essential newborn care and resuscitation district :...
TRANSCRIPT
Essential Newborn Care and ResuscitationDistrict : Karnal
Name of FacilityINFRASTRUC
TURE
DELIVERY AND NEWBORN
CARE SERVICES
ESSENTIAL DRUGS,
EQUIPMENT AND
SUPPLIES
PROTOCOLS AND
GUIDELINES
KNOWLEDGEABOUT
INFECTION PREVENTION
PROVIDER K0WLEDGE AND SKILLS
REGISTERSAND CLIENT
CASE RECORDS
FACILITY’S OVERALL AVERAGE
CHC ASAND 94 89 82 100 57 69 57 78
SDH NEELOKHERI 98 100 81 90 14 54 83 74
CHC TARAORI 84 89 81 60 43 65 63 69
PHC UPLANA 82 89 74 50 43 73 71 69
PHC NIGHDU 84 89 70 50 43 74 70 69
PHC GHEER 73 78 71 80 43 61 69 68
PHC BAROTA 80 83 74 50 43 73 71 68
CHC INDRI 88 83 78 50 43 77 53 67
PHC CHOUR 78 83 70 60 57 62 60 67
PHC POPRA 73 72 72 60 57 62 69 67
PHC KUNJPURA 78 72 69 80 43 68 55 66
DISTRICT AVERAGE 72 77 68 62 29 57 46 59
Where we are… ?
Score 75% and Above Score 51% to 74% Score 50% and less
Name of FacilityINFRASTRUC
TURE
DELIVERY AND NEWBORN
CARE SERVICES
ESSENTIAL DRUGS,
EQUIPMENT AND
SUPPLIES
PROTOCOLS AND
GUIDELINES
KNOWLEDGEABOUT
INFECTION PREVENTION
PROVIDER K0WLEDGE AND SKILLS
REGISTERSAND CLIENT
CASE RECORDS
FACILITY’S OVERALL AVERAGE
PHC KUTAIL 76 78 72 80 43 56 58 66
PHC BARSAT 65 83 69 50 57 70 56 64
PHC SAMBHALI 76 78 74 60 43 59 62 64
PHC JALMANA 82 83 72 90 0 43 80 64
CHC GHARONDA 84 78 80 60 29 59 55 63
PHC MANDHUBAN 67 78 72 70 43 54 57 63
PHC BHADSON 78 78 75 70 43 56 41 63
PHC SALWAN 78 72 72 80 29 56 52 63
PHC JUNDLA 76 72 68 80 29 51 62 63
DISTRICT AVERAGE 72 77 68 62 29 57 46 59
PHC SAGGA 71 78 67 50 14 44 59 55
SC NAVAL 63 78 59 60 29 49 40 54
Where we are… ?
Score 75% and Above Score 51% to 74% Score 50% and less
Name of FacilityINFRASTRUC
TURE
DELIVERY AND NEWBORN
CARE SERVICES
ESSENTIAL DRUGS,
EQUIPMENT AND
SUPPLIES
PROTOCOLS AND
GUIDELINES
KNOWLEDGEABOUT
INFECTION PREVENTION
PROVIDER K0WLEDGE AND SKILLS
REGISTERSAND CLIENT
CASE RECORDS
FACILITY’S OVERALL AVERAGE
DISTRICT AVERAGE 72 77 68 62 29 57 46 59
CHC BALLAH 71 83 69 50 0 54 47 54
PHC GHASINA 71 78 69 50 0 51 44 52
SC SANGOHA 53 56 58 80 43 51 0 49
SC RAISON 49 78 51 60 14 76 0 47
SC BIANA 59 72 55 40 0 51 42 46
SC FARIDPUR 51 72 61 40 29 49 13 45
SC RAIPUR JATTAN 57 67 58 60 14 37 0 42
SC MUNAK 59 67 51 50 14 44 0 41
SC GONDER 1 55 72 60 50 0 47 0 41
SC BAJITA JATTAN 67 72 57 50 0 36 0 40
SC GARHI BIRBAL 53 56 59 20 0 43 39 39
Where we are… ?
