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CHHATTISGARHCHHATTISGARHCHHATTISGARHCHHATTISGARH
Supportive Supervision ReportSupportive Supervision ReportSupportive Supervision ReportSupportive Supervision Report CUMULATIVECUMULATIVECUMULATIVECUMULATIVE----FACILITIES WITH RECEFACILITIES WITH RECEFACILITIES WITH RECEFACILITIES WITH RECENT VISITNT VISITNT VISITNT VISIT
OCTOBEROCTOBEROCTOBEROCTOBER 2016201620162016
1
STATE AGGREGATES
2
Improving RMNCH+A interventions: Block Monitoring in High
Priority Districts of Chhattisgarh
OCTOBEOCTOBEOCTOBEOCTOBERRRR 2016201620162016
Introduction:
The Government of India identifies the block as the primary unit for implementation and management of life-
saving RMNCH+A interventions. The “Guidance Note for Block Monitoring Visits” advises state and district
health officers and their development partners to systematically assess the health infrastructure, human
resources, and quality and coverage of RMNCH+A information and services, with the goal of identifying and
addressing bottlenecks in the local health system. Block monitoring is also promoted as an opportunity to
assess community outreach, home-based interventions and client satisfaction. This report describes the block
monitoring process of five high priority districts of the state. These HPDs are -
1. Bijapur
2. Bilaspur
3. Dantewada
4. Jashpur and
5. Surguja
During October 2016 visits were conducted at four (4) High Priority Districts viz. Bijapur, Dantewada, Jashpur
and Surguja District. During October 2016 there was no District visit conducted at Bilaspur Districts. The District
Level Monitor of Bilaspur district has joined during October 2016 and will carried out block monitoring visits
form November 2016 onwards..
Objectives of Block Monitoring Visits:
1) To assess the infrastructure, human resources, and provision of RMHCH+A services in facilities and
communities
2) To assess both the quality and coverage RMNCH+A service delivery in the block,
3) To review progress of community outreach and home-based interventions.
3
Tool:
Since April 2015 the MoHFW designed new checklist is being used by the district consultants for supportive
supervision visits to the different health institutions.
For data entry and data compilation EXCEL based new tool has been used which was shared by
National RMNCH+A Unit (NRU)
Report:
This report comprises of the District wise findings of the Health facility highlighting the recent visits status of
the different parameter under RMNCH+A strategy.
In this report the findings from recent visits of the health institutions has been captured.
The findings of the report has been categorized as per the RMNCH+A framework and percentage wise findings
has been detailed both as state aggregates and district wise findings of five (5) high priority districts.
This report captures the data from April 2016 to October 2016.
4
Reproductive Health & Family Planning
Training Status
6
107
46
2
43
19
1
38
24
0
16 21
0
20
40
60
80
100
120
L1 (n=84) L2 (n=74) L3 (n=12)
Medical Officers
MO Posted MO trained in SBA/BEmOC
MO trained in NSSK MO trained in PPIUCD
117
306
99
58
141
3752
114
393
6138
0
50
100
150
200
250
300
350
L1 (n=84) L2 (n=74) L3 (n=12)
Staff Nurses/ANMs
ANM Posted ANM Trainned in SBA/BEmOC
ANM trained in NSSK ANM trained in PPIUCD
Male
Sterilization
, 18, 24%
Female Post
Partum
Sterilization
, 2, 2%
Female
Interval
Sterilization
, 56, 74%
Female
Sterilization
, [VALUE],
[PERCENTA
GE]
Sterilization Services
Total 0%
20%
40%
60%
80%
100%
Total (n=170)
Operationalization of new family planning schemes
Pregnancy Test Kits
Incentives to ASHAs for delaying and spacing of births
Home delivery of contraceptives by ASHAs
871
1204
204 196
0
500
1000
