This document discusses indicators for measuring newborn health and mortality. It outlines progress made by various groups in establishing standardized indicators, including:
1. The Newborn Indicator Technical Working Group is working to establish core indicators for postnatal care, newborn behaviors, and newborn services in facilities.
2. The Countdown to 2015 initiative tracks coverage of interventions to reduce maternal and child mortality in 68 countries.
3. Core indicators are proposed for measuring kangaroo mother care in facilities, including the percentage of low birthweight babies receiving kangaroo mother care.
Newborn survival and perinatal health in resource-constrained settings in Asia and the Pacific: Applying Global Evidence to Priorities Beyond 2015
12 April 2013
“Feedback from Parallel Session on Monitoring Progress” (English)EveryWomanEveryChild
"Feedback from Parallel Session on Monitoring Progress." (English)
Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health, Ottawa.
Session 3D: Global Monitoring of Progress
21-22 November 2011
Nepal has achieved MDG goals 4 and 5 for child mortality and maternal health. The poster from JSI's Penny Dawson at the 2014 World Congress on Public Health in Kolkata, India, outlines key contributing factors, including the policy environment, government commitment, health financing, mobilization of female community health workers, and infrastructure and logistics.
Early interpretations of trends in nutrition outcomes, determinants and inter...POSHAN
This slide deck is an evolving work in progress, with updates being made frequently. If you want to use or cite this, please email us at IFPRI-POSHAN@cgiar.org to receive the most updated version.
Newborn survival and perinatal health in resource-constrained settings in Asia and the Pacific: Applying Global Evidence to Priorities Beyond 2015
12 April 2013
“Feedback from Parallel Session on Monitoring Progress” (English)EveryWomanEveryChild
"Feedback from Parallel Session on Monitoring Progress." (English)
Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health, Ottawa.
Session 3D: Global Monitoring of Progress
21-22 November 2011
Nepal has achieved MDG goals 4 and 5 for child mortality and maternal health. The poster from JSI's Penny Dawson at the 2014 World Congress on Public Health in Kolkata, India, outlines key contributing factors, including the policy environment, government commitment, health financing, mobilization of female community health workers, and infrastructure and logistics.
Early interpretations of trends in nutrition outcomes, determinants and inter...POSHAN
This slide deck is an evolving work in progress, with updates being made frequently. If you want to use or cite this, please email us at IFPRI-POSHAN@cgiar.org to receive the most updated version.
MEASURE Evaluation PIMA poster on maternal morbidity and mortality. Access a larger version at https://www.measureevaluation.org/pima/maternal-and-reproductive-health/maternal-mortality-poster.
New Perspectives in M&E within Changing Contexts of Civil and Political Insta...MEASURE Evaluation
Presented by Erin Eckert, PMI/USAID, as part of a symposium organized by MEASURE Evaluation and MEASURE DHS at the 6th MIM Pan-African Malaria Conference.
Washington Global Health Alliance Discovery Series
Catherine Wilfert, MD [
December 1, 2008
'Global Prevention of Mother to Child Transmission of HIV-1'
This seminar - hosted by the MARCH Centre at the London School of Hygiene and Tropical Medicine - highlights the experiences of Last Ten Kilometer project (L10K) in community-based approaches leading to improved Reproductive, Maternal, Newborn and Child Health (RMNCH) care behaviours and practices in rural Ethiopia.
IHME's Dr. Lozano presents the results of IHME's research on maternal mortality, which shows that global maternal deaths are declining.
For more information visit www.healthmetricsandevaluation.org
Cost implications of scaling up essential nutrition interventions in India an...POSHAN
This presentation was made by Suman Chakrabarti (IFPRI) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
This presentation provides an overview of the history of malaria reactive case detection in Zanzibar, including the use of mobile technology to facilitate and monitor the process. It also provides a brief look at the latest version of the Coconut Surveillance mobile software used in Zanzibar. Part of the work represented in this presentation was supported by Cooperative Agreement 621-A-00-10-00015-00, funded by the President’s Malaria Initiative (PMI). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of PMI or the U.S. Government.
IR-cases Contest 2013 - Details & Award ceremony photo-reportStanislav Martyushev
Конкурс IR-кейсов 2013 – Подробности по Конкурсу & Фото-отчет о Церемонии награждения
IR-cases Contest 2013 - Details & Award ceremony photo-report
==========================================================================
!!! Для просмотра презентации в хорошем качестве прошу Вас скачивать PDF-файл.
