 2
& Chargawa
Piped 1 km
Jamunaiha Hand Jamunaiha NA
Pump UHP
98 4200 Mixed IHL & OD 0 Km --- 2
& Humaun
Piped pur 1 km
Naurangabad Hand NA NA
Pump UHP
99 3050 Mixed IHL & OD --- --- 2
& Humaun
Piped pur 2 km

Madhopur Hand Madhopur Madhopur
New Colony Pump UHP
100 4500 Mixed IHL & OD 0 Km 0 Km 3
& Jafara
Piped Bazar 2 km
Lalitapuram Hand NA NA
UHP
Pump
101 1000 Mixed IHL & OD --- --- Gorakhn 1
&
ath
Piped 3 km
Shastrinagar Hand NA NA
UHP
Pump
102 5000 Mixed IHL & OD --- --- Gorakhn 3
&
ath
Piped 5 km
Purdilpur Purdilpur 0.5 Km NA UHP
Hand
103 1459 Mixed IHL,OD & CT Deewan 1
pumps
--- Bazar 0 km
Alinagar Alinagar 0.5 Km NA
Kurmiyan Hand Kurmiyan UHP
104 1514 Mixed IHL & OD Deewan 1
Tola pumps Tola
--- Bazar 0 km
Alinagar Alinagar 0.5 Km UHP
Hand
105 Kurmi Tola 2052 Mixed IHL & OD Kurmi Tola Deewan 2
pumps
NA --- Bazar 0 km
Purana Hand Purana 0.5 Km Purana
Gorakhpur Pump Gorakhpur Gorakhpur UHP
106 4372 Mixed IHL 3
& Gorakhn
Piped 0 km ath .5 km
Turhabari Hand Turhabari 0.5 Km Turhabari
Pump UHP
107 650 Mixed IHL & OD
& Gorakhn
Piped 0 km ath 3 km
1
Taliyan Kuan Hand Taliyan Kuan 0 Km Taliyan Kuan
Pump UHP
& Gorakhn
Piped 2 km ath 1 km
Jungle Hakim Hand Jungle Hakim 0.5 Km Padri Bazar
No. 1 Pump No. 1 PHC
109 3125 Mixed IHL & OD 2
& Chargawa
Piped .5 km 5 km
Khajurahiya Hand Khajurahiya 0.5 Km Khajurahiya
East Pump East UHP
& Shahpur
Piped 0 km 6 km
Gayatri Nagar Hand Gayatri Nagar 0.5 Km NA
Pump UHP
& Shahpur
Piped --- 7 km
Shanti Nagar Hand Shanti Nagar 0.5 Km NA
Pump UHP
& Shahpur
Piped --- 6 km

Bichhia Hand Bichhia 0.5 Km NA
Pump UHP
& Shahpur
Piped --- 6 km
1
Bichhia Nau Hand Bichhia Nau 0.5 Km NA
Tola Pump Tola UHP
& Shahpur
Piped --- 6 km
Dewan Bazar Hand Dewan Bazar 0 Km NA
Pump UHP
& Deewan
Piped --- Bazar 0 km
Lal Diggi Hand Lal Diggi 0.5 Km Madrasa**
UHP
Dom Khana Pump Dom Khana
116 1866 Mixed IHL & OD& CT Basantpu 1
&
r
Piped 1 km 1 km
Basantpur Hand Basantpur 0.5 Km Madrasa**
UHP
Takia Pump Takia
117 1951 Mixed IHL & OD Basantpu 1
&
r
Piped 1 km 0 km
Basantpur Hand Basantpur 0.5 Km Hasupur
UHP
Chakra Pump Chakra
118 2075 Mixed IHL & OD Basantpu 2
&
r
Piped .5 km 0 km
Dilejakpur Hand --- --- ---
IHL & OD & Pump UHP
119 1670 Mixed 1
CT & Nizampu
Piped --- r 2 km
Ghosipur Hand Ghosipur 0.5 Km Ghosipur
Harijan Basti Pump Harijan Basti Harijan Basti UHP
& Nizampu
Piped 0 km r 2 km
Shahpur Hand Shahpur 0.5 Km NA
Pump UHP
& Shahpur
Piped --- 1 km
Shivpur Hand NA --- NA
Harijan Basti Pump PHC
& Chargawa
Piped --- 1 km
2
Shivpur Hand Shivpur 0.5 Km Shivpur
Shabajganj Pump Shabajganj Shabajganj UHP
123 1725 Mixed IHL
& Shahpur
Piped 0 km 1 km
Jungle Hand Jungle 0.5 Km Jungle
Matadeen Pump Matadeen Matadeen UHP
& Shahpur
Piped 0 km 2 km
Calaktari Tola Hand NA --- NA UHP
125 1806 Mixed IHL Pump Shivpur 1
& --- Shahbajg 0 km

