Outcome 1: Health (off-line template)
1. Note that all questions are mandatory. If a question requiring a quantitative response is not applicable, enter ‘NA’ in answer box.
2. Please limit the character count to a maximum of 200 characters in the Remarks box.
3. For the definition of each question, please refer to the indicator sheet available at this link: Indicator Sheet.
New
No.
Answer
options
Questions
Remarks (up to 200
characters)
1
Does the country have a Maternal, Neonatal and Child Health (MNCH) communication plan
which has been budgeted and implemented?
Yes
2
If applicable (polio-affected country), what percentage of children under five who were targeted
in OPV campaigns missed polio vaccine due to refusal?
Not applicable
P1.a.2
3
4
Did the country experience stockout of ORS at national level for more than one month?
If applicable, what percentage of community health workers who were planned to be trained to
implement integrated community case management were actually trained as part of a UNICEFsupported programme?
What percentage of designated BEmONC facilities are operational 24/7?
If applicable, what percentage of women of reproductive age in high risk areas received 2 doses of
tetanus vaccine during campaigns? [Footnote 1]
No
Not applicable
P1.b.1
P1.b.3
Percentage
80%
SPPL.2
SPPL.3
If applicable, what percentage of health workers who were planned to be trained in rapid
diagnostic testing (RDT) for malaria in children were actually trained as part of a UNICEFsupported programme?
If applicable (malaria endemic), did the country experience a stockout of all ACT at national level
for more than one month?
Not applicable
SPPL.4
No
SPPL.5
If applicable (polio priority countries), what percentage of planned Supplemental Implementation
Activities (SIAs) were cancelled, postponed or reduced in size, during the previous 6 months due
to gaps in vaccine supply? [Footnote 2]
If applicable, what percentage of the UNICEF-targeted DHSS districts include integrated barriers
& bottleneck analysis in their district planning and routinely monitor bottleneck reductions?
Not applicable
SPPL.6
How many of the 13 essential commodities are relevant to the country? (List the commodities in
remarks column) [Footnote 3]
13
5
6
7
8
9
10
11
1
50%
But it is not implmente of
any Budget has been
allocated.
Link to
SP
indicator
It is a routine activity and
not only during campaigns.
We have implemented the
analysis on one out of two
priority areas, next one will
be in 2015.
P1.a.1
P1.c.1
P1.c.2
New
No.
12
Answer
options
Questions
Out of the essential commodities that are relevant to the country, how many are registered with
the relevant regulating authority? (List the commodities in remarks column)
2
13
Remarks (up to 200
characters)
Reproductive Health
Female Condoms - used
for Family Planning &
Contraception
Contraceptive Implants used for Family Planning
&
Contraception
Emergency Contraception used for Family Planning
& Contraception
Maternal Health
Oxytocin - used for
treatment of Post-partum
Hemorrhage
Misoprostol - used for
treatment of Post-partum
Hemorrhage
Magnesium Sulfate - used
for treatment of Eclampsia
& Severe PreEclampsia/Toxemia of
Pregnancy
Newborn Health
Injectable Antibiotics used for treatment of
Newborn
Sepsis
Antenatal Corticosteroids
(ANCS) - used for
treatment of Respiratory
Distress Syndrome for
preterm babies
Chlorhexidine - used for
Newborn Cord Care
Resuscitation Equipment used for treatment of
Newborn Asphxia
Link to
SP
indicator
P1.c.2
New
No.
13
Answer
options
Questions
Out of the essential commodities that are relevant to the country, how many have guidelines on
their use in facilities and communities? (List the commodities in remarks column)
3
13
Remarks (up to 200
characters)
Child Health
Amoxicillin - used for
treatment of Pneumonia
Oral Rehydration Salts
(ORS) - used for treatment
of
Diarrhea
Zinc - used for treatment of
Diarrhea
Reproductive Health
Female Condoms - used
for Family Planning &
Contraception
Contraceptive Implants used for Family Planning
&
Contraception
Emergency Contraception used for Family Planning
& Contraception Maternal
Health
Oxytocin - used for
treatment of Post-partum
Hemorrhage
Misoprostol - used for
treatment of Post-partum
Hemorrhage
Magnesium Sulfate - used
for treatment of Eclampsia
& Severe PreEclampsia/Toxemia of
Pregnancy
Newborn Health
Injectable Antibiotics used for treatment of
Newborn
Sepsis
Link to
SP
indicator
P1.c.2
New
No.
