Early Essential Newborn Care Module 1

Annual Implementation Review and Planning Guide

Excel files to enter data collected for Checklists 1 - 5

Instructions: Based on instructions provided in the Module 1 guide, enter data for each checklist in this file.

To complete the "EENC hospital impact indicator database", data are entered in two sheets: "EENC database_maternity" for indicators
collected from maternity wards and "EENC database_pediatric" for indicators collected from pediatric wards and the special care
nursery/newborn care unit. Based on data entered in these two sheets, the EENC hospital impact indicators will be automatically
calculated in the sheet "DO NOT MODIFY_Checklist_7a".

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Date(s) of assessment (DD/MM/YY) - (DD/MM/YY): 30/07/19
Name and contact details of focal person at facility:
 Checklist 1.1: Exit interviews with postpartum mothers – term babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1. Verbal Informed Consent obtained Y Y Y Y Y Y Y Y Y 9 100%

2. Identifying information of mother and baby 40893 14823 51510 114216 110989 109466 112928 117935 112660

3. Mode of delivery (V = vaginal, CS = Caesarean section) CS V V CS CS CS V V CS 5 56%

4. Age of baby (hours) 17 22 24 64 20 29 8 34 3.5

5. During childbirth,

2 22%
a. Did the mother adopt a non-supine position for some or all of the
N N N N N N Y Y NA
second stage of labour?
9 %yes

5 56%
b. Did the mother have a companion of her choice? Y N Y Y N Y N N Y
9 %yes

2 22%
c. Was the mother encouraged to eat and drink during labour? N N Y N N N N Y NA
9 %yes

2 22%
d. Did anyone push down on the mother's belly? N N Y N N N Y N NA
9 %yes

1 11%
e. Was an enema done? N N N N N Y N N NA
9 %yes

1 11%
6.     Was the baby bathed? N N N N N N Y N N
9 %yes

0 0%
a. If yes, how long after birth? (<1, 1-6, 7-<24, ≥24 hours)
9 ≥24 hours

9 100%
7. Was the baby placed in skin-to-skin contact with the mother? Y Y Y Y Y Y Y Y Y
9 %yes

5 56%
a. If yes, how long after birth (<1, 1-10, 11-59, >60 min) <1 <1 11-59 >60 1-20 <15 <1 <1 <1
9 <1 min
 Checklist 1.1: Exit interviews with postpartum mothers – term babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

b. how long did the baby remain in uninterrupted skin-to-skin contact 4 44%
before being separated from the mother for any reason? (<10, 10-29, 10-29 >90 >90 10-29 30 15 <10 >90 >90
30-59, 60-89, ≥90 min) 9 at least 90min

7 78%
c. did the baby complete the first breastfeed (attached with deep
sucking) before being separated from the mother? N Y Y N Y Y Y Y Y
9 completed
breastfeed
Reasons:
INTERVENE/
d. why was the baby separated from the mother? CLEAN FOR INJECTION CLOTHED CLEANED BABY NOT WEIGH NA
CRYING

3 33%
e. Did the baby receive immediate skin-to-skin contact, no separation
N Y N N N N N Y Y
for at least 90 minutes and until the first breastfeed was completed?
9 adequate duration

9 100%
8. Did the baby stay with the mother during the entire hospital stay Y Y Y Y Y Y Y Y Y
(rooming in)?
9 %yes

8 89%
9. Is the mother breastfeeding? Y Y Y Y Y Y N Y Y
9 %yes

2 22%
a. If yes, how long after birth did the baby first breastfeed? (<15, 15-
90, >90 min) (attached, deep sucking) >90 <15 15-90 15-90 <15 10 90 <15
9 %15-90
Time range:
b. how long did the baby breastfeed the first time? (in minutes) 40 30 40 50 5 90 2 3

9 100%
c.  since delivery was the baby fed anything other than breastmilk? N N N N N N N N N
9 %no

2 22%
d.  did the baby receive early (within 15-90 min) and exclusive N N Y Y N N N N N
breastfeeding?
9 %Early and EBF
Fluids given:
10. If the baby has been fed anything other than breastmilk, what is being
given?

0 0%
11. Has the baby been fed anything from a bottle? N N N N N N N N N
9 % yes

6 67%
12. Did the mother receive any counselling from staff on breastfeeding Y Y N N Y Y N Y Y
since the birth?
9 % yes
 Checklist 1.1: Exit interviews with postpartum mothers – term babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1 11%
13. Was anything applied to the cord stump? N DK N DK N Y N N N
9 % yes
Substances:
a. If yes, what was applied? ALCOHOL

9 100%
14. Does the mother have infant formula, baby bottles, gifts or other
N N N N N N N N N
products sponsored by baby-food companies at the hospital?
9 % no
Products:
a. If yes, ask her to show them to you and note down
the types of products.
 Checklist 1.2: Exit interviews with postpartum mothers – preterm or LBW babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1. Verbal Informed Consent obtained Y 1 100%

2. Identifying information of mother and baby 48728 (M),

002055 (B)

