EVIDENCE-BASED IMNCI, VHND AND RI SERVICE DELIVERY THROUGH HEALTH SYSTEM STRENGTHENING IN ODISHA – AN EXTERNAL MONITORING DEMONSTRATION PROJECT (3 RD QUARTER FINDINGS) Public Health Foundation of India (IIPHB) In collaboration with UNICEF & Govt. of Odisha
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Quarterly Findings-Evidence based IMNCI,VHND & RI Service delivery through Health system strengthening in Odisha
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EVIDENCE-BASED IMNCI, VHND AND RI SERVICE DELIVERY THROUGH HEALTH
SYSTEM STRENGTHENING IN ODISHA – AN EXTERNAL MONITORING
DEMONSTRATION PROJECT(3RD QUARTER FINDINGS)
Public Health Foundation of India(IIPHB)In collaboration withUNICEF & Govt. of Odisha
PROJECT AREA
DISTRICT BLOCK SECTOR
BOLANGIR 8 8
NUAPADA 3 3
KORAPUT 8 8
NABRANGPUR
7 7
MALKANGIRI
4 4
TOTAL 30 30
SAMPLE SIZEBaseline (Jul-Sept)
1st Quarter (Oct-Dec)
2nd Quarter (Jan-Mar)
3rd Quarter(Apr-Jun)
RI VHND
IMNCI
RI VHND
IMNCI
RI VHND
IMNCI
RI VHND
IMNCI
Bolangir 32 32 64 8 21 29 8 13 18 9 17 24
Nuapada 11 12 23 9 10 14 7 10 8 3 4 5
Koraput 27 32 64 9 24 19 10 15 11 7 15 12
Nabarangpur
24 28 53 9 15 14 6 10 9 6 11 10
Malkangiri 14 14 34 8 13 12 7 9 16 6 11 10
Total 108
118 238 43
83 88 38 57 62 31
58 54
TREND ANALYSIS…(ROUTINE IMMUNIZATION)
VACCINE AVAILABILITY
98.5
99.5
99
100100 100
BolangirIn
%
88
94
100 100
93
100100
Nuapada
In %
88
94
100
9399
97100
Koraput
In %
8090
100
87100
100
93
NabarangpurIn
%
959799
97100
100
100
MalkangiriIn
%
AVAILABILITY OF SYRINGES
88
94
100 98 9692
100
BolangirIn
%
94
97
100 100
96
100100
Nuapada
In %
98.5
99.5
99
100
100100
Koraput
In %
9296
100
95100
100 100
NabarangpurIn
%
04080
100100
100
100
MalkangiriIn
%
AVAILABILITY OF BLANK MCP CARDS
04080
63 6382 78
BolangirIn
%
758595
89100
85
100Nuapada
In %
04080 85
44
50
29
Koraput
In %
0
6087
3317
33
NabarangpurIn
%
04080 64 100
100
67
MalkangiriIn
%
AVAILABILITY OF DRUGS (ORS & PARACETAMOL)
04080
98 10063
89
BolangirIn
%
04080 82 100 100
100Nuapada
In %
04080 94 100
85
57
Koraput
In %
0
6092 100 75
100
Nabarangpur
In %
758595
85100
100
100
MalkangiriIn
%
AVAILABILITY OF COUNTERFOILS
04080 72
25 25
67
BolangirIn
%
04080
4578 80
100Nuapada
In %
04080 85 100 60
43
Koraput
In %
0
6087
89 5083
Nabarangpur
In %
04080 79 100
86
50
MalkangiriIn
%
AVAILABILITY OF FUNCTIONAL HUB CUTTER
04080 81
63 5088
BolangirIn
%
04080
45 4486
100Nuapada
In %
758595
9389
100
86
Koraput
In %
85
95 92100
100
100
Nabarangpur
In %
04080 93
100
100
83
MalkangiriIn
%
USE OF TALLY SHEET
04080
47
100
5078
BolangirIn
%
04080 73 100
71
100Nuapada
In %
758595
89100 90
86
Koraput
In %
85
95 92100
100
100
Nabarangpur
In %
04080 79
8871
100
MalkangiriIn
%
WASTE DISPOSAL (SYRINGE CUT AFTER USE)
04080
10063 50
78
BolangirIn
%
04080 73
5643
100Nuapada
In %
758595
85 89
100
86
Koraput
In %
0
6092
6767
100
Nabarangpur
In %
04080 93
88
100
83
MalkangiriIn
%
AVD IMPLEMENTATION
04080
50 50 63 78
BolangirIn
%
04080
54100
86
100Nuapada
In %
04080
5944
4857
Koraput
In %
0
60 5844
5083
Nabarangpur
In %
04080
5050
57
67
MalkangiriIn
%
WASTE DISPOSAL (SEGREGATION)
04080 81 75 88 89
BolangirIn
%
04080
10089
71
100Nuapada
In %
04080 93 100
100
71
Koraput
In %
0
6071
78
100
100
Nabarangpur
In %
04080 93
100
100
83
MalkangiriIn
%
DELIVERY OF 4 KEY MESSAGES
04080 81
13 3878
BolangirIn
%
04080 82
3314
100Nuapada
In %
04080 85
20
80100
Koraput
In %
0
60 58
22
33 83
Nabarangpur
In %
04080 50
50
71100
MalkangiriIn
%
ASKING BENEFICIARIES TO WAIT FOR 30 MINS.
