1

Weekly update on COVID-19 achievements

Date: Week starting July 03, 2020

Weekly performance reporting on COVID-19 support

Indicators Baseline

(as on 30th

April)

Past Week’s

Achievement

s*

Cumulative

Achievements

(from start

through COB

Thursday)

Target for

the entire

project

Additional Information

Number of people directly benefited

through USG interventions

(e.g.,OPDs, helplines, chatbots etc.)

Note:do not include mass and social

media.

34,093

21,284

3,95,940 27,500 -Layered on Pulse

oximetry-1500 (714)

HRP -1000 (1103)

and HBYC-25000

(3,94,123) platform

Number of facility-based health

workers (doctors, nurses, CHOs,

pharmacists, ANMs, MPWs, and

Anganwadi center workers) trained to

prepare for and respond to COVID-19

with USG support. Disaggregated by

RCCE, surveillance, case

management, IPC and/or WASH

3,959 81 5856 1500 -Layered on LaQshya

(4447), NBSU, FPC,

and Safe delivery app

(1409)

Number of community frontline

workers (ASHAss, TB champions,

community volunteers, sanitation

workers, etc.) trained to prepare for

and respond to COVID-19 with USG

support. Disaggregated by, RCCE,

surveillance, case management, IPC

and/or WASH

1,555 20 2957 12,330 -12000 Layered on

FPLMIS (2242)

330 through HRP

(715)

Number of facilities supported with

USG resources (including TA,

training, supplies of COVID-19

medicine, ventilators, PPE, etc) and

able to respond COVID-19

300 0 399 122 -Layered on LaQshya

*Please note that these numbers should be consistent with the numbers listed in the narratives below.

Activities:

IPE Global will leverage existing state and district level activities to integrate COVID-19 response measures.

These activities will include:

1. Strengthening infection prevention control and practices at the facility level through self-administered

audits and checklists under LaQshya:

2. Strengthening Universal Precautions at the individual healthcare provider level using self-learning safe

delivery Apps:

3. Daily tracking of cases of Acute Respiratory Infections (ARI) in Health and Wellness Centers and

promoting hand washing practices:

4. Dissemination of available COVID-19 risk-communications and guidelines among healthcare

functionaries and communities:

5. Risk mitigation and action planning

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Key achievements:

Restarting essential services and Vriddhi initiatives- Meetings with MD – NHM at

Uttarakhand

A. Meeting with Mission Director, NHM: MCH Officer – In-charge acknowledged the technical support

being provided by Vriddhi Project in the RMNCH+A domain.

MD NHM started the meeting with briefing on objectives and below mentioned points were discussed

during the meeting:-

• State Technical Advisor (STA) shared

update on Vriddhi Project supported

activities and discussed implementation

of RAASTA tool in Aspiration Districts

(Haridwar & US Nagar) for Systemic

Program Review and Strategic Planning.

Other key support areas in ADs include

interventions like LaQshya, FHR

monitoring (MOYO), Safe Delivery

App, Family Participatory Care (FPC),

NBSU strengthening & Pneumonia

management with RAD-G for improving

quality of care in MNCH.

• STA also shared state’s performance on the SDG-MNCH goals based on analysis of recent SRS data

wherein positive progress has been observed in the rate of MMR reduction. However, the decline in NMR

is slow and therefore related program interventions and programs has to be prioritized and strengthened.

STA also highlighted that, based on the inputs received from RAASTA Workshop all evidence based

newborn health interventions except Continuous Positive Airway Pressure (C-PAP) - device to manage

babies with respiratory distress syndrome, has been rolled out. MD NHM stressed on the need to compile

and document good practices which contributed to mortality reduction for ensuring their adequate coverage,

quality and necessary scale up & sustainability.

• Detailed group discussions were held on, challenges along

with strategies and actions required for improving MNCH

outcomes in the state.

• Specific roles and timelines for actions were discussed and

summarized in the end.

B. Advocacy for continuing ARI screening at District

Level: District Technical Officer, USAID Vriddhi

provided feedback to CMO regarding non-screening of

ARI cases in 2 facilities of Haridwar. A letter has been

immediately issued to those facilities by CMO. DTO also

provided feedback on LaQshya Indicators & checklist to

the staff of CHC Bahadarabad.

