Hisar KNOWLEDGE ABOUT EFFECTIVE ANC

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Essential Newborn Care and Resuscitation District : Hisar KNOWLEDGE ABOUT EFFECTIVE ANC

Y NAGAR 31

PANIPAT 36

NARNAUL 36 MINIMUM 4 Bhiwani 38 VISITS 79 SIRSA 39

SONIPAT 42 PROMOTE EBF BIRTH PLAN 18 18 PALWAL 43

KKR 48 54 90 DANGER SIGN TT AND IFA Jind 49

Kaithal 53 85 HIGH RISK MOTHER FTB 56 DETECTION HISAR 57

Karnal 60

0 20 40 60 80 KNOWLEDGE OF DETECTION OF HIGH RISK MOTHERS OR MOTHER REQUIRED SPECIAL CARE

Y NAGAR 25

NARNAUL 29

PANIPAT 30

SIRSA 36 PREVIOUS CS H/O 97 5 OR MORE Bhiwani 39 NEONATAL/INFANT DELIVERIES DEATH PALWAL 41 49 46 H/O ABORTIONS OR LESS THEN 2 YEARS Jind 43 OTHER BIRTH INTERVAL COMPLICATIONS 90 21 SONIPAT 43 33 PREVIOUS 56 Kaithal 51 AGE OF PRIMI <18 INSTRUMENTAL 38 OR >30 YEARS DELIVERY 46 HISAR 52 PREVIOUS PREVIOUS STILL FTB 54 NEONATAL DEATH BIRTH

KKR 55

Karnal 63

0 20 40 60 80 KNOWLEDGE ABOUT LABOUR PROGRESS

Y NAGAR 51

NARNAUL 56

PANIPAT 60

Bhiwani 62 REGULAR UTRINE CONTRACTION SIRSA 63 97 PALWAL 65

SONIPAT 71 BREAKING OF WATERS AND DILATION OF RUPTIOR CERVIX FTB 73 100 MEMBRANE 36 Jind 76

KKR 76 82 HISAR 79 DISCHARGE OF BLOOD AND Kaithal 80 MUCUS

Karnal 84

0 20 40 60 80 100 LABOUR PROGRESS MONITORING KNOWLEDGE

Y NAGAR 38

PANIPAT 49

NARNAUL 51

SIRSA 55 FETAL HEARTBEAT 100 95 COLOUR OF Jind 57 MATERNAL PULSE 72 AMNIOTIC FLUID PALWAL 57 92 MATERNAL DEGREE OF Bhiwani 64 TEMPERATURE MOLDING 3 Kaithal 65

SONIPAT 66 26 DILATION OF MATERNAL BP CERVIX KKR 70 100 97 UTERINE DESCENT OF HEAD FTB 73 CONTRACTIONS 97 HISAR 76

Karnal 77

0 20 40 60 80 100 RECORDING OF OBSERVATIONS

PALWAL 18

NARNAUL 23

Y NAGAR 28

Jind 30 ON PARTOGRAPH SIRSA 30 90 PANIPAT 31

SONIPAT 38

Kaithal 40 0 KKR 41 ON PIECE OF 82 ON PATIENT FTB 41 PAPER CLINICAL RECORDS

Karnal 42

HISAR 43

Bhiwani 46

0 10 20 30 40 50 KNOWLEDGE ABOUT 3 STAGE OF LABOUR MANAGEMENT

PANIPAT 47

NARNAUL 52

PALWAL 53

Y NAGAR 54 IMMEDIATE OXYTOCIN Bhiwani 65 85 SIRSA 66

SONIPAT 73

Jind 73

Kaithal 74 95 UTRINE MASSAGE 82CCT FTB 78

KKR 81

HISAR 88

Karnal 93

0 20 40 60 80 100 KNOWLEDGE ABOUT IMMEDIATE CARE TO NEWBORN WITHIN 1 Hr

Y NAGAR 32

NARNAUL 38

PANIPAT 42

SIRSA 47 BREATHING OF BABY

PALWAL 50 67 ADMINISTER VIT K DRY THE BABY Bhiwani 51 72 41 FTB 52 EXAMIN OBSERVE FOR NEWBORN WITHIN 5 SONIPAT 56 26 COLOR OF BABY 1 HRS Jind 56

INITIATE BF WITH 69 44 Kaithal 57 74WEIGHT THE BABY IN 30 MIN HISAR 58 CARE FOR KKR 60 UMBLICAL CORD

Karnal 65

0 20 40 60 80 KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF SEPSIS/INFECTION IN NEWBORN

