DIRECTORATE OF FAMILY WELFARE

GOVERNMENT OF ARUNACHAL PRADESH

NAHARLAGUN-791110
MFW-2014/03 Dated Naharlagun the 15th May 2017

ANNUAL REPORT ON QUALITY IN STERLIZATION SERVICES

ANNEXURE 2.1
Annxure 2.1: Format for listing empanelled providers for uploading in State/UT website
State ARUNACHAL PRADESH
Year 2016-17
Empanelment List for Minilap, Lap and Vasectomy.
Qualification (MBBS/MS- Type of Facility
Postal address of facility where Contact
Sl.No Name of District Name of Empanelled Gynae/DGO/DNB/MSSurgery/other Designation Posted
empanelled provider is posted number
Sterilization Provider Speciality (PHC/CHC/SDH/DH

1 west Siang Dr. Tajum Basar. MBBS,MD (Obst & Gynae) Rtr Private
Basar , West Siang District.
2 West Kameng Dr. T.C Khirme. MD (Obst & Gynae) DMO DH DH Bomdila West Kameng District
3 West Kameng Dr. Gom Lamu. MD, (Obst&Gnae) Obst&Gynae DH DH Bomdila West Kameng District 9436045061
4 Papum Pare DR.Kartik Nishing. MS,(Surgery) Rtr Private BTM Hopsital (Pvt)
5 Papum Pare Dr. Moji Jini. MS, MCH DME (T&R) TRIHMS Nlg TRIHMS 9436041641
6 Papum Pare Dr. (Mrs) B.Mala Obst&Gynae Obst&Gynae TRSH Nlg Tomo Riba State Hospital Nlg 9774025636
7 Papum Pare Dr. Mari.Basar. MS Rtr Private
8 Papum Pare Dr. Tomar Basar. MD (Obst &gynae) Obst&Gynae TRSH Nlg Tomo Riba State Hospital Nlg 9436223366
9 Papum Pare Dr. Emi Rumi. MS Jt.DHS DHS Office TRIHMS 9436056330
10 East Siang Dr. Bomni Tayeng . MS Trained NSV MS GH Pasighat GH Pasighat East Siang Dsitrict 9436839156
11 Upper Subansiri Dr.T.Dulom, MD (Obst&Gynae) Obst&Gynae DH Daporijo DH Daporijo 8256942103
12 East Siang Dr.T. Kaki . MS (Surgeon) MS GH GH Pasighat East Siang Dsitrict
13 U/Subansiri Dr.T.Murtem, MBBS SMO DH Daporijo 7085691799
14 U/Subansiri Dr. P.Kadu . MBBS SMO DH Daporijo 7085643044
15 Upper Siang Dr.Kengkang Jopir. MBBS SMO DH Yingkiong
16 Upper Siang Dr. Karo Teng, MD Specialist DH DH Yingkiong Upper Siang 9402646749
17 East Siang Dr. (Mrs) O.Tayeng, MD(obst&Gynae) Rtr Private ASSA Hospital Pasighat
18 East Siang Dr.Johny. Darang. MD (Obst&Gyn) Obst&Gynae GH Pasighat GH Pasighat East Siang Dsitrict 9436251148
19 East Siang Dr. Dilip Dutta, MBBS, DGO Specialist CHC CHC Ruksing East Siang Dsitrict 9435386738
20 East Siang Dr. Kebang Lego .MS(Surgeon) JtDHS (T&R) GH Pasighat GH Pasighat East Siang Dsitrict 9402477086
21 Upper Siang Dr.Gipen Litin MD (Obst&Gynae) Obst&Gynae DH Yingkiong Upper Siang 9402274883
Lower Dibang
22 Dr.Ista Pulu. MD (obst&Gynae) Obst&Gynae DH Roing
Valley Lower Dibang Valley 9874776521
23 East Siang Dr. Dangi Perme. MD (Obst&Gynae) Obst&Gynae GH Pasighat GH Pasighat East Siang Dsitrict 8132012880
24 Upper Subansiri Dr. N.Geyi . MBBS DMO DH Daporijo Upper Subansiri 9436202145
25 Papum Pare Dr. C.J. Mangmao, MBBS DDFW Directorate office 8794252502
26 Lohit Dr. W.A Singh, MBBS SMO PHC Sanupra Lohit
27 Lohit Dr. S.Tayeng, MBBS SMO DH DH Tezu Lohit
28 Papum Pare Dr. T.Lollen , MBBS (EMOC) SMO TRSH Nlg Tomo Riba State Hospital Nlg
29 Changlang Dr. (Mrs) K.Taism, MBBS SMO CHC CHC Miao Changlang District 9402220654
30 Papum Pare Dr. L. Wangchuk (Obst&Gynae) DGO Obst&Gynae Private BTM Hopsital (Pvt)
31 Papum Pare Dr. S.Nath. Gen. Surgeon .MS Rtr Heema Hospital (Pvt) Heema Hospital Tanagar 9436050392
Specialist R.K Mission Hospital
32 Papum Pare Dr. Jummo Jini . MS.(Surgeon) R.K Mission Hospital Itanagar
Surgery Itanagar 9436633296
R.K Mission Hospital
33 Papum Pare Dr. Monmon Das MBBS,DGO Obst&Gynae R.K Mission Hospital Itanagar
Itanagar 9436040936
34 East Siang Dr. Mayor Mibang, MS (Surgery) MS GH Pasighat GH Pasighat East Siang Dsitrict 9436053022
35 Upper Siang Dr. Etuk Jopir. MD (obst&Gynae) Obst&Gynae DH Yingkiong District Hospital Yingkiong
Dr. (Mrs) Bombei Tayeng
36 Papum Pare (Obst&Gynae) Obst&Gynae TRSH Nlg
Toko, Tomo Riba State Hospital Nlg 9862432214
Itafort Dispensary
37 Papum Pare Dr. Kabak Tamar . MBBS(EMOC Trained) MO Itafort Dispensary itanagar
itanagar
38 Changlang Dr. T Kodia MBBS(EMOC Trained) SMO CHC CHC Jairampur 8413047013

