Essential Newborn Care and Resuscitation District :...

25
Essential Newborn Care and Resuscitation District : Rewari

Transcript of Essential Newborn Care and Resuscitation District :...

Page 1: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

Essential Newborn Care and Resuscitation

District : Rewari

Page 2: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

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MINIMUM 4VISITS

BIRTH PLAN

TT AND IFA

HIGH RISKMOTHER

DETECTION

DANGER SIGN

PROMOTE EBF

KNOWLEDGE ABOUT EFFECTIVE ANC

60

57

56

53

52

52

49

48

43

42

39

38

36

36

31

0 20 40 60 80

KNL

HSR

FTB

KTL

GUR

RWR

JND

KKR

PWL

SNP

SRS

BWN

NNL

PNP

YNR

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6329

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4

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PREVIOUS CS

5 OR MOREDELIVERIES

LESS THEN 2YEARS BIRTH

INTERVAL

AGE OF PRIMI <18OR >30 YEARS

PREVIOUS STILLBIRTH

PREVIOUSNEONATAL DEATH

PREVIOUSINSTRUMENTAL

DELIVERY

H/O ABORTIONSOR OTHER

COMPLICATIONS

H/ONEONATAL/INFAN

T DEATH

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

63

55

54

52

51

47

44

43

43

41

39

36

30

29

25

0 20 40 60 80

KNL

KKR

FTB

HSR

KTL

RWR

GUR

SNP

JND

PWL

BWN

SRS

PNP

NNL

YNR

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REGULAR UTRINECONTRACTION

DILATION OFCERVIX

DISCHARGE OFBLOOD AND

MUCUS

BREAKING OFWATERS AND

RUPTIORMEMBRANE

KNOWLEDGE ABOUT LABOUR PROGRESS

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80

79

77

76

76

73

71

71

65

63

62

60

56

51

0 20 40 60 80 100

KNL

KTL

HSR

RWR

KKR

JND

FTB

SNP

GUR

PWL

SRS

BWN

PNP

NNL

YNR

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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

67

66

65

65

64

57

57

55

51

49

38

0 20 40 60 80 100

KNL

HSR

FTB

KKR

RWR

SNP

KTL

GUR

BWN

PWL

JND

SRS

NNL

PNP

YNR

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ON PARTOGRAPH

ON PATIENTCLINICALRECORDS

ON THEPARTOGRAPH INTHE PRENATAL

CARD

ON PIECE OFPAPER

RECORDING OF OBSERVATIONS

46

46

43

42

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41

40

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35

31

30

30

28

23

18

0 10 20 30 40 50

BWN

RWR

HSR

KNL

FTB

KKR

KTL

SNP

GUR

PNP

SRS

JND

YNR

NNL

PWL

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IMMEDIATEOXYTOCIN

CCTUTRINE MASSAGE

KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT

93

88

81

78

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74

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73

66

65

54

53

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47

0 20 40 60 80 100

KNL

HSR

KKR

FTB

RWR

GUR

KTL

Jind

SNP

SRS

BWN

YNR

PWL

NNL

PNP

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BREATHING OFBABY

DRY THE BABY

OBSERVE FORCOLOR OF BABY

WEIGHT THEBABY

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

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56

52

51

50

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32

0 20 40 60 80

KNL

KKR

HSR

RWR

KTL

JND

SNP

FTB

BWN

PWL

SRS

GUR

PNP

NNL

YNR

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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

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40

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27

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0 20 40 60 80

KNL

HSR

KKR

KTL

RWR

FTB

GUR

JND

SNP

SRS

BWN

PNP

NNL

PWL

YNR

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EXPLAINSITUATION TO

MOTHER

CONTINUE TO BF

KEEP AIRWAYSOPEN

BEGINANTIBIOTICS

REFER

KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN NEWBORN

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0 20 40 60

KNL

KKR

RWR

KTL

FTB

HSR

JND

BWN

PNP

GUR

SNP

SRS

NNL

PWL

YNR

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WARMTH OFBABY

PROVIDE EXTRASUPPORT TO

MOTHER FOR BF

MONITOR ABLITYTO BF/SUCKING

CAPACITY OFBABY

MONITOR BABYFOR FIRST 24 Hr

ENSUREINFCETION

PREVENTION

REFER

KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG) BABIES

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0 20 40 60

KNL

FTB

HSR

KTL

KKR

RWR

GUR

SRS

JND

PWL

SNP

NNL

BWN

PNP

YNR

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DEPRESSEDBREATHING

FLOPPINESS

NOT CRIED ATBIRTH

DELAYED CRYINGAT BIRTH

HEART RATEBELOW 100

CENTRALCYNANOSIS

KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH ASPHYXIA

61

54

53

52

47

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40

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31

27

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0 20 40 60 80

KNL

HSR

RWR

FTB

KKR

KTL

BWN

NNL

JND

GUR

SRS

SNP

PWL

YNR

PNP

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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