Objective of meeting

A. Discussions on strengthening Maternal, Newborn

& Child Health Services (MNCH) in Uttarakhand

B. Briefing on USAID Vriddhi Project support in

Uttarakhand

Facilitation and advocacy being done for uses of RAD-G and increase the ARI screening in intervention HWC. Letter regarding this was issued from CMO Haridwar.

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Key Activities - Odisha

1. Online LaQshya progress review with DHH Khordha:

DHH Khorda is expediting LaQshya activities to apply for the State certification at the earliest.

Vriddhi team is providing continuous support and remote mentoring to the facility team in identifying and

addressing gaps. An online review of the facility preparedness was organized by Vriddhi team on 3rd July

2020. During the online review various gaps observed in LR and OT were discussed and the compliance

report prepared by the facility team was validated. Special focus was given to the standards with one-two

check points (Knockout indicators), to ensure facility’s compliance to all essential indicators. In discussion

with the facility team a timebound action plan was prepared for addressing the gaps yet to be closed.

Figure 2: LaQshya Program review using Zoom Platform – Khordha

Figure 1: Discussion on LaQshya indicators & checklist at CHC Bahadrabad by DTO, Vriddhi

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2. Online orientation session on IPC using Safe Delivery App -SDA for service providers of Dhenkanal

district on 7th July 2020:

Healthcare providers from Dhenkanal district were oriented on Safe Delivery App, its usage and benefits in

improving staff competency. Total 6 participants from DHH Dhenkanal and SDH Hindol attended the

training. The newly introduced COVID-19 and Infection prevention modules were prioritized during the

discussion. Vriddhi team supported the participants to explore all modules and provisions of self-assessment

in the app such as “My learning”. The participants were suggested to complete the modules at the earliest and

achieve ‘experts’ level in each module.

3. Meeting with State Health Resource Centre conducted on 9th July 2020 on various priority actions:

Vriddhi state team conducted a meeting with State Health Resource Centre to update on LaQshya progress

in prioritized health facilities and mentoring supports being provided. The FPC training videos on COVID-

19 prevention prepared by Vriddhi national team were also shared with NHM and official communication

from state to all SNCUs were facilitated. District-wise status of SDA use by health providers and a brief on

recent progress on SDA use after district specific online orientations were also shared.

4. SDA orientation for Nurse Mentors of Skill Lab capital hospital conducted on 9th July: As requested by

JD (tech) Vriddhi team coordinated with Skill lab trainer in Capital hospital and conducted online orientation

session on SDA for nurse mentors who will promote use of the app in their allotted districts.

5. Coordination with districts for SDA orientation:

Vriddhi team has completed follow up of LaQhsya prioritized health facilities; DHH Khordha, Puri and

Nabarangpur to monitor gap closure progress. Aspirational districts such as Malkangiri, Bolangir and Koraput

were also followed up for online orientation on Safe Delivery App.

Key Activities - Haryana

Following are the key activities of Haryana -

Orientation of staff on new FPC COVID sessions at NBSU Firozpur Jhirka (06/07/2020):

Orientation of NBSU staff on new FPC COVIS session 1A & 4A was organized by DTO Mr Sanjay Rai in CHC

Firozpur Jhirka on 6th July. Vriddhi state team developed the handouts for session 1A and 4A which provided

instructions for staff nurses to conduct the session. The participants for orientation session were; 1 Medical officer

and 4 Staff Nurses of NBSU Firozpur Jhirka. Both sessions videos were shown to the participants. DTO Vriddhi

team demonstrated the use of handouts for

facilitation and discussion points at each

discussion stop were explained using the

handout. The skills for wearing and

removal of mask were also demonstrated.

The FPC COVID video sessions have

been rolled out in CHC Firozpur Jhirka.