3. Mode of delivery (V = vaginal, CS = Caesarean section) V 0 0%

4. Age of baby (hours) 639

1 100%
5. Was the baby placed in skin-to-skin contact with the mother? Y
1 %yes

1 100%
a. If yes, how long after birth (<1, 1-10, 11-59, >60 min) <1
1 <1 min
 Checklist 1.2: Exit interviews with postpartum mothers – preterm or LBW babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

0 0%
b. how long did the baby remain in uninterrupted skin-to-skin contact
before being separated from the mother for any reason? (<10, 10-29, <10
30-59, 60-89, ≥90 min) 1 at least 90min

0 0%
c. Did the baby complete the first breastfeed (attached with deep
sucking) before being separated from the mother? N
completed
1
breastfeed
Reasons:
d. why was the baby separated from the mother? Y

0 0%
e. Did the baby receive immediate skin-to-skin contact, no separation
N
for at least 90 minutes and until the first breastfeed was completed?
1 adequate duration

0 0%
6. Is the mother breastfeeding directly from the breast? N
1 %yes

a. If yes, how long after birth did the baby first breastfeed? (<15, 15- 0 0%
90, 91 min - 24h, 1 - 2 days, > 2 days)
The baby must have been attached with deep sucking. 1 %15-90
Time range:
b. how long did the baby breastfeed the first time? (in minutes)

1 100%
c.  since delivery was the baby fed anything other than breastmilk? N
1 %no

0 0%
d.  did the baby receive early (within 15-90 min) and exclusive N
breastfeeding?
1 %Early and EBF

Err:502 Err:502
7. In the last 24 hours, how many times was breast milk given? DK
1 % >= 8

8. If the baby has been fed anything other than breast milk:

Main fluids given:

a. What was given?

0 0%
b. Was anything given before the first breastfeed? N
1 %yes

0 0%
9. Is the mother giving breast milk by means other than directly from the
breast (e.g. by expressing breast milk and feeding by other means)? N
1 %yes

0 0%
a. If yes, how is the breast milk being given? (cup, spoon or stomach
tube or bottle) %cup, spoon,
0 stomach tube

0 0%
b. In the past 24 h, how often did she express breast milk? (frequency in
hours)
0 % >= 8

0 0%
c. For babies over 32 weeks, did the mother attempt breastfeeding
before giving breast milk not by breast?
0 %yes

0 0%
10. Has the baby been fed anything from a bottle? N
1 % yes
 Checklist 1.2: Exit interviews with postpartum mothers – preterm or LBW babies

Answer the questions with: Y (=yes) or N (=no), unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

0 0%
11. Did the mother receive any counselling from staff on breastfeeding N
since the birth?
1 % yes

0 0%
12. Does the baby weigh < 2000g? N
1 % yes

0 0%
a. If yes, did the baby receive KMC in the past 24 hours?
0 % yes

0 0%
b. For how many hours was KMC applied? (0, <1, 1-4, 5-19, ≥ 20
hours)
0 % ≥ 20 hours

0 0%
c. How long was the longest separation?
0 % < 30 min

0 0%
d. Was the baby kept in KMC poisition while breastfeeding?
0 % yes

1 100%
13. Does the mother have infant formula, baby bottles, gifts or other
N
products sponsored by baby-food companies with her at the hospital?
1 % no
Products:
a. If yes, ask her to show them to you and note down the types of
products
 Checklist 2.1: Chart reviews of interviewed postpartum mothers – term babies

Answer the questions with: Y (=yes), N (=no), NR (=not recorded) unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

1. Identifying information of mother and baby (provide here) 40893 14823 51510 114265 109466 112928 117935 112660

5
2. Were syphilis test results (during antenatal care) recorded in the N N Y Y Y Y N Y 63%
mother's chart?
8

a. If yes, was the test positive? N N N N N 0 0%

b. If yes, were actions taken in the antenatal period to address the

0 0%
positive syphilis test?

4
3. Were HIV test results (during antenatal care or point-of-care rapid Y N Y Y N NR NR Y 50%
test) recorded in the mother's chart?
8

a. If yes, was the test positive? N N N N 0 0%

b. If yes, were any actions taken during pregnancy to prevent mother- N/A NA 0 0%
to-child transmission?

c. If yes, were any actions taken during labour and delivery to prevent N/A NA 0 0%
mother-to-child transmission?

3
4. Was a partograph completed correctly?
(P = partial may be applicable as a response) N Y P N N Y Y N 38%
8

For emergency FOR Reasons:

EMERGENCY
a. If partial or no, specify reason. CS and CS,
subsequently SUBSEQUENTLY
admitted
ADMITTED
0
5. Was artificial rupture of membranes (amniotomy) done? N N N N N N NR N 0%
8

2
6. Was the mother’s labor induced or augmented? N N Y N Y N N N 25%
8
Common indications:
PROLONGED PROLONGED
a. If yes, what were the indications? 3RD STAGE OF LABOR 1ST
LABOR STAGE

3
7. Was the baby delivered by caesarean section? Y N N Y N N N Y 38%
8

ARREST OF Common indications:

Repeat CS and FETAL
a. If yes, what were the indications? breech BREECH CERVICAL TACHYCARDIA
DILATION
1
8. Was an episiotomy done? N N N N N Y N N 13%
8
Common indications:
a. If yes, what were the indications? 1ST DEGREE
LACERATION
 Checklist 2.1: Chart reviews of interviewed postpartum mothers – term babies

Answer the questions with: Y (=yes), N (=no), NR (=not recorded) unless otherwise specified in the question

Mother number
Question Summary
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

9. Were bleeding volume, uterine tone, fundal height, blood pressure, 2

pulse and temperature all documented in the mother's chart within 1 Y Y N N N N NR NR 25%
hour after delivery? 8

6
10. Was a second blood pressure measurement documented in the
Y NR Y Y Y Y Y NA 75%
mother's chart within 6 hours after delivery?
8

5
11. Was urine void documented in the mother's chart within 6 hours NR Y Y Y Y N NR Y 63%
after delivery?
8

8
12. Was routine eye care given to the baby? Y Y Y Y Y Y Y Y 100%
8

13. Was vitamin K given between 90 minutes and 6 hours of birth? 7

If timing of administration is not specified, indicate "Y" and "TNS" (time Y Y Y Y Y Y, TNS Y Y 88%
not specified) 8

14. Was hepatitis B vaccine given within 24 hours of birth? 5

If timing of administration is not specified, indicate "Y" and "TNS" (time N/A Y Y Y Y N/A Y NA 63%
not specified) 8

15. Was BCG vaccine given within 24 hours of birth? 4

If timing of administration is not specified, indicate "Y" and "TNS" (time N/A Y Y Y N/A N/A Y NA 50%
not specified) 8
 Checklist 2.2: Chart reviews of partpartum mothers who received an exit interview - preterm/LBW babies

Answer the questions with: Y (=yes), N (=no), NR (=not recorded) unless otherwise specified in the question

Mother number Mother number

Question Postnatal register NCU register Summary

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
48728 (M),
1. Identifying information of mother and baby (provide here) 114268
002055 (B)
2. Birthweight (grams)

a. >2000 Y Y 2 100%

b. 1500 - 2000 0 0%

c. 1000 - 1499 0 0%

d. <1000 0 0%

3. Gestational age at birth (weeks)

a. >36 Y Y 2 100%

b. 32-36 0 0%

c. 28-31 0 0%

d. < 28 0 0%

0
4. Did the mother deliver at 24-34 weeks of gestation? N N 0%
2

0
a. If yes, were maternal criteria for use of antenatal corticosteroids
0%
met?
0

0
b. Was a full course of antenatal corticosteroids given to the mother? 0%
0

0
c. Was the first dose given within 1 hour of her arrival at the
0%
hospital?
0

0
5. Did the mother deliver before 32 weeks of gestation? N N 0%
2

0
a. If yes, was magnesium sulfate given to the mother for fetal
0%
neuroprotection?
0

0
b. Was the magnesium sulfate given within 1 hour of her arrival at the
0%
hospital?
0

1
6. Were syphilis test results (from antenatal care) recorded in the
mother's chart? Y NR 50%
2

a. If yes, was the test positive? N 0 0%

b. If yes, were actions taken in the antenatal period to address the

0 0%
positive syphilis test?

7. Were HIV test results (during antenatal care or point-of-care rapid NR NR 0 0%

test) recorded in the mother's chart?

8. Was artificial rupture of the membranes (amniotomy) done? N N 0 0%

9. Was the mother’s labor induced or augmented? N N 0 0%

Common indications:
a. If yes, what were the indications?

10. Was the baby delivered by caesarean section? N Y 1 50%

Common indications:
a. If yes, what were the indications? REPEAT CS CPD

11. Were bleeding volume, uterine tone, fundal height, blood pressure,
pulse and temperature all documented in the mother's chart within 1 Y Y 2 100%
hour after delivery?
 Checklist 3.1: Delivery practice for the breathing baby

Observation conducted by: Date:

Answer Y (=Yes), N (=No), P (=Partial), N/A (=Not Assessed) unless otherwise specified in the question

Observation # Summary
Activity Comments
1 2 3 4 5 6 7 8 9 10 %Yes

Mode of delivery (V = vaginal, CS = Caesarean section) CS

Pre-Birth Preparation: No. Y

1. Checked room temperature using the thermometer;
turned off fans and/or air conditioning N/A 0.0%
###
2. Washed hands before touching any delivery area surfaces
and handling equipment N/A 0.0%
###
3. Placed dry cloth on abdomen (or upper body for
caesarean section) N 0.0%
###
4. Prepared the newborn resuscitation area Y 100.0% ###

5. Checked if newborn ambu bag and masks were functional N/A 0.0%
###
6. Washed hands before gloving for delivery N/A 0.0% ###
7. Wore two pairs of sterile gloves (if same attendant
handles the cord) Y 100.0%
###

8. Arranged forceps, cord clamp/ties in easy to use order Y 100.0%

###
Immediate Post-partum/Newborn Activities: ###
9. Called out time of birth (hours, minutes, seconds)
___________/___________/__________ P 0.0%
###
10. Started drying within 5 s after birth? Y 100.0%
*Answer <5 sec (Y), 5-10 sec (P), >10 sec (N)
###
 Checklist 3.1: Delivery practice for the breathing baby

