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Facility Readiness Data Analysis for Essential Newborn Care and Resuscitation (District-MEWAT)

Facility Readiness Data Analysis for Essential Newborn ... · Facility Readiness Data Analysis for Essential Newborn Care and Resuscitation (District-MEWAT) 0 20 40 60 80 100 MINIMUM

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Facility Readiness Data Analysis forEssential Newborn Care and

Resuscitation (District-MEWAT)

0

20

40

60

80

100

MINIMUM 4VISITS

BIRTH PLAN

TT AND IFA

HIGH RISKMOTHER

DETECTION

DANGER SIGN

PROMOTE EBF

ROUND 1

KNOWLEDGE ABOUT EFFECTIVE ANC

61

60

60

57

56

53

52

49

48

43

42

39

38

36

36

31

61

58

59

0 20 40 60 80

PKL

KNL

MWT

HSR

FTB

KTL

GUR

JND

KKR

PWL

SNP

SRS

BWN

NNL

PNP

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100PREVIOUS CS

5 OR MOREDELIVERIES

LESS THEN 2YEARS BIRTH

INTERVAL

AGE OF PRIMI<18 OR >30

YEARS

PREVIOUS STILLBIRTH

PREVIOUSNEONATAL

DEATH

PREVIOUSINSTRUMENTAL

DELIVERY

H/O ABORTIONSOR OTHER

COMPLICATIONS

H/ONEONATAL/INF

ANT DEATH

ROUND 1

KNOWLEDGE OF DETECTION OF HIGH RISK MOTHERS

63

55

54

53

53

52

51

44

43

43

41

39

36

30

29

25

62

49

53

0 20 40 60 80

KNL

KKR

FTB

PKL

MWT

HSR

KTL

GUR

SNP

JND

PWL

BWN

SRS

PNP

NNL

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

REGULARUTRINE

CONTRACTION

DILATION OFCERVIX

DISCHARGE OFBLOOD AND

MUCUS

BREAKING OFWATERS AND

RUPTIORMEMBRANE

ROUND 1

KNOWLEDGE ABOUT LABOUR PROGRESS

86

84

80

79

78

76

76

73

71

71

65

63

62

60

56

51

83

77

73

0 20 40 60 80 100

PKL

KNL

KTL

HSR

MWT

KKR

JND

FTB

SNP

GUR

PWL

SRS

BWN

PNP

NNL

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

FETALHEARTBEAT

COLOUR OFAMNIOTIC

FLUID

DEGREE OFMOLDING

DILATION OFCERVIX

DESCENT OFHEAD

UTERINECONTRACTIONS

MATERNAL BP

MATERNALTEMPERATURE

MATERNALPULSE

ROUND 1

LABOUR PROGRESS MONITORING KNOWLEDGE

77

76

73

70

68

66

65

65

64

64

57

57

55

51

49

38

62

73

69

0 20 40 60 80 100

KNL

HSR

FTB

KKR

PKL

SNP

KTL

GUR

BWN

MWT

PWL

JND

SRS

NNL

PNP

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

ONPARTOG

RAPH

ONPATIENTCLINICA

LRECORD

S

ONPIECE

OFPAPER

ROUND 1

RECORDING OF OBSERVATIONS

46

43

42

41

41

40

39

38

35

32

31

30

30

28

23

18

41

45

37

0 10 20 30 40 50

BWN

HSR

KNL

FTB

KKR

KTL

PKL

SNP

GUR

MWT

PNP

SRS

JND

YNR

NNL

PWL

ROUND 2 ROUND 1

0

20

40

60

80

100

IMMEDIATE

OXYTOCIN

CCTUTRINEMASSA

GE

ROUND 1

KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT

93

89

88

81

78

77

74

73

73

69

66

65

54

53

52

47

92

85

68

0 20 40 60 80 100

KNL

PKL

HSR

KKR

FTB

GUR

KTL

Jind

SNP

MWT

SRS

BWN

YNR

PWL

NNL

PNP

ROUND 2 ROUND 1

0

20

40

60

80

100BREATHING OF BABY

DRY THE BABY

OBSERVE FOR COLOROF BABY

WEIGHT THE BABY

CARE FOR UMBLICALCORD

INITIATE BF WITH IN30 MIN

EXAMIN NEWBORNWITHIN 1 HRS

ADMINISTER VIT K

ROUND 1

KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN

WITHIN 1 Hr

70

65

64

60

58

57

56

56

52

51

50

47

46

42

38

32

75

56

64

0 20 40 60 80

PKL

KNL

MWT

KKR

HSR

KTL

JND

SNP

FTB

BWN

PWL

SRS

GUR

PNP

NNL

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

LESS MOVEMENT(POOR MUSCLE

TONE)

