1

Weekly update on COVID-19 achievements

Date: Week starting Jul 17, 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

13,632

4,42,850 27,500 -Layered on Pulse

oximetry-1500 (809)

HRP -1000 (1131)

and HBYC-25000

(4,40,910) 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 36 5946 1500 -Layered on

LaQshya (4511),

NBSU, FPC, and

Safe delivery app

(1435)

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 60 3310 12,330 -12000 Layered on

FPLMIS (2595)

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

2

Key achievements:

Activity: Promoting usage of FPC new Module (1A and 4A) - Chhattisgarh

A need of advisory and additional precautionary measures related to COVID -19 for parents and service providers,

while providing essential care and treatment to small, sick and preterm neonates in SNCU existed.

The simple and impactful COVID precautionary message designed in newer FPC modules (1A and 4A) is one of

the unique efforts of USAID Vriddhi (Scaling up RMNCH+A Intervention) that meets the need of service

providers, address their field apprehension and help in communicating with parents and guardians.

Efforts initiated

Amid pandemic USAID Vriddhi team adopted ICT (Information Communication and Technology) platform to

reach the SNCUs and to synchronize newer FPC modules (1A and 4A) across the state. Initially the video was

shared with Deputy Director Child Health, State Consultant Child Health and three SNCUs and based on the

response it is now being synchronized across the 23 SNCUs.

A virtual learning session has been conducted to populate the usage of COVID module and to address operational

and logistics issues.

Outcome

• Improved knowledge and awareness among service providers and families against COVID-

19 Pandemic.

• Strengthen Infection prevention practices and ensure availability of essential commodities

like disposable Mask, Apron, cap and Sanitizers.

Figure 1: Staff Nurses of SNCU Kondagaon internalizing new COVID Modules. Dr Rajesh Baghel and SN Bhubaneshwari has been pivotal in conducting the session.

3

Key Activities - Jharkhand

LaQshya review cum follow up meeting with Hazaribagh Medical College Hospital (MCH) and

Palamu MCH

An online review cum follow up meeting was held with Hazaribagh MCH and Palamu MCH on17th July and

20th July respectively. The meetings were chaired by Nodal Officer Maternal Health Cell. Total six participants

from each facility along with State MH consultant and STO USAID Vriddhi team attended the meetings on

respective days. In Hazaribagh MCH review meeting, Assistant Prof ObG (Obstetrics and Gynaecology),

Hospital Manager and Staff nurses from Labour Room (LR) and Maternity Operation Theatre (MOT)

participated. Whereas in Palamu MCH review meeting, Head of the Department - ObG, Medical Officers, LR -

nursing incharge participated. There were multiple participants attending from single login by LR staffs in both

the meetings.

Various institutional mechanisms like quality circles, district coaching team, records, registers and audit reports

were discussed. The facilities were instructed to ensure the above mentioned points within next 14 days.

Figure 2: Snapshot of Hazaribagh Online Meeting

Discussion Points

• Identify gaps from latest assessment checklist, prepare time bound action plan and share with state

MH cell.

• Share documents required for certification as per GOI Process note on Interim Certification NQAS

15 July 2020

• LR and MOT Quality Circle to be re-notified under the leadership of HOD OBG. Also, notify Nodal

officer - LaQshya and MDSR & MNM.

• Get approval on SOPs from MS and orientation on various sections to be conducted by faculty

members of OBG Dept

• Complete OSCE of all the nurses working in LR & OT

• Ensure learning through Safe Delivery App

• Audit processes to be started

• Rotation of LR staffs should be discontinued

4

Online meeting on HBYC data collection process with NHM Jharkhand

A meeting using ICT platform was conducted on 23rd July 2020 at 3:00 PM to discuss expectations and plan of

action for HBYC data collection process. USAID Vriddhi national team and state team including Dr Harish

Kumar - Project Director participated in the meeting. Ms. Akay Minz - State Program Coordinator, Dr. Manir

Ahmad - Technical Consultant, VSRC - NHM along with Mr. Manish Kumar and Mr. Upendra Kumar (third

party agency) participated in the meeting.