Figure 3: DTO attending session with Staff Nurses at NBSU Firozpur Jhirka

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LaQshya Review and Mentoring Meeting for CHC Hodal and DH Palwal – 07/06/20

In view of COVID, Vriddhi team along with NHM Haryana has planned weekly online LaQshya Review and

Mentoring meetings. Each week, review will be done for 2 LaQshya facilities. The first review meeting was

organized on 7th July for CHC Hodal, Palwal and District Hospital, Palwal. The meeting was facilitated by Deputy

Director Maternal Health, NHM Haryana and Regional Technical Advisor, Vriddhi Project. The participants

included; District Deputy Civil Surgeon NHM, 3 Gynecologist from DH, SMO CHC Hodal, Quality Consultant

Palwal, Nursing Sister DH Palwal and CHC Hodal, ICN DH Palwal, Staff nurses CHC Hodal, 2 CH Consultants

and Technical Consultant Vriddhi project.

The objectives of the meeting were:

• Review of the latest LaQshya scores of the facility

• Discuss on gaps /non-compliance and finalizing action plan

• Plan Follow up steps:

o Timeline for filling of gaps

o Timeline for submission of reassessment of LR and OT state assessment

Dr Alka, DD MH provided

the overview of the LaQshya

scores of the two facilities

and major gap areas. This

was followed by in-depth

discussion on the gaps/non-

compliance as per the latest

LR checklist of CHC Hodal

filled on 12/06/20. Since 2

areas of concern- Section F -

Infection Prevention and

Section G- Quality

Management were weak

areas, the same were

discussed in detail. Non

compliances from other

sections were also discussed.

The protocols to be followed

and good practices from other facilities were shared.

The decisions taken were as follows:

• CHC Hodal:

o To submit plan of action based on the review by July 9, 2020

o Revised checklist after filling gaps to be submitted after 3 weeks

• DH Palwal

o To do internal assessment and submit latest LR and OT checklist to state by 17th July 2020

Figure 4: LaQshya Review using zoom platform

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1. Joint LaQshya Mentoring visit to

CHC Punhana, District Mewat –

08/07/20

CHC Punhana is a designated FRU and

LaQshya facility in AD Mewat. In view of

LaQshya state review meeting to be held on

14th July 2020, a meeting was held with

Civil surgeon, Deputy Civil Surgeon NHM

and DPM on 8th July 2020. DTO Vriddhi

Project discussed the current status and

major gaps as per LaQshya checklist. It was

decided to conduct a joint visit with DyCS,

DPM, SMO and MO on the same day. The

district team ( Dy CS, DPM, SMO and

DTO Vriddhi) visited CHC Punhana. The

LR complex, NBSU and wards were visited

along with the facility QI team members

which included 2 MOs and 8 staff nurses.

The gaps were discussed.

The district has funds of INR 5 lacs for improvement under LaQshya for CHC Punhana. The main action points

discussed were as follows:

• Discussion regarding the civil work:

o Waiting area to be constructed

o Structural changes in washroom to

be done

o Seepage of water in wards to be

repaired

o Handwashing station in NBSU to

be constructed

• Discussion on supply and equipment

procurement – Crash cart, Medicine

trolley, Autoclave, beds, side cabinets,

tables etc needs to be procured

• Reorganizing of the Maternity Wing

issue was discussed

o Nursing Staff room to be

reorganized

o Clean and dirty utility rooms were

identified and must be organized

Key Activities- Chhattisgarh

Supporting the state health review:

During COVID pandemic, Vriddhi team has been

supporting the state in tracking of 18 key indicators

across the state. On state’s request, Vriddhi has

devised the google sheet to capture the key indicators

from all 27 districts. The project then collates,

analyses the indicators and drafts the presentation for

monthly review by Principal Secretary Health and

MD NHM, Chhattisgarh.

Figure 5: LaQshya review meeting at CHC Punhana with Deputy Civil Surgeon

Figure 6: Visit to Labour Room with DyCS, MO and Staff Nurse

Activities

• Collation and analysis of the key monitorable indicators

from google sheet

• Drafting presentation and sharing with concerned nodal

officer

• Drafting presentation on Vriddhi project areas including

SQCI, FPC, Pneumonia Management using MMD, SDA

and LaQshya

• Analysis of maternal health indicators across all

maternal health programs in the state

• Drafting the presentation in discussion with DD-MH

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State level health review was held on 6th

July 2020 under the chairmanship of MD

NHM. Deputy directors of the concerned

health departments along with respective

NHM consultants participated in the

meeting.