Y NAGAR 25

PALWAL 27

NARNAUL 31 LESS MOVEMENT (POOR MUSCLE PANIPAT 34 TONE)

Bhiwani 35 SEVERE 64 ABDOMINAL 79POOR OR NO BF DISTENTION SIRSA 36

SONIPAT 38 3 HYPO/HYPERTHER DEEPJAUNDICE 38 82 Jind 40 MIA

FTB 45 44 38 INFECTION ON RESTLESSNESS/IRRI Kaithal 46 EYE/THROAT/SKIN 67 TABILITY KKR 49 DIFFICULTY/FAST BREATHING HISAR 53

Karnal 60

0 20 40 60 80 KNOWLEDGE OF MANAGEMENT ABOUT INFECTION IN NEWBORN

Y NAGAR 20

PALWAL 24

NARNAUL 25 EXPLAIN SITUATION TO SIRSA 25 MOTHER

SONIPAT 28

PANIPAT 30 REFER CONTINUE TO BF Bhiwani 31 5 97 31 Jind 31 13 10 HISAR 31

FTB 33 BEGIN KEEP AIRWAYS ANTIBIOTICS OPEN Kaithal 38

KKR 44

Karnal 51

0 10 20 30 40 50 60 KNOWLEDGE ABOUT MANAGEMENT OF LBW (<2.5 KG) BABIES

Y NAGAR 23

PANIPAT 32

Bhiwani 33

NARNAUL 34 WARMTH OF BABY 74 SONIPAT 35 PROVIDE EXTRA PALWAL 37 REFER 74 SUPPORT TO 49 MOTHER FOR BF Jind 38

SIRSA 38 8 26 49 MONITOR ABLITY ENSURE INFCETION KKR 46 TO BF/SUCKING PREVENTION CAPACITY OF BABY Kaithal 47

HISAR 47 MONITOR BABY FOR FIRST 24 Hr FTB 49

Karnal 57

0 10 20 30 40 50 60 KNOWLEDGE ABOUT SIGN AND SYMPTOMS OF BIRTH ASPHYXIA

PANIPAT 21

Y NAGAR 27

PALWAL 31

SONIPAT 34 DEPRESSED BREATHING SIRSA 37 79 Jind 42 CENTRAL FLOPPINESS NARNAUL 42 CYNANOSIS 31 Bhiwani 43 64

Kaithal 44 38 74 HEART RATE NOT CRIED AT KKR 47 31 BELOW 100 BIRTH FTB 52

HISAR 54 DELAYED CRYING AT BIRTH Karnal 61

0 20 40 60 80 KNOWLEDGE ABOUT STEPS OF RESUSCITATION

PANIPAT 19

Y NAGAR 26

PALWAL 28

SIRSA 32 CALL FOR HELP START EXPLAIN NARNAUL 35 VENTILATION SITUATION TO USING BAG AND MOTHER SONIPAT 36 MASK 97 15 KKR 38 15

Jind 41 SUCTION MOUTH PLACE NEWBORN 85 3 59 THEN NOSE FACE UP Bhivani 42

FTB 45 EXTENDED 64 WRAP OR COVER POSITION OF NECK BABY EXCEPT FACE HISAR 49 OF NEWBORN AND UPPER CHEST

Kaithal 49

Karnal 57

0 10 20 30 40 50 60 KNOWLEDGE ABOUT RESUSCITATION STEPS 2

PANIPAT 14

PALWAL 20

Y NAGAR 23 PLACE BABY MASK SIRSA 28 AND FORM SEAL 72 SONIPAT 31

Bhiwani 32 DETERMINE ENSURE SPONTINIOUS 67 APPROPRIATE BREATHING SEAL NARNAUL 34 15

Jind 37 33 Kaithal 38 VENTILATE 1 OR 2 VENTILATE 40-60 69 KKR 38 TIMES FOR CHEST PER MINUTE RISING FTB 43

HISAR 52

Karnal 53

0 10 20 30 40 50 60 Knowledge about what to do after resuscitation If baby is breathing after initial Resuscitation

SIRSA 22

Y NAGAR 22 KEEP BABY FTB 22 WARM SONIPAT 23 49 PANIPAT 24

Bhiwani 26

NARNAUL 31 46 41 KKR 35 MONITORING INITIATE BF THE BABY PALWAL 36

Kaithal 36

Jind 43

HISAR 48

Karnal 49

0 10 20 30 40 50 60 What to do ? If baby is not breathing after initial Resuscitation