Activity: Review Meeting with Mission Director, NHM – Uttarakhand

Key points of discussion were: -

1- Progress review for establishing Maternal and Newborn Monitoring Control Room

2- Review of Actions listed in State Newborn Action Plan for Monitoring Cell

• Initially, it was planned that the Control Room will monitor the Aspirational District and selected blocks of

other districts, but MD NHM advised

to implement the control room in all

the districts.

• As per novel plan 65 new Tele

Counsellor were needed. However,

after discussion and rationalization

30 Tele Counsellors will be recruited

initially to run the control room.

• Data entry in RCH portal is a big challenge, so MD NHM instructed the concern person about daily and

weekly review of progress of the entries. In the portal the estimates of PW for two districts Chamoli and U

S Nagar were still pending, so it was suggested that these estimates should be entered at the earliest.

• Discussion about the place for Control Room where around 20 Persons can sit along with their computers

and make calls to the beneficiaries was also conducted. And it was finalized that the previous IDSP room

can be utilized, necessary partition and other civil work will be done at the earliest

3- Newborn Action Plan –

• How to use the NBSUs and SNCUs appropriately in the State. The SNCU Quality Care Index (SQCI)

prepared by USAID Vriddhi team will be presented along with existing HR in next review meeting.

Telephonic feedback would be provided to all SNCU in Charges based on the SQCI.

• Operationalization of SNCU Rudrapur needs to be expedite

• Planning for Mini SNCU and Newborn Resource Centre must be accelerated. State must set up the resource

center, so the NBSUs and Mini SNCUs can be operationalized without specialists.

Vriddhi Team Presented the detail of Maternal Mortality Ratio as per SRS and HMIS

reporting. It was noted that state has improved the Maternal Death Reporting.

However, the review mechanism still needs to improve especially at the level of

District Magistrate (DM)

USAID/VRIDDHI team will be providing technical

support in planning, training of tele counsellors as

well as in documentations of the intervention.

• Need for NBSU strengthening was again highlighted by Vriddhi Team. During earlier

meetings the issue of Zero admissions at NBSU Kashipur was highlighted.

• Vriddhi supported technology-based interventions; Multimodal Device for

Pneumonia Screening, Continuous FHR monitoring device, SDA and FPC in the draft

proposal.

5

4- Strengthening Delivery Points-

• Out of 331 (All L1, L2. And L3) delivery point in the state, non-functional delivery points needs to be

analyzed and operationalized, budget allocations will be done accordingly. It was discussed that newly

established Health and Wellness Centers (HWCs) should also be made operational as delivery point.

• Landline CUG Phone will be provided to all delivery points for strengthening advance communication and

referral linkages, an important checkpoint proposed by Vriddhi Team under LaQshya and approved by MD-

NHM.

• Midwifery Course must streamline for addressing shortage of HR in delivery points.

5- Deliveries conducted by Private Hospitals and other unregistered centers should also be

tracked and entered in HMIS Portal.

Key activities - Odisha

Online review of LaQshya progress at DHH (District Headquarters Hospital) Puri

DHH Puri is a priority facility for LaQshya certification and allotted to State Vriddhi team for mentoring and

monitoring support. During 1st quarter of 2020 Vriddhi team has visited the facility multiple times for LaQshya

programme orientation and mentoring support. However, with the onset of COVID-19, NHM as well as facility

teams got busy in COVID control and

support activities and LaQshya

programme took the back seat in

priority.

To bring back the focus on quality

improvement and LaQshya activities

Vriddhi team planned to continue

LaQshya mentoring support using

ICT tools. A virtual review meeting

was organized on 17th July 2020 with

DHH Puri to discuss the progress of

gap closure in the facility for

LaQshya certification. ADMO

Medical, HOD ObG, LR and OT in

charge participated in the review

meeting. The progress of gap closure as per the last time bound action plan was discussed during the meeting.