Vriddhi state team presented on project

areas and overall maternal health

indicators across the MH programs in the

state on request by DD-MH owing to

absence of MH consultant due to some

personal tragedy at home.

Way forward:

Support the state in drafting action plan to address gaps in newborn care.

Support the state in drafting report on key monitoring indicators.

Results

• Vriddhi project areas were presented and discussed

through DD-MH and DD-CH

• MD NHM discussed the SQCI in detail and directed the

DD- CH to draft and submit a plan to address the gaps in

newborn care as the state in SRS 2018 has seen an

increase of NMR by 3 points.

• MD NHM also instructed concerned officer to draft a

detailed report on key monitorable indicators tracked

during COVID.

Figure 7: Google sheet on 18 key indicators

Figure 8: Presentation on Vriddhi Child Health project areas

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Key Activities- Jharkhand

a) Online mentoring of SNCU Giridih by mentors of MNH resource center –

An online mentoring of SNCU Giridih was conducted on the July 2020 by the mentors of the Jharkhand State

MNH Resource Center (JSMNHRC). The mentoring was conducted by Dr. Parmanand Khansi of the neonatology

department of RIMs, SNCU in charge Dr. Govind Prasad with his team and program in charge of CH cell from

NHM Jharkhand also joined the mentoring. The SNCU Quality of Care Index (SQCI) was discussed in detail.

During the discussions the CH nodal of NHM instructed the district health officials to conduct training on newborn

birth asphyxia and also instructed them to follow the advice of the mentors. The state also followed up with district

health officials to set up and functionalize the newborn care corner (NBCC) in the adjoining labor room and OT

of the facility. The SNCU staff requested the mentoring team to keep mentoring them on a monthly basis as this

was a very good activity which helped them to understand the nuances of providing better clinical care in SNCU.

The scores of the checklist are mentioned below:

Standard - Case management practices of sick new-born (SNCU) Score

A1. Appropriate Diagnosis and investigation of neonatal sepsis 02/03= 0.66

A2. Appropriate Treatment of neonatal sepsis 02/02= 1

A3. Specific feeding needs of sick young infants and those with low birth weight 05/06= 0.83

A4. Recognition and management of jaundice 03/04= 0.75

A5. Management of asphyxiated new-born 03/04= 0.75

Average Score = (A1+A2+A3+A4+A5)/5 3.99/5= 0.79

Overall score on the first standard of case management practices of sick new-born (SNCU) was 0.79 indicating

great scope of improvement and the SNCU staff have promised to make all round changes in practices for

improvement of quality of care in the SNCU.

Figure 9: Presentation on Vriddhi Maternal Health project areas

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Figure 11: Screen shot of the mentoring session displaying the SQCI scores for SNCU Giridih and in the inset the mentor and the mentees interacting with each other

Figure 10: Dr. Parmanand Khansi the mentor with Giridih SNCU staff , nurse mentor of JSMNHRC, Ms. Sakshee Kumar, Dr. Rameshwar & Dr. Kiran Shankar Das (HOD, Neonatology), the other mentors of the resource center conducting the online mentoring

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b) Online mentoring of Latehar SNCU by mentors of Jharkhand State MNH

resource center – Jharkhand

An online mentoring of SNCU Giridih

SNCU was scheduled on the 7th July

2020 by the mentors of the Jharkhand

State MNH Resource Center

(JSMNHRC) at 11 am. The mentoring

was to be done by the HOD, department

of neonatology, Dr. Kiran Shankar Das.

The staff of the SNCU at Latehar led by

Dr. Jamaluddin Ahmed also joined the

meeting from Latehar. The state child

health cell led by Dr. Ajit also present

in the meeting.

The mentoring was however cancelled

due to very poor internet connectivity at

SNCU Latehar. Due to the delay in

starting the meeting and also due to the

delivery of a newborn of a COVID 19

positive mother at SNCU for which Dr.

Kiran was called for check-up, the

mentor postponed the online mentoring.

The mentor will be conducting the mentoring on a newer date.