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54

49

49

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42

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38

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35

32

28

26

19

0 20 40 60

KNL

RWR

KTL

HSR

FTB

BWN

JND

KKR

SNP

NNL

GUR

SRS

PWL

YNR

PNP

Page 14: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

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PLACE BABYMASK AND FORM

SEAL

ENSUREAPPROPRIATE

SEAL

VENTILATE 1 OR 2TIMES FOR CHEST

RISING

VENTILATE 40-60PER MINUTE

DETERMINESPONTINIOUSBREATHING

KNOWLEDGE ABOUT RESUSCITATION STEP Cont.…

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31

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23

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14

0 20 40 60

KNL

HSR

RWR

FTB

KKR

KTL

JND

NNL

GUR

BWN

SNP

SRS

YNR

PWL

PNP

Page 15: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

Knowledge about what to do after resuscitation If Newborn is breathing after initial Resuscitation

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KEEP BABYWARM

INITIATE BFMONITORING

THE BABY

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0 20 40 60

KNL

HSR

JND

KTL

PWL

RWR

KKR

NNL

BWN

PNP

SNP

FTB

YNR

SRS

GUR

Page 16: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

Knowledge about what to do if newborn is not breathing after initial Resuscitation

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50

00

79

CONTINUE TOVENTILATE

ADMINISTEROXYGEN

ASCESS NEED FORSPECIAL CARE

INTUBATE BABY

REFER BABY

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26

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0 10 20 30 40

HSR

JND

KNL

KKR

FTB

RWR

NNL

SNP

GUR

BWN

KTL

PWL

YNR

SRS

PNP

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8280

7876 76 76

74 74 74 7472 72 72 72 70

6866 66 66 66

6460

5854

0

20

40

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100

Over all Readiness of facilities in Infrastructure

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70 70 70 70 70 70 70 70 70 70

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40 40 40

0

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Availability of Protocols Guideline at Facilities

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100

57 57

43 43 43 43 43 43 43 43 43

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14 14

0 00

20

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60

80

100

Knowledge of Infection Prevention

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6563

5956 56 56 55

51 5048 47 47 45 45 45 44 44

41 41

3734

4

0 00

20

40

60

80

100

Registers and Client Case records

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76 75 75 74 74 73 7371 71 69 69 68 68 67 67

6563

61 60 59 58

53 53

0

20

40

60

80

100

ESSENTIAL DRUGS, EQUIPMENT AND SUPPLIES

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6662 61 60 59

56

49 49 48 48 48 4745 45 45 45

4340 39 38 37 36

34

26

0

20

40

60

80

100

Over All Status of facilities for ENBC/R Skills

Page 23: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

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68 6866 65

63 63 62 61 60 59 59 58 58 58 57 56 56 56 5553 53

5047

44

0

20

40

60

80

100

Over All Status of facilities for ENBC/R

Page 24: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

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 DAHINA 100 94 73 80 100 71 65 83

PHC BARAWAS 80 89 71 70 57 59 51 68

PHC FATEHPURI 72 89 75 70 57 66 47 68

PHC DHARUHERA 66 89 74 70 43 61 59 66

PHC KOSALA 72 89 73 70 43 62 50 65

PHC SIHA 82 83 65 80 43 45 45 63

SC NANGAL SEHBAJPUR

78 89 79 70 29 48 45 63

CHC NAHAR 76 83 83 50 43 40 55 62

CHC KHOL 72 83 69 60 43 45 56 61

DH REWARI 76 89 71 70 0 38 75 60

DISTRICT AVERAGE 72 84 68 62 36 48 44 59

SC JADRA 74 83 74 60 43 36 41 59

Where we are… ?

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

Page 25: Essential Newborn Care and Resuscitation District : Rewarinhmharyana.gov.in/WriteReadData/userfiles/file/CH/Rewari... · 2014. 8. 19. · phc dahina 100 94 73 80 100 71 65 83 phc

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 72 84 68 62 36 48 44 59

PHC TANKRI 70 72 61 70 43 49 41 58

PHC JATUSANA 66 78 68 60 29 56 47 58

SC CHILHAD 76 78 69 70 29 48 34 58

PHC BASSDUDA 74 89 75 40 43 39 37 57

CHC MEERPUR 66 78 67 50 29 47 56 56

PHC SANGWARI 60 78 60 70 29 49 45 56

CHC GURAWDA 64 83 53 40 43 45 63 56

PHC MASANI 68 78 67 60 29 37 48 55

SDH KOSLI 58 89 59 40 29 43 56 53

SC KAPRIWAS 74 83 76 70 0 26 44 53

PHC BAWWA 66 89 63 60 14 60 0 50

CHC BAWAL 74 89 58 60 14 34 0 47

PHC GURIANI 54 72 53 50 29 45 4 44

Where we are… ?

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