Observation conducted by: Date:

Answer Y (=Yes), N (=No), P (=Partial), N/A (=Not Assessed) unless otherwise specified in the question

Observation # Summary
Activity Comments
1 2 3 4 5 6 7 8 9 10 %Yes

11.  Dried the baby thoroughly (wiped the eyes, mouth,

nose, face, head, front, back, arms and legs)
12.  Removed the wet cloth
13. Placed baby in direct skin-to-skin contact
Y 100.0%
###
Y 100.0% ###
Y 100.0% ###

14. Covered baby’s body with cloth and head with a hat Y 100.0%
###

15.  Checked for a second baby

For Caesarean sections, score this as "Y". Y 100.0%
###

16.  Injected oxytocin IM to mother within 1 minute N 0.0%

###
17.  Removed first (soiled) pair of gloves
If a separate attendant birth attendant is available to handle N/A 0.0%
the cord and uses sterile gloves when doing so, score practice
as "Y"
###

18.  Checked for cord pulsations before clamping, clamped Y 100.0%

after cord pulsations stopped (usually 1 – 3 minutes)
###
19.  Placed clamp/tie at 2 cm and forceps at 5 cm from
Y 100.0%
umbilical base
###
20.  Delivered placenta Y 100.0% ###

21.  Counseled mother on feeding cues (drooling, mouth

opening, tonguing/licking, rooting, biting hand, crawling) N 0.0%
*Answer >2 cues (Y), 1 -2 cues (P)
###
Total number of Yes' 12
Total number of Partials 1
Total Score: (# Yes x 2 + # Partial x 1)
(maximum score possible = 42) 25

Average score 25.0

Score range 25 25
 Checklist 3.2: Delivery practice for non-breathing babies

Observation conducted by: Date:

Answer Y (=Yes), N (=No), P (=Partial), N/A (=Not Assessed) unless otherwise specified in the question

Observation # Summary
Activity Comments
1 2 3 4 5 6 7 8 9 10 %Yes

Mode of delivery (V = vaginal, CS = Caesarean section)

Pre-Birth Preparation: No. Y

1. Checked room temperature using thermometer; turned
off fans and/or air conditioning
###
2. Washed hands before touching any delivery area or
equipment
###
3. Placed dry cloth on abdomen (or upper body for
Caesarean section)
###
4. Prepared the newborn resuscitation area ###

5. Checked if newborn ambu bag and mask were functional

###
6. Washed hands before gloving for delivery ###
7. Wore two pairs of sterile gloves (if same attendant
handles the cord)
###

8. Arranged forceps, cord clamp/ties in easy to use order

###
Immediate Post-partum/Newborn Activities: ###
9. Called out time of birth (hours, minutes, seconds)
___________/___________/__________
###
10. Started drying within 5 s after birth?
*Answer <5 sec (Y), 5-10 sec (P), >10 sec (N)
###
 Checklist 3.2: Delivery practice for non-breathing babies

Observation conducted by: Date:

Answer Y (=Yes), N (=No), P (=Partial), N/A (=Not Assessed) unless otherwise specified in the question

Observation # Summary
Activity Comments
1 2 3 4 5 6 7 8 9 10 %Yes

11. Dried the baby thoroughly (wiped the eyes, mouth,

nose, face, head, front, back, arms and legs)
###
12. Removed the wet cloth ###
13. Placed baby in direct skin-to-skin contact ###

14. Covered baby’s body with cloth and head with a hat
###
15. Determined whether the baby was gasping or not
breathing
###
16. Called for help and informed the mother ###
17. Removed first (soiled) pair of gloves
If a separate attendant birth attendant is available to handle
the cord and uses sterile gloves when doing so, score practice
as "Y"
###
18. Quickly clamped and cut cord ###
19. Moved baby to resuscitation area ###
20. Covered baby quickly during and after transfer ###
21. Positioned head correctly to open airways ###

22. Applied face mask firmly over chin, mouth & nose
###
23. Gained chest rise within 1 minute of birth:
Minutes___ : Seconds ___
###
24. Squeezed bag to give 30-50 breaths per min ###
25. Maintained good chest rise throughout or took steps to
improve ventilation
###
26. Stopped ventilation after baby breathing well ###
27. Returned to skin-to-skin contact, covered baby ###
28. Checked for a second baby
For Caesarean sections, score this as "Y". ###
29. Injected oxytocin IM to the mother ###
30. Delivered placenta ###
 Checklist 3.2: Delivery practice for non-breathing babies

Observation conducted by: Date:

Answer Y (=Yes), N (=No), P (=Partial), N/A (=Not Assessed) unless otherwise specified in the question

Observation # Summary
Activity Comments
1 2 3 4 5 6 7 8 9 10 %Yes

31. Counselled mother on babies status following

resuscitation and on feeding cues
*Answer >2 cues (Y), 1 -2 cues (P)
###
Total number of Yes'
Total number of Partials
Total Score: (# Yes x 2 + # Partial x 1)
(maximum score possible = 42)
Average score
Score range
 Checklist 3.3 Environmental Hygiene