Using the video options the DHH Puri team showed the progress of infrastructural changes in LR such as set up

of the triage room, privacy between LR tables etc. Some major infrastructure improvements in the reception area

and OT are yet to be completed. But the facility team mentioned that the delay is mainly due to the COVID-19

situation and they would comply all the gaps within three months and apply for state certification.

Promoting ICT based capacity building for service providers: SDA orientation session included

as part of DAKSH online training

USAID Vriddhi team was informed by the State nursing trainer based at Skill Lab, Capital Hospital Bhubaneshwar

about the DAKSH training schedule. As per communication, orientation on SDA was to be conducted as the first

session on the first day of DAKSH training. This was finalized as per discussion with AD (tech) and State

Figure 3: Snapshot of review

6

consultant nursing along with State nursing trainers. USAID Vriddhi team conducted the SDA orientation on

14th July 2020 to train the Nursing Trainers in using the ICT platforms for conducting online training sessions

and use of Safe Delivery Application.

Total 16 participants from 9 districts participated

in the session. All participants were briefed on

the use of SDA and its importance in skill

building and improving confidence of service

providers in providing quality MCH services. It

was briefed that high OSCE scores is a

requirement for LaQshya certification of the

facility. Continuous use of SDA for self-paced

learning can improve the OSCE scores of the

provider by improving clinical competency.

Module configurations and special provisions of

self-assessment in SDA such as “My learning”

was explained in detail. The newly introduced COVID-19 and Infection prevention modules were in focus during

the discussion. Vriddhi team supported the participants to explore all modules. It was planned to conduct one

‘follow up and experience sharing’ session with all participants on the last day of DAKSH training.

Key activities – Haryana

Meeting with Director Medical Education and Research for LaQshya in Medical Colleges USAID Vriddhi team, Regional Technical Advisor - Dr Nidhi Chaudhary conducted a meeting with Ms.

Amneet P Kumar - Director Medical Education and Research (DMER) to provide an update on the LaQshya

status in Medical Colleges. Current ongoing efforts of Vriddhi team with medical colleges were discussed and

online review meetings were proposed. DMER is keen on getting the Medical Colleges LaQshya certified and

subsequently NABH accredited.

Review Meeting for LaQshya gap filling in CHC Nuh, Mewat USAID - Vriddhi state team, DTC conducted a Meeting with

SMO Nuh, District Quality Assurance Officer and Staff Nurses

of Labour Room, NBSU to share an update on LaQshya status.

Discussion was held regarding the progress and gaps that needs

to be filled. The District has already sanctioned Rs 2 Lakh for

LaQshya. In addition, a meeting with Dr Pankaj, District Nodal

Officer Quality Assurance was held regarding strengthening the

Quality Assurance with focus on block level. Discussion was

held on the recruitment of new Quality consultants block wise.

These Quality Consultants will look after 3 programs - LaQshya, NQAS and Kayakalp. Online training will be provided to these

consultants. Discussion with block officials regarding formation

of Quality Improvement team was also conducted.

Figure 4: Snapshot of SDA Orientation

Key decisions

• Constitute a combined WhatsApp group for all Medical Colleges, DMER and DD MH, NHM

for LaQshya.

• Letter to be shared with Directors of all Medical Colleges by DMER regarding LaQshya

• DMER to organize a VC with medical colleges next week on review of LaQshya

• Develop a proposal for Quality cell in Medical Colleges and DMER

Figure 5: DTO Meeting with SMO NUH regarding LaQshya

7

Key activities – Punjab

Review of SNCUs based on SQCI dashboards and Orientation on IDCF

USAID-Vriddhi Team supported the orientation session on SNCU review based on SQCI Dashboard conducted

by State Health Department and SIHFW. During this meeting orientation on IDCF 2020 in COVID-19 context

was also done. District Immunization Officers (DIOs) and Pediatricians from all SNCUs including 3 government

medical colleges participated in the meeting.