Activity Update – Himachal Pradesh

FPC Mentoring visit at SNCU Chamba

Vriddhi state team technically facilitated one session on new added FPC COVID module. Project staff oriented 1

SNCU staff nurse on FPC its importance in SNCU and trained her on all 4 components along with new COVID

module. She was being trained on KMC format also as she joined after maternity leave.

Figure 12: Dr. Kiran Shankar Das (HOD, Neonatology), the mentor for Latehar, present in the mentoring of Latehar SNCU staff along with the nurse mentor of JSMNHRC, Ms. Sakshee Kumar. Also seen in the picture are Dr. Rameshwar, Dr. Pritha Naaz &, Dr. Parmanand Khansi, the other mentors of the resource center

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LaQshya Gap Analysis in LR and MOT in DH Chamba

Vriddhi state team supported in conducting gap analysis of LR and MOT for DH Chamba. Line listing of

requirement with specification were done in consultation with HoD Gynecology & HoD Anaesthesia and were

also shared with state officials.

Under strengthening infection prevention and control practices at the facility through self-administered audits and

checklists under LaQshya, 7 Staff Nurses were contacted and shared COVID PPE Donning and Doffing (video)

through whats app

Dissemination of available COVID-19 risk communications and guidelines among healthcare functionaries,

24 Health workers were contacted and shared National Guidelines for IPC in HCF.

HRP

A total of 15 new high-risk pregnancy was registered as HRP from both the intervention blocks in the AD.

Additionally, a lot of time was consumed in resolving the issue of slowness of app in the field, yet it is in progress.

District Monthly Review Meeting

District Monthly Review Meeting was held under the chairmanship of Chief Medical Officer on 4 th Jult with

following all COVID 19 precautionary measures. This meeting was facilitated and technically supported by

Vriddhi state team in which staff presented AD indicators and reviewed the progress of HRP app mechanism.

Additionally, CMO also asked BMOs of both the intervention blocks to bridge the gaps discussed during the

meeting.

Figure: FPC sessions given in Dr. RPGMC Tanda

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Meeting with Deputy Commissioner, Chamba

Meeting under the chairmanship of Deputy Commissioner, Chamba was conducted on 4th July while following

all COVID 19 precautionary measures. The Deputy Commissioner asked project staff to provide assistance in

preparing the Panchayat wise database of all individuals who are registered under various health schemes of health

department.

FPLMIS

Operationalization of block level facilities at Kiphire district, Nagaland

As per the PIP, district level FPLMIS training of Kiphire district, Nagaland was conducted during July 2019

without creation of user id and the block level facilities mapped under DWH were not operationalized till date.

In order to address these issues a refresher training on FPLMIS was on 7th July using zoom platform. Computer

wasn’t available at the facility, so the zoom training was conducted using mobile app. A total 17 participants

(viz. Medical officer: 6, Pharmacist 6 and BPM: 3) attended the training, facilitated by FPLMIS state consultant,

Khwairakpam Kanta. The meeting started with operationalization status of the facilities mapped under DWH

followed by stock status. Participants were trained on FPLMIS app on how to indent, issue against indent,

acknowledge & receipt and other features of the app. Participants were handholded by sharing screen through

their mobile. After the training all the 6 facilities (DH – 1; CHC-1; PHC 4) mapped under DWH were

operationalized.

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ASHA/ANM training & district level review meeting cum orientation on FPLMIS through Zoom

– Arunachal Pradesh

The Namsai district in collaboration with DFWB, Govt. of Arunachal Pradesh and support from USAID Vriddhi

team organized ASHA training on 6th July using zoom platform.

Objectives of the training were:

1. To orient ANM, HA, HWO, Pharmacist & CMOs on FPLMIS

2. Training of ASHA under Lathao PHC & Piyong PHC of Namsai District

3. Review of FPLMIS progress

The following members participated in the training:

1. Dr Amping Perme, Deputy Director MCH, Arunachal Pradesh

2. Dr Tope Yomcha, DRCHO, Namsai, AP

3. Mr Pankaj Kumar Gupta, Team Lead, FPLMIS

4. Mr Sudeep Sanyal, Consultant FPLMIS, Jharkhand

5. Ms Shamina Khatun, Consultant FPLMIS, Arunachal Pradesh & Meghalaya

6. Mr Sankdeep Chataerjee, TMS, FP, Arunachal Pradesh

7. Mr Nawaz Khan, Consultant FPLMIS, Assam

8. Mr Rajib Singha, Nodal person FP, Namsai, AP

The session was conducted in two parts following ASHA training from 10.30AM to 2 PM in which ASHA’s were

trained on codes of FP commodities, how to indent, check & update the stock through mobile app & SMS and