Neonatal Care Postnatal Care

Question Delivery Room Operation Room Unit Room Total all rooms Comments

Handwashing facilities for patients:

1. What is the total number of rooms? (NR) 2 1 0 3 6

2
2. How many rooms have at least one sink for washing
hands available for use in the room? 1 0 0 1 33%
6

3. What is the total number of sinks? (NS) 1 0 0 1 2

4. How many sinks

1
a. are clean? (n) 1 0 0 0 50%
2

2
b. have continuous supply of clean, running water? (n) 1 0 0 1 100%
2

1
c. have soap available? (n) 1 0 0 0 50%
2

1
d. have at least one method for hand drying available? (n) 1 0 0 0 50%
2

5. How many rooms have adequate handwashing facilities 1

available (n)? (n= Y if the room has at least one sink and 4. 1 0 0 0 17%
a.-d. = 100% for all sinks in the room). 6

1
6. How many rooms have at least one bottle of alcohol
gel/hand rub available for use in the room (n)? 1 0 0 0 17%
6

7. How many rooms have adequate handwashing facilities 1

AND alcohol gel/hand rub available for use in the room (n)? 1 0 0 0 17%
(n=Y, if 5.=Y and 6.=Y) 6

Newborn Resuscitation area: (n/N)

5 1 0 0 6 For the delivery room: 1 designated

8. How many delivery beds have a resuscitation area
available within 2 m? (n/NDB) 22% Resuscitation area, 2 portable resuscitation
6 1 0 20 27 kits

9. How many resuscitation areas are available? (NRA) 4 1 0 0 5

5
a. How many resuscitation areas are clean and dry? (n) 4 1 0 0 100%
5

2
b. have functional newborn ambu bag and preterm and
term mask available? (n) 1 1 0 0 40%
5

Promotion of baby food company products (Y/N)

0
11. How many rooms have baby food company materials
visible (posters, brochures, stickers, painted walls etc)? (n) 0 0 0 0 0%
6

12. How many rooms have hospital orders prohibiting use of 1

infant formula and other linkages with milk formula 1 0 0 0 17%
companies visible and posted somewhere in the area? (n) 6
 Checklist 4: Review availability of key medicines and supplies for EENC

Stock condition?
Available on the day
No expired drugs? Stock records exist? # Stock-outs in the
of the review? All criteria met? Comments
Equipment functional? (Yes, No, NA) previous 12 months
(Yes or No) (Check box where required)

Pre-delivery and delivery areas

0
1. Magnesium sulfate for severe pre-eclampsia
and eclampsia, and fetal neuroprotection if Y Y 0 N
gestational age <32 weeks 0

2. Oxytocin for IM or IV use - immediately 0

Y Y 0 N
postpartum and for control of hemorrhage
0

3. Corticosteroids for women at 24 – 34 weeks of 0

Y Y 1 N One Stock Out for 5 months
gestation at risk of imminent preterm delivery
0

4. Antibiotics for preterm prelabour rupture of 0

Y Y 0 N
membranes
0

5. Syphilis test kits Y 0 Y 0 N

6. HIV test kits Y 0 Y 0 N

0
7. First-line ART regimen: tenofovir disoproxil
fumarate (TDF), lamivudine (3TC) or N 0 N 0 N
emtricitabine (FTC), efavirenz (EFV)
0

8. Functional newborn ambu bag and mask 2 Delivery Beds are not within reach of an
resuscitation equipment (sizes 0 and 1) within 2 N Y 0 N ambu b ag and mask resuscitation equipment
meters of each delivery bed

9. Oxygen for newborn use Y Y 0 N

10. Sterile gloves Y Y 0 N

11. Functional autoclave or centralized Y Y 0 N

sterilization services

Neonatal intesive care

0
12. Injectable antibiotics for management of Y 0 Y 0 N
newborn sepsis
0

13. Newborn ambu bag and preterm and term N/A N/A N/A N
masks (sizes 0 and 1) in each NCU room

14. Continuous positive airway pressure (CPAP) Y N/A N/A N

Not applicable for first-level facilities

15. Oxygen for newborn use Y Y 0 N

16. Sterile gloves Y Y 0 N

Postnatal care areas

17. Routine eye prophylaxis Y 0 Y (RECHECK) 0 N

18. Vitamin K Y 0 Y (RECHECK) 0 N

0
19. Hepatitis B vaccine Y Y (RECHECK) 0 N
0

Summary: % Yes or % with 0 stock-outs 84.2% 68.4% 84.2%

 Checklist 5. Review activities of the EENC team and hospital data in the previous 12 months

Answer Y (Yes) or N (No) unless otherwise

Question specified Comments

1. In the previous 12 months:

###
a. Has the EENC team been supported by the hospital
director or senior staff? Y
###
b. Has the EENC team met at least quarterly and N
documented meetings?
###
c. Have two EENC quality assessments been
conducted and documented? N
###
d. Has the EENC hospital plan been reviewed and N
updated at least quarterly?
###
e. Are key components of the EENC quality approach N
in place (Answer Y if b & c. = Y)
###

