facility readiness data analysis for essential newborn … newborn care and resuscitation...
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Facility Readiness Data Analysis forEssential Newborn Care and Resuscitation
(District-PALWAL) Round - 2
0
20
40
60
80
100
MINIMUM 4VISITS
BIRTH PLAN
TT AND IFA
HIGH RISKMOTHER
DETECTION
DANGER SIGN
PROMOTE EBF
ROUND 1 ROUND 2
KNOWLEDGE ABOUT EFFECTIVE ANC
60
57
56
53
52
49
48
43
42
39
38
36
36
31
61
58
59
0 20 40 60 80
KNL
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 ROUND 2
KNOWLEDGE OF DETECTION OF HIGH RISK MOTHERS
63
55
54
52
51
44
43
43
41
39
36
30
29
25
62
49
53
0 20 40 60 80
KNL
KKR
FTB
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 ROUND 2
KNOWLEDGE ABOUT LABOUR PROGRESS
84
80
79
76
76
73
71
71
65
63
62
60
56
51
83
77
73
0 20 40 60 80 100
KNL
KTL
HSR
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 ROUND 2
LABOUR PROGRESS MONITORING KNOWLEDGE
77
76
73
70
66
65
65
64
57
57
55
51
49
38
62
73
69
0 20 40 60 80 100
KNL
HSR
FTB
KKR
SNP
KTL
GUR
BWN
PWL
JND
SRS
NNL
PNP
YNR
ROUND 2 ROUND 1
0
20
40
60
80
100
ONPARTOG
RAPH
ONPATIENTCLINICA
LRECORD
S
ON THEPARTOGRAPH IN
THEPRENATAL CARD
ONPIECE
OFPAPER
ROUND 1 ROUND 2
RECORDING OF OBSERVATIONS
46
43
42
41
41
40
38
35
31
30
30
28
23
18
41
45
37
0 10 20 30 40 50
BWN
HSR
KNL
FTB
KKR
KTL
SNP
GUR
PNP
SRS
JND
YNR
NNL
PWL
ROUND 2 ROUND 1
0
20
40
60
80
100
IMMEDIATE
OXYTOCIN
CCTUTRINEMASSA
GE
ROUND 1 ROUND 2
KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT
93
88
81
78
77
74
73
73
66
65
54
53
52
47
92
85
68
0 20 40 60 80 100
KNL
HSR
KKR
FTB
GUR
KTL
Jind
SNP
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 ROUND 2
KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN
WITHIN 1 Hr
65
60
58
57
56
56
52
51
50
47
46
42
38
32
75
56
64
0 20 40 60 80
KNL
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 ROUND 2
KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF
SEPSIS/INFECTION IN NEWBORN
60
53
49
46
45
43
40
38
36
35
34
31
27
25
57
46
44
0 20 40 60 80
KNL
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 ROUND 2
KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN
NEWBORN
51
44
38
33
31
31
31
30
30
28
25
25
24
20
47
36
37
0 10 20 30 40 50 60
KNL
KKR
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 ROUND 2
KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG)
BABIES
57
49
47
47
46
41
38
38
37
35
34
33
32
23
58
45
57
0 20 40 60 80
KNL
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 ROUND 2
KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH
ASPHYXIA
61
54
52
47
44
43
42
42
40
37
34
31
27
21
61
51
57
0 20 40 60 80
KNL
HSR
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 ROUND 2
KNOWLEDGE ABOUT STEPS OF RESUSCITATION
57
49
49
45
42
41
38
36
35
35
32
28
26
19
56
35
45
0 20 40 60
KNL
KTL
HSR
FTB
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 ROUND 2
KNOWLEDGE ABOUT RESUSCITATION STEP CONT…
53
52
43
38
38
37
34
33
32
31
28
23
20
14
53
32
50
0 20 40 60
KNL
HSR
FTB
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 1 ROUND 249
