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Transcript of MH Strategies
8/3/2019 MH Strategies
http://slidepdf.com/reader/full/mh-strategies 1/19
MONITORINGOPERATIONALIZATION OF
HEALTH FACILITIES AND
8/3/2019 MH Strategies
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FRU Operationalization.
24 X 7 PHCs Operationalization.
SCs Operationalization.
Janani Suraksha Yo ana.
Referral transport.
VHNDs.
.
RTI/STI
Maternal Health Trainings: LSAS, EmOC, SBA..
8/3/2019 MH Strategies
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Quality ANC:
At least 4 ANC (including registration) which includes full
clinical/Abdominal examination along with measurement of Weight.
Hb and Urine Examination.
2 TT in ections.
Consumption of at least 100 IFA tablets.
Counselling including preparation of Birth Plan.
Institutional Delivery: Increased Institutional Delivery with Quality of Care.
ns u ona ay or rs.
Post Partum Care: 2 ost artum ec up.
Quality Of care during Post Partum.
Detection of Complications, Referral and Management.
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Doctor:
(Hired/Contractual)
1)OBG/MO (EmOC) = X
ae
(IMNCI/ENBC)= X
3) Anesthetic/MO (LSAS)
=X Paramedical :
SNs:
Hired/Contractual
LTs:
Infrastructure
Strengthen/C
onstructions:
FRUs
for X no. of
facilities.Blood Storage
Centre
selected: X
Ambulance/R
eferral
Availability of
Genset.
24 hr Water
Su l
transport.Procuring
Equipments
/Drugs for:
LR/OT/BSC/New
BornEquipments.=X
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• Identification of Nodal person both at State and District Level.
• Ma in of resources done.
• Bottlenecks identified.
• Linkages with manpower/ training/ BSC etc.
•
Has the budgeting been done under different heads (as mentionedin earlier slide).
•
the allocation for POL done or funds have been marked for AMC.
•
Salary Component taken into account. • on tor ng ec an sm esta s e .
• Administrative actions undertaken.
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OPERATIONALIZATION
OF PHCs.
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Doctor:
(Hired/Contractua
l)
(BEmOC/MTP/RTI/
IMNCI/ENBC/FP)=
XParamedical :
3SNs or ANMs &
LTs:
Hired/Contractua
l
Infrastructure
Strengthen/C
24 X 7 PHCs
For X No. of
facilities
X,
selected: X
Ambulance/R
eferral
Avai a i ity o
Genset.
24 hr Water
Supply
transport.Remapping/pro
curing
Equipments/Dru
gs or: ew
BornEquipments.=X
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an or pera ona za on o s.
Infrastructure: Labour Room/ residential Quarters. rugs qu pmen s: ar ograp s sopros o .
Hiring additional ANMs.
.
VHNDs organized.
ANC/PNC/Immunization/FP/ Counselling etc.
Su ortive su ervision.
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.
Linkages with private sector.
Involvement of PRIs/NGOs/ other.
Budgeting been done.
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Trainin Centre:
• Adequate Funds Released.
• Adequate and Devoted Trainers.• Training Curriculum being followed.
• Monitoring during training.
• .
Postin of trained MOs:
• Should be posted at FRUs/ 24 * 7 PHCs.
•
Linkage of training/ Availability of Specialist.• Strengthen the FRU/ 24 * 7 PHCs in terms of other logistics like
equipments, drugs, infrastructure etc.
Monitorin : District State Pro ram Officers.
Focus on quality.
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Mapping of facilities where the trained personnel.
Stren thenin of facilities where these SkilledBased Trainings are to be undertaken.
.
Funding: Strengthening of Training institutes. Strengthening of facilities where Trainees will be posted.
Expenditures incurred during training.
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Facility Observation Checklist
District: __________Name of Institution: _______ Date of visit: ________________
Service provisionervice provision
Routine Delivery Services (24 hours) Yes/ No
Manage common obstetric complications Yes/ No
MTP Regular/ Periodic
Staff availability
gyn pec a s ra ne . es o
Anesthesiologist/trained M.O Yes/ No
Staff Nurses/ANMs at least (3) Yes/ No
Equipments and SuppliesInjection Magnesium Sulphate Yes/ No
MVA kits Yes No
Inj. Oxytocin Yes/ No
Boyles appratus Yes/ No
Partographs Yes/ No
o our co e was e ns es o
Ambu Bag/ Radiant Warmer Equipments for CS.
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Facility Infrastructure Labour room condition Yes/ No
Plans for hospital bio-waste disposal Yes/ No
Visual Privacy in labour room Yes/ No Visua privacy in OPD Yes/ No
Back-up power facility Yes/ No
Autoclave/sterilization.
Referral Services Availability of ambulance /outsourced vehicle: Yes/ No
Client Convenience Client Convenience
Covered waiting area Yes/ No
Se arate fn & clean toilets for M F Yes No Signage to guide clients Yes/ No
Record Review Average no of monthly Institutional Deliveriesor as mon s
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