This document summarizes activities at the Janakpur Zonal Hospital in Nepal from June 2011 to November 2011. It describes training provided to hospital staff on infection prevention, maternal and newborn health, anesthesia, and skilled birth attendance. It also reports on the implementation of quality standards and use of the QI tool at the hospital. Metrics on maternal health services from a 5 month period show totals for admissions, deliveries, C-sections, births, and complications. In-service training was provided to over 200 staff on infection prevention, maternal health, and skilled birth attendance. Implementation of quality standards increased from 39.3% to 78%. Service data from 5 months showed over 5000 deliveries with rates of C-sections, births

1. PRESENTED BY:
KAMALA RAI
UNICEF
DEC.2011.

3. JANAKPUR ZONAL HOSPITAL
BACKGROUND:
 Eastablished-1924
Government sanctioned Bed - 200 .
Maternity-35 bed ( including labor table).
Doctor in MTY- 5
Nursing staffs-10
Supporting staffs-10

4. Previous Hospital Situation

5. Delivery set/ sterilization(HLD)

6. Labour room

7. Nursing incharge room

8. 7th JUNE,2011 unicef WORKING START with
hospital team:

9. IN-SERVICE TRAINING:
 INFECTION & PREVENTION-3 GROUPS.
- 1ST GROUP-25 PARTICIPANTS (June 14th-
16th, 2011).
-2nd GROUP-25 PARTICIPANTS(June20th-
22,2011).
-3rd GROUP-38
PARTTICIPANTS(Sept.7TH,8TH 2011)

10. Training for supporting staffs.

11. In-service training for nursing
staffs:

12.  MNH TRAINING:
-1ST GROUP- 12 PARTICIPANTS (June24th-26th
2011).
-2nd GROUP-12PARTICIPANTS (June27th- 29th
2011)
 AI TRAINING:
-65 PARTICIPANTS (July 12th -14th,2011)
 CTS TRAINING:
-16 PARTICIPANTS(NOV. 11th -15th, 2011).

13. July 16 th
2011-JANAKPUR
ZONAL HOSPITAL
PROGRESSMENT REPORT
PRESENTATION ON SBA
REVIEW MEETING IN
DHULIKHAL.

14. 22 nd
July ,2011-FROM NHTC
THROUGH JANAKPUR
ZONAL HOSPITAL SBA
TRAINING SITE
SUPERVISION FINAL
VISIT(Dr.RAMILA).

15. QITOOL IMPLEMANTION:
1ST IMPLEMENT-JULY 18th- 21st
2011 QUALITY STANDARD
ACHIVEMENT 39.3%.
2nd IMPLEMENT- NOVEMBER
LAST 2011 STANDARD
ACHIVEMENT 78%

16. CONTINUE…….
 1ST BATCH SBA TRAINING-10
PARTICIPANTS(1ST AUGUST 2011)

17. CONTINUE……
• CTS TRAINING-16
PARTICIPANTS(11th-15th NOVEMBER
2011).

18. CONTINUE…..
 2nd BATCH SBA TRAINING -12 PARTICIPANTS
(28thNOVEMBER 2011)

19. MATERNITY 5 MONTH DELIVERY DATA
RECORD(068yr. SHRAWAN-MINGSHIR)
SERVICES SHARWA BHADRA ASWMIN KAKRTIC MANGSIR Total
N
Total 1174 1117 1023 1007 958 5279
Admission
T. delivery 1149 1150 995 982 905 5181
N/delivery 946 892 798 757 714 4107
Vacuum/D 0 47 54 53 24 178
B.V.D 6 13 15 10 15 59
Twins V.D. 20 10 9 8 12 59
P.V.D. 9 1 1 14 2 27
LSCS 168 187 118 140 138 751
T.alive baby 1117 1109 958 954 906 5044
Male 578 628 559 512 432 2709
Female 539 481 399 442 474 2335

20. CONTINUE……
SERVCES SHARWAN BHADR ASWMIN KARTICK MANSHI Total
A R
T. stillbirth 52 51 46 36 11 196
Male 24 24 22 21 6 97
Female 28 27 24 15 5 99
Eclampsia 3 4 9 7 9 44
MVA 0 8 5 5 2 17
PPH 2 4 2 2 3 13
Retain 1 1 2 2 5 11
placenta
Blood 33 52 50 52 35 222
Transfusion
M.Death 3 1 3 - 3 10
Total baby 1169 1160 1004 990 917 5240
birth