Essential Newborn Care and Resuscitation

District : Gurgaon

74

29

90

74

35

6

MINIMUM 4VISITS

BIRTH PLAN

TT AND IFA

HIGH RISKMOTHER

DETECTION

DANGER SIGN

PROMOTE EBF

KNOWLEDGE ABOUT EFFECTIVE ANC

60

57

56

53

52

49

48

43

42

39

38

36

36

31

0 20 40 60 80

Karnal

HISAR

FTB

Kaithal

Gurgaon

Jind

KKR

PALWAL

SONIPAT

SIRSA

Bhiwani

NARNAUL

PANIPAT

Y NAGAR

90

45

23

48

3932

26

61

32

PREVIOUS CS

5 OR MOREDELIVERIES

LESS THEN 2 YEARSBIRTH INTERVAL

AGE OF PRIMI <18OR >30 YEARS

PREVIOUS STILLBIRTH

PREVIOUSNEONATAL DEATH

PREVIOUSINSTRUMENTAL

DELIVERY

H/O ABORTIONS OROTHER

COMPLICATIONS

H/ONEONATAL/INFANT

DEATH

KNOWLEDGE OF DETECTION OF HIGH RISK MOTHERS OR MOTHER REQUIRED SPECIAL CARE

63

55

54

52

51

44

43

43

41

39

36

30

29

25

0 20 40 60 80

Karnal

KKR

FTB

HISAR

Kaithal

Gurgaon

SONIPAT

Jind

PALWAL

Bhiwani

SIRSA

PANIPAT

NARNAUL

Y NAGAR

94

94

48

48

REGULAR UTRINECONTRACTION

DILATION OFCERVIX

DISCHARGE OFBLOOD AND

MUCUS

BREAKING OFWATERS AND

RUPTIORMEMBRANE

KNOWLEDGE ABOUT LABOUR PROGRESS

84

80

79

76

76

73

71

71

65

63

62

60

56

51

0 20 40 60 80 100

Karnal

Kaithal

HISAR

KKR

Jind

FTB

SONIPAT

Gurgaon

PALWAL

SIRSA

Bhiwani

PANIPAT

NARNAUL

Y NAGAR

81

42

3

87

23

87

97

81

87

FETAL HEARTBEAT

COLOUR OFAMNIOTIC FLUID

DEGREE OFMOLDING

DILATION OFCERVIX

DESCENT OF HEADUTERINE

CONTRACTIONS

MATERNAL BP

MATERNALTEMPERATURE

MATERNAL PULSE

LABOUR PROGRESS MONITORING KNOWLEDGE

77

76

73

70

66

65

65

64

57

57

55

51

49

38

0 20 40 60 80 100

Karnal

HISAR

FTB

KKR

SONIPAT

Kaithal

Gurgaon

Bhiwani

PALWAL

Jind

SIRSA

NARNAUL

PANIPAT

Y NAGAR

58

77

0

ON PARTOGRAPH

ON PATIENTCLINICAL RECORDS

ON PIECE OFPAPER

RECORDING OF OBSERVATIONS

46

43

42

41

41

40

38

35

31

30

30

28

23

18

0 10 20 30 40 50

Bhiwani

HISAR

Karnal

FTB

KKR

Kaithal

SONIPAT

Gurgaon

PANIPAT

SIRSA

Jind

Y NAGAR

NARNAUL

PALWAL

84

90

58

IMMEDIATEOXYTOCIN

CCTUTRINE MASSAGE

KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT

93

88

81

78

77

74

73

73

66

65

54

53

52

47

0 20 40 60 80 100

Karnal

HISAR

KKR

FTB

Gurgaon

Kaithal

Jind

SONIPAT

SIRSA

Bhiwani

Y NAGAR

PALWAL

NARNAUL

PANIPAT

45 74

16

74

2658

10

16

BREATHING OFBABY

DRY THE BABY

OBSERVE FORCOLOR OF BABY

WEIGHT THE BABY

CARE FORUMBLICAL CORD

INITIATE BF WITHIN 30 MIN

EXAMINNEWBORN WITHIN

1 HRS

ADMINISTER VIT K

KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN WITHIN 1 Hr

65

60

58

57

56

56

52

51

50

47

46

42

38

32

0 20 40 60 80

Karnal

KKR

HISAR

Kaithal

Jind

SONIPAT

FTB

Bhiwani

PALWAL

SIRSA

Gurgaon

PANIPAT

NARNAUL

Y NAGAR

52

55

68

42

55

39

29

3

LESS MOVEMENT(POOR MUSCLE

TONE)