1500
L2 (n=74) L3 (n=12)
PPIUCD Services
No. of deliveries where PPIUCD forceps available
PPIUCD inserted out of total deliveries irrespective of forceps
available 28
1114
9
0
5
10
15
20
25
30
L2 (n=74) L3 (n=12)
PPIUCD Services
Facilities where PPIUCD forceps available
Facilities where PPIUCD insertions is being done where forceps
available
5
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of Family Planning Commodities
IUCD 375,380A OCP ECP Condoms
33%
51%
75%
0%
20%
40%
60%
80%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of Family Planning Commodities
All four (IUCD, OCP, ECP & Condoms) available
6
Maternal Health
93%
99%100%
93%
99%100%
88%
90%
92%
94%
96%
98%
100%
102%
L1 (n=84) L2 (n=74) L3 (n=12)
Antenatal Care (At Facility Level) : Blood Pressure
BP apparaturs with stethoscope BP measured during ANC visits
74%
92%100%
70%
91%100%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Antenatal Care (At Facility Level) : Haemoglobin Estimation
Haemoglobinometer Haemoglobin estimation during ANC visits
51%
95% 100%
42%
93%100%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Antenatal Care (At Facility Level) : Urine Albumin
Urine Albumin Kit Urine estimation during ANC visits
38%
72%
100%
13%
38%
83%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Intrapartum Care (At Facility Level) : Partograph
Partograph Use of Partograph
79%
97% 100%
64%
95% 92%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Intrapartum Care (At Facility Level) : Uterotonics
Availability of Uterotonics (Oxytocin/misoprostol)
Use of Uterotonics
42%
80%
100%
18%
55%
92%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Intrapartum Care (At Facility Level) : Magnesium Sulphate
Inj. Magnesium Sulphate Use of Inj. Magnesium Sulphate
7
Maternal & Child Health
Maternal Health
Child Health
65%
92%100%
5%
38%
83%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Intrapartum Care (At Facility Level) : Antenatal Corticosteroids
Inj. Dexamethasone Use of Inj. Dexamethasone
29%
77%
100%89% 92%
100%
61%
85%100%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of Maternal Health Commodities
Antihypertensive (alpha methyldopa/Labelatol or Nifedipine
IFA Tablet
Antibiotics as per RMNCH+A 5x5 Matrix
81%
88% 89%
96%
88%
60%
80%
100%
Total (n=170)
Implementation of child health schemes
ORS and Zinc available with ASHAs
Growth monitoring at AWW and VHNDs
Malnourished children referred to Nutritional Rehabilitation Centres
VHNDs being conducted on a monthly basis (Services include ANC, Growth Monitoring, Immunization, Health messages)
Rashtriya Balswasthya Karyakram Operational
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of child health commoditiesORSZinc (10mg & 20mg)Syp Salbutamol/Salbutamol Nebulizing SolutionSyrup AlbendazoleSyrup Vit. AMCP cards
80%
100%
120%
L2 (n=48) L3 (n=12)
Vaccines Availability at Cold chain Points
BCG OPV Hep B DPT Measles Syrup Vit. A
96% 100%
0% 0%0%
20%
40%
60%
80%
100%
120%
L2-Penta (n=48) JE (n=0) L3-Penta (n=12) JE (n=0)
Vaccines Availability at Cold chain Points (Where relevant)
Pentavalant Vaccine (in relevant states)
JE Vaccine (where relevant)
8
Newborn Health
18%
85%
100%
5%
38%
75%
30%
51%
83%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Newborn Care Corner
Designated Newborn care corner
Newborn care corner adequately equipped
Provider aware about the steps of newborn resuscitation
6%
62%
100%
8%
71%
95%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Newborn Vaccination
Vaccinations of newborns with BCG, OPV, Hep-B within 24 hours of birth
Number of newborns immunized before discharge (All 3 vaccines)/Total deliveries (Live births)
88%
99% 100%
94%96%
92%
80%
90%
100%
110%
L1 (n=84) L2 (n=74) L3 (n=12)
