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Weekly update on COVID-19 achievements

Date: Week starting Sep 4, 2020

Weekly performance reporting on COVID-19 support Indicators Baseline

(as on 30th

April)

Past

Week’s

Achieveme

nts*

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

823

468730 27,500 -Layered on

Pulse oximetry-

1500

(1219)

HRP -1000

(1179)

and HBYC-

25000 (466332)

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

3,959 103 6281 1500 -Layered on

LaQshya (4700),

NBSU, FPC, and

Safe delivery app

(1581)

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 21 3879 12,330 -12000 Layered

on FPLMIS

(3164)

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 Activities – Jharkhand

1. Introductory meeting on E-IMNCI

USAID Vriddhi team organized an

introductory E-IMNCI meeting with all the

stakeholders (NHM -Jharkhand, USAID, IPE

Global, Dimagi & Tdh) on 4th September using

ICT platform to discuss piloting of this project

in Jharkhand.

Dr. Amar Mishra, Adl. Director, Dr. Ajit

Prasad, Nodal Officer, Ms. Rajbir, Child

Health Division and Dr. Pathak – Nodal

Officer HWC from NHM, Dr. Sachin Gupta

from USAID India, USAID Vriddhi Project’s

National & State team; Dr. Harish Kumar, Dr.

Jaya Swarup Mohanty & team, Dr. Sumanthra

& team from Dimagi and Mr. Kallol from Tdh

participated in the meeting.

Key points discussed were:

Dr. Sachin Gupta mentioned about the opportunity state has provided to work on a very important area of

IMNCI for improving the outcome in MCH. This pilot project will help scaling up these interventions across

India.

Dr. Ajit Prasad discussed the work done under IMNCI since 2005 and the current status in Jharkhand. Eight

days training was continued till 2017, to enhance knowledge & skills of ICDS & Health frontline workers on

identification & management with counseling services.

Dr. Harish Kumar highlighted on the IMNCI components that includes – capacity building of health worker,

health system strengthening and improving community & family practices. The major challenge was lack of

refresher training, collection of data, record keeping, analysis, monitoring & supportive supervision. He

explained this E-IMNCI package will overcome the above challenges with alternate mode of capacity

building using latest available package.

Dr. Sumantra & team presented the detailed overview of the proposed E-IMNCI pilot project implementation

with methodology. The goal is to improve the quality of IMNCI services for under 5 year old children in

health care facility and to develop a prototype to improve clinical practices of the primary level health service

providers (ANM & MO) to deliver IMNCI services. Total 80 service provides will be included from three

blocks. It is a feasible solution to undertake capacity development, improve IMNCI implementation &

monitoring of indicators.

2. LaQshya Interim Certification Review, DH Khunti

USAID Vriddhi state team convened a virtual review meeting with Khunti DH on 4th September under the

chairmanship of CS to review the status of LaQshya interim certification preparatory activities of the Labour

Room. (Civil work in OT is being done). Dept. Superintendent, Medical Officer, Hospital Manager, District

Quality Consultant, LR sister in-charge, LR sisters and housekeeping staffs from the facility and state MH

consultant participated in the meeting facilitated by STO Vriddhi.

A walkthrough of the facility LR was conducted through mobile phone. Discussions were based on the

walkthrough and the documents send by the facility. The following points were discussed:

Figure 1: Dr Harish Kumar during the online meeting

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JSSK & JSY entitlement to be displayed (Poster/

Wall Painting) at the registration area

Posters related to service availability to be

displayed at OPD counter and waiting area

Shoe rack to be placed outside the protective Zone

O2 cylinder to be placed at examination area/

triage room

Repeat training of housekeeping staffs on spill

management, handling of fire extinguisher and

emphasis on speaking ability

Clinical staffs to undergo training on donning and

doffing. Use of OSCE checklist for the same.