POOR OR NO BF

HYPO/HYPERTHERMIA

RESTLESSNESS/IRRITABILITY

DIFFICULTY/FASTBREATHING

INFECTION ONEYE/THROAT/SKIN

DEEPJAUNDICE

SEVEREABDOMINALDISTENTION

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF SEPSIS/INFECTION IN NEWBORN

60

53

49

46

45

43

40

38

36

35

34

31

27

25

0 20 40 60 80

Karnal

HISAR

KKR

Kaithal

FTB

Gurgaon

Jind

SONIPAT

SIRSA

Bhiwani

PANIPAT

NARNAUL

PALWAL

Y NAGAR

0 35

1313

90

EXPLAINSITUATION TO

MOTHER

CONTINUE TO BF

KEEP AIRWAYSOPEN

BEGINANTIBIOTICS

REFER

KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN NEWBORN

51

44

38

33

31

31

31

30

30

28

25

25

24

20

0 10 20 30 40 50 60

Karnal

KKR

Kaithal

FTB

HISAR

Jind

Bhiwani

PANIPAT

Gurgaon

SONIPAT

SIRSA

NARNAUL

PALWAL

Y NAGAR

77

35

29326

74

WARMTH OF BABY

PROVIDE EXTRASUPPORT TO

MOTHER FOR BF

MONITOR ABLITYTO BF/SUCKING

CAPACITY OF BABY

MONITOR BABYFOR FIRST 24 Hr

ENSURE INFCETIONPREVENTION

REFER

KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG) BABIES

57

49

47

47

46

41

38

38

37

35

34

33

32

23

0 10 20 30 40 50 60

Karnal

FTB

HISAR

Kaithal

KKR

Gurgaon

SIRSA

Jind

PALWAL

SONIPAT

NARNAUL

Bhiwani

PANIPAT

Y NAGAR

77

26

84

29

23

48

DEPRESSEDBREATHING

FLOPPINESS

NOT CRIED ATBIRTH

DELAYED CRYINGAT BIRTH

HEART RATEBELOW 100

CENTRALCYNANOSIS

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH ASPHYXIA

61

54

52

47

44

43

42

42

40

37

34

31

27

21

0 20 40 60 80

Karnal

HISAR

FTB

KKR

Kaithal

Bhiwani

NARNAUL

Jind

Gurgaon

SIRSA

SONIPAT

PALWAL

Y NAGAR

PANIPAT

16

3

5513

61

74

97

CALL FOR HELP

EXPLAINSITUATION TO

MOTHER

PLACE NEWBORNFACE UP

WRAP OR COVERBABY EXCEPT FACEAND UPPER CHEST

EXTENDEDPOSITION OF NECK

OF NEWBORN

SUCTION MOUTHTHEN NOSE

STARTVENTILATION

USING BAG ANDMASK

KNOWLEDGE ABOUT STEPS OF RESUSCITATION

57

49

49

45

42

41

38

36

35

35

32

28

26

19

0 10 20 30 40 50 60

Karnal

Kaithal

HISAR

FTB

Bhiwani

Jind

KKR

SONIPAT

NARNAUL

Gurgaon

SIRSA

PALWAL

Y NAGAR

PANIPAT

81

58

13

52

16

PLACE BABY MASKAND FORM SEAL

ENSUREAPPROPRIATE

SEAL

VENTILATE 1 OR 2TIMES FOR CHEST

RISING

VENTILATE 40-60PER MINUTE

DETERMINESPONTINIOUSBREATHING

KNOWLEDGE ABOUT RESUSCITATION STEPS 2

53

52

43

38

38

37

34

33

32

31

28

23

20

14

0 10 20 30 40 50 60

Karnal

HISAR

FTB

KKR

Kaithal

Jind

NARNAUL

Gurgaon

Bhiwani

SONIPAT

SIRSA

Y NAGAR

PALWAL

PANIPAT

Knowledge about what to do after resuscitation

42

4532

KEEP BABYWARM

INITIATE BFMONITORING

THE BABY

If baby is breathing after initial Resuscitation

49

48

43

36

36

35

31

26

24

23

22

22

22

17

0 10 20 30 40 50 60

Karnal

HISAR

Jind

Kaithal

PALWAL

KKR

NARNAUL

Bhiwani

PANIPAT

SONIPAT

FTB

Y NAGAR

SIRSA

Gurgaon

52

39

60

90

CONTINUE TOVENTILATE

ADMINISTEROXYGEN

ASCESS NEED FORSPECIAL CARE

INTUBATE BABY

REFER BABY

What to do ? If baby is not breathing after initial Resuscitation

38

36

36

34

33

30

26

26

20

18

13

11

10

9

0 10 20 30 40

HISAR

Jind

Karnal

KKR

FTB

NARNAUL

SONIPAT

Gurgaon

Bhiwani

Kaithal

PALWAL

Y NAGAR

SIRSA

PANIPAT

96

82 82 8076 76 73

69 69 67 67 65 65 65 65 65 6461 59 59 59 57 57 55 55 53 51 51 51 51 49 47

0

20

40

60

80

100

GH

Gu

rgao

n

CH

C F

aru

kh N

agar

PH

C W

azir

abad

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So

hn

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UR

CH

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C G

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on

vill

age

SDH

HEL

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oj

PH

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and

pu

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SC C

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ATA

ULA

Over all Readiness of facilities in Infrastructure

80 80

70 70 70 70

60 60 60 60 60 60 60 60 60

51 50 50 50 50 50

40 40 40 40 40

30 30 30 30

20

00

20

40

60

80

100P