PANIPAT 9

SIRSA 10

Y NAGAR 11 CONTINUE TO PALWAL 13 VENTILATE 72 Kaithal 18

Bhivani 20 ADMINISTER REFER BABY 67 OXYGEN SONIPAT 26 95

0 NARNAUL 30 10

FTB 33 ASCESS NEED FOR INTUBATE BABY KKR 34 SPECIAL CARE

Karnal 36

Jind 36

HISAR 38

0 10 20 30 40 Over all Readiness of facilities in Infrastructure

100 98 88 88 87 85 81 81 81 81 79 79 79 80 77 77 75 75 75 75 73 72 71 71 71 69 69 69 67 67 67 65 65 63 63 62 60 58 52 48 42 40

GH Hisar GH

PHC PHC Bass

PHC PHC Sisai

GH Hansi GH

PHC PHC Dobi

PHC PHC Umra

PHC PHC Pabra

PHC PHC Landri

CHC CHC Sorkhi

PHC PHC Nalwa

PHC PHC Kaimri

PHC PHC Gawar

PHC PHC DATTA

CHC CHC Uklana

PHC PHC Agroha

PHC PHC Dhansu

PHC PHC LADWA PHC KAJLAN

PHC PHC Thurana

CHC CHC Narnaud

PHC PHC GURANA

CHC CHC Mangaali

SDH Adampur SDH

CHC CHC BARWALA

PHC PHC Neolikalan

PHC PHC Balsamand

PHC PHC TALWANDI

CHC Arya Nagar CHC Arya

District Average District

PHC PHC DAULATPUR

PHC PHC Puthisamain

PHC Satrod Kalan PHC Satrod

URCH Azad nagar Azad URCH

PHC PHC HASSANGARH

PHC Chaudhariwas PHC

PHC KHANDA KHERI PHC KHANDA

PHC CHULI BAGRIAN CHULI PHC PHC Putty Mangal Khan Mangal PHC Putty Availability of Protocols/ Guidelines at facility 100 90 90

80 80 80 80 80 80 70 70 70 70 70 70 70 70 64 60 60 60 60 60 60 60 60 60 60 60 60 60 60 60 60 50 50 50 50 50

40 40 40

GH Hisar GH

PHC Bass PHC

PHC Sisai PHC

GH Hansi GH

PHC Dobi PHC

PHC Umra PHC

PHC Pabra PHC

PHC Landri PHC

CHC Sorkhi CHC

PHC Nalwa PHC

PHC Kaimri PHC

PHC Gawar PHC

PHC DATTA PHC

CHC Uklana CHC

PHC Agroha PHC

PHC Dhansu PHC

PHC LADWA PHC KAJLAN PHC

PHC Thurana PHC

CHC Narnaud CHC

PHC GURANA PHC

CHC Mangaali CHC

SDH Adampur SDH

CHC BARWALA CHC

PHC Neolikalan PHC

PHC Balsamand PHC

PHC TALWANDI PHC

CHC Arya Nagar Arya CHC

District Average District

PHC DAULATPUR PHC

PHC Puthisamain PHC

PHC Satrod Kalan Satrod PHC

URCH Azad nagar Azad URCH

PHC HASSANGARH PHC

PHC Chaudhariwas PHC

PHC KHANDA KHERI KHANDA PHC

PHC CHULI BAGRIAN CHULI PHC PHC Putty Mangal Khan Mangal Putty PHC Knowledge of Infection Prevention 100

80 71 71 71

60 57 57 57 57 57 57 57

43 43 43 43 43 43 43 40 36 29 29 29 29 29 29 29 29 29 29 29

20 14 14 14 14 14 14

0 0 0 0

GH Hisar GH

PHC Bass PHC

PHC Sisai PHC

GH Hansi GH

PHC Dobi PHC

PHC Umra PHC

PHC Pabra PHC

PHC Landri PHC

CHC Sorkhi CHC

PHC Nalwa PHC

PHC Kaimri PHC

PHC Gawar PHC

PHC DATTA PHC

CHC Uklana CHC Uklana CHC

PHC Agroha PHC

PHC Dhansu PHC

PHC LADWA PHC KAJLAN PHC

PHC Thurana PHC

CHC Narnaud CHC

PHC GURANA PHC

CHC Mangaali CHC

SDH Adampur SDH

CHC BARWALA CHC

PHC Neolikalan PHC

PHC Balsamand PHC

PHC TALWANDI PHC

CHC Arya Nagar Arya CHC

District Average District

PHC DAULATPUR PHC

PHC Puthisamain PHC

PHC Satrod Kalan Satrod PHC

URCH Azad nagar Azad URCH

PHC HASSANGARH PHC

PHC Chaudhariwas PHC

PHC KHANDA KHERI KHANDA PHC

PHC CHULI BAGRIAN CHULI PHC PHC Putty Mangal Khan Mangal Putty PHC Registers and Client Case records 100