Score 75% and Above Score 51% to 74% Score 50% and less
7874
69 6763
5954
0
20
40
60
80
100
CHC Asand SDH Neelokheri CHC Taraori CHC Indri CHC Gharonda District Average CHC Ballah
Over All Grading for Facility readiness (GH,SDH,CHC)
69 69 68 68 67 67 66 66 64 64 64 63 63 63 6359
5552
0
20
40
60
80
100
Over All Grading of PHCs for Facility readiness
5954
49 47 46 4542 41 41 40 39
0
20
40
60
80
100
DistrictAverage
SC Naval SCSANGOHA
SC Raison SC BIANA SC Faridpur SC RaipurJattan
SC Munak SC GONDER1
SC BajitaJattan
SC GarhiBirbal
Over All Grading of Delivery Huts for Facility readiness
9894
8884 84 84 82 82 80 78 78 78 78 76 76 76 73 73 72 71 71 71
67 67 65 6359 59 57 55 53 53 51 49
0
20
40
60
80
100
Over all Readiness of facilities in Infrastructure
100
90 90
80 80 80 80 80 80
70 70
62 60 60 60 60 60 60 60 60
50 50 50 50 50 50 50 50 50 50 50
40 40
20
0
20
40
60
80
100
Availability of Protocols/ Guidelines at facility
57 57 57 57
43 43 43 43 43 43 43 43 43 43 43 43
29 29 29 29 29 29
14 14 14 14 14
0 0 0 0 0 0 00
20
40
60
80
100
Knowledge of Infection Prevention
8380
71 71 70 69 69
63 62 6260 59 58 57 57 56 55 55 53 52
47 4644 42 41 40 39
13
0 0 0 0 0 00
20
40
60
80
100
Registers and Client Case records
82 81 81 80 7875 74 74 74 72 72 72 72 72 71 70 70 69 69 69 69 68 68 67
61 60 59 59 58 58 57 5551 51
0
20
40
60
80
100
ESSENTIAL DRUGS, EQUIPMENT AND SUPPLIES
77 76 74 73 7370 69 68
6562 62 61 59 59 57 56 56 56 54 54 54
51 51 51 51 49 49 4744 44 43 43
37 36
0
20
40
60
80
100C
HC
Ind
ri
SC R
aiso
n
PH
C N
IGH
DU
PH
C U
PLA
NA
PH
C B
AR
OTA
PH
C B
arsa
t
CH
C A
san
d
PH
C K
un
jpu
ra
CH
C T
arao
ri
PH
C P
op
ra
PH
C C
HO
UR
PH
C G
HEE
R
CH
C G
har
on
da
PH
C S
amb
hal
i
Dis
tric
t A
vera
ge
PH
C B
had
son
PH
C K
UTA
IL
PH
C S
ALW
AN
SDH
Ne
elo
khe
ri
PH
C M
and
hu
ban
CH
C B
alla
h
PH
C G
has
ina
PH
C J
UN
DLA
SC S
AN
GO
HA
SC B
IAN
A
SC F
arid
pu
r
SC N
aval
SC G
ON
DER
1
PH
C S
agga
SC M
un
ak
PH
C J
alm
ana
SC G
arh
i Bir
bal
SC R
aip
ur
Jatt
an
SC B
ajit
a Ja
ttan
Over All Status of facilities for ENBC/R Skills
85
30
100
70
48
33
MINIMUM 4 VISITS
BIRTH PLAN
TT AND IFA
HIGH RISK MOTHERDETECTION
DANGER SIGN
PROMOTE EBF
KNOWLEDGE ABOUT EFFECTIVE ANC
97
61
45
82
5858
42
76
55
PREVIOUS CS
5 OR MORE DELIVERIES
LESS THEN 2 YEARSBIRTH INTERVAL
AGE OF PRIMI <18 OR>30 YEARS
PREVIOUS STILL BIRTHPREVIOUS NEONATAL
DEATH
PREVIOUSINSTRUMENTAL
DELIVERY
H/O ABORTIONS OROTHER
COMPLICATIONS
H/ONEONATAL/INFANT
DEATH
KNOWLEDGE OF DETECTION OF HIGH RISK MOTHERS OR MOTHER REQUIRED SPECIAL CARE
94
97
79
58
