Weekly update on COVID-19 achievements Date: Week starting ... · IPE Global will leverage existing...
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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
Number of people directly benefited through
USG interventions (e.g.,OPDs, helplines,
chatbots etc.) Note:do not include mass and
468730 27,500 -Layered on
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
3,959 103 6281 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 and/or WASH
1,555 21 3879 12,330 -12000 Layered
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.
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
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
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
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
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
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/
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
Follow the advice of the mentors
Essential clinical practices with SNCU in-charge and sister in-charge was discussed using the standard
Figure 2: Walkthrough of DH Khunti during online LaQshya Interim Certification Review by the state MH cell & Vriddhi team with LR Sister In-charge
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
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
USAID Vriddhi /IPE Global
will continue to lead the
LaQshya technical support
in the state. All 30 districts
have been distributed
among the three
working on MH namely
UNICEF, NIPI and IPE
global, 10 each for intensive
mentoring and monitoring
support along with facility
level support for LaQshya
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
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
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.
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.
Successive follow up will be conducted with the facilities to improve coverage and duration of KMC
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)
% newborn admitted with birthweight <2000 gm provided with
% newborn admitted with birthweight <2000 gm providedaverage daily KMC < 8 hrs
% newborn admitted with birthweight <2000 gm providedaverage daily KMC >= 8 hrs
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
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
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
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
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.
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
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
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
2. Online training on safe delivery app for medical officer (Ayush)
posted at HWC Narsan Jhabirranjatt, Block Narsan on 7th
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
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
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 &
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
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
4-Sep 5-Sep 6-Sep 7-Sep 8-Sep 9-Sep 10-Sep
Total Screened Pneumonia cases
Mar Apr May Jun Jul Aug Sep
Total Screened Pneumonia cases Severe pneumonia Referred
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 -
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
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.
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
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.
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. Blood Banks are
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 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.
Now with increase in cases temporary closure of facilities is common and affecting
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
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
Figure 19: Pneumonia screening in HWC Sarol, Himachal Pradesh
Figure 18: FPC session being conducted in SNCU Tanda, Himachal Pradesh
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