2. Is a staff coaching database available? Y

###
a. If yes, how many doctors have been coached in 4 27%
EENC?
###
 Checklist 5. Review activities of the EENC team and hospital data in the previous 12 months

Answer Y (Yes) or N (No) unless otherwise

Question specified Comments

How many doctors are currently working in maternity

and paediatric wards? 15 % coached
###
b. If yes, how many midwives have been coached in
EENC? 4 67%
###
 Checklist 5. Review activities of the EENC team and hospital data in the previous 12 months

Answer Y (Yes) or N (No) unless otherwise

Question specified Comments

How many midwives are currently working in

maternity wards? 6 % coached
###
c. If yes, how many nurses have been coached in
EENC? 26 100%
###
How many nurses are currently working in maternity 26 % coached
and paediatric wards?
###

d. Total staff coached in EENC 34 72%

###

Total staff working in maternity and paediatric wards 47 % coached

###

3. Is an EENC hospital impact database available for the Y

past 12 months? If yes, obtain a copy of the data.
###
Main issues:

a. What issues were found with collecting EENC

hospital impact data?
 Checklist 5. Review activities of the EENC team and hospital data in the previous 12 months

Answer Y (Yes) or N (No) unless otherwise

Question specified Comments

Birth weight classifications

a. What issues were found with collecting EENC

hospital impact data?

###
4. How many maternal deaths occurred in the past 12
months? 1
###

a. How many maternal deaths were reviewed? 1

###
5. How many newborn deaths occurred in the past 12
months? 12
###

a. How many newborn deaths were reviewed? 12

###

6. How many stillbirths occurred in the past 12 months? 4

###

a. How many stillbirths were reviewed? 1

###
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database - MATERNITY WARD DATA ENTRY FORM

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Year:

HOSPITAL IMPACT INDICATORS: MATERNITY

If data is not available, please enter N/A. If the value is '0', please make sure to enter '0'.

Total
Total
Total live Total Newborns with birth Newborns with birth Newborns with Newborns with birth Newborns with birth Newborns with birth Newborns of preterm preterm
neonatal birth weight 1500 - weight unknown birth births
Month births deaths weight <1000g weight 1000 - 1499g 1999g 2000-2499g weight 2500 - 3500g weight >3500g weight < 37 deaths
<37 weeks
weeks

# # # # Deaths # # Deaths # # Deaths # # Deaths # # Deaths # # Deaths # # Deaths # #

January
February
March
April
May
June
July
August
September
October
November
December
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Data entry guidance:
Enter data for each indicator for each month of the year. Data is to be entered for newborns (0 - 27 days) born in the facility
Total live births:
Total neonatal deaths:
# newborns with birth weight <1000g:
# of deaths among newborns with birth weight <1000g:
# newborns with birth weight 1000 - 1499g:
# of deaths among newborns with birth weight
1000-1499g:
# newborns with birth weight 1500-1999g:
# of deaths among newborns with birth weight
1500-1999g:
# of newborns with birth weight 2000-2499g:
# of deaths among newborns with birth weight
2000-2499g:
# of newborns with birth weight 2500-3500g:
# of deaths among newborns with birth weight 2500-3500g: Enter the total number of deaths among newborns whose birth weight was 2500-3500g
# of newborns with birth weight >3500g:
# of deaths among newborns with birth weight >3500g:
# of newborns of unknown weight:
# of deaths among newborns of unknown weight:
Total preterm births <37 weeks:
Total preterm deaths <37 weeks:
Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database
Enter the registered number of live births in the facility
Enter the total number of deaths among newborns (0 – 27 days)
Enter the total number of live births with a birth weight of < 1000g
Enter the total number of deaths among newborns whose birth weight was < 1000g
Enter the total number of live births with a birth weight of 1000-1499g
Enter the total number of deaths among newborns whose birth weight was 1000-1499g
Enter the total number of live births with a birth weight of 1500-1999g
Enter the total number of deaths among among newborns whose birth weight was 1500-1999g
Enter the total number of live births with a birth weight of 2000-2499g
Enter the total number of deaths among newborns whose birth weight was 2000-2499g
Enter the total number of live births with a birth weight of 2500-3500g
Enter the total number of live births with a birth weight of >3500g
Enter the total number of deaths among newborns whose birth weight was >3500g
Enter the total number of live births with an unknown birth weight
Enter the total number of deaths among newborns with an unknown birth weight
Enter the total number of live births of a gestational age < 37 completed weeks
Enter the total number of deaths in newborns with a gestational age < 37 completed weeks
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database - NEONATAL CARE UNIT/PEDIATRIC DATA ENTRY FORM

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Year:

HOSPITAL IMPACT INDICATORS: PEDIATRIC

If data is not available, please enter N/A. If the value is '0', please make sure to enter '0'.