REGULAR UTRINECONTRACTION
DILATION OF CERVIX
DISCHARGE OF BLOODAND MUCUS
BREAKING OF WATERSAND RUPTIORMEMBRANE
KNOWLEDGE ABOUT LABOUR PROGRESS
91
76
15
9439
97
100
94
88
FETAL HEARTBEAT
COLOUR OF AMNIOTICFLUID
DEGREE OF MOLDING
DILATION OF CERVIX
DESCENT OF HEADUTERINE
CONTRACTIONS
MATERNAL BP
MATERNALTEMPERATURE
MATERNAL PULSE
KNOWLEDGE REGARDING PROGRESS OF LABOUR
85
58
6
12
ON PARTOGRAPH
ON PATIENTCLINICAL RECORDS
ON THEPARTOGRAPH IN
THE PRENATAL CARD
ON PIECE OF PAPER
RECORDING OF OBSERVATIONS
100
8587
IMMEDIATE OXYTOCIN
CCTUTRINE MASSAGE
KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT
76
85
88
61
64
42
33
24
LESS MOVEMENT (POORMUSCLE TONE)
POOR OR NO BF
HYPO/HYPERTHERMIA
RESTLESSNESS/IRRITABILITY
DIFFICULTY/FASTBREATHING
INFECTION ONEYE/THROAT/SKIN
DEEPJAUNDICE
SEVERE ABDOMINALDISTENTION
KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN WITHIN 1 Hr
59
51
62
31
54
23
28
8
POOR OR NO BF
LESS MOVEMENT(POOR MUSCLE TONE)
HYPO/HYPERTHERMIA
RESTLESSNESS/IRRITABILITY
DIFFICULTY/FASTBREATHING
INFECTION ONEYE/THROAT/SKIN
DEEP JAUNDICE
SEVERE ABDOMINALDISTENTION
KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF SEPSIS/INFECTION IN NEWBORN
52
42
24
42
85
EXPLAIN SITUATIONTO MOTHER
CONTINUE TO BF
KEEP AIRWAYS OPENBEGIN ANTIBIOTICS
REFER
KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN NEWBORN
82
64
5221
27
82
WARMTH OF BABY
PROVIDE EXTRASUPPORT TO
MOTHER FOR BF
MONITOR ABLITY TOBF/SUCKING
CAPACITY OF BABY
MONITOR BABY FORFIRST 24 Hr
ENSURE INFCETIONPREVENTION
REFER
KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG) BABIES
70
45
82
312
58
DEPRESSEDBREATHING
FLOPPINESS
NOT CRIED ATBIRTH
DELAYED CRYINGAT BIRTH
HEART RATEBELOW 100
CENTRALCYNANOSIS
KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH ASPHYXIA
24
15
73
24
73
94
91
CALL FOR HELP
EXPLAIN SITUATION TOMOTHER
PLACE NEWBORN FACEUP
WRAP OR COVER BABYEXCEPT FACE AND
UPPER CHEST
EXTENDED POSITIONOF NECK OF NEWBORN
SUCTION MOUTH THENNOSE
START VENTILATIONUSING BAG AND MASK
KNOWLEDGE ABOUT STEPS OF RESUSCITATION
76
58
27
67
30
PLACE BABY MASKAND FORM SEAL
ENSUREAPPROPRIATE SEAL
VENTILATE 1 OR 2TIMES FOR CHEST
RISING
VENTILATE 40-60PER MINUTE
DETERMINESPONTINIOUSBREATHING
KNOWLEDGE ABOUT RESUSCITATION STEPS
Knowledge about what to do after resuscitation
42
5236
KEEP BABYWARM
INITIATE BFMONITORING THE BABY
67
61
30
6
100
CONTINUE TOVENTILATE
ADMINISTEROXYGEN
ASCESS NEEDFOR SPECIAL
CARE
INTUBATEBABY
REFER BABY
If baby is breathing after initial Resuscitation If baby is not breathing after initial Resuscitation