39 West Siang Dr. Jarkar Kayi MBBS, Dipmoa (Obst& Gynae) MO GH Aalo
GH Aalo 9402443221
40 west Siang Dr.Narang Yam MS (Obst&Gynae) MO GH Aalo GH Aalo 8794971707
Annexure 2.2 Line listing of Sterilization Trained/Empaneled Provider ANNEXURE 2.2
Trained/Empannell
Service provided in last one year
ed for

please quote the reason for

please quote the reason for

Number of NSV performed
pleas quote the reason for
Place of posting( Name of

Laparoscopic Sterilization

Number of Laparoscopice
Sterilization performance

If not performed surgery,

If not performed surgery,

If not performed Surgery
trained/Empanelled

Number of Minilap

non-performance

non-performance

non-performance
Facility and level)

Contact Number
Name of District

Qualification

Performed
provider
Name of

Minilap
Sl.No

NSV
Remarks

Acceptancy by
the male
East Siang

Dr.Johny. Darang. MD (Obst&Gyn) GH Pasighat 9436251148 Y Y Y 8 26 0

gender is very
1 poor
2 Dr. Dilip Dutta, MBBS, DGO CHC Ruksin 9435386738 Y Y Y 0 78 1
3 Dr. Dangi Perme. MD (Obst&Gynae) GH Pasighat 8132012580 Y Y Y 14 48 2
Tomo Riba State 9774025636/
Dr Bengia Mala (Obst& Gynae Y Y Y 0 8 0
4 Hospital Nlg 9436041965
Tomo Riba State
Dr. Tomar Basar. MD (Obst &gynae) 9436223366 Y Y Y 1
5 Hospital Nlg 317 0
Dr. (Mrs) Bombei Tomo Riba State
(Obst&Gynae) 9862432214 Y Y Y 0
Papum Pare

