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    SCBC Base Line Assessment Tool

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    Amenti Teka
    This document contains a baseline assessment checklist for a pilot of a safe childbirth checklist at a health facility. The checklist contains 14 questions to assess whether the facility has separate rooms for labor, delivery, and postnatal care. It also checks whether essential supplies, equipment, and services are available for safe delivery and immediate newborn care, such as whether the partograph is used, HIV testing is available, and newborns receive basic care like skin-to-skin contact and breastfeeding initiation within 1 hour of birth. Facility readiness is assessed through direct observation, reviewing recent delivery records, and asking mothers and health professionals at the facility.

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    SCBC Base Line Assessment Tool

    Uploaded by

    Amenti Teka
    24 views2 pages
    This document contains a baseline assessment checklist for a pilot of a safe childbirth checklist at a health facility. The checklist contains 14 questions to assess whether the facility has separate rooms for labor, delivery, and postnatal care. It also checks whether essential supplies, equipment, and services are available for safe delivery and immediate newborn care, such as whether the partograph is used, HIV testing is available, and newborns receive basic care like skin-to-skin contact and breastfeeding initiation within 1 hour of birth. Facility readiness is assessed through direct observation, reviewing recent delivery records, and asking mothers and health professionals at the facility.

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    This document contains a baseline assessment checklist for a pilot of a safe childbirth checklist at a health facility. The checklist contains 14 questions to assess whether the facility has separate rooms for labor, delivery, and postnatal care. It also checks whether essential supplies, equipment, and services are available for safe delivery and immediate newborn care, such as whether the partograph is used, HIV testing is available, and newborns receive basic care like skin-to-skin contact and breastfeeding initiation within 1 hour of birth. Facility readiness is assessed through direct observation, reviewing recent delivery records, and asking mothers and health professionals at the facility.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views2 pages

    SCBC Base Line Assessment Tool

    Uploaded by

    Amenti Teka
    This document contains a baseline assessment checklist for a pilot of a safe childbirth checklist at a health facility. The checklist contains 14 questions to assess whether the facility has separate rooms for labor, delivery, and postnatal care. It also checks whether essential supplies, equipment, and services are available for safe delivery and immediate newborn care, such as whether the partograph is used, HIV testing is available, and newborns receive basic care like skin-to-skin contact and breastfeeding initiation within 1 hour of birth. Facility readiness is assessed through direct observation, reviewing recent delivery records, and asking mothers and health professionals at the facility.

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    JSI/ Transform Primary health care project

    Base line assessment to pilot safe child birth checklist

    Health facility location: Region_______________________ Zone________________________

    Woreda_____________________________ Facility Name______________________________

    1. Are there separate labor (with beds), delivery (with delivery coach) and postnatal (with

    beds) rooms in the facility? ⃝ Yes ⃝ Not adequate ⃝ No

    2. Are there health professionals (midwives) in the delivery room 24/7? ⃝ Yes ⃝ No

    3. How many BEmONC trained health professionals (HPs) are available in the facility? ______

    4. Are quick checks for danger signs performed before referral/admission of mothers? ⃝Yes

    ⃝ No

    5. Are there functional referral linkages and feedback mechanisms for both mother and

    newborn? ⃝ Yes (Check for copies of referrals and feedback) ⃝ No

    6. Is partograph being used for all laboring mothers at the facility? ⃝ Yes (Check utilization

    and completeness from 3 records of deliveries in past one week) ⃝ No

    7. Are all required labor and delivery equipments available? ⃝ Yes (Check) ⃝ No

    8. Are there HIV testing and treatment services for the mother and baby both during ANC and

    Delivery? ⃝ Yes (Check for presence of test kits and drugs) ⃝ No

    9. Are all the necessary supplies in labor, delivery and postnatal rooms available? ⃝ Yes

    (Check and put √ on the available ones: Oxytocin, IV fluids, antibiotics, magnesium sulfate,

    antiretroviral drugs, vitamin K, TTC eye ointment, BCG, OPV, gloves, syringes, soap, water,

    alcohol hand rub) ⃝ No

    1
    JSI/ Transform Primary health care project
    10. Are essential supplies for mother kept at bed side before delivery? ⃝ Yes (Observe/ask and

    put √ on the present: Gloves, soap/savlon and clean water, oxytocin 10 IU in syringe) ⃝ No

    11. Are essential supplies for baby kept at bed side just before delivery? ⃝ Yes (Observe/ask

    and out √ on the present: 2 clean dry warm towels, sterile scissors to cut cord, suction

    device, bag and mask, sterile cord tie/clamp) ⃝ No

    12. Are relatives encouraged to accompany laboring mothers during labor and delivery? ⃝ Yes

    (Ask mothers in the facility at time of assessment) ⃝ No

    13. Are newborns provided with basic immediate new born care? ⃝ Yes (Check and put √ on

    the cares being provided: Placing baby in skin to skin contact, breast feeding initiated within

    1 hour of birth if mother and child are well, vitamin K given 1 mg IM on anterior mid-thigh,

    TTC eye ointment given in both eyes, baby weighted and recorded, BCG and OPV given

    before discharge) ⃝ No

    14. Are mothers properly counselled before discharge? ⃝ Yes (Ask mothers/HPs and put √ on

    the covered topics: Counselled on family planning and offered, exclusive breast feeding for

    6 months, immunization, hygiene, danger signs in both mother and newborn, need for PNC

    and follow up arranged) ⃝ No

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