48
43
36
36
35
31
26
24
23
22
22
22
17
52
33
55
0 20 40 60
KNL
HSR
JND
KTL
PWL
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 ROUND 2
What to do ? If Newborn is not breathing after initial Resuscitation
38
36
36
34
33
30
26
26
20
18
13
11
10
9
50
37
34
0 20 40 60
HSR
JND
KNL
KKR
FTB
NNL
SNP
GUR
BWN
KTL
PWL
YNR
SRS
PNP
ROUND 2 ROUND 1
CHC HATHIN CHC HODAL GH PALWAL District Average CHC DUDHOLA CHC Aurangabad
ROUND 1 50 54 56 41 53
ROUND 2 57 54 52 46 36
0
20
40
60
80
100
GH/SDH/CHC Essential Newborn Care and Resuscitation Skills
PHCAMARPUR
PHCNANGALJAA
T
PHCUTTAWAR
DistrictAverage
PHCALAWALPUR
PHCHASNLPUR
PHCMANDKOLA
PHCRASULPUR
PHC SOLRA
ROUND 1 61 27 0 35 33 64 1
ROUND 2 48 48 46 46 45 45 42 42
0
20
40
60
80
100
PHC Wise Essential Newborn Care and Resuscitation Skills
SC GEHLAB District AverageSC
BAMNIKHERASC GODAWALI SC PRITHLA SC DEEGHOT
ROUND 1 46 35 33 33 29 15
ROUND 2 46 38 44
0
20
40
60
80
100
Sub Centre wise Essential Newborn Care and Resuscitation Skills
PHCAMARPUR
PHCHASNL
PUR
PHCRASUL
PUR
PHCUTTAWAR
CHCDUDHOLA
PHCMANDKOLA
PHCNANG
ALJAAT
DistrictAverag
e
CHCHATHI
N
CHCHODAL
GHPALWA
L
PHCALAWALPUR
SCDEEGH
OT
SCPRITHL
A
ROUND 1 57 29 29 29 14 14 14 14 0 0 0 0 0 0
57
29 29 29
14 14 14 14
0 0 0 0 0 00
10
20
30
40
50
60
70
80
90
100
Knowledge about Infection Prevention
GH PALWAL CHC HODALDistrictAverage
CHC DUDHOLA CHC HATHINCHC
AURANGABAD
ROUND 1 56 54 41 50 53
ROUND 2 62 58 52 52 47
0
20
40
60
80
100
Over All Facility readiness status of GH/SDH/CHC for ENBC/R
PHCAMARPUR
PHCUTTAWAR
PHCRASULPUR
PHCALAWALPU
R
PHCMANDKOLA
DistrictAverage
PHCHASNLPUR
PHCNANGALJAA
TPHC SOLRA
ROUND 1 47 27 56 41 45 40 13
ROUND 2 67 57 57 57 55 52 48 46
0
20
40
60
80
100
PHC Wise Over All Facility readiness for ENBC/R
SC GEHLAB District Average SC GODAWALI SC PRITHLA SC DEEGHOT SC BAMNIKHERA
ROUND 1 42 41 37 37 33 32
ROUND 2 52 28 47
0
20
40
60
80
100
Sub Centre Wise Over All Status of facilities for ENBC/R
0
27
73
GOOD (75 AND ABOVE)
AVERAGE (51 TO 74 )
POOR (BELOW 50)
0
61
39
GOOD (75 AND ABOVE)
AVERAGE (51 TO 74 )
POOR (BELOW 50)
District Position after1st ROUND After 2nd 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
PHC AMARPUR 65 89 73 90 57 48 45 67
GH PALWAL 82 94 88 60 0 52 59 62
CHC HODAL 73 83 61 80 0 54 57 58
PHC UTTAWAR 71 89 65 60 29 46 41 57
PHC RASULPUR 67 83 71 90 29 42 15 57
PHC ALAWALPUR 67 89 73 60 0 45 62 57
PHC MANDKOLA 73 89 69 60 14 42 39 55
District Average 67 83 64 60 14 46 33 52
CHC DUDHOLA 65 83 72 60 14 36 32 52
PHC HASNLPUR 65 78 58 60 29 45 1 48
CHC HATHIN 80 94 69 0 0 57 28 47
SC DEEGHOT 53 78 48 90 0 44 13 47
PHC NANGALJAAT 65 72 47 50 14 48 22 46
SC PRITHLA 39 56 35 20 0 38 13 28
Where we are… ?
Score 75% and Above Score 51% to 74% Score 50% and less
61
59
56
54
52
52
51
49
49
49
47
47
45
43
41
39
0 10 20 30 40 50 60 70
HSR
KNL
RWR
KKR
BWN
JND
AMB
YNR
KTL
GUR
SRS
FTB
PNP
SNP
PWL
NNL
Essential Newborn Care District Average
65
56
52
0 10 20 30 40 50 60 70
JIND
PNP
PWL
District Position after1st ROUND After 2nd ROUND