Breast Feeding Practices
Early initiation of breastfeeding practices
Exclusive breastfeeding practised upto 6 months (no water)
69%
86%75%
45%
65% 67%69%
86% 83%
0%
20%
40%
60%
80%
100%
L1 (n=84) L2 (n=74) L3 (n=12)
Home based newborn Care
Home-based newborn care by ASHA
HBNC kits available with ASHA
Referrals of sick/ with danger signs newborns
13%
57%
83%
62%
91%100%
42%
78%
100%
15%
76%
92%
4%
39%
75%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of newborn commodities
Inj. Vit K1 (1 mg/ml) Mucus Extractor
Bag and mask (240 ml) with both pre & term mask (size 0,1) Functional Radiant Warmer
All newborn commodities are available
9
Adolescent Health
76%
97% 100%
40%
82%75%
94% 99% 100%
0%
20%
40%
60%
80%
100%
120%
L1 (n=84) L2 (n=74) L3 (n=12)
Availability of Adolescent Health Commodities
Dicyclomine Weekly iron folic acid supplementation Albendazole
74%
88%83%
81%
60%
80%
100%
L1 (n=84) L2 (n=74) L3 (n=12) Total (n=170)
Adolescent Health Practices
Weekly IFA supplementation (WIFS)
29%
53%58%
42%
0%
20%
40%
60%
80%
L1 (n=79) L2 (n=74) L3 (n=12) Total (n=165)
Adolescent Health Practices
Menstrual hygiene practices being promoted
10
DISTRICT WISE REPORT (BIJAPUR, DANTEWADA, JASHPUR AND SURGUJA)
11
1
0 0
4
1
0 0 0
2
00 0 0
1
0
0
1
2
3
4
5
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Medical Officers : L1 Facilities
MO Posted MO trained in SBA/BEmOC MO trained in NSSK MO trained in PPIUCD
9
28
7
21
42
5 6 5
14 13
0 26
14 16
03 2 3
8
0
10
20
30
40
50
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Medical Officers : L2 Facilities
MO Posted MO trained in SBA/BEmOC MO trained in NSSK MO trained in PPIUCD
8 8
6
11
13
2
0
43
10
2
0
6
4
12
23
21
13
0
5
10
15
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Medical Officers : L3 Facilities
MO Posted MO trained in SBA/BEmOC MO trained in NSSK MO trained in PPIUCD
Training Status : Medical Officers
12
18
36
13
36
56
7 6 9
1923
2 2
1219
28
26 4 4
21
0
10
20
30
40
50
60
BIJAAPUR (n=25) BILASPUR (n=30) DANTEWADA (n=21) JASHPUR (n=54) SARGUJA (n=40)
Medical Officers : All Facilities
MO Posted MO trained in SBA/BEmOC MO trained in NSSK MO trained in PPIUCD
39%
17%
69%
53%41%
11% 6%
92%
53% 50%
11% 17%31%
11%
38%
0%
20%
40%
60%
80%
100%
BIJAAPUR (n=25) BILASPUR (n=30) DANTEWADA (n=21) JASHPUR (n=54) SARGUJA (n=40)
Medical Officers : All Facilities
MO trained in SBA/BEmOC MO trained in NSSK MO trained in PPIUCD
Training Status : Medical Officers
13
30
814
46
19
116 7
24
10
03
11
28
10
0 1 0 0 2
0
10
20
30
40
50
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Staff Nurses/ANMs : L1 Facilities
ANM Posted ANM Trainned in SBA/BEmOC ANM trained in NSSK ANM trained in PPIUCD
5465
32
53
102
7
42
13
30
49
1
31
1526
41
211 5
1429
0
20
40
60
80
100
120
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Staff Nurses/ANMs : L2 Facilities
ANM Posted ANM Trainned in SBA/BEmOC ANM trained in NSSK ANM trained in PPIUCD
5465
32
53
102
7
42
13
30
49
1
31
1526
41
211 5
1429
0
20
40
60
80
100
120
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Staff Nurses/ANMs : L3 Facilities
ANM Posted ANM Trainned in SBA/BEmOC ANM trained in NSSK ANM trained in PPIUCD
Training Status : Staff Nurses/ANMs
14
5465
32
53
102
7
42
13
30
49
1
31
1526
41
211 5
1429
0
20
40
60
80
100
120
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Staff Nurses/ANMs : All Facilities
ANM Posted ANM Trainned in SBA/BEmOC ANM trained in NSSK ANM trained in PPIUCD
18%
59%
42%
55% 53%
3%
45%
61%52% 48%
3%
27%16% 16%
34%
0%
20%
40%
60%
80%
BIJAAPUR (n=25) BILASPUR (n=30) DANTEWADA (n=21) JASHPUR (n=54) SARGUJA (n=40)
Staff Nurses/ANMs : All Facilities
ANM Trainned in SBA/BEmOC ANM trained in NSSK ANM trained in PPIUCD
Training Status : Staff Nurses/ANMs….