Vriddhi team prepared for both the sessions SQCI and IDCF, while facilitated sessions on SQCI based

performance review of SNCUs. Program Officer MCH and Program Officer Training welcomed the participants

and discussed the objectives.

State Technical Advisor, USAID

Vriddhi team discussed about the

context of SQCI and definition

of indices. Regional Technical

Advisor, USAID Vriddhi team

discussed data analysis and

action points for all 7 indices and

for composite indicator. At the

end of the meeting, PO MCH

shared guidelines on IDCF 2020

by Government of India.

Program officer MCH discussed

about the way forward for both

the activities.

Key points of discussion SQCI

• Definition of all 7 indicator of SQCI dashboard.

• Detailed discussion on all 7 indices of SQCI with focus on unsatisfactorily performing

SNCUs.

• Vriddhi team assisted health department to prepare action points for all 7 indices. It was

discussed in detail as the major activity of this event.

Key points of discussion IDCF

• Sharing of IDCF 2020 guidelines by GoI along with its IEC materials.

• ORS and Zinc distribution to households having children below 5 years by ANM to

prevent childhood diarrhea deaths

Figure 6: 5: MCH Division and Vriddhi Team during SQCI and IDCF meeting

8

Way forward:

• Review of Data by the SNCU in-charges with Data Entry Operator (DEOs) to ensure correctness and

completeness of Data

• Review of SNCU performances in district level review meetings.

• Family Participatory Care (FPC) is being implemented in all the SNUCs of Punjab, it is helpful in

improvement the Quality of Care (QoC) in SNCUs.

• Re-orientation of SNCU staff on management protocols as per FBNC

• Mentoring visit to SNCUs /or hand holding through online platforms like this review meetings.

• Involvement of government medical colleges in mentoring

State Government Participants

• Dr Prabhdeep Kaur Johal, Director Family Welfare (DFW), Punjab

• Dr Gurwinder, Program officer, Training, SIHFW Punjab

• Dr Inderdeep, Program Officer (PO) MCH Division of DHS

• All SNCU in-charges (Pediatricians) and District Immunization Officers (DIOs)

USAID Vriddhi Participants

• Dr Prasant Saboth, Senior Advisor Newborn Health

• Dr Nidhi Chaudhary, Regional Technical Advisor (RTA)

• Dr Shailendra Singh Tomar, State Technical Advisor (STA) Punjab.

• Dr Gursimrat Kaur, Technical Consultant, Punjab

• Dr Suresh rao, Technical consultant, Haryana

• Ms Suman Bala, Program and Data Associate

9

Key activity – FPLMIS (FPLMIS Operationalization at Health & Wellness

Centres (HWCs), Manipur)

After completion of district level FPLMIS training for block storekeepers in February 2020, the block level

training for ANMs/ASHAs which was scheduled to start in April 2020 got delayed due to onset of COVID-19. In

order to mitigate the impact of delayed trainings, alternate methods i.e. training using ICT platforms have been

explored, but the capacity of the ANMs to handle gadgets and applications along with the internet connectivity

remains a challenge.

FPLMIS team decided to initiate this training model with CHOs of HWCs of all the 16 districts of Manipur, major

reasons being CHO’s proficiency in computer usage (as they do online entry for other program reports) and

availability of computer with internet connection.

With leveraged partnership of USAID partners; Jhpiego a calendar for 8 batches of online trainings scheduled

from 10th to 20th July 2020 was prepared. Program officer, Jhpiego extended her support in coordinating and

mobilizing the participants whereas FPLMIS team created training platform and facilitated the trainings.

A total of 159 CHOs from 12 districts participated, each CHO being at remote location in their respective facility.

148 CHOs indented during the training; which is 93% of the trained CHOs. Some of the CHOs were unable to

attend the training due to COVID duty and poor internet connectivity. In almost all the batches of training Dr. S.

Sucheta Devi, SNO Family Planning and Dr. Y. Premchandra, SNO Health & Wellness Centre were present to

observed and encourage the participants.