Fire exit signages to be at eye level, Improve

directional signages for LR at the facility

Conduct regular trainings on AMTSL, ENCR,

management of PHH, eclampsia, newborn

resuscitation. Document through OSCE checklist

Prepare action plan based on patient satisfaction

3. Introductory meeting with Tdh regarding roll out of pilot E-IMNCI

USAID Vriddhi state team conducted a brief introductory meeting with representatives of Tdh, Mr. Indranil

Chakravorty and Ms. Nihaalini Kumar on 7th of September at the USAID Conference Hall, Namkum.

The points discussed were about the field activities that Tdh would be carrying out and the support required from

Vriddhi team, details as mentioned below:

Day to day activities will be coordinated between Mr. Bijaya Nayak, District Technical Consultant for Ranchi

division – USAID Vriddhi and Mr. Indranil

State level support will be provided by Dr Jaya STA and coordination at the state will be done by Dr. D.P.Taneja - STO

The STA will be leading all the state level meetings/ engagements with support USAID Vriddhi national

team; Dr. Harish, Dr. Prasant Saboth, Dr. Devina,

For coordination of activities at the district & blocks Mr. Bijaya Nayak will be under guidance of Dr.

Sumant Mishra, Senior Advisor.

No parallel mechanism to be set at the state level by Tdh for smooth conduct of the field activities as it will

create confusion for pre-defined activities

Minutes of the introductory meeting with the state are being prepared and the list of participants for the

pilot will be released by the CH cell, NHM along with it.

4. Online mentoring of SNCU Palamu MNH resource center

Second online mentoring for Palamu SNCU was conducted on 8th September by the mentors of the MNH

Resource Center under the chairmanship of Dr Ajit Prasad - Nodal Medical Officer, CH NHM Jharkhand and

conducted by Dr. Rameshwar Prasad (Assistant Professor) of the Neonatology department of RIMs. The SNCU

in charge of Palamu Dr. Gaurav Vishal and his team from the SNCU joined the mentoring. The meeting was

also attended by the district superintendent (DS) & district program manager (DPM). National, state and district

team members of USAID VRIDDHI team also joined the meeting. The SNCU Quality of Care Index (SQCI

April-June 2020) of Palamu was discussed in detail.

District health official was instructed to purchase essentials with SNCU fund for more improvement in the

SNCU.

Follow the advice of the mentors

Essential clinical practices with SNCU in-charge and sister in-charge was discussed using the standard

checklist

Figure 2: Walkthrough of DH Khunti during online LaQshya Interim Certification Review by the state MH cell & Vriddhi team with LR Sister In-charge

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Key Activities - Odisha

1. Online orientation on Safe Delivery Application (SDA) for the 49th batch DAKSH trainees:

49th batch of DAKSH training was organized

from 7th-11th September 2020 by skill lab

capital hospital using the ICT platform.

VRIDDHI team facilitated an online session on

SDA on 7th September, 2020. All the service

providers were oriented on how to use the Safe

Delivery App and continue learning the key

technical skills related to safe birthing practices

through various modules in the app. COVID-19

& infection prevention modules were

prioritized during the session. The session

concluded with Q&A. All staff nurses were

suggested to complete the self-assessment in

the COVID-19 and infection prevention modules as soon as possible keeping in view of the importance of

COVID-19 prevention at the health facility set up.

2. Meeting with State NHM and Director Family Welfare on key priorities of Maternal Health

programmes:

USAID Vriddhi state team participated in the virtual meeting organized by MH division on 7th September

under the chairmanship of Dr. Bijay Kumar Panigrahi, Director Family Welfare to discuss various priority

activities of Maternal Health. Dr. Dinabandhu Sahoo, Team Leader – SHSRC, Consultant MH, Consultant

PIP process, Consultant RMNCHA, NHM Odisha and representatives from donor partners NIPI and UNICEF

participated in the meeting. The following key points were discussed:

Figure 4: Screenshot of online orientation

Figure 3: Dr. Rameshwar Prasad facilitating the mentoring session of Palamu SNCU during online mentoring along with the nurse mentor of JSMNHRC, Ms. Sakshee Kumar

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USAID Vriddhi /IPE Global

will continue to lead the

LaQshya technical support

in the state. All 30 districts

have been distributed

among the three

development partners

working on MH namely

UNICEF, NIPI and IPE

global, 10 each for intensive

mentoring and monitoring

support along with facility

level support for LaQshya

certification.

