Researcher: |
YES (1) |
NO (0) |
Records and supplies |
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Has list of pregnant women in area of coverage |
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For each pregnant women, schedules 2 visits during pregnancy noted on List of Pregnant Women or calendar |
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Has list of mothers having newborns |
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Schedules post natal home visits |
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Has all job aids (counseling cards, registers, equipment) |
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TOTAL score (out of 5) |
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Good communication skills |
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Greeting. |
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Explains why she is visiting today. |
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Acts with confidence. |
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Speaks in a gentle tone of voice, shows respect |
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Uses simple words in local language. |
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Uses any training aids appropriately |
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Asks the woman if s/he has any questions. |
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Answers clearly. |
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Thanks her for visit. |
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Says when s/he will return. |
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TOTAL score (out of 10) |
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Hand Washing |
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Removes bracelet and watch |
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Wets hands and arms to elbow |
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Applies soap and scrub arms, hands and nails |
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Rinses with clean water |
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Air dries with hands up |
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TOTAL score (out of 5) |
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Pregnancy Home Visit 1 |
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Good Communication Skills(Above) |
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Uses counseling cards/referral notes |
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Counsels on importance of ANC |
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Counsels on danger signs during pregnancy |
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Counsels on health facility delivery |
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Counsels on good nutrition and rest |
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Counsels on individual birth plans |
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Completes Pregnant Mothers register |
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TOTAL score (out of 8) |
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Pregnancy Home Visit 2 |
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Good Communication skills (above) |
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Uses counseling cards appropriately |
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Counsels on Birth Plan |
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Counsels/screens for danger signs |
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Counsels on breastfeeding |
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Counsels on good nutrition and rest |
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Counsels on immediate newborn care |
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Completes Mother and Newborn Form correctly |
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TOTAL score (out of 8) |
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Postnatal home visit |
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Good Communication skills (above) |
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Uses counseling cards appropriately |
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Conducts immediate newborn care (drying and wrapping in warm clothes) |
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Assists in initiation of breastfeeding within one hour) |
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Provides cord care |
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Observes a breastfeed |
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Teaches correct positioning and attachment appropriately |
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Assesses newborn (weight, respiration, temperature) |
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Provides eye care |
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Counsels on continued newborn care |
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TOTAL score (out of 10) |
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Skills checklist |
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Appropriately warms the newborn |
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Correctly weighs the newborn |
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Correctly counts respiratory rate |
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Correctly takes newborn temperature |
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TOTAL score (out of 4) |
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