Weekly update on COVID-19 achievements Date: Week starting ... · A meeting using ICT platform was...
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Weekly update on COVID-19 achievements
Date: Week starting Jul 17, 2020
Weekly performance reporting on COVID-19 support Indicators Baseline
(as on 30th
Number of people directly benefited
through USG interventions
(e.g.,OPDs, helplines, chatbots etc.)
Note:do not include mass and social
4,42,850 27,500 -Layered on Pulse
HRP -1000 (1131)
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
NBSU, FPC, and
Safe delivery app
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
1,555 60 3310 12,330 -12000 Layered on
330 through HRP
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
*Please note that these numbers should be consistent with the numbers listed in the narratives below.
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
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
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.
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.
• Improved knowledge and awareness among service providers and families against COVID-
• 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.
Key Activities - Jharkhand
LaQshya review cum follow up meeting with Hazaribagh Medical College Hospital (MCH) and
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
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
• Identify gaps from latest assessment checklist, prepare time bound action plan and share with state
• 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
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
• 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
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-
• 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
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
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
• Constitute a combined WhatsApp group for all Medical Colleges, DMER and DD MH, NHM
• 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
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
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
• 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
• 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
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
- 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
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.
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)
0 0 0
17-Jul 18-Jul 19-Jul 20-Jul 21-Jul 22-Jul 23-Jul
Total Screened Pneumonia cases
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 -
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,
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
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.
54 5361 56
69 7265 66
7 6 7 8 9 10 12 6 10 169 9 10 10 12
29May -4 Jun
26 Jun- 2
3 - 9Jul
10 -16 Jul
17 -23 Jul
Total Screened Pneumonia cases Severe pneumonia Referred
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
In Haridwar district, FP Commodities are not readily available with ASHA so that
home distribution of contraceptives is being affected
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
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.
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
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
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
Figure 10: ARI screening at HWC Partan,
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.