10 districts allotted to

Vriddhi team are: Nabrangpur, Nuapada, Nayagarh, Dhenkanal, Khorda, Puri, Cuttack, Angul,

Sambalpur and Jajpur.

Development Partners to provide support on all priority areas including LaQshya, SUMAN, MDSR,

HDU operationalization and VHND activities in their respective allocated districts.

Key Activity FPLMIS:–

1. Online review cum refresher meeting of Facility level Storekeepers, Madhya Pradesh

USAID Vriddhi FPLMIS team facilitated reorientation of

storekeepers of different level facilities in district Barwani

(where the performance was poor) on 8th Sep 20 using ICT

platform under the chairmanship of Mr. Jaideep Singh Parihar,

state consultant, Family Welfare, Madhya Pradesh to boost up

the efforts of supplies and availability of Family Planning

commodities to the beneficiary. In total 31 participants were

present in the meeting including District Family Planning

nodal officer, District Community Mobilizer, storekeepers of

district warehouse, DH, CHCs and PHCs. The meeting was

facilitated by FPLMIS state consultant, Krishanpal and

Sudhish Yadav and started with review of status of facilities

mapped in FP-LMIS, Operational and non-functional facilities,

Stock out status, Short expiry commodities status, indent status

and comparison of stock received against ELA. The FPLMIS

bulletin was also shared with participants.

Also, all storekeepers and BCMs were oriented on features of mobile app and web version thoroughly and were

instructed to ensure availability of FP commodities at all facilities by family planning nodal officer.

Figure 5: Screenshot of virtual meeting with NHM Team

Figure 6: USAID Vriddhi Consultant during online meeting

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Key Activities – Chhattisgarh

1. Follow up with SNCUs in ADs for increasing the duration of KMC for improved outcomes

Long duration of Kangaroo mother care (KMC) have immediate and long-term benefits to newborn. To maximize

the benefits of long duration of KMC at targeted SNCUs in 10 aspirational districts (ADs) of Chhattisgarh USAID

Vriddhi state team have been consistently coordinating with state and nodal officers of SNCUs. The duration of

KMC provided has been collected since June.20 and in July only 1 SNCU out of 10 has average KMC duration

>8 hrs. To improve the KMC duration, follow up was made with facilities immediately with significant low KMC

coverage. In August, 4 ADs achieved 80% mark for KMC duration of more than 8 hrs in newborns with birth

weight less than 2000 gms. Rajnandgaon, Bastar, and Kondagaon were among the bottom three SNCUs with low

KMC duration.

Method: To increase the duration of KMC, SNCU nodal officers and staff nurse in-charge were contacted to

understand their awareness about the issues and steps taken to resolve the gaps. The staff were aware of the issue

and also provided bottlenecks for low coverage. The facilities were asked to discuss the issue with all the member

and find out solution. SNCU Rajnandgaon had issue of limited space as facility was not yet shifted to new facility.

Bastar & Kondagaon had issue of coordination and proper documentation of KMC duration. Onset of COVID

was also cited as reason for apprehension and low KMC duration.

Actions Taken:

Identified facilities have been provided guidance on compiling KMC chart on FPC report.

Services providers posted at these SNCU have been inducted on adopting simple measures for increasing

duration of KMC.

Staff were motivated on ensuring KMC as it would also prevent the LBW babies from infection as it

would improve their weight gain, boost immunity and accelerate early discharge.