80 75 75 73 69 67 66 66 62 61 61 59 58 60 57 57 56 56 56 55 52 52 51 50 50 50 49 49 48 47 47 46 41 40 36 36

7 6 0 0 0

GH Hisar GH

PHC Bass PHC

PHC Sisai PHC

GH Hansi GH

PHC Dobi PHC

PHC Umra PHC

PHC Pabra PHC

PHC Landri PHC

CHC Sorkhi CHC

PHC Nalwa PHC

PHC Kaimri PHC

PHC Gawar PHC

PHC DATTA PHC

CHC Uklana CHC

PHC Agroha PHC

PHC Dhansu PHC

PHC LADWA PHC KAJLAN PHC

PHC Thurana PHC

CHC Narnaud CHC

PHC GURANA PHC

CHC Mangaali CHC

SDH Adampur SDH

CHC BARWALA CHC

PHC Neolikalan PHC

PHC Balsamand PHC

PHC TALWANDI PHC

CHC Arya Nagar Arya CHC

District Average District

PHC DAULATPUR PHC

PHC Puthisamain PHC

PHC Satrod Kalan Satrod PHC

URCH Azad nagar Azad URCH nagar Azad URCH

PHC HASSANGARH PHC

PHC Chaudhariwas PHC

PHC KHANDA KHERI KHANDA PHC

PHC CHULI BAGRIAN CHULI PHC PHC Putty Mangal Khan Mangal Putty PHC ESSENTIAL DRUGS, EQUIPMENT AND SUPPLIES 100

87 84 82 81 80 80 80 79 79 79 79 80 77 76 74 74 74 74 73 73 73 73 72 72 72 72 71 70 70 68 66 66 65 64 61 60 60 60 60 60 60

GH Hisar GH

PHC Bass PHC

PHC Sisai PHC

GH Hansi GH

PHC Dobi PHC

PHC Umra PHC

PHC Pabra PHC

PHC Landri PHC

CHC Sorkhi CHC

PHC Nalwa PHC

PHC Kaimri PHC

PHC Gawar PHC

PHC DATTA PHC

CHC Uklana CHC

PHC Agroha PHC

PHC Dhansu PHC

PHC KAJLAN PHC LADWA PHC

PHC Thurana PHC

CHC Narnaud CHC

PHC GURANA PHC

CHC Mangaali CHC

SDH Adampur SDH

CHC BARWALA CHC

PHC Neolikalan PHC

PHC Balsamand PHC

PHC TALWANDI PHC

CHC Arya Nagar Arya CHC

District Average District

PHC DAULATPUR PHC DAULATPUR PHC

PHC Puthisamain PHC

PHC Satrod Kalan Satrod PHC

URCH Azad nagar Azad URCH

PHC Putty Mangal… Putty PHC

PHC HASSANGARH PHC

PHC Chaudhariwas PHC

PHC KHANDA KHERI KHANDA PHC PHC CHULI BAGRIAN CHULI PHC Over All Status of facilities for ENBC/R Skills

100

80 72 70 66 66 65 61 61 59 60 57 57 55 55 54 53 52 51 50 50 50 50 49 48 48 46 46 46 46 46 45 45 44 43 40 39 39 40 37 33 31 31

GH Hisar GH

PHC PHC Bass

PHC PHC Sisai

GH Hansi GH

PHC PHC Dobi

PHC PHC Umra

PHC Pabra PHC

PHC PHC Landri

CHC CHC Sorkhi

PHC PHC Nalwa

PHC PHC Kaimri

PHC PHC Gawar

PHC PHC DATTA

CHC CHC Uklana

PHC PHC Agroha

PHC PHC Dhansu

PHC PHC KAJLAN PHC LADWA

PHC Thurana PHC

CHC CHC Narnaud

PHC PHC GURANA

CHC CHC Mangaali

SDH Adampur SDH

CHC BARWALA CHC

PHC PHC Neolikalan

PHC PHC Balsamand

PHC PHC TALWANDI

CHC Arya Nagar CHC Arya

District Average District

PHC PHC DAULATPUR

PHC PHC Puthisamain PHC Puthisamain

PHC Satrod Kalan PHC Satrod

URCH Azad nagar Azad URCH

PHC Putty Mangal… PHC Putty

PHC PHC HASSANGARH

PHC PHC Chaudhariwas

PHC KHANDA KHERI PHC KHANDA PHC CHULI BAGRIAN PHC CHULI Where we are… ?