Piped anj
Ghosipurva Hand Ghosipurva 0.5 Km Ghosipurva

Pump UHP
& Shahpur
Piped 0 km 4 km
Jatepur North Hand Jatepur North 0.5 Km ---
IHL & OD & Pump
127 7178 Mixed 4
CT & UHP
Piped --- Jatepur 1 km
Humaunpur Hand Humaunpur 0.5 Km NA
North IHL & OD & Pump North UHP
128 11179 Mixed 7
CT & Humaun
Piped --- pur 0 km
Mirzapur Hand Mirzapur 0.5 Km NA
UHP
Pachpedwa IHL & OD & Pump Pachpedwa
129 6560 Mixed Gorakhn 4
CT &
ath
Piped --- 2 km
Pachpedwa Hand Pachpedwa 0.5 Km NA
UHP
Chaksa Pump Chaksa
130 2881 Mixed IHL & OD Gorakhn 2
Husain & Husain
ath
Piped --- 2 km
Chamruti Hand Chamruti 0.5 Km NA
Nakha No 1 IHL & OD & Pump Nakha No 1 PHC
131 1497 Mixed 1
CT & Chargawa
Piped --- 5 km
Ghosipur Hand Ghosipur 0.5 Km NA
Nakha No. 1 IHL & OD & Pump Nakha No. 1 PHC
132 2177 Mixed 2
CT & Chargawa
Piped --- 5 km
Nizampur Hand Nizampur 0.5 Km ---
UHP
IHL & OD & Pump
133 3468 Mixed Nizampu 2
CT &
r
Piped --- .5 km
Mohanlal Pur Hand Mohanlal Pur 0.5 Km ---
IHL & OD & Pump UHP
134 3421 Mixed 2
CT & Jafara
Piped --- Bazar .5 km
Dariya Chak Hand Dariya Chak 0.5 Km Dariya Chak
UHP
IHL & OD & Pump
135 1605 Mixed Gorakhn 1
CT &
ath
Piped 0 km 1 km
Surya vihar Hand Surya vihar 0.5 Km ---
IHL & OD & Pump UHP
136 1309 Mixed 1
CT & Jafara
Piped --- Bazar 2 km
Satuhariya Hand Satuhariya 0.5 Km Satuhariya
UHP
IHL & OD & Pump
137 1759 Mixed Nizampu 1
CT &
r
Piped 0 km 2 km

