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Essential Newborn Care and Resuscitation District : Panipat

Essential Newborn Care and Resuscitation District : Panipat

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Page 1: Essential Newborn Care and Resuscitation District : Panipat

Essential Newborn Care and ResuscitationDistrict : Panipat

Page 2: Essential Newborn Care and Resuscitation District : Panipat

Name of Facility InfrastructureDELIVERY AND

NEWBORN CARE SERVICES

ESSENTIAL DRUG

EQUIPMENT AND SUPPLY

PROTOCOLS/ GUIDELINE AND

INFECTION PREVENTION K0WLEDGE

PROVIDER K0WLEDGE AND SKILL

FACILITY OVERALL AVERAGE

GH PANIPAT 100 100 89 59 55 72

PHC Mandlodha 75 82 68 28 53 58

CHC Ahar 100 64 75 22 46 57

PHC Mandlodha 75 73 78 25 42 56

CHC Samalakha 92 82 76 25 40 55

PHC 0ultha 83 73 71 9 41 51

PHC Seenk 83 82 68 19 36 50

PHC Kabri 83 82 68 28 30 49

PHC Atta 83 55 63 13 42 48

PHC Ujha 83 82 69 22 26 47

PHC Sewah 92 73 63 16 32 46

District Average 76 69 61 18 32 45

Where we are… ?