POOR OR NO BF

HYPO/HYPERTHERMIA

RESTLESSNESS/IRRITABILITY

DIFFICULTY/FASTBREATHING

INFECTION ONEYE/THROAT/SKI

N

DEEPJAUNDICE

SEVEREABDOMINALDISTENTION

ROUND 1

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF

SEPSIS/INFECTION IN NEWBORN

60

56

56

53

49

46

45

43

40

38

36

35

34

31

27

25

57

46

44

0 20 40 60 80

KNL

PKL

MWT

HSR

KKR

KTL

FTB

GUR

JND

SNP

SRS

BWN

PNP

NNL

PWL

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

EXPLAINSITUATION

TO MOTHER

CONTINUETO BF

KEEPAIRWAYS

OPEN

BEGINANTIBIOTICS

REFER

ROUND 1

KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN

NEWBORN

51

44

40

40

38

33

31

31

31

30

30

28

25

25

24

20

47

36

37

0 10 20 30 40 50 60

KNL

KKR

PKL

MWT

KTL

FTB

HSR

JND

BWN

PNP

GUR

SNP

SRS

NNL

PWL

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100WARMTH OF BABY

PROVIDE EXTRASUPPORT TO

MOTHER FOR BF

MONITOR ABLITYTO BF/SUCKING

CAPACITY OF BABY

MONITOR BABYFOR FIRST 24 Hr

ENSURE INFCETIONPREVENTION

REFER

ROUND 1

KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG)

BABIES

58

57

52

49

47

47

46

41

38

38

37

35

34

33

32

23

58

45

57

0 20 40 60 80

MWT

KNL

PKL

FTB

HSR

KTL

KKR

GUR

SRS

JND

PWL

SNP

NNL

BWN

PNP

YNR

ROUND 2 ROUND 1

0

20

40

60

80

100

DEPRESSEDBREATHING

FLOPPINESS

NOT CRIED ATBIRTH

DELAYEDCRYING AT

BIRTH

HEART RATEBELOW 100

CENTRALCYNANOSIS

ROUND 1

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH

ASPHYXIA

61

60

54

53

52

47

44

43

42

42

40

37

34

31

27

21

61

51

57

0 20 40 60 80

KNL

PKL

HSR

MWT

FTB

KKR

KTL

BWN

NNL

JND

GUR

SRS

SNP

PWL

YNR

PNP

ROUND 2 ROUND 1

0

20

40

60

80

100CALL FOR HELP

EXPLAIN SITUATIONTO MOTHER

PLACE NEWBORNFACE UP

WRAP OR COVERBABY EXCEPT FACEAND UPPER CHEST

EXTENDED POSITIONOF NECK OFNEWBORN

SUCTION MOUTHTHEN NOSE

START VENTILATIONUSING BAG AND

MASK

ROUND 1

KNOWLEDGE ABOUT STEPS OF RESUSCITATION

57

51

49

49

45

44

42

41

38

36

35

35

32

28

26

19

56

35

45

0 20 40 60

KNL

PKL

KTL

HSR

FTB

MWT

BWN

JND

KKR

SNP

NNL

GUR

SRS

PWL

YNR

PNP

ROUND 2 ROUND 1

0

20

40

60

80

100

PLACE BABYMASK ANDFORM SEAL

ENSUREAPPROPRIATE

SEAL

VENTILATE 1OR 2 TIMESFOR CHEST

RISING

VENTILATE 40-60 PER

MINUTE

DETERMINESPONTINIOUSBREATHING

ROUND 1

KNOWLEDGE ABOUT RESUSCITATION STEP CONT…

53

52

52

43

40

38

38

37

34

33

32

31

28

23

20

14

53

32

50

0 20 40 60

KNL

HSR

PKL

FTB

MWT

KKR

KTL

JND

NNL

GUR

BWN

SNP

SRS

YNR

PWL

PNP

ROUND 2 ROUND 1

Knowledge about what to do if newborn start breathing after initial resuscitation