6 Tayeng Toko, Hospital Nlg 59 0

Tomo Riba State
Dr. Goter Doke (Obst&Gynae) 9436032272 Y Y 1
7 Hospital Nlg 274 0
Tomo Riba State
Dr. Todak Taba (Obst&Gynae) N N N 0
8 Hospital Nlg 12 0
Tomo Riba State
Dr. Millo Bakhang (Obst&Gynae) 9436289807 N N N 1
9 Hospital Nlg 0 0
Tomo Riba State No No
Dr. Jyoti Kamda (Obst&Gynae) 9591834193 N N N 0 0
10 Hospital Nlg empanall empanall 0
11 Upper Dr. Etuk Jopir. MD (obst&Gynae) DH Yingkiong Y Y
12 siang Dr.Gipen Litin MD (Obst&Gynae) DH Yingkiong 9402274883 Y Y 23 0 0 No trained
West No
Dr. Gom Lamu. MD (Obst & Gynae) DH Bomdila 9436045061 Y 0 0 22 0
13 Kameng trained 0 No trained
14 L/D/valley Dr.Ista Pulu. MD (obst&Gynae) DH Roing Y Y 16 1
Non
Upper functional
Dr.T.Dulom, MD (Obst&Gynae) 9436054179 Y Y 48
Subansiri Lap
15 Machine
MBBS , Diploma
West Dr. Jarkar Kayi 9402443221 Y
16 (Obst&Gynae) GH Aalo
Siang
17 Dr. Narang Yam MS (Obst&Gynae) GH Aalo 8794971707 Y Y
Lower
Dr. Mechi Tazang MS (Obst&Gynae) 9402220478 7
18 Subansiri GH Ziro
19 Lohit Dr. A Tayeng MS (Obst&Gynae) GH Tezu 9436220213 27
 ANNEXURE 2.3
Annexure 2.3: Format for Listing SQAC/SISC/DQAC and DISC members in State/UT website
State/District Aruncahal Pradesh
Year 2016-17
Type of Committee SQACand SISC,
Designation in the committee Designation in the state
(Chairperson/Vice (Secretary/MD/Director/Joint Member Since
Sl.No Name of member Address Contact number
Chairperson/Convener/Member Director/Emplanelled (Month/Year
Secretary/Member Gynaecologist/Surgeon Etc
O/O- Commisioner
1 Kaling Tayeng Chairperson Commissioner (H&FW) Oct-16 H&FW, Civil Secretariate, 9436040026
Itanagar, Pin- 791111
MD NHM ,Govt. of A.P.C-
2 P.N Thungon Vice Chairperson MD NHM Dec-14 9436271634
sector Nlg
Director Family Welfare
3 Dr.M Lego Convener Director Family Welfare 1-Jan 9436041710
Govt. of A.P C-sector Nlg
Jt. DFW Govt. of A.P C-
4 Dr. Amping Perme Ete Member Secrertary Deputy Director FW
Jul-16 sector Nlg 9436057677
Director of Health
5 Dr. Alok Yirang Member Director Health Services
Apr-17 Services
Director Medical
6 Dr. Moji Jini Member Director Medical Education 9436041641
Dec-14 Education (T&R) Govt.
Mrs. Bombei Tayeng Toko Tomo Riba State 9862432214/94368
7 Member Gynaecologist 7/1/2015
(Sr. Gynecologist) Hospital, Nlag 97415
Dr. R. Ronya (Sr. Tomo Riba State
8 Member Surgeon 5/1/2016 9436052156
Surgical Specialist) Hospital, Nlag
Dr. Habung Tagyong (Sr. Tomo Riba State
9 Member Paediatrician 5/1/2016 9436041311
Pediatrician) Hospital, Nlag
Dr. H. Ambing (Sr. Tomo Riba State
10 Member Medical Specialist 7/1/2015
Medical Specialist) Hospital, Nlag
Dr. Dukhum Rania Tomo Riba State
11 Member Medical Superntendent 7/1/2015 9436041290
(Medical Superintendent) Hospital, Nlag
Dr. R. Kombo (Sr. Tomo Riba State
12 Member Anaesthetist 7/1/2015 7085692064
Anesthetist) Hospital, Nlag
13 Mr. Anup Sharma Member NGO 7/1/2015 9436228618
14 Mrs Kijum Karga Member DD Nursing 7/1/2015 Nursing Adviser 9402061416
Advot Taba Tagun Office of Director Health
15 (Representative from Member Representative from Legal Cell 7/1/2015 Services, Naharlagun, 9436878098
legal cell/ NO court) Pin- 791115
CHC Doimukh Papum
16 Dr. Lobsang Chuki Member MO I/C Doimukh 7/1/2015 8731078587
Pare District
17 Dr. Jego Ori Member IMA (G. Secretary) 7/1/2015 TRSH Nlg 9436069257
18 Dr. Riken Rina Member IPHA (Chairman) 7/1/2015 PD APSACS 9436256347
 Annexure 2.4
Report Format
State: Arunachal Pradesh
Report Type: (Annual/Biannual)
Reporting Period:- 2016-17
1 Family Planning Performance
Services Q1 Q2 Q3 Q4 Total
1 Interval Minilap 91 50 34 77 252
2 Laprascopy 59 125 58 588 830
3 PPS 19 35 39 30 123
4 Female Sterilization 169 210 131 695 1205
5 Male Sterilization 2 1 1 0 4
6 IUCD 618 752 491 643 2504
7 PPIUCD 91 151 148 156 546
PPIUCD Acceptance (Out of total Public health
8 institutional deliveries)
3.12% 4.20% 4.43% 5.04% 16.79%

