Working …
This value you provided is not a number. Please try again.
This value you provided is not an integer. Please try again.
The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.
The value you provided must be within the suggested range
The value you provided is outside the suggested range
This value is admissible, but you may wish to double check it.
The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).
This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.
This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.
This field must be a valid email address (like joe@user.com). Please re-enter it now.
The value you provided could not be validated because it does not follow the expected format. Please try again.
Required format:

Notifications

System Notifications
General Notifications

Conversations

Create new conversation

Facility Assessment DH SDHPID 20
My Projects Project Home Project Setup Online Designer Data Dictionary Codebook

The Codebook is a human-readable, read-only version of the project's Data Dictionary and serves as a quick reference for viewing the attributes of any given field in the project without having to download and interpret the Data Dictionary. Note: Checkbox fields have their coded values displayed both in the format defined by users in the Online Designer/Data Dictionary as well as in the extended format seen in data imports and exports (i.e., field___code).

Data Dictionary Codebook 07/04/2025 10:36pm
Field finder: — When viewing this page, collapse:
Data Dictionary Codebook
Facility Assessment DH SDH (PID: 20)
07/04/2025 10:36pm
Instruments
Instrument Form Name
Form 1 form_1
# Variable / Field Name Field Label
Field Note
 Field Attributes (Field Type, Validation, Choices, Calculations, etc.)
Instrument:Form 1(form_1)
1 [record_id] Record ID text
2 [fi_nme_dh] Section Header: Title : SBRNurse Mentor Code text, Required
3 [date_visit] Date of Visit text (date_dmy), Required
4 [name_assessor] Name of assessor text, Required
5 [contact_deatils_of_assessor] Contact details of the assessor text (number), Required
6 [name_district] Name of the District dropdown, Required
1Sangrur
2Other
7 [other_dist]
Show the field ONLY if:
[name_district] = '2'
Specify other text, Required
8 [nme_tlk] Name of the Taluk / block dropdown, Required
1Sangrur
2Sunam
3Dhuri
4Bhavanigarh
5Moonak
6Other
9 [other_taluk]
Show the field ONLY if:
[nme_tlk] = '6'
Specify other text
10 [name_facility] Name of the Facility text, Required
11 [facility_publ_priv] Is the facility public / private? radio, Required
1Public
2Private
12 [type_facili]
Show the field ONLY if:
[facility_publ_priv] = '1'
Type of facility (if public) radio, Required
1DH
2SDH / TH
13 [no_antenatal_bed] Number of antenatal beds text (number), Required
14 [no_lr_beds] Number of LR beds text (number), Required
15 [no_postnatal_bed] Number of postnatal beds text (number), Required
16 [spcl_nwbrn] Is Special Newborn Care Unit available? yesno, Required
1Yes
0No
17 [no_of_beds]
Show the field ONLY if:
[spcl_nwbrn]='1'
If yes, number of beds in SNCU / NICU text (number), Required
18 [vsble_prto_antnl] Section Header: Section 1Protocol and Policies1.1 Is there a visible protocol for antenatal check-up yesno, Required
1Yes
0No
19 [visi_proto_anten]
Show the field ONLY if:
[vsble_prto_antnl] = '1'
1.1.1 If Yes, (Can answer all options below) checkbox, Required
1visi_proto_anten___1History
2visi_proto_anten___2LMP
3visi_proto_anten___3USG
4visi_proto_anten___4Tests
5visi_proto_anten___5Immunisations
6visi_proto_anten___6HRP
7visi_proto_anten___7Medications
20 [vsble_admsn_lr] 1.2 Is there a visible protocol for admission of mothers to LR yesno, Required
1Yes
0No
21 [visib_proto_admis]
Show the field ONLY if:
[vsble_admsn_lr] = '1'
1.2.1 If Yes, (Can answer all options below) checkbox, Required
1visib_proto_admis___1Reporting to the doctor
2visib_proto_admis___2Checking the GA
3visib_proto_admis___3Checking if in Labour
4visib_proto_admis___4Checking FHR
5visib_proto_admis___5Monitoring
22 [vsble_mngmt_complctns] 1.3 Is there a visible protocol for the management of
complications (what interventions, when these
interventions need to be performed, when to refer) 		yesno, Required
1Yes
0No
23 [visib_proto_mngmt]
Show the field ONLY if:
[vsble_mngmt_complctns] = '1'
1.3.1 If Yes, (Can answer all options below) checkbox, Required
1visib_proto_mngmt___1Antepartum hemorrhage
2visib_proto_mngmt___2Infections
3visib_proto_mngmt___3Preeclampsia / Eclampsia
4visib_proto_mngmt___4Preterm Labour / PPROM /PROM
5visib_proto_mngmt___5Maternal complication
6visib_proto_mngmt___6Fetal complications
7visib_proto_mngmt___7History of major medical illness
8visib_proto_mngmt___8Other
24 [other]
Show the field ONLY if:
[visib_proto_mngmt(8)] = '1'
Specify other text
25 [maternal_complic]
Show the field ONLY if:
[visib_proto_mngmt(5)] = '1'
Maternal complication checkbox, Required
1maternal_complic___1Mal-position malpresentation/Obstructed labour
2maternal_complic___2Transverse li
3maternal_complic___3Abruptio placenta
4maternal_complic___4Bad obstetric history
