MONITORING OPERATIONALIZATION OF HEALTH FACILITIES AND DURING CRM VISIT

Transcription

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

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

3 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 injections. Consumption of at least 100 IFA tablets. Counselling including preparation of Birth Plan. Institutional Delivery: Increased Institutional Delivery with Quality of Care. Institutional Stay for 48 hrs. Post Partum Care: 2 Post Partum Check up. Quality Of care during Post Partum. Detection of Complications, Referral and Management.

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5 Doctor: (Hired/Contractual) 1)OBG/MO (EmOC) = X 2)Paed/MO (IMNCI/ENBC)= X Infrastructure Strengthen/C onstructions: X Blood Storage Centre 3) Anesthetic/MO (LSAS) =X Paramedical : FRUs selected: X SNs: Hired/Contractual LTs: Hired/Contractual for X no. of facilities. Availability of Genset. 24 hr Water Supply Procuring Equipments /Drugs for: LR/OT/BSC/New Born Equipments.=X Ambulance/R eferral transport.

6 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. Monitoring Mechanism established. Administrative actions undertaken.

7 MONITORING OPERATIONALIZATION OF PHCs.

8 Infrastructure Strengthen/C onstructions: X, Doctor: (Hired/Contractua l) 1) MO (BEmOC/MTP/RTI/ IMNCI/ENBC/FP)= X 24 X 7 PHCs selected: X Paramedical : 3SNs or ANMs & LTs: Hired/Contractua l For X No. of facilities Availability l of Genset. 24 hr Water Supply Remapping/pro curing Equipments/Dru gs for: LR/New Born Equipments.=X Ambulance/R eferral transport.

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

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

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12 Training gcentre: e Adequate Funds Released. Adequate and Devoted Trainers. Training Curriculum being followed. Monitoring during training. Focus on Quality. Posting 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. Monitoring: District/ State Program Officers. Focus on quality.

13 Mapping of facilities where the trained personnel will be posted along with their strengthening. Strengthening g of facilities where these Skilled Based Trainings are to be undertaken. Monitoring Plan: QA Cells. Funding: Strengthening of Training institutes. Strengthening of facilities where Trainees will be posted. Expenditures incurred during training.

14 Facility Observation Checklist District: Name of Institution: Date of visit: Service provision Routine Delivery Services (24 hours) Yes/ No Manage common obstetric complications Yes/ No C section Yes/ No MTP Regular/ Periodic Staff availability Obgyn Specialist/Trained M.O Yes/ No Anesthesiologist/trained M.O Yes/ No Staff Nurses/ANMs at least (3) Yes/ No Lab Technicians Yes/ No Equipments and Supplies Injection Magnesium Sulphate Yes/ No MVA kits Yes/ No Inj. Oxytocin Yes/ No Boyles appratus Yes/ No Partographs Yes/ No Colour coded d waste bins Yes/ No Ambu Bag/ Radiant Warmer Equipments for CS.

15 Facility Infrastructure Labour room condition Yes/ No Running water supply Yes/ No Plans for hospital bio-waste disposal Yes/ No Visual Privacy in labour room Yes/ No Visual privacy in OPD Yes/ No Back-up power facility Yes/ No Autoclave/sterilization. Referral Services Availability of ambulance /outsourced vehicle: Yes/ No Client Convenience Covered waiting area Yes/ No Separate fn & clean toilets for M/F Yes/ No Signage to guide clients Yes/ No Record Review Average no of monthly Institutional Deliveries for last 5 months

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