Пишите на мой e-mail: ipospo СОБАЧКА yandex ТОЧКА ru.
Комментарии? Критика? Бизнес-предложения? :)
MEASURE Evaluation PIMA poster on maternal morbidity and mortality. Access a larger version at https://www.measureevaluation.org/pima/maternal-and-reproductive-health/maternal-mortality-poster.
New Perspectives in M&E within Changing Contexts of Civil and Political Insta...MEASURE Evaluation
Presented by Erin Eckert, PMI/USAID, as part of a symposium organized by MEASURE Evaluation and MEASURE DHS at the 6th MIM Pan-African Malaria Conference.
Washington Global Health Alliance Discovery Series
Catherine Wilfert, MD [
December 1, 2008
'Global Prevention of Mother to Child Transmission of HIV-1'
This seminar - hosted by the MARCH Centre at the London School of Hygiene and Tropical Medicine - highlights the experiences of Last Ten Kilometer project (L10K) in community-based approaches leading to improved Reproductive, Maternal, Newborn and Child Health (RMNCH) care behaviours and practices in rural Ethiopia.
IHME's Dr. Lozano presents the results of IHME's research on maternal mortality, which shows that global maternal deaths are declining.
For more information visit www.healthmetricsandevaluation.org
Cost implications of scaling up essential nutrition interventions in India an...POSHAN
This presentation was made by Suman Chakrabarti (IFPRI) in the session on ‘Big numbers about small children: Research on nutrition financing’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
This presentation provides an overview of the history of malaria reactive case detection in Zanzibar, including the use of mobile technology to facilitate and monitor the process. It also provides a brief look at the latest version of the Coconut Surveillance mobile software used in Zanzibar. Part of the work represented in this presentation was supported by Cooperative Agreement 621-A-00-10-00015-00, funded by the President’s Malaria Initiative (PMI). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of PMI or the U.S. Government.
IR-cases Contest 2013 - Details & Award ceremony photo-reportStanislav Martyushev
Конкурс IR-кейсов 2013 – Подробности по Конкурсу & Фото-отчет о Церемонии награждения
IR-cases Contest 2013 - Details & Award ceremony photo-report
==========================================================================
!!! Для просмотра презентации в хорошем качестве прошу Вас скачивать PDF-файл.
Пишите на мой e-mail: ipospo СОБАЧКА yandex ТОЧКА ru.
Комментарии? Критика? Бизнес-предложения? :)
Деловая игра "Журналист" была придумана для того, чтобы дети могли воспользоваться возможностью на собственном опыте соприкоснуться с реальной жизнью, которая их окружает. Но не просто скользнуть по ней взглядом, а стать активным наблюдателем. Включиться, разобраться во внутренних механизмах, пообщаться со специалистами своего дела. И тогда вся жизнь вокруг вдруг станет школой. Школой жизни, вызывающей неподдельный интерес.
This is a powerpoint presentation converted to PDF regarding a consumer perspective on our state health system. Just the basic facts and what we need to still address, even after health reform. Brought to you by Jodiesjourney.com
This presentation is all about the epidemiology of stillbirths, in India. It talks about the different challenges in controlling the stillbirths and the strategies of controlling it. The INAP guideline of Government of India, which is a stepping stone for controlling stillbirths in India, is also discussed here.
Monitoring and Evaluation Framework for MAA: Mothers’ Absolute AffectionNandlal Mishra
Mothers’ Absolute Affection (MAA): A Nationwide programme of the Ministry of Health and Family Welfare, Government of India initiated in August 2016 aims to revitalize efforts towards promotion, protection and support of breastfeeding practices through health systems to achieve higher breastfeeding rate.
The Philadelphia Department of Public Health's Kathleen Brady presented on Philadelphia's Fetal Infant Mortality Rate (FIMR) process at the January 2015 meeting of the Philadelphia Ryan White Part A Planning Council.