15
0 0 0 0 00 0 0 0 00
0.2
0.4
0.6
0.8
1
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Sterilization : L2 Facilities
Male Sterilization Female Post Partum Sterilization Female Interval Sterilization
0 0 0 0 2
21
30 0
32
0
10
20
30
40
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Sterilization : L3 Facilities
Male Sterilization Female Post Partum Sterilization Female Interval Sterilization
Reproductive Health & Family Planning : Sterilization Services
16
93
235
2
116
425
0
90
242 70
0
100
200
300
400
500
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
PPIUCD Services : L2 Facilities
No. of deliveries where PPIUCD forceps available PPIUCD inserted out of total deliveries irrespective of forceps available
Insertion Rate out of total deliveries irrespective of forceps available
40
348
102154
560
31 40 15 2486
0
200
400
600
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
PPIUCD Services : L3 Facilities
No. of deliveries where PPIUCD forceps available PPIUCD inserted out of total deliveries irrespective of forceps available
Insertion Rate out of total deliveries irrespective of forceps available
Reproductive Health & Family Planning : PPIUCD Services
17
93
235
2
116
425
0
90
242 70
0
100
200
300
400
500
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
PPIUCD Services : L2 Facilities
No. of deliveries where PPIUCD forceps available PPIUCD inserted out of deliveries where PPIUCD forceps available
Insertion Rate out of deliveries where PPIUCD forceps available
40
348
102154
560
31 40 15 2486
0
200
400
600
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
PPIUCD Services : L3 Facilities
No. of deliveries where PPIUCD forceps available PPIUCD inserted out of deliveries where PPIUCD forceps available
Insertion Rate out of deliveries where PPIUCD forceps available
Reproductive Health & Family Planning : PPIUCD Services
18
88%
15%
63%
33%
73%
0%
20%
40%
60%
80%
100%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Availability of Family Planning Commodities : L2 Facilities
All four (IUCD, OCP, ECP & Condoms) available
0%
67%
100%
67%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Availability of Family Planning Commodities : L3 Facilities
All four (IUCD, OCP, ECP & Condoms) available
88% 87%100%
50%
98%
68% 70%
0%
85% 93%
0%
100%
0%
72%98%
0%
50%
100%
150%
BIJAAPUR (n=25) BILASPUR (n=30) DANTEWADA (n=21) JASHPUR (n=54) SARGUJA (n=40)
Family Planning Schemes : All Facilities
Pregnancy Test Kits Incentives to ASHAs for delaying and spacing of births
Home delivery of contraceptives by ASHAs
Reproductive Health & Family Planning: Commodities & Schemes
19
94%
100%
91% 90%
100%
94%
100%
91% 90%
100%
80%
85%
90%
95%
100%
105%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Antenatal Care (At facility level) : Blood Pressure (L1 Facilities)
BP apparaturs with stethoscope BP measured during ANC visits
100%
95%
100% 100% 100%100%
95%
100% 100% 100%
92%
94%
96%
98%
100%
102%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Antenatal Care (At facility level) : Blood Pressure (L2 Facilities)
BP apparaturs with stethoscope BP measured during ANC visits
100% 100% 100% 100% 100%100% 100% 100% 100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Antenatal Care (At facility level) : Blood Pressure (L3 Facilities)
BP apparaturs with stethoscope BP measured during ANC visits
Maternal Health : Antenatal Care : Blood Pressure
20
44%57%
91%79%
91%
44%57%
73% 77%91%
0%
20%
40%
60%
80%
100%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Antenatal Care (At facility level) : Haemoglobin Estimation (L1 Facilities)
Haemoglobinometer Haemoglobin estimation during ANC visits
63%
90%100%
92%100%
63%
90%100%
83%100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Antenatal Care (At facility level) : Haemoglobin Estimation (L2 Facilities)
Haemoglobinometer Haemoglobin estimation during ANC visits