Key activities – Himachal Pradesh

Meeting with MH Division NHM on 17 July 2020 for LaQshya action points by state: Meeting with MH Division NHM was conducted on 17 July 2020 for LaQshya review.

Participants of the meeting:

• Dr. Anadi Gupt, State Program officer MH NHM HP

• Ms. Priyanka Chauhan, Consultant MH NHM HP

• Ms. Jasbir Kaur, Assistant MH NHM HP

• Dr. Anil Gupta, STA, SRU-HP Vriddhi

Desk Review of LaQshya in all 22 facilities was conducted and further action points was discussed by the state.

This was in continuation to state review of Quality/LaQshya done on 1st July by VC from Secretariat. The

following points were suggested by SRU-HP and NHM issued letters for following with copy to USAID Vriddhi

(IPE Global).

- Claim incentive by national certified LaQshya facilities.

- LaQshya state/ national certification application for maternity OT of AD Chamba

- State certification to be done by quality division for CH-Palampur

- Gap filling by CH Sundarnagar for National LaQshya certification.

State decided for 4 LaQshya facilities to be reviewed by VC and preparation for their State/National LaQshya

certifications.

10

Transition of DQCI done in AD Chamba of HP After DQCI transition meeting conducted in AD Chamba, on 17th July 2020 the identified responsible person for

preparation of DQCI was trained by USAID Vriddhi DTC.

DQCI of quarter (April – June’20) will be prepared by them and shared.

Handholding of nominated persons (Nutritional counselor and SNCU DEO) were done on 17/07/2020 by the

Vriddhi staff at RH Chamba to get DQCI institutionalize in the facility based review system, and the data could

be used for action. Both nominated persons were briefed about the importance of this dashboard and their roles

and responsibilities for institutionalization of this dashboard. Both were oriented about the processes

(Observational data, HMIS data and SNCU data) to be entered into the tool and to generate reports and prepare

DQCI for quarters as well as the comparison of quarterly dashboards.

SQCI transition meeting in NHM on 18th July 2020. SQCI transition meeting in NHM HP was done and CH Division was trained to prepare SQCI.

1. Participants:

State Health Department • Dr. Hiten Banyal, SPO CH, NHM HP

• Dr. Pavneet, Consultant CH, NHM HP

• Ms. Sarita, Data operator/ office assistant, CH, NHM HP

USAID Vriddhi Project

• Dr Anil Gupta, State Technical Advisor (STA) HP.

• Mr. Anup Chauhan, A&P Associate HP

2. Key activities

The participants were trained to download the required data for SQCI from SNCU portal.

The data of last quarter was downloaded from SNCU portal and SQCI was prepared using the tool. The

participants were trained to prepare SQCI.

3. Way forward:

• Follow up with the state on generation of SQCI dashboard.

• Review of SNCU based on SQCI

Activity: Monitoring of ARI Cases

Vriddhi team from National level is regularly tracking ARI cases from 19 Health and Wellness centers. Total 30

cases of ARI screened in this week and 4 cases were diagnosed as pneumonia.

Chart 1: Daily incidences of ARI cases (17th Jul to 23rd Jul 20)

5 5

0

45

4

7

0 0 0

2

01 1

0

2

4

6

8

17-Jul 18-Jul 19-Jul 20-Jul 21-Jul 22-Jul 23-Jul

Total Screened Pneumonia cases

11

Chart 2: Weekly Incidences of ARI Cases

Impact on RMNCH services in project states

Services in all states are opening up in areas outside the containment zones and there is focus on resumption of

essential RMNCH services. Inputs obtained from project states on status of RMNCH services is as follows -

Outreach services

Antenatal Care

services

In Haryana- Use of e sanjeevani for consults has been rolled out and VHSND are

being held as per GoI guidelines

E-Sanjeevni is also being used across all the Health and wellness Centres for

ANC by CHOs in HP.