Meeting cum orientation of CMO, HWO & Pharmacist from 2.15 PM to 3.30 PM wit following agenda:

1. Reviewed the performance of all FPLMIS indictor

2. Stock out at DWH as well BWHs

3. Training status and

4. Re-orientation of Pharmacist & Health Assistant on Web as well as Mobile app

The participants were as follows:

A. Batch-1 (ASHA training) from 10.30 -2.00 PM

Sl

No.

Participants Target Attended in Conference Hall, DH,

Namsai

Attended from home

1 ASHA Piyong PHC 28 20 8

2 ASHA Lathao PHC 19 12 7

B. Batch-2(Orientation cum review meeting) from 2.15 PM -3.30 PM

Sl

No.

Participants Target Attended in Conference Hall, DH,

Namsai

Attended from

home

1 HA (Health Assistant) 5 5

2 HWO (Health &

Wellness Officer)

14 9 5

3 ANM 17 16 1

The meeting ended with vote of thanks from the DRCHO, Namsai, Arunachal Pradesh

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Key Activities- Punjab

External Assessment of DH Ropar and Distribution of Safe Delivery App Certificate

USAID Vriddhi team in collaboration with Health department of Punjab conducted an external assessment of

Labour Room at DH Mohali on July 3, 2020. The assessment was conducted by:

• Dr Inderdeep, PO MCH - State Health Department

• Dr Shailendra Singh Tomar, STA Punjab - USAID Vriddhi Project

Detailed action plan prepared and shared with the health facility. Vriddhi state team has been constantly following

up with the health facilities prioritized for certification

All 15 staff nurses of DH Mohali have achieved Safe Delivery champion certificates, during this external

assessment visit staff nurses were felicitated.

Figure 13: Staff Nurses at DH Mohali felicitated by the state team

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Monitoring of ARI Cases Using Multimodal device across 7 states

Vriddhi team from National level is regularly tracking ARI cases from 19 Health and Wellness centres. Total 53

cases of ARI screened in this week and 10 cases were diagnosed as pneumonia.

Chart 1: Daily incidences of ARI cases (3rd Jul to 9th Jul 20)

Chart 2: Weekly Incidences of ARI Cases

Effects of COVID-19 on RMNCH+A, TB, HIV and other essential health services in

project geography:

3

9

0

11

8

13

9

01

0

2 2 23

0

2

4

6

8

10

12

14

3-Jul 4-Jul 5-Jul 6-Jul 7-Jul 8-Jul 9-Jul

Total Screened Pneumonia cases

121

88

54 5361 56

7662 69 72 65 66

49 56 53

157 6 7 8 9 10 12 6 10 16 9 9 10 10

0

20

40

60

80

100

120

140

27Mar-2

Apr

3-9Apr

10-16Apr

17-23Apr

24-30Apr

1-7May

8-14May

15-21May

22-28May

29 May- 4 Jun

5-11Jun

12-18Jun

19-25Jun

26 Jun- 2 July

3 - 9Jul

Total Screened Pneumonia cases Severe pneumonia Referred

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Impact on RMNCH services in project states

Services in all states are gradually opening in areas outside the containment zones.

Feedback obtained from project states on status of RMNCH services-

Outreach services

Antenatal Care

services

PMSMA & VHSND sessions have started in a states of Odisha, Uttarakhand,

Haryana.

In Jharkhand ANC services started by maintaining social distancing in VHSNDs

beyond containment and buffer zone as per GoI guidelines. In Chattisgarh PMSMA

is not held since March 2020

In Haridwar district ANC Day along with immunization organized at some of the sub

centers on every Wednesday at Sub center, VHND on every Saturday for

Immunization.