HC

Waz

irab

ad

SC S

IKA

ND

ERP

UR

BA

DA

SDH

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ND

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C M

and

pu

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SC U

CH

AM

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A

GH

Gu

rgao

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UR

CH

Lak

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CH

C P

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PH

C G

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on

vill

age

SC R

ath

oj

SC T

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SC D

un

dah

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SC W

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UR

SC S

arh

aul

Dis

tric

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SC C

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ND

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GH

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SC B

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PH

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SC P

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SC D

AU

LATA

BA

D

SC M

akro

la

SC J

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ULA

SDH

So

hn

a

SC J

har

sa

Availability of Protocols/ Guidelines at facility

57 57

43 43 43 43 43

29 29 29 29 29 29 29 29 29 29 29 2924

14 14 14 14 14

0 0 0 0 0 0 00

20

40

60

80

100SC

Lo

kra

SC C

HA

ND

U

SC S

IKA

ND

ERP

UR

BA

DA

PH

C G

uga

on

vill

age

SC S

IKA

ND

ERP

UR

GH

OSH

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PH

C B

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SDH

So

hn

a

PH

C M

and

pu

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SC U

CH

AM

AJR

A

GH

Gu

rgao

n

UR

CH

Lak

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SC R

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oj

SC W

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RP

UR

SC B

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mb

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CH

C F

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PH

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SC P

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D

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CH

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SC S

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UR

CH

Raj

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Par

k

SC J

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ULA

SC J

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sa

Knowledge of Infection Prevention

63

58 5654 53

50 50

44 43 42 41

3432

28 28 26

2118 17 16 15 14 14 13

7 6

0 0 0 0 0 00

20

40

60

80

100P

HC

Man

dp

ura

SDH

HEL

I MA

ND

I

PH

C K

asan

PH

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PH

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vill

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SC S

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GH

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So

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UR

BA

DA

CH

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UR

CH

Raj

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Dis

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BA

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AM

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ULA

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Registers and Client Case records

82

72 71 69 68 66 64 63 62 6158 58 58 58 58 57 55 55 54 54 53

50 50 50 50 5047 47 46 44 42

36

0

20

40

60

80

100G

H G

urg

aon

PH

C M

and

pu

ra

SDH

HEL

I MA

ND

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…

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ESSENTIAL DRUGS, EQUIPMENT AND SUPPLIES