Rasoolpur Hand Rasoolpur 0.5 Km Daudpur
Betiyahata IHL & OD & Pump Betiyahata UHP
138 1843 Mixed
CT & Mohaddi
Piped 0 km pur 3 km
2
Bhadhik Tola Hand Bhadhik Tola 0.5 Km Tinkuiya
Pump PHC
139 293 Mixed IHL/OD
& Chargawa
Piped .5 km 5 km
0.5 Km ---
Hand
Dharamshala( Dharamshala(
IHL & OD & Pump
140 Harijan Basti) 1146 Mixed Harijan Basti) 1
CT &
UHP
Piped
--- Purdilpur 1 km
Byassnagar Hand Byassnagar 0.5 Km ---
Harijan Basti IHL & OD & Pump Harijan Basti PHC
141 1312 Mixed 1
CT & Chargawa
Piped --- 4 km
Daudpur East Hand Daudpur East 0.5 Km Daudpur
IHL & OD & Pump UHP
142 1734 Mixed 1
CT & Mohaddi
Piped 0 km pur 3 km
Semra No.2 Hand Semra No.2 0 Km Semra No.2 0 Km PHC
143 2266 Mixed IHL/OD 2
pumps Chargawa 2 km
Bade Kazipur Hand Bade Kazipur 0 Km Ghosipur
UHP
Pump
144 2783 Mixed IHL Nizampu 2
&
r
Piped .5 km 1.5 km
Jagarnathpur Hand Jagarnathpur 0 Km Jagarnathpur 0 Km
Pump UHP
& Chhote
Piped Kajipur .5 km
Alahaladpur Hand Alahaladpur 0 Km Alahaladpur .5 Km
Pump UHP
& Chhote
Piped Kajipur .5 km
Mewatipur Hand Mewatipur 0 Km Mewatipur 0 Km
Pump UHP
147 1203 Mixed IHL
& Chhote
Piped Kajipur .5 km
2
Bankati Hand Bankati 0 Km Bankati 0 Km
Pump UHP
148 941 Mixed IHL
& Chhote
Piped Kajipur .5 km
Chote Hand Chote 0 Km Chote 0 Km
Kazipur Pump Kazipur Kazipur UHP
& Chhote
Piped Kajipur .5 km
Bhagatpurwa Hand Bhagatpurwa 0 Km Jungle
Pump Tinkonia PHC
150 787 Mixed IHL 1
& Chargawa
Piped 1 km 4 km

Avas Vikas Avas Vikas 0.5 Km Avas Vikas 0 Km
Hand
Coloney Vikas Coloney Coloney
Pump
151 Nagar Vistar 1101 Mixed IHL UHP
&
Gorakhn
Piped
ath 2 km
Raj Nagar Hand Raj Nagar 0 Km Raj Nagar
/Kushwaha Pump /Kushwaha /Kushwaha
Nagar & Nagar Nagar UHP
Piped 2 km Shahpur 2 km
Nautan Hand Nautan 0 Km Nautan 1 Km
Pump PHC
& Chargawa
Piped 4 km
Moglaha Hand Moglaha 0 Km Moglaha 1 Km
Pump PHC
& Chargawa
Piped 2 km
Hasupur Hand Hasupur 0 Km Hasupur 0 Km
UHP
Pump
155 45 1804 Mixed IHL Basantpu 1
&
r
Piped .5 km
Basfod Basti Hand --- --- ---
&Basharatpur Pump UHP
Purvi & Shahpur
Piped --- 2 km
1
Hera Tola Hand Hera Tola 0 Km Hera Tola
Pump PHC
& Chargawa
Piped 2 km 5 km
Dhamal Hand Dhamal 0 Km Dhamal 0 Km
Pump UHP
& Chhote
Piped Kajipur 1 km
Narkatiya Hand Narkatiya 0.5 Km ---
UHP
Pump
159 1584 Mixed IHL/OD Basantpu 1
&
r
Piped --- .5 km
Ghasiyari Hand Ghasiyari 0.5 Km ---
UHP
Pump
160 1530 Mixed IHL/OD Basantpu
&
r
Piped --- .5 km
2
Basantpur Hand Basantpur 0.5 Km ---
UHP
Khas IHL & OD & Pump Khas
161 833 Mixed Basantpu
CT &
r
Piped --- .5 km
Bhatpurwa Hand Bhatpurwa 0.5 Km ---
UHP
Pump
162 1925 Mixed IHL/OD Nizampu 1
&
r
Piped --- 1 km