Success beyond numbers: The Salud Mesoamerica Initiative’s results-based fin...RBFHealth
The Salud Mesoamérica Initiative (SMI) is a public-private partnership between the Bill & Melinda Gates Foundation (BMGF), the Carlos Slim Foundation, the Government of Spain, the Inter-American Development Bank (IDB), the countries of Central America and the State of Chiapas in Mexico. SMI works to reduce maternal and health inequalities through a results-based financing model, aligned with priorities established by the governments of the region. Among the poor in Mesoamerica, only 5 out of every 10 pregnant women are attended during childbirth by skilled birth personnel and the mortality rate among children in poverty is twice that of the national average.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
5. Progress to MDG 4 – child survival (global) MDG 4 target (32) Ref: Lawn, Kerber et al BJOG 2009 updated with data for 2008 from UN Child Mortality Group, WHO//CHERG and IHME (Rajaratnam J eta l 2010) 3.6 million neonatal deaths 41% of under 5 deaths: Links closely with MDG 5 We are at a tipping point regardless of the estimates used USA NMR is 4
6. Progress towards MDG 4 in 2008 On track: under-five mortality rate (U5MR) is less than 40, or U5MR is 40 or more and the average annual rate of reduction (AARR) in the U5MR observed for 1990-2008 is 4.0 percent or more No Progress: U5MR is 40 or more and AARR is less than 1.0 per cent Insufficient Progress: U5MR is 40 or more and AARR is less than 4.0 percent but equal to or greater than 1.0 percent Data not available Source: UNICEF, The State of Africa’s Children. Celebrating 20 Years of the Convention on the Rights of the Child. New York, 2010 (Table 10. The rate of progress)
7. Global progress to MDG 5 – maternal survival (Africa) Ref: Kinney et al, PLoS 2010. Data from Hill et al 2007, Hogan et al 2010. Overlapping estimates Still not enough progress
8.
9.
10.
11.
12.
13. Countdown to 2015: Finance Download the Countdown to 2015 meeting presentations: www.countdown2015mnch.org/conferences/2010conference/2010-session-reports
14.
15.
16. Gap between poorest and richest households along the continuum of care in Uganda Uganda DHS 2006
17. Locally owned and led data for action Country data profiles Translating data into policy and programmatic action
Despite the various efforts of African countries to reduce under-five mortality rates by two-thirds from 1990 levels, by the year 2015, on the whole, progress to date is insufficient to meet the targets. The 2010 UNICEF State of the World’s Children report indicated that only six countries in the region are estimated to be on track to achieving MDG4 (Botswana, Cape Verde, Eritrea, Malawi, Mauritius and Seychelles). Twenty-seven countries in the region are estimated as making insufficient progress while the remaining thirteen are not making progress
The focus of this session is on program level indicators for newborn health. As you will see from this presentation, the field of newborn health indicators is still very much in development. While a lot of progress has been made in recent years, we still have a lot more to do and this presents an opportunity for Save the Children to contribute. This presentation will give an overview of developments in newborn health indicators and the work of the Newborn Indicator Technical Working Group, outline some indicators for facility-based KMC, and highlight some helpful resources. We would like to follow the presentation with some questions and discussions.
To address these gaps, the Saving Newborn Lives program of Save the Children convened a meeting of experts in April 2008 to initiate the dialogue. As a result of this meeting, an Inter-agency technical working group was formed. The TWG includes representatives from UNICEF, WHO, Macro, USAID, Save the Children, SNL, MCHIP and others. Based on recommendations from the TWG, several research studies have been conducted. Data from Bangladesh (2004 and 2007 DHS) and Egypt (2005 and 2008) were analyzed to examine postnatal care for women and newborns for home and facility births over time. Macro also conducted a qualitative study to look at women’s recall of birth, postnatal and immediate newborn care among women with home deliveries and facility deliveries over varying time periods (1-2 years and 1-3 months) in Bangladesh and Malawi. Women were asked to provide a narrative of birth narrative and experience with PNC. In addition, mothers were asked about some specific aspects of delivery process, newborn care and content of PNC check-ups using a structured questionnaire. The findings have been very helpful for improving questions on immediate newborn care practices and PNC. The report from Macro’s qualitative study is available and I am happy to share an electronic copy so please just let me know if you are interested. UNICEF conducted a pilot of their PNC questions in Kenya and have used their findings to refine the MICS round 4 questionnaire. The study in Ghana is ongoing and similar to that from Malawi and Bangladesh. Data are currently being analyzed.
The TWG has identified some areas to focus its efforts on. These include standardizing measurement of PNC, newborn behaviours and practices, and newborn care at facilities. Other areas are also on the table for discussion.