63 62 61 61 59 58 57 55 54 54 54 53 52 52 51 51 51 49 49 4946

44 43 42 41 40 40 40 39 37 36

29

0

20

40

60

80

100

Over All Status of facilities for ENBC/R Skills

Name of FacilityINFRASTRUCT

URE

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 GUGAON VILLAGE

73 89 64 60 43 59 53 63

SDH HELI MANDI 69 83 71 70 14 70 58 62

PHC MANDPURA 67 89 72 70 29 39 63 61

GH GURGAON 96 94 82 60 29 49 14 61

SC SIKANDERPUR BADA

57 83 62 80 43 49 41 59

SC SIKANDERPUR GHOSHI

59 83 58 50 43 64 50 58

SDH SOHNA 80 89 69 20 43 49 50 57

PHC BHONDSI 65 83 61 40 29 53 54 55

SC CHANDU 61 83 53 50 57 61 15 54

CHC FARUKH NAGAR 82 89 63 40 29 44 34 54

DISTRICT AVERAGE 64 79 57 51 24 44 26 49

Where we are… ?

Score 75% and Above Score 51% to 74% Score 50% and less

Name of FacilityINFRASTRUCT

URE

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 Wazirabad 82 89 66 80 0 31 28 54

PHC Bhorakalan 67 83 58 40 43 38 44 53

SC Lokra 65 72 44 70 57 59 0 52

URCH LakshmanVihar

76 83 58 60 29 30 28 52

PHC Kasan 59 83 58 40 14 48 56 51

CHC Pataudi 76 83 68 60 0 28 43 51

SC Rathoj 69 89 50 60 29 35 21 51

District Average 64 79 57 51 24 44 26 49

SC UCHAMAJRA 55 72 55 70 29 46 16 49

PHC Badshahpur 65 83 58 40 29 22 42 49

SC Tajnagar 65 89 54 60 14 38 0 46

Where we are… ?

Score 75% and Above Score 51% to 74% Score 50% and less

Name of FacilityINFRASTRUCT

URE

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 64 79 57 51 24 44 26 49

SC Babra 51 83 50 50 14 43 14 44

SC WAZIRPUR 51 56 54 60 29 47 6 43

SC DAULATABAD 59 78 50 30 14 44 17 42

SC Makrola 49 78 50 30 29 44 7 41

SC Sarhaul 51 61 46 60 0 45 18 40

SC Baslambi 55 61 47 50 29 37 0 40

URCH Rajendra Park 51 72 50 50 0 22 32 40

SC Dundahera 53 67 47 60 0 32 13 39

SC Pathreri 65 67 36 30 29 36 0 37

SC Jharsa 57 78 55 0 0 61 0 36

SC JATAULA 47 50 42 30 0 34 0 29

Where we are… ?

Score 75% and Above Score 51% to 74% Score 50% and less

Over All Grading of Facilities for ENBCR Facility readiness

61

59

54

52

52

51

49

49

49

47

47

45

43

41

39

0 20 40 60 80

Hisar

KARNAL

Kurukshetra

Bhiwani

Jind

Ambala

Y Nagar

Kaithal

Gurgaon

Sirsa

Fatehabad

Panipat

Sonipat

Palwal

Narnaul

6362

6161

5958

575554545453

5252515151

494949

464443

424140404039

3736

29

0 20 40 60 80 100

PHC Gugaon village

SDH HELI MANDI

PHC Mandpura

GH Gurgaon

SC SIKANDERPUR BADA

SC SIKANDERPUR GHOSHI

SDH Sohna

PHC Bhondsi

SC CHANDU

CHC Farukh Nagar

PHC Wazirabad

PHC Bhorakalan

SC Lokra

URCH Lakshman Vihar

PHC Kasan

CHC Pataudi

SC Rathoj

District Average

SC UCHAMAJRA

PHC Badshahpur

SC Tajnagar

SC Babra

SC WAZIRPUR

SC DAULATABAD

SC Makrola

SC Sarhaul

SC Baslambi

URCH Rajendra Park

SC Dundahera

SC Pathreri

SC Jharsa

SC JATAULA