Bakhtiyar Hand Bhatpurwa 0.5 Km
UHP
Mohalla Pump
163 2425 Mixed IHL Nizampu 2
&
r
Piped Ghosipur .5 km 1 km
Halsiganj Hand
UHP
Pump
164 2575 Mixed IHL Basantpu 2
&
r
Piped Basantpur .5 km Madrasa** 0 km 1 km
Madrasa Hand
UHP
Chauraha Pump
165 1530 Mixed IHL Basantpu 1
&
r
Piped --- --- Madrasa** 0 km 1 km
Sinhasanpur Hand UHP
Pump Shivpur
& Shahbajg
Piped NA --- NA NA anj 1 km

Table Gorakhpur district
4
Managing
No. and
Authority
type of
Name & type of (Municipal
equipment
facility (DH, Council, Population
Location of Human Resources available – list type and available:
Sl. Maternity Home, State Health covered Services
Health number of HR available i.e. ANM, LT, SN, MOs, X-ray
No. CHC, other ref. Department, by the provided
facility Specialists etc. machine,
hospital UFWC, UHP facilities facility
USG,
PHC,Dispensary etc.) functioning
autoclave
on PPP
etc.
basis)
Sanctioned In Position
General,
Trauma, MO - 38, Staff Nurse
Netaji Subhash MO - 44, Staff Nurse -
State Health Diagnostic, - 30, LT - 10, Others
1 chandr bosh District Sadar 4436275 30, LT - 08, Others (ARO, Yes
Department VBD, TB, (ARO, HV, Ward Aya
Hospital HV, Ward Aya etc.) - 125
Chest, OPD, etc.) - 113
IPD etc
MCH, FP,
MO - 11, Staff Nurse
Immunization MO - 11, Staff Nurse -
District Woman State Health - 28, ANM - 2, LT - 3,
2 Sadar 4436275 Pathology, 28, ANM - 2, LT - 3, ARO - Yes
Hospital Department ARO - 1, HV - 2,
General OPD, 1, HV - 2, Ward Aya - 1
Ward Aya - 1
IPD, etc
Medical Officer* - 123, Medical Officer* -

Group c staffs - 169, 93, Group c staffs -
Nehru Chikitsalaya
State Health Medical MCH, TB, Group D - 206 (* - MO 149, Group D - 138
3 (B.R.D. Medical 25000000 Yes
Department college VBD, etc Including (* - MO Including
College)
Professors/Associate Professors/Associate
Prof. /Lecturer) Prof. /Lecturer)
Immunization,
State Health MO - 1, ARO - 1, PHN - 1, MO - 1, ARO - 1, HV
4 UHP Civil Line Civil Line 48000 FP, General, No
Department HV - 4, Ward Aya - 1 -3
others

Immunization,
5 UHP Shahpur Shahpur 47000 FP, General, No
Department HV - 4, Ward Aya - 1 - 3, Ward aya - 1
others
Immunization, MO - 1, ARO - 1, HV
State Health Deewan MO - 1, ARO - 1, PHN - 1,
6 UHP Deewan Bazar 46500 FP, General, - 1, PHN - 1,Ward No
Department Bazar HV - 4, Ward Aya - 1
others Aya -1
Immunization,
7 UHP Purlidpur Purlidpur 46000 FP, General, No
Department HV - 4, Ward Aya - 1 - 4, Ward aya -1
others
Immunization,
8 UHP Jharna Tola Jharna Tola 47000 FP, General, No
Department HV - 4, Ward Aya - 1 -1, Ward Aya -1
others
Immunization,
9 UHP Mohaddipur 46500 FP, General, No
Department Mohaddipur HV - 4, Ward Aya - 1 -3, Ward aya -1
others
Immunization, MO - 1, ARO - 1,
State Health MO - 1, ARO - 1, PHN - 1,
10 UHP Basantpur Basantpur 48500 FP, General, PHN - 1, HV -2, Ward No
Department HV - 4, Ward Aya - 1
others aya -1
Immunization,
11 UHP Jatepur Jatepur 45000 FP, General, No
Department HV - 4, Ward Aya - 1 -3, PHN - 1,
others