In Jharkhand,Punjab E-sanjeevani is being used for consultations, however, Line

listing of HRP is not being done .

In Haridwar district, Line listing of HRP being maintained by the ANM and E-

Sanjeevani for consultation is being facilitated by MLHPs at some of the HWCs

Home visits Integrated surveillance being undertaken by FLWs across states. ASHAs are doing

COVID related screening in the community and undertaking integrated surveillance

for COVID and along with active case finding for TB, screening for NCD,

surveillance and sensitization for NDD and IDCM with postnatal visits in Haryana,

Jharkhand, Odisha.

In Punjab, under mission Fateh ASHA are involved in identification of high risk

patients for COVId-19

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

quarantined people in their respective villages. She along with teachers are being

utilized for covid related screening. ASHAs are involved in doing hypertension,

diabetes & TB disease related

counselling in age group 60yrs & above and for Pregnant women. Also mobilize

them to CHC Level for covid 19 screening & sampling

Routine

Immunization

RI in VHSNDs are functioning beyond containment and buffer zone as per GoI

guidelines maintaining social distancing in states

HBYC services ASHAs are making home visits along with COVID screening. In Jharkhand,

Supportive supervision of Sahiya has now resumed. And ASHAs conducting HBYC

home visits outside buffer zone.

In Chattisgarh, ASHA home visitation is ongoing. But HBNC home visits have

reduced by 13% as compared to last year Apr-May.

HBYC is operational in only one district of HP, AD Chamba. Home visits by ASHA

are being done as per HBNC in remaining districts of state.

121

88

54 5361 56

7662

69 7265 66

4956 53

65

3015

7 6 7 8 9 10 12 6 10 169 9 10 10 12

4

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

29May -4 Jun

5-11Jun

12-18Jun

19-25Jun

26 Jun- 2

July

3 - 9Jul

10 -16 Jul

17 -23 Jul

Total Screened Pneumonia cases Severe pneumonia Referred

12

In Haridwar district, ASHAs are doing HBNC Visits regularly however, HBYC

Program has not been streamlined properly in the district. HBYC Visits are being

undertaken by ASHA with Aanganbari workers in some of the villages of block

Laksar, Bahadrabad, haridwar urban & Narsan.

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

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

Home distribution of contraceptives under FP pakhwara being done by ASHA in

Jharkhand

In Haridwar district, FP Commodities are not readily available with ASHA so that

home distribution of contraceptives is being affected

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. 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.

With unlock in process, In Chattisgarh , volume of institutional deliveries in July has

showing increasing trend as compared to June 2020 . C Section rate in July is also

showing increasing trend as compared to June 2020

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. Daily immunization for all

PW & Children at DH & SDH has been resumed in Haridwar district

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.

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, few CHCs have been converted to COVID center due to which FP

services especially sterilization have been hampered.

In MP, Guideline has been issued to perform sterilization on Fixed day services,

following COVID protocols and maximum of 10 cases can only be performed in a

single day in a facility. PPIUCD & Injectables services are continued.

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

FP Services has declined. FPLMIS not implemented.

Sterilization services are hampered due to curfew in Meghalaya

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

ensured

13

Additional visual support:

Figure 7: FPC session 1A and 4A started at Aspirational Districts, this is the picture from Moga

Figure 7: Staff Nurses Kirandeep Kaur facilitating FPC

Session 1 at SNCU Barnala, Punjab Figure 8: Handwashing being

practiced by mother of newborn at

SNCU Giridih, Jharkhand

14

Figure 10: ARI screening at HWC Partan,

Hazaribagh, Jharkhand

Figure 11: Beneficiaries watching new FPC

module (Care of newborn during Covid-19) and

SNCU DH Gumla , Jharkhand

Figure 12: KMC being provided by beneficiary to LBW newborn at SNCU Simdega, Jharkhand

Figure 13: proud mother providing Nursing and parenting care to her neonates at SNCU Kabirdham, Chhattisgarh

Photo - Ms Mamta SN SNCU Janjgir Champa.