Way forward

Successive follow up will be conducted with the facilities to improve coverage and duration of KMC

provided

The issue and learning would be shared during orientation of SNCU nodal and DEO on SQCI such as

involving family members to provide KMC, positive reinforcement and felicitation have the potential to

improve KMC duration

Key Activities – Haryana

1. State Level Review of Special New-born Care Units (SNCUS)

61%

52%49%

0%

10%

20%

30%

40%

50%

60%

70%

% newborn admitted with birthweight <2000 gm provided with

KMC

% newborn admitted with birthweight <2000 gm providedaverage daily KMC < 8 hrs

% newborn admitted with birthweight <2000 gm providedaverage daily KMC >= 8 hrs

CHHATTISGARH

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Online was organized by NHM Haryana with technical support from USAID Vriddhi state team conducted a

state level review of Special Newborn Care Units (SNCUs) on 8th September using ICT platform. A total of 96

participants including Deputy Civil Surgeons, DIOs, Pediatricians, SMOs, Medical Officers, SNCU Nursing

Staff in charges, Nursing sisters, SNCU Counsellors and SNCU Data entry operator from all 22 districts of

Haryana joined the meeting. Dr Simmi, DD CH welcomed the participants and shared the objectives of the

meeting along with background on NMR trend in Haryana and causes of death. Thereafter, she shared the

SNCU wise performance in last FY 2019-20 and Q1 of 2020-21 on various indicators of service availability and

utilization, key equipment and HR gaps and share the budget allocated for each SNCU. This was followed by a

session on SQCI facilitated by Dr Prashant Kumar Saboth Senior Advisor Newborn and Child Health Vridhhi

Project.

Dr Prasant, Senior Advisor Newborn and Child Health presented SQCI Actionable Data for last financial year

2019-20 and Q 1 of 2020-21.

Dr Nidhi Chaudhary RTA, Haryana facilitated the session on FPC Implementation Status in Haryana and

oriented the participants on new FPC sessions regarding Care of Newborns in COVID Pandemic - Session 1 A

and Session 4A of FPC.

Figure 7: Dr Prashant Kumar Saboth Senoir Advisor Newborn and Child Health addressing to the participants on SQCI

Figure 8: Dr Nidhi Chaudhary RTA, Haryana facilitating the session on Family Participatory Care

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Figure 9: Dr Simmi DD CH, NHM Haryana presenting on Community referral in SNCUs in Haryana

Key Activities –Himachal Pradesh

1. Mentoring visit/ Orientation visit of LaQshya of KNH (Medical college) Shimla

USAID Vriddhi state team conducted LaQshya mentoring visit in KNH (Medical college) Shimla on 4th

September. A total of 36 participants including 23 -Doctor, 6- Staff Nurses, 4- Ward Sisters and 1 Midwife attended the meeting. Orientation on respectful maternity care and quality tools was done. The gaps in OT & LR

were identified and discussed to prepare gap filling plan by facility.

Figure 10: Mentoring/orientation Visit LaQshya Facility

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2. Orientation on Safe Delivery Application: An orientation of 34 participants on SDA was conducted

on 4th September in KNH medical collage Shimla

3. Virtual meeting of LaQshya MGMSC khaneri.

USAID Vriddhi state team technically supported virtual meeting of LaQshya MGMSC Khaneri on 10th

September. A total of 12 participants including 4 Doctors, 2 staff nurses, 2 ward sisters and 1 OTA attended the meeting. Orientation on LaQshya Monthly reports, Gap and patient’s satisfaction survey was done along

with orientation on SDA

Figure 12: Screenshot of virtual meeting on LaQshya

Figure 11: Orientation on Safe Delivery App by Vriddhi Team

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4. Aspirational district review meeting of all blocks at District Chamba

A review meeting for Aspirational Districts was conducted on 10th September at Lecture Hall CMO Office

Chamba under the chairmanship of CMO Dr.

Rajesh Guleria and Dr. Gurmeet Katoch MoH

District Chamba. A total of 36 participants

including DPO, DTO, Block Medical Officer,

SMO’s, BPM, LT and DTC USAID Vriddhi

attended the meeting.

Points discussed:

Status and scope of improvement for HRP

app was discussed in detail.

CMO & MoH instructed concerned

BMO’s to upscale the services.