0

20

40

60

80

100KEEP BABY WARM

INITIATE BFMONITORING THE

BABY

ROUND 149

48

43

42

36

36

36

35

31

26

24

23

22

22

22

17

52

33

55

0 20 40 60

KNL

HSR

JND

PKL

KTL

PWL

MWT

KKR

NNL

BWN

PNP

SNP

FTB

YNR

SRS

GUR

ROUND 2 ROUND 1

0

20

40

60

80

100

CONTINUE TO

VENTILATE

ADMINISTER

OXYGEN

ASCESSNEED FORSPECIAL

CARE

INTUBATEBABY

REFERBABY

ROUND 1

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

45

38

37

36

36

34

33

30

26

26

20

18

13

11

10

9

50

37

34

0 20 40 60

PKL

HSR

MWT

JND

KNL

KKR

FTB

NNL

SNP

GUR

BWN

KTL

PWL

YNR

SRS

PNP

ROUND 2 ROUND 1

100

78 7876 76

67 67 6765 65

63

5553

5147

37

0

20

40

60

80

100

Over all Readiness of facilities in Infrastructure

80

70 70

60 60 60 60 60 60 60

5250

40

30

10 10

0

20

40

60

80

100

Availability of Protocols Guideline at Facilities

100

57 57

43

29 29 29 2927

14 14

0 0 0 0 00

20

40

60

80

100

Knowledge of Infection Prevention

66 6563

59

5047 46 46

4441 40

32

27

8

0 00

20

40

60

80

100

Registers and Client Case records

78 7775 75 74

7270 70

6664

5754 54

4846

43

0

20

40

60

80

100

ESSENTIAL DRUGS, EQUIPMENT AND SUPPLIES

75

6461

5956

54 54 5450 49

40 40 40 3935

29

0

20

40

60

80

100

Over All Status of facilities for ENBC/R Skills

83

68 6662 61

59 5755 54 53

49

43 4340 40

28

0

20

40

60

80

100

Over All Status of facilities for ENBC/R

7

53

40

GOOD (75 AND ABOVE) AVERAGE (51 TO 74 ) POOR (BELOW 50)

District Position after1st ROUND

FACILITIES CLASSIFICATION FOR ENBC/R FACILITY READINESS

NAME OF THE FACILITIES

INFRASTRUCTURE

DELIVERY AND

NEWBORN CARE

SERVICES

ESSENTIAL DRUGS,

EQUIPMENT AND

SUPPLIES

PROTOCOLS AND

GUIDELINES

KNOWLEDGE ABOUT

INFECTION PREVENTIO

N

PROVIDER K0WLEDGE AND SKILLS

REGISTERS AND CLIENT

CASE RECORDS

FACILITY’S OVERALL AVERAGE

GH MANDIKHERA 100 94 70 80 100 75 65 83

CHC PUNHANA 76 83 75 60 57 64 63 68

CHC NUH 78 89 78 60 57 59 44 66

PHC NAGINA 67 89 75 60 43 54 46 62

CHC FP ZIRKA 78 83 77 60 29 56 46 61

PHC PINAGWAN 76 89 74 60 0 49 66 59

SC RAWALI 51 83 48 70 29 61 59 57

PHC MP AHIR 65 80 70 40 29 54 47 55

DISTT AVG 65 81 64 52 27 50 40 54

Where we are… ?

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

NAME OF THE FACILITIES

INFRASTRUCTURE

DELIVERY AND

NEWBORN CARE

SERVICES

ESSENTIAL DRUGS,

EQUIPMENT AND

SUPPLIES

PROTOCOLS AND

GUIDELINES

KNOWLEDGE ABOUT

INFECTION PREVENTIO

N

PROVIDER K0WLEDGE AND SKILLS

REGISTERS AND CLIENT

CASE RECORDS

FACILITY’S OVERALL AVERAGE

DISTT AVG 65 81 64 52 27 50 40 54

PHC TAURU 67 78 72 30 29 54 41 53

PHC UJJINA 67 83 66 60 0 35 32 49

SC GHAGAS 53 72 43 70 0 40 27 43

SC RANAYALA 63 72 54 60 14 40 0 43

PHC BIWAN 55 72 57 50 0 40 8 40

PHC GHASERA 37 75 54 10 14 39 50 40

SC RATHIWAS 47 67 46 10 0 29 0 28

Where we are… ?

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

61

59

57

56

54

54

52

52

51

49

49

49

47

47

45

43

41

39

0 20 40 60 80

HSR

KNL

PKL

RWR

KKR

MWT

BWN

JND

AMB

YNR

KTL

GUR

SRS

FTB

PNP

SNP

PWL

NNL

ROUND 1

Essential Newborn Care District Average

65

56

52

52

45

41

0 10 20 30 40 50 60 70

JIND

PNP

PWL

ROUND 1 ROUND 2

District Position after1st ROUND After 2nd ROUND

Thank You

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