mh strategies

8/3/2019 MH Strategies

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MONITORINGOPERATIONALIZATION OF

HEALTH FACILITIES AND



FRU Operationalization.

24 X 7 PHCs Operationalization.

SCs Operationalization.

Janani Suraksha Yo ana.

Referral transport.

VHNDs.

.

RTI/STI

Maternal Health Trainings: LSAS, EmOC, SBA..



Quality ANC:

At least 4 ANC (including registration) which includes full

clinical/Abdominal examination along with measurement of Weight.

Hb and Urine Examination.

2 TT in ections.

Consumption of at least 100 IFA tablets.

Counselling including preparation of Birth Plan.

Institutional Delivery: Increased Institutional Delivery with Quality of Care.

ns u ona ay or rs.

Post Partum Care: 2 ost artum ec up.

Quality Of care during Post Partum.

Detection of Complications, Referral and Management.



Doctor:

(Hired/Contractual)

1)OBG/MO (EmOC) = X

ae

(IMNCI/ENBC)= X

3) Anesthetic/MO (LSAS)

=X Paramedical :

SNs:

Hired/Contractual

LTs:

Infrastructure

Strengthen/C

onstructions:

FRUs

for X no. of

facilities.Blood Storage

Centre

selected: X

Ambulance/R

eferral

Availability of

Genset.

24 hr Water

Su l

transport.Procuring

Equipments

/Drugs for:

LR/OT/BSC/New

BornEquipments.=X



• Identification of Nodal person both at State and District Level.

• Ma in of resources done.

• Bottlenecks identified.

• Linkages with manpower/ training/ BSC etc.

•

Has the budgeting been done under different heads (as mentionedin earlier slide).

•

the allocation for POL done or funds have been marked for AMC.

•

Salary Component taken into account. • on tor ng ec an sm esta s e .

• Administrative actions undertaken.



OPERATIONALIZATION

OF PHCs.



Doctor:

(Hired/Contractua

l)

(BEmOC/MTP/RTI/

IMNCI/ENBC/FP)=

XParamedical :

3SNs or ANMs &

LTs:

Hired/Contractua

l

Infrastructure

Strengthen/C

24 X 7 PHCs

For X No. of

facilities

X,

selected: X

Ambulance/R

eferral

Avai a i ity o

Genset.

24 hr Water

Supply

transport.Remapping/pro

curing

Equipments/Dru

gs or: ew

BornEquipments.=X



an or pera ona za on o s.

Infrastructure: Labour Room/ residential Quarters. rugs qu pmen s: ar ograp s sopros o .

Hiring additional ANMs.

.

VHNDs organized.

ANC/PNC/Immunization/FP/ Counselling etc.

Su ortive su ervision.



.

Linkages with private sector.

Involvement of PRIs/NGOs/ other.

Budgeting been done.



Trainin Centre:

• Adequate Funds Released.

• Adequate and Devoted Trainers.• Training Curriculum being followed.

• Monitoring during training.

• .

Postin of trained MOs:

• Should be posted at FRUs/ 24 * 7 PHCs.

•

Linkage of training/ Availability of Specialist.• Strengthen the FRU/ 24 * 7 PHCs in terms of other logistics like

equipments, drugs, infrastructure etc.

Monitorin : District State Pro ram Officers.

Focus on quality.



Mapping of facilities where the trained personnel.

Stren thenin of facilities where these SkilledBased Trainings are to be undertaken.

.

Funding: Strengthening of Training institutes. Strengthening of facilities where Trainees will be posted.

Expenditures incurred during training.



Facility Observation Checklist

District: __________Name of Institution: _______ Date of visit: ________________

Service provisionervice provision

Routine Delivery Services (24 hours) Yes/ No

Manage common obstetric complications Yes/ No

MTP Regular/ Periodic

Staff availability

gyn pec a s ra ne . es o

Anesthesiologist/trained M.O Yes/ No

Staff Nurses/ANMs at least (3) Yes/ No

Equipments and SuppliesInjection Magnesium Sulphate Yes/ No

MVA kits Yes No

Inj. Oxytocin Yes/ No

Boyles appratus Yes/ No

Partographs Yes/ No

o our co e was e ns es o

Ambu Bag/ Radiant Warmer Equipments for CS.



Facility Infrastructure Labour room condition Yes/ No

Plans for hospital bio-waste disposal Yes/ No

Visual Privacy in labour room Yes/ No Visua privacy in OPD Yes/ No

Back-up power facility Yes/ No

Autoclave/sterilization.

Referral Services Availability of ambulance /outsourced vehicle: Yes/ No

Client Convenience Client Convenience

Covered waiting area Yes/ No

Se arate fn & clean toilets for M F Yes No Signage to guide clients Yes/ No

Record Review Average no of monthly Institutional Deliveriesor as mon s

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