Review were taken on the status of

identification of high-risk pregnancies in

the block. The in-charges have been

instructed by the CMO to carry out quality

ANC checkup and need to ensure 100% identification and follow up.

Key Activities –Punjab

Safe Delivery App: USAID Vriddhi team provided support to health department of Punjab in analyzing district

wise coverage data of SDA and identified top and bottom performing districts and suggested following actions

points to increase the coverage of SDA in the state.

Director health services issued a letter to districts and shared data analysis done by the Vriddhi Team with

suggested action points. In this letter newer features of SDA (COViD-19 Module, and NBSU Module) was also

mentioned specifically. State acknowledged in both the letters that Vriddhi Team has been providing technical

support for these interventions.

Key Activities - Uttarakhand

1. Facility assessment & mentoring visit at CHC Laksar

USAID Vriddhi state team with District Quality Assurance Consultant facilitated facility assessment and

mentoring visit at CHC Laksar on 4th September. Below mentioned are the activities conducted as per LaQshya

checklist:

Check all record and documentation of

Labour room and NBSU

Staff interview on Complicated labour cases

Verified drugs, instruments and Bed head

ticket (case sheets of labour cases) at labour

room

Verified documents for inspection, testing

and maintenance and calibration of

equipment used in labour room

Verified Monthly dashboard and indicators

of LaQshya, SDA, SOP and LR policies,

process mapping of LR

Staff interview on quality management

Identified infrastructural gaps which needs to be fulfilled

Figure 13: District Review Meeting - Chamba

Figure 14: Dr Abhishek conducted joint LaQshya Mentoring Visit at CHC Laksar, Haridwar

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2. Online training on safe delivery app for medical officer (Ayush)

posted at HWC Narsan Jhabirranjatt, Block Narsan on 7th

September

Virtual training on SDA orientation of Medical Officers (Ayush) posted

at HWC Narsan Jhabirranjatt has been conducted on 7th September.

Below mentioned are the activities done during the training

Orientation on Safe delivery app, module in app vi,deos & practical

procedures

Steps for downloading app from play store

Orientation on MY Learning; test Familiar, Proficient & expert

Online Completion of module on Covid19

3. Online review meeting with service providers working in NBSUs

on quality of care at NBSUs on 9th September

Dr Abhishek Nautiyal (DTC Vriddhi-USAID team) facilitated a review meeting on quality of care at NBSUs on

9th September using ICT platform with 2 staff nurses working in NBSUs from each of the facilities; CHC

Bahadrabad, CHC Laksar & Newly Operationalized NBSU at SDH Roorkee

Key Discussions-

Current scenario of Delivery point & admissions of labour & newborn in all facility

Current status of facility regarding covid19 situation

Current Labour room & NBSU staff working at point of care in all facility

Availability of functional radiant warmers,

Phototherapy, Pulse oximeter, Weight

machine, glucometer, thermometer & room

thermometer at all NBSUs

Availability of essential drugs & injectable;

ampicillin or amoxicillin, gentamycin

Last quarter reports of NBSU with CHC

Bahadrabad & Laksar participants

Newborn case sheets, daily newborn chart,

discharge & referral form

Criteria of new-born admission at NBSU

with all facility

Outborn admission in NBSU; linkage with community through ASHA visits at home & from daily OPD

Clinical assessment and emergency management of new-born using charts

Treatment of sick babies and fluid & feeds in new-born using charts

Monthly reporting and recording on given NBSU Register

Newly operationalized NBSU at SDH Roorkee with NBSU Staff nurses; discussed current recording &

documentation practices

KMC Practices for Low birth weight babies with all facility staff; Dedicated KMC Room,

Earmarked beds for KMC in Post-natal ward, KMC Chair in NBSU & recording practices,

Figure 15: Dr Nidhi Bhatt, HWCNarsan jhabirranjatt installed Safe delivery app and completed covid 19 module

Figure 16: Online meeting with NBSU Staffs of District Haridwar

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Activity: Monitoring of ARI Cases

Vriddhi team from National level is regularly tracking ARI cases from 19 Health and Wellness centers. Total 51

cases of ARI screened in this week and 5 cases were diagnosed as pneumonia.