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

Page 3: Essential Newborn Care and Resuscitation District : Panipat

Name of Facility InfrastructureDELIVERY AND

NEWBORN CARE SERVICES

ESSENTIAL DRUG

EQUIPMENT AND SUPPLY

PROTOCOLS/ GUIDELINE AND

INFECTION PREVENTION K0WLEDGE

PROVIDER K0WLEDGE AND SKILL

FACILITY OVERALL AVERAGE

District Average 76 69 61 18 32 45

PHC Kawi 58 73 69 9 27 44

PHC Narayana 50 55 59 16 34 42

PHC Patti Kalyana 67 64 56 13 27 39

SC Kutani 75 73 26 16 48 38

CHC Bapoli 83 73 53 16 21 37

PHC Mandi 67 64 64 6 15 37

SC ALUPUR 42 64 32 9 40 34

SC Khukhrana 67 55 40 9 29 34

PHC Chulkana 58 45 69 22 0 33

SC Dadlana 83 45 37 3 28 32

SC Sherha 75 73 40 9 0 23

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

Page 4: Essential Newborn Care and Resuscitation District : Panipat

72

58 57 56 5551 50 49 48 47 46 45 44 42

39 38 37 3734 34 33 32

23

0

20

40

60

80

100

Over All Grading Of Facilities in % for Facility readiness and ENCR

Page 5: Essential Newborn Care and Resuscitation District : Panipat

55 5348 46

42 42 41 40 4036 34 32 32 30 29 28 27 27 26

21

15

0 00

20

40

60

80

100

Provider Skills and Knowledge about Maternal and Essential Newborn Care Services

Page 6: Essential Newborn Care and Resuscitation District : Panipat

100 100

92 92

83 83 83 83 83 83 83

76 75 75 75 75

67 67 67

58 58

50

42

0

20

40

60

80

100

Over all Readiness of facilities for Infrastructure

Page 7: Essential Newborn Care and Resuscitation District : Panipat

59

28 2825 25

22 22 2219 18

16 16 16 1613 13

9 9 9 9 96

3

0

20

40

60

80

100

PROTOCOLS/ GUIDELINE AND INFECTION PREVENTION K0WLEDGE

Page 8: Essential Newborn Care and Resuscitation District : Panipat

89

7876 75

7169 69 69 68 68 68

64 63 6361 59

5653

40 4037

32

26

0

20

40

60

80

100

ESSENTIAL DRUG EQUIPMENT AND SUPPLY

Page 9: Essential Newborn Care and Resuscitation District : Panipat

100

82 82 82 82 82

73 73 73 73 73 73 7369

64 64 64 64

55 55 55

45 45

0

20

40

60

80

100

DELIVERY AND NEWBORN CARE SERVICES

Page 10: Essential Newborn Care and Resuscitation District : Panipat

59

5

8641

18

5

MINIMUM 4 VISITS

BIRTH PLAN

TT AND IFA

HIGH RISK MOTHERDETECTION

DANGER SIGN

PROMOTE EBF

KNOWLEDGE ABOUT ANC CHECKUP

Page 11: Essential Newborn Care and Resuscitation District : Panipat

77

32

5

36

2718

5

45

23

PRIVIOUS CS

5 OR MORE DELIVERY

LESS THEN 2 YEARESBIRTH INTERVAL

AGE OF PRIMI <18 OR>30 YEARS

PRIVIOUS STILL BIRTHPRIVIOUS NEONATAL

DEATH

PRIVIOUSINSTRUMENTAL

DELIVERY

H/O ABORTIVECOMPLECATION

H/ONEONATAL/INFANT

DEATH

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

Page 12: Essential Newborn Care and Resuscitation District : Panipat

86

86

27

41

DILATION OF CERVIX

DISCHARGE OF BLOODAND MUCUS

BREAKING OF WATERSAND RUPTIORMEMBRANE

REGULAR UTRINECONTRACTION

KNOWLEDGE ABOUT LABOUR PROGRESS

Page 13: Essential Newborn Care and Resuscitation District : Panipat

82

36

0

6432

64

73

41

50

FETAL HEARTBEAT

COLOUR OF AMNIOTICFLUID

DEGREE OF MOLDING

DILATION OF CERVIX

DECENT OF HEADUTRINE CONTRACTION

METERNAL BP

METERNALTEMPRATURE

MATERNAL PULSE

LABOUR PROGRESS MONITORING KNOWLEDGE

Page 14: Essential Newborn Care and Resuscitation District : Panipat

64

50

5

ON PARTOGRAPH

ON PATIENTCLINICAL RECORDS

ON THEPARTOGRAPH IN

THE PRENATAL CARD

PLACE WHARE STAFF RECORD LABOUR OBSERVATION

Page 15: Essential Newborn Care and Resuscitation District : Panipat

32

4564

IMMEDIATE OXYTOCIN

CCTUTRINE MASSAGE

KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT

Page 16: Essential Newborn Care and Resuscitation District : Panipat

68

50

23

59

18

50

9

14

BREATHING OF BABY

DRY THE BABY

OBSERVE FOR COLOR OFBABY

WEIGHT THE BABY

CARE FOR UMBLICALCORD

INITIATE BF WITH IN 30MIN

EXAMIN NEWBORNWITHIN 1 HRS

ADMINISTER VIT K

KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN WITHIN 1 Hr

Page 17: Essential Newborn Care and Resuscitation District : Panipat

41

41

32

32

55

9

41

18

POOR OR NO BF

LESS MOVEMENT(POOR MUSCLE TONE)

HYPO/HYPERTHERMIA

RESTLESSNESS/IRRITABILITY

DIFFICULTY/FASTBREATHING

INFECTION ONEYE/THROAT/SKIN

DEEPJAUNDICE

SEVERE ABDOMINALDISTENTION

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF SEPSIS/INFECTION IN NEWBORN

Page 18: Essential Newborn Care and Resuscitation District : Panipat

5

5

2727

86

CONTINUE TO BF

EXPLAIN SITUATIONTO MOTHER

KEEP AIRWAYS OPENBEGIN ANTIBIOTICS

REFER

KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN NEWBORN

Page 19: Essential Newborn Care and Resuscitation District : Panipat

55

36

185

18

59

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 LBW (<2.5 KG) BABIES MANAGEMENT

Page 20: Essential Newborn Care and Resuscitation District : Panipat

50

9

73

32

14

18

DEPRESSEDBREATHING

FLOPPINESS

NOT CRIED ATBIRTH

DELAYED CRYINGAT BIRTH

HEART RATEBELOW 100

CENTRALCYNANOSIS

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH ASPHYXIA

Page 21: Essential Newborn Care and Resuscitation District : Panipat

9

0

23

9

41

59

68

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

Page 22: Essential Newborn Care and Resuscitation District : Panipat

68

5

5

18

5

PLACE BABY MASKAND FORM SEAL

ENSUREAPPROPRIATE SEAL

VENTILATE 1 OR 2TIMES FOR CHEST

RISING

VENTILATE 40-60PER MINUTE

DETERMINESPONTINIOUSBREATHING

KNOWLEDGE ABOUT RESUSCITATION STEPS

Page 23: Essential Newborn Care and Resuscitation District : Panipat

Knowledge about what to do after resuscitation

36

2714

KEEP BABYWARM

INITIATE BFMONITORING THE BABY

23

27

50

73

CONTINUE TOVENTILATE

ADMINISTEROXYGEN

ASCESS NEEDFOR SPECIAL

CARE

INTUBATEBABY

REFER BABY

If baby is breathing after initial Resuscitation IF BABY IS NOT BDGIN BREATHING