04080
3125 50
89
BolangirIn
%
04080
27
67
29
67
Nuapada
In %
04080
7455
60 86
Koraput
In %
0
60 42
11
50
50
Nabarangpur
In %
04080
3663
86100
MalkangiriIn
%
HEALTH SUPERVISOR’S VISIT IN LAST 3 MONTHS
04080
56
75 88 100
BolangirIn
%
04080 91 78
71
100Nuapada
In %
04080 93
56
7071
Koraput
In %
0
60 79
33
50 100
Nabarangpur
In %
04080
93
75
7183
MalkangiriIn
%
VILLAGE HEALTH AND NUTRITION DAY
SESSION SITE-AWC
04080 75 81
6182
BolangirIn
%
04080
75 90 9050
Nuapada
In %
04080 69 75 80
67
Koraput
In %
04080
79 67 5082
NabarangpurIn
%
04080 64 77 78 73
MalkangiriIn
%
PRESENCE OF HEALTH SUPERVISORS
04080
11
52 6282
BolangirIn
%
04080
75 9070 75
Nuapada
In %
04080
25 17 20 33
Koraput
In %
04080
96 93 90 82Nabarangpur
In %
04080 79
3856
82
MalkangiriIn
%
PRESENCE OF ICDS SUPERVISORS
04080
0 0 8 0
BolangirIn
%
04080
0 0 025
Nuapada
In %
04080
6 4 6 7
Koraput
In %
04080
0 0 0 0
NabarangpurIn
%
04080
023 22 27
MalkangiriIn
%
AVAILABILITY OF EXAMINATION TABLE
04080 66 47 62 70
BolangirIn
%
04080
92 83 90100
Nuapada
In %
04080
47 2540 40
Koraput
In %
04080 67
33 5073
NabarangpurIn
%
04080
2950 44
91
MalkangiriIn
%
AVAILABILITY OF SCREENS FOR PRIVACY
04080
31 22 31 35
BolangirIn
%
04080 58 50
70 50
Nuapada
In %
04080
1230
50 47
Koraput
In %
04080 48
11 20
82Nabarangpur
In %
04080
7 1444
82
MalkangiriIn
%
AVAILABILITY OF DIAGNOSTIC EQUIPMENT(BP, HB, URISTIX, STETHO, MUAC, INCH TAPE, RDK, NISCHAY KIT, WEIGHING
MACHINE)
04080 73 56
83 78Bolangir
In %
04080
8267 76 70
Nuapada
In %
04080 77
5079 89
Koraput
In %
04080
77
3576
90Nabarangpur
In %
04080 79 63
86 95Malkangiri
In %
AVAILABILITY OF VHND DRUGS
04080 71
4579 63
BolangirIn
%
04080
8774
9461
Nuapada
In %
04080 68
4269 84
Koraput
In %
04080 48
3261
83Nabarangpur
In %
04080 75 83 88 96Malkangiri
In %
AVAILABILITY OF VHND DUELIST
04080 62
4169 65
BolangirIn
%
04080 42 58
8050
Nuapada
In %
04080 72 59
87 87Koraput
In %
04080
96
4880 82
NabarangpurIn
%
04080 50
79 78 91
MalkangiriIn
%
RELEVANT HISTORY TAKEN
04080 72
3862 76
BolangirIn
%
04080 50
17
80100
Nuapada
In %
04080
10075 80 93
Koraput
In %
04080
96
53 6091
NabarangpurIn
%
04080
29 38
8973
MalkangiriIn
%
ABDOMINAL PALPATION DONE AND RECORDED
04080
3763 64 65
BolangirIn
%
04080
0
75 6075
Nuapada
In %
04080
28
69 73 73
Koraput
In %
04080
1144 60
82Nabarangpur
In %
04080
14
8667 82
MalkangiriIn
%
FETAL HEART SOUND RECORDED
04080
37 22 1535
BolangirIn
%
04080
17 33 50 50
Nuapada
In %
04080
28 25 20 33
Koraput
In %
04080
11 7 1036
NabarangpurIn
%
04080
029 44
73
MalkangiriIn
%
URINE EXAMINATION DONE AND RECORDED
04080
1247 54
71
BolangirIn
%
04080
040 40
75Nuapada
In %
04080 81 59
73 73
Koraput
In %
04080
7452
80 82Nabarangpur
In %
04080
29
8667 82
MalkangiriIn
%
PRIVACY ENSURED DURING EXAMINATION
04080
37 38 50 53
BolangirIn
%
04080 67
17
80100
Nuapada
In %
04080
5063
2053
Koraput
In %
04080 63
37 40
82Nabarangpur
In %
04080
7
5778 82
MalkangiriIn
%
COUNSELING DONE ON DIET, DANGER SIGNS, IFA, PPTCT AND BREASTFEEDING
04080 65 54
77 66
BolangirIn
%
04080 69 70 87 86Nuapada
In %
04080 53 55
73 84
Koraput
In %
04080 52
3456
91Nabarangpur