Chart 1: Daily incidences of ARI cases (4th Sep to 10th Sep 20)

Chart 2: Weekly Incidences of ARI Cases

10

4

0

13

6

9 9

01

01 1

0

2

0

2

4

6

8

10

12

14

4-Sep 5-Sep 6-Sep 7-Sep 8-Sep 9-Sep 10-Sep

Total Screened Pneumonia cases

0

20

40

60

80

100

120

140

27

Mar

-2 A

pr

W-1

W-2

W-3

W-4

W-1

W-2

W-3

W-4

W-5

W-1

W-2

W-3

W-4

W-1

W-2

W-3

W-4

W-1

W-2

W-3

W4

W-1

4 S

ep-1

0 S

ep

Mar Apr May Jun Jul Aug Sep

Total Screened Pneumonia cases Severe pneumonia Referred

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Impact on RMNCH services in project states

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

essential RMNCH services. Spurt in COVID cases in states such as Jharkhand, Odisha, Uttarakhand, have

resulted in services getting disrupted in pockets.

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

Outreach services

Antenatal Care

services

PMSMA was organized on 9th September 2020 as per GoI guidelines in Odisha,

Jharkhand, Haryana, Punjab, HP & Uttarakhand. States are actively following up

with the districts for ensuring social distancing and prior line listing of beneficiaries

for PMSMA day . However, In Chhattisgarh, PMSMA has not been held since

March 2020.

Use of e Sanjeevani for consults has been rolled out. VHSND are being held as per GoI guidelines And Line listing of HRP is being done.

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

COVID related screening in the community and undertaking integrated surveillance for active case finding for TB, screening for NCD, surveillance and sensitization for

NDD and IDCM.

Routine

Immunization

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

guidelines maintaining social distancing

HBYC services ASHAs are making home visits along with COVID screening outside buffer zone.

HBYC is operational in only one district of HP, AD Chamba.

HBYC home visits not yet started in Chhattisgarh, as trainings have not been

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 MP, A new initiative under KILL Corona Abhiyaan , in which ANM & ASHA

will be involved in survey/screening. Instructions has been issued to distribute FP commodities during home visits.

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. Blood Banks are

functioning.

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

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Admission to SNCU SNCUs are fully functional and providing services.

In Jharkhand SNCU (Rajmahal) remains closed as is converted to COVID ICU.

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

functioning as facility is a dedicated COVID Hospital.

In Odisha, SNCU services is affected in facilities where the facility is shut down due

to positive cases found among providers In Haridwar - SNCU has been closed due to increase in the number of covid cases

among staff nurses posted at SNCU from 2nd September to further orders.

Family Planning

services

Now with increase in cases temporary closure of facilities is common and affecting

services.

In Jharkhand, Sterilization and IUCD/PPIUCD services ongoing but not in full pace.

For suspected cases, first COVID test need to be done. Few CHC has been converted

to COVID center due to which FP services especially sterilization have been

hampered.

IUCD/PPIUCD services are available in all designated health facilities in states.

Antara services are available at facility level

In Meghalaya Sterilization services started at CHC level.

Sterilization services not still started in Arunachal Pradesh & Tripura

Additional visual support:

Figure 17: Out born- twin baby admitted at SNCU MCH Giridih , Jharkhand with birthweight 1001gm and 1038gm. Mother and father giving KMC

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Figure 19: Pneumonia screening in HWC Sarol, Himachal Pradesh

Figure 18: FPC session being conducted in SNCU Tanda, Himachal Pradesh

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Figure 23: ARI screening at HWC Rengalbera, West Singhbhum, Jharkhand

Figure 21: Mother giving KMC to baby at SNCU Hazaribagh, Jharkhand

Figure 20: ARI screening at HWC Shakoor, Firozpur, Punjab

Figure 22: ARI screening at HWC Rengalbera, West Singhbhum, Jharkhand