Answer
options
Questions
Remarks (up to 200
characters)
Link to
SP
indicator
Antenatal Corticosteroids
(ANCS) - used for
treatment of Respiratory
Distress Syndrome for
preterm babies
Chlorhexidine - used for
Newborn Cord Care
Resuscitation Equipment used for treatment of
Newborn Asphxia
Child Health
Amoxicillin - used for
treatment of Pneumonia
Oral Rehydration Salts
(ORS) - used for treatment
of
Diarrhea
Zinc - used for treatment of
Diarrhea
14
If applicable, is there a national policy supporting community health worker treatment of children
with pneumonia with antibiotics?
Does the country have a national Maternal, Neonatal and Child Health (MNCH) implementation
plan (as a whole plan or as a Maternal Roadmap, Newborn Action Plan, Child Health Strategy)
that is costed?
Not applicable
16
Has the country implemented a policy for home visits of newborns in line with WHO/UNICEF
Joint Statement on Home Visits for the Newborn Child? [Footnote 4]
Yes
17
Has the country mainstreamed risk reduction/resilience, inclusive of climate change into national
Health or MNCH plans/strategies?
No
P1.c.6
18
Has the country implemented a policy on Focused Antenatal Care that fulfils all components of
the essential elements of a focused approach to antenatal care? [Footnote 5]
Yes
SPPL.7
19
Did the country produce (or update) and disseminate a national RMNCH management scorecard?
[Footnote 6]
Yes
SPPL.8
15
4
No
P1.c.3
Initial plan budget is not
updated, once national
balance is ready it will be
updated.
Policy approved, currently
guidelines approval is
ongoing, and focus will be
in pregnant women and
newborn.
P1.c.4
P1.c.5
New
No.
20
21
22
23
24
25
26
27
27a
27b
27c
27d
27e
Answer
options
Questions
If applicable (cholera endemic or at risk for cholera), did the country have in place a national
comprehensive multi-sectoral cholera preparedness plan that covers all components listed in the
Cholera Toolkit? [Footnote 7]
Does the country have national health, family planning and/or other relevant multi-sectoral annual
plans/strategies with budget allocated for preventing pregnancy and poor reproductive outcomes
among adolescent girls?
Did the country produce an analysis of gender gaps in the estimated versus expected infant and
child mortality rates?
How many papers has UNICEF country office authored or co-authored in peer-reviewed journal
on maternal, newborn, child or adolescent health?
Did the country conduct a launch of A Promise Renewed followed by annual reviews?
Not applicable
Did you receive technical assistance from the regional office or HQ in the area of health?
If applicable, how would you rate the usefulness of technical guidance and/or support from
Regional Office and HQ through all modes on a scale of 1 to 5 (1 being very poor, 2 being poor, 3
Satisfactory, 4 Good and 5 Very good)?
Humanitarian Responses [If Q.27 is Yes, Q.27a to 27f will be displayed]
Did the country office respond to humanitarian situations (regardless of scale), including new and
ongoing situations?
Yes
3
What is the number of UNICEF-targeted children 6-59 months for vaccination for measles in
humanitarian situations? (Provide disaggregated data for girls in the remarks column, if available.)
How many of those children 6-59 months were vaccinated for measles in humanitarian situations?
(Provide disaggregated data for girls in the remarks column, if available.)
What is the number of UNICEF-targeted children 6 month -15 years for vaccination for measles
in humanitarian situations? (Provide disaggregated data for girls in the remarks column, if
available.)
How many of those children 6 month -15 years were vaccinated for measles in humanitarian
situations? (Provide disaggregated data for girls in the remarks column, if available.)
What is the number of UNICEF-targeted families to receive 2 ITNs in humanitarian situations?
5
Yes
Remarks (up to 200
characters)
Link to
SP
indicator
P1.d.1
Budget form supplies is
provided by UNFPA
Yes
P1.e.1
P1.e.2
P1.f.1
Yes
No
P1.f.2
P1.d.2
Number
CSD program responded to
Nutrition and WASH
emergencies. PAHO takes
the lead for health
emergencies, this year
UNICEF intervention was
not needed on health in
emergencies.
NA
Number
NA
P1.d.2
Number
NA
P1.d.2
Number
NA
P1.d.2
Number
NA
P1.d.3
P1.d.2
New
No.