ASHA Scheme Performance:

Services Q1 Q2 Q3 Q4 Total
HDC (percentage distribution of condom 15.06%, OCP condom 14.21%, OCP 57.29% condom 43.72 %, OCP condom 28.41 %, OCP Condom 19.27%,OCP
1 condom,OCP and ECP) 39.72% ,ECP 14.71% ,ECP 27.37% 63.74% ,ECP 14.71% 36.21% ,ECP 16.56% 53.78%, ECP 13.07%
ESB Scheme (To be filled by States
2 130 138 54 54 376
where Scheme is implemented)
3 PTK Utilization 23000 14000 19415 33000 89415
Status of Functionality of QAC
1 Number of meeting held
2 Frequency of meeting held (Quarterly/Half yearly):
3 Minutese of the meeting prepare(Yes/NO)
4 Number of death,complication and failure reported
5 Number of Enquiries conducted for each category
6 Remedial steps taken
Status of FPIS Claims:

FRESH/NEW
CLAIMS OUTSTANDING OUTSTANDING CLAIMS TILL 31ST
CLAIMS PAID IN 2016-17 CLAIMS REJECTED (2016-17)
SUBMITTED IN CASE 2016-17 MARCH 2017
2016-17

STATE
Sl.No

Amount
Complication

Complication

Complication

Complication

Complication
Amount Paid

Amount Paid

Amount Paid

Amount

Amount

Amount

Amount

Amount
Failure

Failure

Failure

Failure

Failure
Death

Death

Death

Death

Death
1 ARUNACHAL PRADESH Nil Nil 5 NIL NIL 3 Nil Nil Nil Nil 2 60000 Nil Nil Nil Nil Nil Nil Nil Nil Nil Nil 3 90000

Number of death audits Number of death attributed

Name of State Number of Death report Reason of Death Action taken
conducted to sterilization

Arunachal Pradesh Nil Nil Nil Nil Nil