100% 100% 100% 100% 100%100% 100% 100% 100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Antenatal Care (At facility level) : Haemoglobin Estimation (L3 Facilities)
Haemoglobinometer Haemoglobin estimation during ANC visits
Maternal Health : Antenatal Care : Haemoglobin Estimation
21
25%
57% 55% 51%
82%
25%
43%55%
44% 45%
0%
20%
40%
60%
80%
100%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Antenatal Care (At facility level) : Urine Albumin (L1 Facilities)
Urine Albumin Kit Urine estimation during ANC visits
75%
95% 100%92%
100%
75%
95% 100%83%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Antenatal Care (At facility level) : Urine Albumin (L2 Facilities)
Urine Albumin Kit Urine estimation during ANC visits
100% 100% 100% 100% 100%100% 100% 100% 100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Antenatal Care (At facility level) : Urine Albumin (L3 Facilities)
Urine Albumin Kit Urine estimation during ANC visits
Maternal Health : Antenatal Care : Urine Albumin
22
31% 29%
100%
28% 27%31%
0%
18%8% 9%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Intrapartum Care (At facility level) : Partograph (L1 Facilities)
Partograph Use of Partograph
50%
70%
88% 92%
65%
50%
35%
50%58%
23%
0%
20%
40%
60%
80%
100%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Intrapartum Care (At facility level) : Partograph (L2 Facilities)
Partograph Use of Partograph
100% 100% 100% 100% 100%100%
67%
100% 100%
67%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Intrapartum Care (At facility level) : Partograph (L3 Facilities)
Partograph Use of Partograph
Maternal Health : Intrapartum Care : Partograph
23
75%86%
100%
74% 73%69%86%
36%
72%
45%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Intrapartum Care (At facility level) : Uterotonics (L1 Facilities)
Availability of Uterotonics (Oxytocin/misoprostol) Use of Uterotonics
100% 95% 100%92%
100%100% 95%
75%92%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Intrapartum Care (At facility level) : Uterotonics (L2 Facilities)
Availability of Uterotonics (Oxytocin/misoprostol) Use of Uterotonics
100% 100% 100% 100% 100%100% 100% 100% 100%
67%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Intrapartum Care (At facility level) : Uterotonics (L3 Facilities)
Availability of Uterotonics (Oxytocin/misoprostol) Use of Uterotonics
Maternal Health : Intrapartum Care : Uterotonics
24
44%
14%
73%
41%
27%
44%
0%
27%
10% 9%
0%
20%
40%
60%
80%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Intrapartum Care (At facility level) : Magnesium Sulphate (L1 Facilities)
Inj. Magnesium Sulphate Use of Inj. Magnesium Sulphate
100%
80%88%
67%77%
100%
60%50% 50%
42%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Intrapartum Care (At facility level) : Magnesium Sulphate (L2 Facilities)
Inj. Magnesium Sulphate Use of Inj. Magnesium Sulphate
100% 100% 100% 100% 100%100% 100% 100% 100%
67%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Intrapartum Care (At facility level) : Magnesium Sulphate (L3 Facilities)
Inj. Magnesium Sulphate Use of Inj. Magnesium Sulphate
Maternal Health : Intrapartum Care : Magnesium Sulphate
25
94%
57%
73%67%
18%25%
0% 0% 0% 0%0%
20%
40%
60%
80%
100%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Intrapartum Care (At facility level) : Antenatal Corticosteroids (L1 Facilities)
Inj. Dexamethasone Use of Inj. Dexamethasone
100% 95% 100% 100%
81%
100%
40%
13%
42%
23%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Intrapartum Care (At facility level) : Antenatal Corticosteroids (L2 Facilities)
Inj. Dexamethasone Use of Inj. Dexamethasone
100% 100% 100% 100% 100%100% 100% 100%
33%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Intrapartum Care (At facility level) : Antenatal Corticosteroids (L3 Facilities)
Inj. Dexamethasone Use of Inj. Dexamethasone
Maternal Health : Intrapartum Care : Antenatal Corticosteroids
26
19%
43% 45%
23%36%
100% 100% 100%
79%91%94%
43%
82%