State Health Chote MO - 1, ARO - 1, PHN - 1,
12 UHP Chote Kajipur 47000 FP, General, -2, PHN - 1, Ward No
Department Kajipur HV - 4, Ward Aya - 1
others aya -1
MO - 1+1, ARO - 1, Staff MO - 1+1, ARO - 1,

Immunization,
Nurse - 1, HV - 3, ANM - Staff Nurse - 1, HV -
13 UHP Humayupur NRHM Humayupur 48000 FP, General, No
1, Sweeper cum 3, ANM - 1, Sweeper
others
Chaukidar - 1 cum Chaukidar - 1
MO - 1, ARO - 1,
MO - 1, ARO - 1, Staff
Staff Nurse - 1, ANM
Immunization, Nurse - 1, ANM - 1, PHN
- 1, PHN - 1, HV - 2,
14 UHP Nizampur NRHM Nizampur 44000 FP, General, - 1, HV - 2, Ward Aya - 1, No
Ward Aya - 1,
others Sweeper Cum Chaukidar
Sweeper Cum
-1
Chaukidar - 1
MO - 1+1, Staff
MO - 1+1, Staff Nurse -
Nurse - 1, ARO - 1,
Immunization, 1, ARO - 1, ANM - 1, PHN
ANM - 1, PHN - 1,
15 UHP Betiyahata NRHM Betiyahata 44000 FP, General, - 1, HV - 1, Dai - 1, No
HV - 1, Dai - 1,
others Sweeper cum Chaukidar
Sweeper cum
-1
Chaukidar - 1

MO - 1, ARO - 1,
MO - 1, ARO - 1, Staff
Immunization, Staff Nurse - 1,ANM
Nurse - 1,ANM - 1, HV -
16 UHP Turkmanpur NRHM 45000 FP, General, - 1, HV - 2, Ward Aya No
Turkmanpur 2, Ward Aya - 1, Sweeper
others - 1, Sweeper cum
cum Chaukidar - 1
Chaukidar - 1
Immunization,
MO - 1, ARO - 1, HV - 2, MO - 1, ARO - 1, HV
17 UHP Gorakhnath NRHM Gorakhnath 42000 FP, General, No
PHN - 1,Dai - 1, - 2, PHN - 1,Dai - 1,
others
MO - 1, ARO - 1, HV - 1,
18 UHP Jafara Bazar NRHM Jafara Bazar 43800 FP, General, - 1, PHN - 1,Ward No
PHN - 1,Ward Aya - 1,
others Aya - 1,
Immunization, MO - 1, Staff Nurse - 1, MO - 1, Staff Nurse -

UHP Shivpur
19 NRHM Shivpur 44900 FP, General, ANM - 1, Sweeper cum 1, ANM - 1, Sweeper No
Sahbajganj
others Chaukidar - 1 cum Chaukidar - 1
Immunization, MO - 1, Staff Nurse - 1,

MO - 1, Sweeper
20 UHP AndhariBag NRHM AndhariBag 45500 FP, General, ANM - 1, Sweeper cum No
cum Chaukidar - 1
others Chaukidar - 1

City Level Indicators and Targets - Gorakhpur
Processes & Inputs

Number Number
Baseline (as
Indicators Proposed (2013- Achieved
applicable)
14) (2013-14)
Community Processes
1. Number of Mahila Arogya Samiti (MAS) formed * 0 616
2. Number of MAS members trained * 0 6160
3. Number of Accredited Social Health Activists (ASHAs) selected and trained * 0 308
Health Systems
4. Number of ANMs recruited * 0 115
5. No. of Special Outreach health camps organized in the slum/HFAs * 0 67
6. No. of UHNDs organized in the slums and vulnerable areas * 0 450
7. Number of UPHCs made operational * 0 23
8. Number of UCHCs made operational * 0 0
9. No. of RKS created at UPHC and UCHC * 0 23
10. OPD attendance in the UPHCs NA 84000
11. No. of deliveries conducted in public health facilities NA 4000
RCH Services
12. ANC early registration in first trimester NA 21215
13. Number of women who had ANC check-up in their first trimester of pregnancy NA 21215
14. TT (2nd dose) coverage among pregnant women NA 21215

