MONITORING OPERATIONALIZATION OF HEALTH FACILITIES AND C MATERNAL HEALTH STRATEGIES DURING CRM VISIT

FRU Operationalization. 24 X 7 PHCs Operationalization. SCs Operationalization. Janani Suraksha Yojana. j Referral transport. VHNDs. Safe Abortion Services Services. RTI/STI Maternal Health Trainings: LSAS, EmOC, SBA..

Quality ANC:
At least 4 ANC (including registration) which includes full ( g g ) clinical/Abdominal examination along with measurement of Weight. Hb and Urine Examination. 2 TT injections. j Consumption of at least 100 IFA tablets. Counselling including preparation of Birth Plan.

Institutional Delivery:
Increased Institutional Delivery with Quality of Care. Institutional St for 48 h I tit ti l Stay f hrs. Post Partum Care: 2 Post Partum Check up. P P Ch k Quality Of care during Post Partum. Detection of Complications, Referral and Management.

Doctor: (Hired/Contractual) 1)OBG/MO (EmOC) = X 2)Paed/MO 2)P d/MO (IMNCI/ENBC)= X 3) Anesthetic/MO (LSAS) =X Paramedical : SNs: Hired/Contractual LTs: Hired/Contractual for X no. of facilities.

Infrastructure Strengthen/C onstructions: X Blood Storage Centre

FRUs selected: X

Availability of Genset. 24 hr Water Supply pp y Procuring Equipments /Drugs for: LR/OT/BSC/New LR/OT/BSC/N Born Equipments.=X

Ambulance/R eferral transport.

Action Plan:

Identification of Nodal person both at State and District Level. Mapping of resources done. Bottlenecks identified. Linkages with manpower/ training/ BSC etc. Has the budgeting been done under different heads (as mentioned in earlier slide). Has the running cost been taken in account e.g. for gensets has the allocation for POL done or funds have been marked for AMC. Salary Component taken into account. M i i Mechanism established. bli h d Monitoring M h i Administrative actions undertaken.

MONITORING OPERATIONALIZATION OF PHCs.

Doctor: (Hired/Contractua l) 1) MO (BEmOC/MTP/RTI/ IMNCI/ENBC/FP)= X Infrastructure Strengthen/C onstructions: X,

Paramedical : 3SNs or ANMs & LTs: Hired/Contractua l For X No. of facilities

24 X 7 PHCs selected: X
Availability of l bl f Genset. 24 hr Water Supply Remapping/pro curing Equipments/Dru gs for: LR/New Born Equipments.=X

Ambulance/R eferral transport.

Plan f O Pl for Operationalization of SCs. ti li ti f SC Infrastructure: Labour Room/ residential Quarters. Drugs/ Equipments: Partographs/ Misoprostol Misoprostol. Hiring additional ANMs. ANMs being nominated for SBA/ IMNCI Trainings Trainings. VHNDs organized. Out Reach Services offered: ANC/PNC/Immunization/FP/ Counselling etc. Supportive supervision.

Strategies deployed deployed. Linkages with private sector. Involvement of PRIs/NGOs/ other Stakeholders. Stakeholders Budgeting been done.

TrainingCentre: a g Ce t e

AdequateFundsReleased. AdequateandDevotedTrainers. TrainingCurriculumbeingfollowed. Monitoringduringtraining. FocusonQuality. Focus on Quality

PostingoftrainedMOs: g

ShouldbepostedatFRUs/24*7PHCs. Linkageoftraining/AvailabilityofSpecialist. StrengthentheFRU/24*7PHCsintermsofotherlogisticslike equipments,drugs,infrastructureetc. Monitoring:District/StateProgramOfficers. Monitoring: District/ State Program Officers. Focusonquality.

Mapping of facilities where the trained personnel will be posted along with their strengthening strengthening. Strengthening of facilities where these Skilled g g Based Trainings are to be undertaken. Monitoring Plan: QA Cells Cells. 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 provision

Routine Delivery Services (24 hours) Manage common obstetric complications C section MTP

Staff availability

Yes/ No Yes/ No Yes/ No Regular/ Periodic Yes/ No Yes/ No Yes/ No Yes/ No

Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No Y /N Yes/ No

Obgyn Obg n Specialist/Trained M O M.O Anesthesiologist/trained M.O Staff Nurses/ANMs at least (3) Lab Technicians
Injection Magnesium Sulphate MVA kits Inj. Oxytocin Boyles appratus Partographs Colour coded waste bi C l d d t bins Ambu Bag/ Radiant Warmer Equipments for CS.

Equipments and Supplies

Facility Infrastructure

Labour room condition Running water supply Plans for hospital bio-waste disposal Visual Privacy in labour room Visual privacy in OPD Vi l i i Back-up power facility Autoclave/sterilization.

Yes/ Yes/ Yes/ Yes/ Yes/ Y / Yes/

No No No No N No No

Availability of ambulance /outsourced vehicle:

Referral Services

Client Convenience Covered waiting area Yes/ No Separate fn & clean toilets for M/F Yes/ No p / / Signage to guide clients Yes/ No Record Review Average no of monthly Institutional Deliveries for l t f last 5 months th

Yes/ No