51%36%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Availability of Maternal Health Commodities : L1 Facilities
Antihypertensive (alpha methyldopa/Labelatol or Nifedipine IFA Tablet Antibiotics as per RMNCH+A 5x5 Matrix
75%65%
88%75%
85%100%
85%75%
92%100%100%
85%100%
83% 77%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Availability of Maternal Health Commodities : L2 Facilities
Antihypertensive (alpha methyldopa/Labelatol or Nifedipine IFA Tablet Antibiotics as per RMNCH+A 5x5 Matrix
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Availability of Maternal Health Commodities : L3 Facilities
Antihypertensive (alpha methyldopa/Labelatol or Nifedipine IFA Tablet Antibiotics as per RMNCH+A 5x5 Matrix
Maternal Health : Commodities
27
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=12) DANTEWADA (n=8) JASHPUR (n=7) SARGUJA (n=13)
Vaccine Availability : L2 Facilities
BCG OPV Hep B
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=12) DANTEWADA (n=8) JASHPUR (n=7) SARGUJA (n=13)
Vaccine Availability : L2 Facilities
DPT Measles Syrup Vit. A
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Vaccine Availability : L3 Facilities
BCG OPV Hep B
Child Health : Vaccine Availability
28
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Vaccine Availability : L3 Facilities
DPT Measles Syrup Vit. A
100% 100%88%
100%92%
0% 0% 0% 0% 0%0%
20%
40%
60%
80%
100%
120%
BIJAAPUR-Penta (n=8) JE (n=0) BILASPUR-Penta (n=12) JE (n=0) DANTEWADA-Penta (n=8) JE (n=0) JASHPUR-Penta (n=7) JE (n=0) SARGUJA-Penta (n=13) JE (n=0)
Vaccine Availability : L2 Facilities
Pentavalant Vaccine (in relevant states) JE Vaccine (where relevant)
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR-Penta (n=1) JE (n=0) BILASPUR-Penta (n=3) JE (n=0) DANTEWADA-Penta (n=2) JE (n=0) JASHPUR-Penta (n=3) JE (n=0) SARGUJA-Penta (n=3) JE (n=0)
Vaccine Availability : L3 Facilities
Pentavalant Vaccine (in relevant states) JE Vaccine (where relevant)
Child Health : Vaccine Availability…
29
0%
50%
100%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Implementation of Child Health Schemes in Community : L1 Facilities
ORS and Zinc available with ASHAs Growth monitoring at AWW and VHNDs
Malnourished children referred to Nutritional Rehabilitation Centres VHNDs being conducted on a monthly basis (Services include ANC, Growth Monitoring, Immunization, Health messages)
Rashtriya Balswasthya Karyakram Operational
0%
50%
100%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Implementation of Child Health Schemes in Community : L2 Facilities
ORS and Zinc available with ASHAs Growth monitoring at AWW and VHNDs
Malnourished children referred to Nutritional Rehabilitation Centres VHNDs being conducted on a monthly basis (Services include ANC, Growth Monitoring, Immunization, Health messages)
Rashtriya Balswasthya Karyakram Operational
0%
50%
100%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Implementation of Child Health Schemes in Community : L3 Facilities
ORS and Zinc available with ASHAs Growth monitoring at AWW and VHNDs
Malnourished children referred to Nutritional Rehabilitation Centres VHNDs being conducted on a monthly basis (Services include ANC, Growth Monitoring, Immunization, Health messages)
Rashtriya Balswasthya Karyakram Operational
Child Health : Schemes
30
13% 14%
36%
18%
9%
0% 0%
9% 8%
0%
19%
0%
18%
41%36%
0%
10%
20%
30%
40%
50%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Newborn Care Corner : L1 Facilities
Designated Newborn care corner Newborn care corner adequately equipped Provider aware about the steps of newborn resuscitation
100%
80%
100%
83% 81%
50%
10%25%
67%
46%
25%15%
75%83%
65%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Newborn Care Corner : L2 Facilities
Designated Newborn care corner Newborn care corner adequately equipped Provider aware about the steps of newborn resuscitation
100% 100% 100% 100% 100%100%
67%
100% 100%
33%
100%
67%
50%
