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 20 0 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 Sorkhi PHC PHC Nalwa PHC PHC Kaimri PHC PHC Gawar PHC PHC DATTA CHC Uklana PHC PHC Agroha PHC PHC Dhansu PHC PHC LADWA PHC KAJLAN PHC PHC Thurana CHC Narnaud PHC PHC GURANA CHC Mangaali SDH Adampur SDH 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 20 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 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 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 28 20 7 6 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 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 40 20 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 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 20 0 GH Hisar GH PHC PHC Bass PHC