In DHS, measurement of timing, place and provider of PNC has historically been measured for home births and focussed on a check on the mother’s health. This was then expanded to include questions about checks for newborns, but only for those born at home. Consensus from extensive discussion and debate is that all births should be included in the denominator and that data should be comparable for the mother and the baby. The first visit should take place within two days of birth (regardless of where the birth took place). Place of the check and who provides the check will vary and need to be defined locally. There are still issues with the numerator – what constitutes a check, how do we differentiate checks that happen immediately after birth that can be considered intrapartum from those that are post natal checks
The new MICS questionnaire is tackling these issues and has developed a module that essentially classifies births into three types – those that take place in the facility, those that take place at home with an attendant, and those that take place at home without an attendant. For births in the facility, women will be asked how long they stayed in the facility, if they had a check before they were discharged, and if they had a check after discharge. Attended home births will be asked if they received a check from the provided after birth and if they had a follow-up check that took place AFTER the initial attendant left. Unattended home births will be asked if they had a check with a provided. All will be asked who was the provider, where the check took place and when it took place. These data will be analyzed to create one PNC indicator for mothers and one for newborns. There is also progress on the DHS side. They will now include all births in the denominator. The question on duration of stay in health facility was removed and there is no plan at present to add it back, but could be up for discussion. The group outlined some important outstanding issues for further work. We still lack standardized indicators and questions that address the content of PNC visit and are grappling with how to distinguish between checks that take place immediately after birth and those that are ‘true’ postnatal checks. Analysis of DHS data shows that many of the PNC checks reported by mothers take place within the first few hours after birth. Yet, there is no agreement yet on what the minimum time cut-off might look like.
At the first TWG meeting the group reached consensus on questions and indicators related to baby’s’ weight and size and to the time of first breastfeed. There was also consensus around areas that require additional work, such as thermal care, care-seeking, cord care. Measurement in these areas is still very much a work in progress and there is extensive variation in how people approach asking questions about these immediate newborn practices. Even within SNL’s baseline studies we see 5-6 different ways of asking about drying the baby for example. Work is also underway to quantify the effect of immediate newborn care practices, and the hope is that these practices will be added to the next version of the Lives Saved Tool.
Group selected five practices to focus on defining indicators and questions and some progress has been made. In brief, the ideal is that babies are wiped dry immediately after birth, but the challenge is how to measure ‘immediately’. The group has agreed to use ‘as soon as the baby is born’ to be more specific, but measurement issues remain and there is no easy way to ask about timing. Macro’s work shows that the delivery of the placenta is not a good way to understand the timing, since when the placenta is delivered is quite variable among women. Many women that are non-literate or poor may not be comfortable explaining time in terms of minutes, for example. Macro’s work also suggested that nearly all babies that are dried are also wrapped, so it might not be necessary to ask about wrapping. Analysis of SNL’s baseline studies will offer some additional information to guide these decisions and inform optimal ways to ask these questions. Delayed bath is quite straightforward and guidance is that by keeping the question open we will be able to analyze according to different cut-offs. Current WHO recommendation is to delay bath at least 6 hours, but this may be changing to 24 hours soon.
Other important areas are also up for discussion including use of clean delivery kits, skin-to-skin, care of small babies and care-seeking for newborn illness. SNL has included questions in all these areas in several baseline studies and will look at these as well in some endlines to help inform this discussion. To this end, a draft questionnaire has been developed and work is being done over the next few months to refine and test these questions. A key piece of this will be analyzing data from SNL baselines to learn how to move from the variation towards standardization.
Measuring newborn services at health facilities is an emerging and very important area. We lack standard indicators to measure availability and quality of services and lag behind measurement of services for maternal and child health. There is agreement that the Service Provision Assessments (SPAs) by DHS should be expanded to include observation of delivery and newborn care. MCHIP is conducting a pilot SPA in Kenya that will test out some instruments to measure newborn services. There are also other tools such as the DHS SPA and the MACRO Rapid Health Services Assessments that can be reviewed as a starting point.
There are also reports available that provide details on the TWG discussions and we are happy to share those via email.
Kangaroo Mother Care … Draft tools such as registers, patient charts, monthly reports and supervision materials are being developed to support program monitoring and implementation; we do have examples from existing programs that we are happy to share if anyone is interested.
Indicators are for facility KMC only Operational refers to facilities that routinely practice continuous skin-to-skin and breastfeeding (or appropriate feeding) for babies who are LBW (<2500 g) on admission to facility Lost to follow-up means missed two or more subsequent follow-up visits
Graduated means the baby has successfully completed KMC based on standard criteria (TBD)
![Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)