Field Visit HI 31,32

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Field Visit Report on

Recording and Reporting Issues of Private Health Institutions in


Kathmandu Metropolitan Ward 31 and 32

Health Office, Kathmandu

Submitted by:
Bibek Bahadur Karki

Submitted to:
Health Office
Teku, Kathmandu

2080
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Background
As part of my Comprehensive Public Health Practicum at Health Office, Kathmandu, I was
assigned a field visit to private health institutions of ward no. 31 and 32 of Kathmandu
Metropolitan from 2080/10/05 - 2080/10/08.

Objectives:
i. To assess the current status of recording and reporting in the selected private health institutions
ii. To identify the problems related to recording and reporting in the selected private health
institutions

Methodology:
By reviewing list of private health institutions and their monthly reporting status in FY 2080/81,
the health institutions with reporting issues were identified and listed.

A purpose made questionnaire was prepared to collect information on basic information,


recording methods, reporting status, issues and recommendation.

A visit to selected private health institutions was made. Staff involved in recording and reporting
were interviewed to collect necessary information.

Details of the Field


List of institutions available for data collection

SN Date of visit Health institution Address

1 2080/10/05 Advance Oral Dental Hospital Koteshwor -32, Kathmandu

Sahara Clinic and Pathology Pepsicola-32, Kathmandu

2 2080/10/07 Samaj Dental Care Clinic Baneshwor-31, Kathmandu

3 2080/10/08 Mata Manakamana Arogya Clinic Putalisadak-28, Kathmandu

Valley Maternity Nursing Home Putalisadak-28, Kathmandu

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List of institutions currently not in operation/ relocated

SN Health institution Previous Address Remarks

1 Gautam Buddha Balkumari-32, Kathmandu Closed: Director/Owner


International Cardiac passed away due to COVID-
Hospital 19, and remaining committee
were unable to continue
running the hospital. It is
closed since 9 months.

2 Hamro Sahayatri Hospital Jadibuti-32, Kathmandu Closed: Parking space


requirements of Kathmandu
Metro were not fulfilled. It is
closed since 5 months.

3 Dibya Jyoti Polyclinic Koteshwor-32, Kathmandu Not found in previous address

4 Capital Diagnostic Center Putalisadak-28, Closed: Unknown


Kathmandu

5 Biraj Dental Hospital Koteshwor-32, Kathmandu Not found in previous address

6 Daan’s Nursing Home Koteshwor-32, Kathmandu Not found in previous address

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Key findings

i. DHIS 2 access and use: None of the institutions currently used DHIS for online
recording and reporting. The reasons were; problem with previous ID, delay in getting
DHIS ID after application and not having applied for DHIS ID.

ii. Recording : The private institutions did not use any standard tools for daily patient
recording. They used registers as per need and service for daily recording.

iii. Reporting: All institutions filled monthly HMIS reporting form. Some submitted
monthly report to Kathmandu Metro Health Division as per new system. Some
institutions reported to Health Office, Kathmandu.

iv. Training for Recording and Reporting: All visited private health institutions lacked
formally trained manpower for recording and reporting.

Problems:

i. Health Office did not maintain monthly reports submitted.


ii. There is delay in getting DHIS 2 ID.
iii. Issue with DHIS 2 entry were not addressed.
iv. The forms are too vast for institutions that provide small number of services.

Recommendations:

i. DHIS 2 ID should be made available for easier recording and reporting.


ii. Training on recording and reporting tools is needed.
iii. Monthly reporting using DHIS 2 only without hardcopy would be easier.

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Health institution details

Name of Private Health institution: Advance Oral Dental Hospital


Contact Person Ram Shrestha, Director
Contact number 014610723
Email ID advanceoral.dh@gmail.com
Established date 2075 BS
Address Koteshwor -32, Kathmandu
Staff 10
Service provided Dental OPD, x-ray, surgery, implants,
pharmacy
Renewal
DHIS-2 Access No
Recording In a single hospital register
Reporting Monthly reporting in Health Office, Kathmandu
Training No
Problems
Complaint/Request Lack of maintenance of submitted report forms
at Health Office

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Name of Private Health institution: Samaj Dental Care Clinic, Baneshwor
Contact Person Dr. Hira Bdr Malla, Director
Contact number 014498657
Email ID info@samajdental.com
Established date 2001
Address Baneshwor-31, Kathmandu
Staff 8
Service provided Dental OPD, x-ray, surgery, implants, pharmacy
Renewal yes
DHIS-2 Access No
Recording In one hospital register
Reporting Reporting form is submitted to Kathmandu Metro
since 4 months. There is use of tally sheet and disease
codes
Training No
Problems
Complaint/Request

Name of Private Health institution: Sahara Clinic and Pathology


Contact Person Mohan Shrestha, Director
Contact number 01 4993512
Email ID Sahara3512@gmail.com
Established date 2075 BS
Address Pepsicola-32, Kathmandu
Staff
Service provided General OPD, Pathology, pharmacy
Renewal
DHIS-2 Access Application submitted, ID not recieved
Recording One register
Reporting Reporting form submitted to kathmandu metro.

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Training no
Problems
Complaint/Request

Name of Private Health institution: Mata Manakamana Arogya Clinic


Contact Person
Contact number 015340381
Email ID
Established date 2054 BS
Address Putalisadak-28, Kathmandu
Staff 7
Service provided Piles, fistula, sexual health, OPD, minor OT,
Renewal Yes, done frequently from ward office and Health
Office
DHIS-2 Access Yes . Currently, there is problem in its DHIS use ,
which was reported to Health Office, but did not get
response
Recording Use of two registers
Reporting Reporting form to Health Office
Training
Problems
Complaint/Request

Name of Private Health institution: Valley Maternity Nursing Home


Contact Person Dr. Saraswoti Upadhyaya, Director
Contact number 01-4420224
Email ID
Established date
Address Putalisadak-28, Kathmandu

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Staff 83
Service provided Obstetrics, gynecology, pediatrics, ENT, safe abortion,
family planning, imaging, pathalogy, pharmacy
Beds 25 Bedded
Renewal Done
DHIS-2 Access Application submitted
Recording Various registers for various services
Reporting Report submitted to Kathmandu Metro
Training Informal training/learning
Problems
Complaint/Request Too many pages for small institution

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