27f
Answer
options
Questions
How many of those families received 2 ITNs in humanitarian situations?
Number
Remarks (up to 200
characters)
NA
Link to
SP
indicator
P1.d.3
Footnote 1
High Risk Areas for MNT are defined as the geographic areas where analysis of composite indicators such as immunization, reproductive health (ANC,
skilled birth attendants), surveillance and socio-economic status provide sufficient evidence that supports likelihood of more than one neonatal tetanus case per 1,000 live
births in a district or similar administrative unit in a year. High risk areas nationally defined by country.
Footnote 2
Planned as per the Financial Resource Requirements (FRR), or related to rounds not in the FRR, but for which vaccine was ordered on basis of consensus
and at least 6 weeks before the campaign.
Footnote 3
13 UN Life Saving Commodities are: Female Condoms - used for Family Planning & Contraception; Contraceptive Implants - used for Family Planning
& Contraception; Emergency Contraception - used for Family Planning & Contraception; Oxytocin - used for treatment of Post-partum Hemorrhage; Misoprostol - used for
treatment of Post-partum Hemorrhage; Magnesium Sulfate - used for treatment of Eclampsia & Severe Pre-Eclampsia/Toxemia of Pregnancy; Injectable Antibiotics - used
for treatment of Newborn Sepsis; Antenatal Corticosteroids (ANCS) - used for treatment of Respiratory Distress Syndrome for preterm babies; Chlorhexidine - used for
Newborn Cord Care; Resuscitation Equipment - used for treatment of Newborn Asphxia; Amoxicillin - used for treatment of Pneumonia; Oral Rehydration Salts (ORS) used for treatment of Diarrhea; Zinc - used for treatment of Diarrhea
Footnote 4
For the WHO/UNICEF Joint Statement on Home Visits for the Newborn Child, please see
http://www.unicef.org/spanish/health/files/WHO_FCH_CAH_09.02_eng.pdf
Footnote 5
• Identification and surveillance of the pregnant woman and her expected child
• Recognition and management of pregnancy-related complications, particularly pre-eclampsia
• Recognition and treatment of underlying or concurrent illness
• Screening for conditions and diseases such as anaemia, STIs (particularly syphilis), HIV infection, mental health problems, and/or symptoms of stress or domestic
violence
• Preventive measures, including tetanus toxoid immunisation, de-worming, iron and folic acid, intermittent preventive treatment of malaria in pregnancy (IPTp), insecticide
treated bednets (ITN)
• Advice and support to the woman and her family for developing healthy home behaviours and a birth and emergency preparedness plan to: Increase awareness of maternal
and newborn health needs and self-care during pregnancy and the postnatal period, including the need for social support during and after pregnancy; Promote healthy
behaviours in the home, including healthy lifestyles and diet, safety and injury prevention, and support and care in the home, such as advice and adherence support for
preventive interventions like iron supplementation, condom use, and use of ITN; Support care seeking behaviour, including recognition of danger signs for the woman and
the newborn as well as transport and funding plans in case of emergencies; Help the pregnant woman and her partner prepare emotionally and physically for birth and care
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of their baby, particularly preparing for early and exclusive breastfeeding and essential newborn care and considering the role of a supportive companion at birth; Promote
postnatal family planning/birth spacing
Footnote 6
"This is a scorecard tracking indicators for a range of RMNCH interventions at the sub-national level that is updated periodically and disseminated to
local officials so they can take action. A dozen countries in Africa have a version of this with TA from ALMA, but similar scorecards exist in other countries.
See: http://www.alma2015.org/scorecards-and-reports/map; http://www.unicef.org/india/1._RMNCHAStrategy.pdf Annexure 2;
http://www.mchip.net/sites/default/files/RMNCH+A%20Highlight%20-%20Scorecards%20in%20Jharkhand.pdf
Footnote 7
Components of a comprehensive multi-sectoral cholera plan are Co-ordination, institutional framework and information management; Cholera
preparedness and response plan; Policies, strategies, guidelines, standards and standard operating procedures; Community preparedness; Surveillance & early warning;
Supplies/stockpiles; Communication strategy and plan; Human resources; and Resource mobilisation. For details, please see Figure 6 (page 77) in the Cholera Toolkit:
http://www.unicef.org/cholera_toolkit/Cholera-Toolkit-2013.pdf
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