In %
04080 59 69 86 81
MalkangiriIn
%
GROUP MEETING DONE WITH WOMEN
04080
8153 69 53
BolangirIn
%
04080
10075 60
75Nuapada
In %
04080
47 5020
67
Koraput
In %
04080 44 41
2055
NabarangpurIn
%
04080
36
8667 64
MalkangiriIn
%
GROUP MEETING DONE WITH MEN
04080
0
63
15 23
BolangirIn
%
04080
0
67
0 0
Nuapada
In %
04080
322 0 13
Koraput
In %
04080
0 11 0 0
NabarangpurIn
%
04080
029
11 9
MalkangiriIn
%
AVAILABILITY OF OC, EC, CONDOMS
04080 56 52 61 57
BolangirIn
%
04080
80 80 80100
Nuapada
In %
04080 76 64 55 69
Koraput
In %
04080
85
43 40
85Nabarangpur
In %
04080 57 69
92 91
MalkangiriIn
%
FP COUNSELING DONE
04080
78
28
92 82Bolangir
In %
04080
100
25
80100
Nuapada
In %
04080
97 93 100 100Koraput
In %
04080
10070 60
91Nabarangpur
In %
04080
93
21
100 91
MalkangiriIn
%
INTEGRATED MANAGEMENT OF NEONATAL AND
NEONATAL ILLNESSES
HOME VISIT AS PER IMNCI GUIDELINES
04080
12
2839 54
BolangirIn
%
04080
13 2163
60
Nuapada
In %
04080
27 47
82
75
Koraput
In %
0
6012 57
7890
Nabarangpur
In %
04080
35
42
63
70
MalkangiriIn
%
IMNCI ASSESSMENT SHEETS FILLED UP
04080
2534
39 50
BolangirIn
%
04080
6129
88100
Nuapada
In %
04080
17 3227
33
Koraput
In %
0
6017 29
3160
Nabarangpur
In %
04080
35
42
63
60
MalkangiriIn
%
IMNCI MONTHLY REPORTING DONE
04080
2731
2846
BolangirIn
%
04080
029
88100
Nuapada
In %
04080
14 26
36
33
Koraput
In %
0
60
7 29
58
60
Nabarangpur
In %
04080
35
25
75
70
MalkangiriIn
%
SKILL OF WORKER (FOR 0-2 MONTHS)
04080
3547
47 56
BolangirIn
%
04080
34 4496
100Nuapada
In %
04080
20 42
5376
Koraput
In %
0
60
7 29
58
60
Nabarangpur
In %
04080
34 77
93
70
MalkangiriIn
%
SKILL OF WORKER (FOR 2 M – 5 Y)
04080
2835
40 56
BolangirIn
%
04080
28 30
9483
Nuapada
In %
04080
6 3
11 67
Koraput
In %
0
60
4 229
43
Nabarangpur
In %
04080 55
76
91
70
MalkangiriIn
%
AVAILABILITY OF IMNCI BOARD
04080
53
6 8
BolangirIn
%
04080
34 29 38 20
Nuapada
In %
04080
9 11
9 50
Koraput
In %
0
60
7 140
20
Nabarangpur
In %
04080
1533
4470
MalkangiriIn
%
AVAILABILITY OF IMNCI DRUGS
04080
5458
6134
BolangirIn
%
04080
54 3877 65
Nuapada
In %
04080
36 56
6479
Koraput
In %
0
6030 58
4665
Nabarangpur
In %
04080 62
82
74
55
MalkangiriIn
%
AVAILABILITY OF IMNCI FORMS AND FORMATS
758595
85
9694 92
BolangirIn
%
04080 95 92
8077
Nuapada
In %
04080 95 90
97
80
Koraput
In %
85
95 9594
9294
Nabarangpur
In %
04080 59
76
94
80
MalkangiriIn
%
SUMMARY OF PROGRAMME INDICATORS Continuously Improving Fluctuating Not Improving
RI
• Vaccine availability at session site
• Availability of MCP Cards
• AVD Implementation
• Availability of syringes and drugs • Use of counterfoil
• Delivery of 4 key messages • Waste Disposal
• Asking beneficiaries to wait for 30 mins after vaccination
• Availability of hub cutter • Visit of health supervisor • Use of Tally Sheet
VHND
• Visit of health supervisor• Availability of VHND
drugs• Group meeting with
men• Availability of examination table
and screens• Ensuring privacy
• Visit of ICDS supervisors
• Availability of other essential logistics
• Counseling of beneficiaries
• Participation of PRI Members
• Implementation of VHND Duelist• Group meeting with