Newborns Total Total preterm

admitted to neonatal Neonatal deaths by birth weight deaths Sepsis Asphyxia
NCU deaths <37 weeks
Month

# # # # # # #
# # <1000g 1000 - 1499g 1500 - 1999g 2000-2499g 2500 - 3500g >3500g weight # # cases # deaths # cases # deaths
unknown

January
February
March
April
May
June
July
August
September
October
November
December
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

Data entry guidance:

Enter data for each indicator for each month of the year. Data is to be entered for newborns (0 - 27 days) born in the facility
Newborns admitted to NCU: Enter the total number of newborns born in the facility who were admitted to the neonatal care unit (NCU)
Total neonatal deaths: Enter the total number of deaths among newborns (0 – 27 days) born in the facility
# of deaths among newborns with a birth weight <1000g: Enter the total number of deaths among in-born babies in the given month whose birth weight was < 1000g
# of deaths among among newborns with a birth weight 1000- Enter the total number of deaths among newborns born in the facility whose birth weight was 1000-1499g
1499g:
# of deaths among among newborns with a birth weight 1500- Enter the total number of deaths among newborns born in the facility whose birth weight was 1500 - 1999g
1999g:
# of deaths among newborns with a birth weight 2000-2499g: Enter the total number of deaths among newborns born in the facility whose birth weight was 2000 - 2499g

# of deaths among newborns with a birth weight 2500-3500g: Enter the total number of deaths among newborns born in the facility whose birth weight was 2500 - 3500g

# of deaths among among newborns with a birth weight Enter the total number of deaths among mewborns born in the facility whose birth weight was >3500g
>3500g:
# of deaths among newborns of unknown weight: Enter the total number of deaths among newborns born in the facility with an unknown birth weight
Total preterm deaths <37 weeks: Enter the total number of deaths among newborns born in the facility with a gestational age < 37 weeks
# of sepsis cases: Enter the total number of newborns born in the facility diagnosed with bacterial sepsis of known cause or sepsis of
unknown cause, as recorded in hospital registers
# of sepsis deaths: Enter the total number of newborns born in the facility who died from bacterial sepsis of known cause or sepsis of
unknown cause as recorded in hospital registers
# of asphyxia cases: Enter the total number of newborns born in the facility diagnosed with asphyxia
# of asphyxia deaths: Enter the total number of newborns born in the facility who died from asphyxia
Asphyxia is defined as 'gasping or no breathing at 1 minute of age'
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Year:

HOSPITAL IMPACT INDICATORS

Total live Total neonatal deaths Total preterm births Total preterm deaths
births < 37 weeks <37 weeks Newborns admitted to NCU Sepsis Asphyxia
Month

Neonatal Case Case Case

# # Mortality # % # Fatality # % # cases % cases # deaths Fatality # cases % cases # deaths Fatality
Rate Rate Rate Rate

January 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

February 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

March 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

April 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

May 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

June 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

July 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

August 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

September 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

October 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

November 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

December 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0

Total 0 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0% 0 0.0 0 0.0% 0 0.0
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Year:

HOSPITAL IMPACT INDICATORS

Newborns with birth weight 1000 - Newborns with birth weight 1500 - Newborns with birth weight Low Newborns with birth weight 2500 -
Newborns with birth weight <1000g 1499g 1999g 2000-2499g Birth- 3500g Newborns with birth weight >3500g Newborns of unknown weight
Weight
Case
Fatality
Rate
Mortalit Mortalit Mortalit Mortalit Mortalit Mortalit Mortalit
# % # Deaths y Rate # % # Deaths y Rate # % # Deaths y Rate # % # Deaths y Rate # % # Deaths y Rate # % # Deaths y Rate # % # Deaths y Rate

0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0 0 0.0% 0 0.0
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

Country: Philippines
Facility name: San Lorenzo
District & Province: NCR
Year:

HOSPITAL IMPACT INDICATORS

Proportion of newborns by birthweight Newborn mortality stratified by birth weight Case fatality rate
Neonatal
care unit/ Proportion of Proportion of
Month nursery newborns with newborns with
admission 1000- 1500 - 2000 - 2500 - sepsis birth asphyxia 1000- 1500 - 2000 - 2500 -
rate <1000g 1499g 1999g 2499g 3500g > 3500g <1000g 1499g 1999g 2499g 3500g > 3500g Preterms LBW Sepsis Asphyxia

January 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

February 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

March 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

April 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

May 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

June 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

July 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

August 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

September 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

October 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

November 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

December 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Total 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

If data is not available, please enter N/A. If the value is '0', please make sure to enter '0'.

Total live Total in-born Total preterm Total in-born

births neonatal deaths births preterm deaths In-born newborns
admitted to NCU Sepsis Asphyxia
< 37 weeks <37 weeks
Month

# in-born # in- # in- # in-born

# # NMR # % # CFR # % cases % cases deaths
born CFR born % cases deaths CFR
cases
January 0 0% 0% 0% 0% 0 0 0.00
February 0 0% 0% 0% 0% 0 0 0.00
March 0 0% 0% 0% 0% 0 0 0.00
April 0 0% 0% 0% 0% 0 0 0.00
May 0 0% 0% 0% 0% 0 0 0.00
June 0 0% 0% 0% 0% 0 0 0.00
July 0 0% 0% 0% 0% 0 0 0.00
August 0 0% 0% 0% 0% 0 0 0.00
September 0 0% 0% 0% 0% 0 0 0.00
October 0 0% 0% 0% 0% 0 0 0.00
November 0 0% 0% 0% 0% 0 0 0.00
December 0 0% 0% 0% 0% 0 0 0.00
Total 0 0.00 0 0 0% 0 0% 0 0% 0 0% 0 0 0 0 0 0.00