15. No. of children fully immunised (through public health facilities) NA 18330
16. No. of Severely Acute Malnourished (SAM) children identified and referred for
NA 550
treatment
Communicable Diseases

17. No. of malaria cases detected through blood examination NA 0
18. No. of TB cases identified through chest symptomatic NA 1812
19. No. of suspected TB cases referred for sputum examination NA
20. No. of MDR-TB cases put under DOTS-plus NA
Non Communicable Diseases
21. No. of Diabetes cases screened in the city NA 7500
22. No. of Cancer cases screened in the city NA
23. No. of Hypertension cases screened in the city NA 12731

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Gorakhpur City

Program Implementation Plan

National Urban Health Mission

NUHM PIP 2013-14 GORAKHPUR Page 1

PROGRAMME IMPLEMENTATION PLAN

DISTRICT HEALTH SOCIETY

NUHM PIP 2013-14 GORAKHPUR Page 2

Dr. M. P. Singh Mr. Ravi Kumar N G (IAS)

NUHM PIP 2013-14 GORAKHPUR Page 3

NUHM PIP 2013-14 GORAKHPUR Page 4

ABER Annual Blood Examination Rate

NUHM PIP 2013-14 GORAKHPUR Page 5

Urban health Plan under NUHM 2013-14

NUHM PIP 2013-14 GORAKHPUR Page 6

Sl.No. Description Page. No.

4 Key Issues of intervention

5 Strategies, Activities and Work Plan

6 Financial Assessment (Budget)

District Profile Gorakhpur

NUHM PIP 2013-14 GORAKHPUR Page 7

NUHM PIP 2013-14 GORAKHPUR Page 8

Table 1 : Demographic profile (based on 2011 census)

S.No. Indicator Gorakhpur

NUHM PIP 2013-14 GORAKHPUR Page 9

Health system and Infrastructure: -

Table 3: Availability of Health Facilities

S. No. Type of Facilities Number

NUHM PIP 2013-14 GORAKHPUR Page 10

*- Two are urban health posts

First Tier Facilities

Second Tier Facilities

Private (For Profit) Health Facilities

NUHM PIP 2013-14 GORAKHPUR Page 11

Private Non-Profit Facilities

Table 3: Health indicators

Total Urban Urban Poor

NUHM PIP 2013-14 GORAKHPUR Page 12

Table 4: Details of cities/towns to be covered under NUHM as per 2011 census

NUHM PIP 2013-14 GORAKHPUR Page 13

Table 5: Details of cities/towns taken up for NUHM implementation in 2013-14

Sl. Name of Type (state Population Slum Implementing Development

FMR Activity Amount Approved in Amount Approved in

1. Urban Family Welfare Centres 0 0

 Poor households not knowing where to go to meet health need.

NUHM PIP 2013-14 GORAKHPUR Page 14

NUHM PIP 2013-14 GORAKHPUR Page 15

3. Childhood morbidity and health services

4. Environmental Health Conditions

NUHM PIP 2013-14 GORAKHPUR Page 16

5. Inadequate primary health infrastructure

Strategies, Activities and Work Plan

A multitude of factors like inadequate health services in slums, dilapidated condition of

NUHM PIP 2013-14 GORAKHPUR Page 17

However, there is fair percentage of marginalized section of the population residing in

2. Strengthening of Service Delivery Infrastructure:

In order to have easy accessibility of health services, it is planned to have 23 U – PHCs in

S.No. Name of UHPs Supported By Up gradation under

NUHM PIP 2013-14 GORAKHPUR Page 18

Urban – Community Health Centers (U – CHC): U – CHC consisting of 30 – 50 beds and

NUHM PIP 2013-14 GORAKHPUR Page 19

Focused approach will be made on strengthening partnership with non-profit service

3. Targeted Outreach Activities for slum population :

Under NUHM, it will be of paramount importance to strengthen the outreach activities

NUHM PIP 2013-14 GORAKHPUR Page 20