100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Newborn Care Corner : L3 Facilities
Designated Newborn care corner Newborn care corner adequately equipped Provider aware about the steps of newborn resuscitation
Newborn Health : Newborn Care Corner
31
13%
0%
18%
0%9%
18%
0%
45%
1%9%
0%
20%
40%
60%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Newborn Vaccination : L1 Facilities
Vaccinations of newborns with BCG, OPV, Hep-B within 24 hours of birth
Number of newborns immunized before discharge (All 3 vaccines)/Total deliveries (Live births)
100%
45%
75% 67% 58%
100%
72% 77%64% 67%
0%
50%
100%
150%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Newborn Vaccination : L2 Facilities
Vaccinations of newborns with BCG, OPV, Hep-B within 24 hours of birth
Number of newborns immunized before discharge (All 3 vaccines)/Total deliveries (Live births)
100% 100% 100% 100% 100%100% 97%
90%84%
99%
70%
80%
90%
100%
110%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Newborn Vaccination : L3 Facilities
Vaccinations of newborns with BCG, OPV, Hep-B within 24 hours of birth
Number of newborns immunized before discharge (All 3 vaccines)/Total deliveries (Live births)
Newborn Health : Newborn Vaccination
32
100% 100%
36%
95% 91%100% 100%
73%
97% 91%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Breast Feeding Practices : L1 Facilities
Early initiation of breastfeeding practices Exclusive breastfeeding practised upto 6 months (no water)
100% 100% 100%92%
100%100% 100%
75%
100% 96%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Breast Feeding Practices : L2 Facilities
Early initiation of breastfeeding practices Exclusive breastfeeding practised upto 6 months (no water)
100% 100% 100% 100% 100%100% 100%
50%
100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Breast Feeding Practices : L3 Facilities
Early initiation of breastfeeding practices Exclusive breastfeeding practised upto 6 months (no water)
Newborn Health : Breast Feeding Practices
33
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=25) BILASPUR (n=30) DANTEWADA (n=21) JASHPUR (n=54) SARGUJA (n=40)
Home Based Newborn Care : All Level of Facilities
Home-based newborn care by ASHA HBNC kits available with ASHA Referrals of sick/ with danger signs newborns
Newborn Health : Home Based Newborn Care
34
69%
29%
100%
77%91%
25%
86%
55%
26%
73%
100% 100% 100%87%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Availability of Adolescent Health Commodities : (L1 Facilities)
Dicyclomine Weekly iron folic acid supplementation Albendazole
88%100% 100%
92%100%
50%
100%
63% 58%
96%100% 100% 100%92%
100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Availability of Adolescent Health Commodities : (L2 Facilities)
Dicyclomine Weekly iron folic acid supplementation Albendazole
100% 100% 100% 100% 100%100% 100% 100%
0%
100%100% 100% 100% 100% 100%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Availability of Adolescent Health Commodities : (L3 Facilities)
Dicyclomine Weekly iron folic acid supplementation Albendazole
Adolescent Health : Commodities
35
100% 100%
9%
72%
91%
0%
100%
0%
28%
45%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=16) BILASPUR (n=7) DANTEWADA (n=11) JASHPUR (n=39) SARGUJA (n=11)
Adolescent Health Practices : (L1 Facilities)
Weekly IFA supplementation (WIFS) Menstrual hygiene practices being promoted
100% 100%
13%
83%100%
0%
95%
0%
75%
42%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=8) BILASPUR (n=20) DANTEWADA (n=8) JASHPUR (n=12) SARGUJA (n=26)
Adolescent Health Practices : (L2 Facilities)
Weekly IFA supplementation (WIFS) Menstrual hygiene practices being promoted
100% 100%
0%
100% 100%
0%
100%
0%
67% 67%
0%
20%
40%
60%
80%
100%
120%
BIJAAPUR (n=1) BILASPUR (n=3) DANTEWADA (n=2) JASHPUR (n=3) SARGUJA (n=3)
Adolescent Health Practices : (L3 Facilities)
Weekly IFA supplementation (WIFS) Menstrual hygiene practices being promoted
Adolescent Health : Practices
36
End of Report