Data entry guidance:

Total live births:
Total in-born neonatal deaths:
Total preterm births <37 weeks:
Total in-born preterm deaths <37 weeks:
In-born newborns admitted to NCU:
# of in-born sepsis cases:
# of in-born sepsis deaths:
# of in-born asphyxia cases:
Enter the registered number of live births in the facility in the given month
Enter the total number of recorded deaths among live births (0 – 27 days) at the facility in the given
month (include deaths from all wards - maternity, NCU, pediatric)
Enter the total number of live births in the facility in the given month of a gestational age < 37 completed
weeks
Enter the total number of deaths recorded among live births at the facility in the given month with a
gestational age < 37 completed weeks
Enter the total number of newborns born in the facility in the given month who were admitted to the
neonatal care unit (NCU)
Enter the total number of in-born newborns in the given month diagnosed with bacterial sepsis of known
cause or sepsis of unknown cause, as recorded in hospital registers
Enter the total number of in-born newborns in the given month who died from bacterial sepsis of known
cause or sepsis of unknown cause as recorded in hospital registers
Enter the total number in-born newborns in the given month diagnosed with asphyxia

# of in-born asphyxia deaths: Enter the total number of in-born newborns in the given month who died from asphyxia

Asphyxia is defined as 'no breathing or slow gasping at 1 minute of age'

Early Essential Newborn Care Monitoring and Evaluation

 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database
EENC Hospital Impact Indicators Database

Neonatal Proportion of newborns by birthweight Proportio Proportio Newborn mortality stratified by birth weight Case fatality rate
care unit/ n of n of
Month nursery newborn newborns
admission s with with birth
rate sepsis asphyxia
<1000g 1000- 1500 - 2000 - 2500 - > 3500g <1000g 1000- 1500 - 2000 - 2500 - > 3500g Preterms LBW Sepsis Asphyxia
1499g 1999g 2499g 3500g 1499g 1999g 2499g 3500g
January 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
February 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
March 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
April 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
May 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
June 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
July 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
August 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
September 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
October 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
November 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
December 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
Total 0.00% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0.00 0.00 0% 0% 0% 0 0 0.00
 Early Essential Newborn Care Monitoring and Evaluation
EENC Hospital Impact Indicators Database

If data is not available, please enter N/A. If the value is '0', please make sure to enter '0'.

In-born newborns with birth In-born newborns with birth In-born newborns with birth In-born newborns with birth In-born newborns with birth In-born newborns with birth In-born newborns of unknown
weight <1000g weight 1000 - 1499g weight 1500 - 1999g weight weight 2500 - 3500g weight >3500g weight
2000-2499g
Month LBW CF

# # # # # #
# % Deaths MR # % Deaths MR # % Deaths MR # % Deaths MR # % Deaths MR # % Deaths MR # % # Deaths MR

January 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0

February 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
March 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
April 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
May 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
June 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
July 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
August 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
September 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
October 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
November 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
December 0% 0 0.00% 0 0% 0 0% 0.00 0.00 0% 0.00 0% 0 0% 0
Total 0 0% 0 0 0 0.00% 0 0 0 0% 0 0 0 0% 0 0.00 0.00 0 0% 0 0.00 0 0% 0 0 0 0% 0 0

Data entry guidance:

# in-born newborns with birth weight <1000g: Enter the total number of in-born newborns in the given month whose first weight obtained after birth was < 1000g
# of deaths among births <1000g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was < 1000g

# in-born newborns with birth weight 1000 - 1499g: Enter the total number of in-born newborns in the given month whose first weight obtained after birth was 1000-1499g

# of deaths among births 1000-1499g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was 1000-1499g

# of in-born newborns with birth weight 1500-1999g: Enter the total number of live births at the facility in the given month whose first weight obtained after birth was 1500 - 1999g

# of deaths among births 1500-1999g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was 1500 - 1999g

# of in-born newborns with birth weight 2000-2499g: Enter the total number of in-born newborns in the given month whose first weight obtained after birth was 2000 - 2499g

# of deaths among births 2000-2499g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was 2000 - 2499g

# of in-born newborns with birth weight 2500-3500g: Enter the total number of in-born newborns in the given month whose first weight obtained after birth was 2500 - 3500g

# of deaths among births 2500-3500g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was 2500 - 3500g
# of in-born newborns with birth weight >3500g: Enter the total number of in-born newborns in the given month whose first weight obtained after birth was >3500g
# of deaths among births >3500g: Enter the total number of deaths among in-born newborns in the given month whose first weight obtained after birth was >3500g
# of in-born newborns of unknown weight: Enter the total number of in-born newborns in the given month with an unknown birth weight
# of deaths among newborns of unknown weight: Enter the total number of deaths among in-born newborns in the given month with an unknown birth weight

Early Essential Newborn Care Monitoring and Evaluation