Home visits Integrated surveillance being undertaken by FLWs in Jharkhand and Odisha ANMs

doing screening of High-Risk age group for NCD to prevent Covid-19 morbidity and

mortality along with active case finding for TB, screening for NCD, surveillance and

sensitization for NDD and IDCM

In Chhattisgarh, ASHA home visitation is ongoing.

In Haridwar AD, ASHA are involved in doing surveys and monitoring of home

quarantined people in their respective villages

Routine

Immunization

RI services have started maintaining social distancing in states. In Chattisgarh, RI

outreach services is being held in a staggered manner, however, RI coverage has

decreased.

HBYC services ASHAs are making home visits along with COVID screening. Supportive

supervision of Sahiya in all three implementation districts of Jharkhand has now

resumed.

In Chattisgarh, HBYC home visits not yet started as trainings not yet completed.

Family Planning Home Delivery of Contraceptives by ASHAs is ongoing in all states and all

temporary methods (Condoms & Pills) are being provided to beneficiaries.

In Madhya Pradesh , the new initiative KILL Corona Abhiyaan from 1st Jul 20, in

which ANM & ASHA are involved in survey/screening has hampered the

distribution of FP commodities.

In Jharkhand ANM have started to collect stock from BWH for giving to ASHA for

distribution to beneficiaries. Commodities are given in excess amount as per the

guideline of GOI.

Facility services

ANC services In all states facility level ANC services are being provided on walk in basis using

staggered approach* and following physical distancing norms. OPD footfall has been

less. Non-COVID PW being transferred in non-COVID vehicles only is being

ensured

Institutional

deliveries

All states have identified facilities both COVID and Non COVID for provision of

institutional deliveries and services remain uninterrupted. Delivery load has been

less. In Jharkhand state Mamta Vahan is not operational, but 108 is functional

Newborn care Birth doses continue uninterrupted, as does promotion of Breast-feeding practices

with early initiation of breast feeding and Kangaroo Mother Care.

Immunization

services

are being provided at facilities, for walk-in beneficiaries.

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Admission to SNCU SNCU are fully functional and providing services. No disruption of services & FPC

Services are functional in all states.

In Jharkhand SNCU (Rajmahal) remains closed as is converted to ICU, Covid with

SNCU. Staffs deputed in Covid-19 duties. SNCU Hazaribagh & SNCU Dumka has

shifted back to respective Medical College & Hospital building and started

functioning normally.

In Himachal Pradesh one SNCU at Medical college Nerchowk Mandi, is not

functioning as facility is a dedicated COVID Hospital.

NBSU services are functional

Family Planning

services

In Jharkhand services viz. sterilization and IUCD/PPIUCD not started, even though

instructions have been sent to the district to start the same. Antara supply has now

been received and distribution from state to facility level started and Antara services

resumed.

In Himachal Pradesh, the HMIS shows PPIUCD use with same rate as earlier but

reduction in IUCD insertion.

In Assam Few districts have started sterilization services; PPIUCD is now being

done in all districts.

In MP, Sterilization services are affected at all 52 Districts Hospitals as these

hospitals are converted to District Covid Hospitals, But at CHC level sterilization,

PPIUCD and Injectables is being given.

In Haridwar AD, PPIUCD Service provision is satisfactory but overall coverage of

FP Services has declined. FPLMIS not implemented.

*Staggered approach- Where adequate seating for beneficiaries and caregivers with physical distancing is

ensured

Additional visual support: .

Figure 14: Chhattisgarh -SN Ms Prabha Ratre at SNCU Mahasamund taking session on FPC new module 1 A. New Module 1 A and 4 A are with doubled benefit , it improve the awareness against of service provider and family.

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Figure 16: Breastfeeding by mother at SNCU Latehar

Figure 15: Chhattisgarh - Mother observing session while performing KMC. The FPC is a model that help baby and reduces burden of by sharing responsibility.

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Figure 17: Haryana- Resuscitation Drill at NBSU Firozpur Jhirka

Figure 18: Beneficiaries watching FPC video session at SNCU Giridih, Jharkhand

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Figure 20: ARI screening at HWC Kura,

Bokaro;Jharkhand

Figure 19: Pneumonia Screening at HWC Sarol, Chamba, Himachal Pradesh

Figure 21: PMSMA at CHC Nuh, Mewat, Haryana