ESSENTIAL KNOWLEDGE REGISTERS DELIVERY AND PROTOCOLS PROVIDER FACILITY’S INFRASTRUCT DRUGS, ABOUT AND CLIENT Name of Facility NEWBORN CARE AND K0WLEDGE OVERALL URE EQUIPMENT INFECTION CASE SERVICES GUIDELINES AND SKILLS AVERAGE AND SUPPLIES PREVENTION RECORDS

CHC BARWALA 85 78 87 80 57 66 75 75 PHC CHULI 69 89 79 70 57 70 75 73 BAGRIAN PHC LANDRI 79 83 72 70 71 72 61 73 PHC NALWA 98 89 77 50 71 46 69 71 PHC PUTTY 75 89 82 70 71 39 67 71 MANGAL KHAN CHC MANGAALI 67 72 72 70 57 65 73 68

PHC KHANDA KHERI 88 78 80 60 57 54 58 68

GH HISAR 63 89 84 70 57 59 50 67

GH HANSI 67 89 80 70 57 52 56 67

CHC NARNAUD 71 72 74 60 57 66 66 67

DISTRICT AVERAGE 72 82 73 64 36 51 49 61

Score 75% and Above Score 51% to 74% Score 50% and less Where we are… ?

SDH ADAMPUR 87 83 74 80 29 61 50 66

PHC LADWA 75 83 79 80 29 55 59 66

CHC SORKHI 79 89 71 70 43 49 56 65

PHC NEOLIKALAN 81 83 74 60 43 46 62 64

PHC SISAI 81 89 60 60 43 61 49 63

PHC AGROHA 65 78 76 80 29 57 55 63

PHC GURANA 77 83 72 90 14 53 47 62

PHC KAIMRI 81 78 66 70 43 46 52 62

CHC ARYA NAGAR 81 89 79 60 14 48 61 62

PHC BASS 63 89 81 60 29 39 66 61

DISTRICT AVERAGE 72 82 73 64 36 51 49 61

Score 75% and Above Score 51% to 74% Score 50% and less Where we are… ?

DISTRICT AVERAGE 72 82 73 64 36 51 49 61

PHC DOBI 42 83 74 80 43 45 57 61

PHC DATTA 65 83 70 90 14 50 47 60

PHC SATROD KALAN 52 78 79 60 43 55 50 60

PHC DHANSU 69 83 68 60 29 48 56 59

PHC KAJLAN 48 83 80 50 29 57 57 58

PHC PABRA 73 83 60 40 43 50 52 57

PHC HASSANGARH 88 78 64 50 29 37 41 55

PHC PUTHISAMAIN 75 83 73 60 29 31 36 55

PHC UMRA 67 72 73 60 29 46 28 54

CHC UKLANA 71 94 70 50 0 44 46 54

Score 75% and Above Score 51% to 74% Score 50% and less Where we are… ?

DISTRICT AVERAGE 72 82 73 64 36 51 49 61

PHC DAULATPUR 69 83 60 50 14 46 48 53

PHC TALWANDI 77 83 60 40 14 43 51 53

PHC BALSAMAND 62 72 61 60 29 45 36 52

PHC GAWAR 75 72 65 60 14 50 6 49

PHC 71 67 66 60 29 50 0 49 CHAUDHARIWAS

PHC THURANA 79 78 72 60 0 33 7 47

URCH AZAD NAGAR 58 78 73 60 0 40 0 44

Score 75% and Above Score 51% to 74% Score 50% and less Over All Grading of Facilities for ENBCR Facility readiness

44 PHC Thurana 47 Narnaul 39 49 PHC Gawar 49 Palwal 41 52 PHC TALWANDI 53 53 Sonipat 43 CHC Uklana 54 54 Panipat 45 PHC Puthisamain 55 55 PHC Pabra 57 Fatehabad 47 58 PHC Dhansu 59 Sirsa 47 60 PHC DATTA 60 61 Kaithal 49 District Average 61 61 Y Nagar 49 CHC Arya Nagar 62 62 PHC GURANA 62 Ambala 51 63 PHC Sisai 63 Jind 52 64 CHC Sorkhi 65 Bhiwani 66 52 SDH Adampur 66 67 Kurukshetra 54 GH Hansi 67 67 KARNAL 59 PHC KHANDA KHERI 68 68 PHC Putty Mangal Khan 71 Hisar 61 71 PHC Landri 73 0 20 40 60 80 73 CHC BARWALA 75