5maternal_complic___5Multiple pregnancy
26 [fetal_complic]
Show the field ONLY if:
[visib_proto_mngmt(6)] = '1'
Fetal complication checkbox, Required
1fetal_complic___1Absent or Reduced
2fetal_complic___2Fetal Movement
3fetal_complic___3Cord prolapses
4fetal_complic___4Cord around neck
5fetal_complic___5Fetal Growth Retardation
27 [yes_history_medicl]
Show the field ONLY if:
[visib_proto_mngmt(7)] = '1'
1.3.1.b If Yes for History of major medical illness checkbox, Required
1yes_history_medicl___1Asthma
2yes_history_medicl___2COPD
3yes_history_medicl___3Heart disease
4yes_history_medicl___4Bleeding disorder
5yes_history_medicl___5Gestational diabetes
6yes_history_medicl___6Any other specify
28 [oth_spec_hstry]
Show the field ONLY if:
[yes_history_medicl(6)] ='1'
Any other, specify text, Required
29 [vsble_proto_provsn] 1.4 Is there a visible protocol available for the
provision of respectful maternal and newborn care? 		yesno, Required
1Yes
0No
30 [visib_proto_res_matern]
Show the field ONLY if:
[vsble_proto_provsn] = '1'
1.4.1 If Yes, (Can answer all options below checkbox, Required
1visib_proto_res_matern___1Communicating and assisting the mother during labour and postnatal period
2visib_proto_res_matern___2Support for breastfeeding
3visib_proto_res_matern___3Management of pain for newborns
4visib_proto_res_matern___4Open visitation for mother to SNCU / NICU
5visib_proto_res_matern___5Father and family members permitted to visit the baby in SNCU / NICU
31 [vsble_proto_essen] 1.5 Is there a visible protocol available on essential
newborn care at birth 		yesno, Required
1Yes
0No
32 [visib_proto_essen]
Show the field ONLY if:
[vsble_proto_essen] = '1'
1.5.1 If Yes, (Can answer all options below) checkbox, Required
1visib_proto_essen___1Skin-to-skin contact
2visib_proto_essen___2Delayed cord clamping
3visib_proto_essen___3Neonatal resuscitation, when needed
33 [visib_proto_discha] 1.6 Is there a visible protocol for the discharge of a
woman? 		yesno, Required
1Yes
0No
34 [vsble_infec] 1.7 Is there a visible protocol for infection control yesno, Required
1Yes
0No
35 [visib_proto_infect]
Show the field ONLY if:
[vsble_infec] = '1'
1.7.1 If Yes, (Can answer all options below) checkbox, Required
1visib_proto_infect___1Hand hygiene/washing
2visib_proto_infect___2Cleaning and disinfection of surfaces
3visib_proto_infect___3Use of personal protective equipment
4visib_proto_infect___4Segregation and disposal of waste
5visib_proto_infect___5Management of body fluid spills
6visib_proto_infect___6Sterilization and disinfection of equipment
36 [vsble_dsply_avlblty] 1.8 Is there a visible display or availability of names
and phone numbers of specialists for referral 		checkbox, Required
1vsble_dsply_avlblty___1Public health facilities
2vsble_dsply_avlblty___2Private health facilities
37 [sec_pers_2] Section Header: Section 2Personnel2. Personnel: Obtain this information from the head or InCharge of the hospital. You could also find this information from registers on personnel. Place a check against each box descriptive
38 [obst_avail] 2.1 Is there a obstetrician available on call? yesno, Required
1Yes
0No
39 [pedia_avail] 2.2 Is there a pediatrician available on call in the SNCU/NICU? yesno, Required
1Yes
0No
40 [medic_offcr] 2.3 Is there a anesthetist available on call or Medical Officer trained in Anesthesia? yesno, Required
1Yes
0No
41 [medi_offc_avail_247] 2.4 Is a medical officer available 24/7 to attend to
women in labour? 		yesno, Required
1Yes
0No
42 [medi_offcr] 2.5 Is the medical officer available 24/7 to attend to
HRP women in labour? Or the baby at birth? 		yesno, Required
1Yes
0No
43 [no_stff_nrs_traind] 2.6 Number of staff nurses trained to provide EmONC in LR text (number), Required
44 [no_stff_nurs_provd] 2.7 Number of staff nurses trained to provide NRP
through NSSK 		text (number), Required
45 [stff_nrs_rtdtd] 2.8 Are staff nurses rotated to all departments in the
health facility? 		yesno, Required
1Yes
0No
46 [no_stff_nrs_sncu] 2.9 Number of staff nurses in SNCU per shift? text (number), Required
47 [staff_nurs_labour_room] 2.10 Number of staff nurses in labour room per shift text, Required
48 [facili_accrd] Section Header: Section 3 Accreditation3.1 Is the facility accredited by NQAS, LAQSHYA,MUSQAN, NABH? yesno, Required
1Yes
0No
49 [facili_accrid]
Show the field ONLY if:
[facili_accrd] = '1'
3.1.1 If Yes, (Can answer all options below) checkbox, Required
1facili_accrid___1NQAS
2facili_accrid___2LAQSHYA
3facili_accrid___3MUSQAN
4facili_accrid___4NABH
50 [facili_trng] 3.2 Does the facility provide training? yesno, Required
1Yes
0No
51 [facili_prvd_train]
Show the field ONLY if:
[facili_trng] = '1'
3.2.1 If Yes, (Can answer all options below) checkbox, Required
1facili_prvd_train___1DNB for doctors
2facili_prvd_train___2Nursing institution attached
52 [sec_infra_4] Infrastructure including laboratory & imaging services: Walk through the facility and check for the following infrastructure. You could ask MO in charge or Nursing  superintendent or the senior staff nurse for Section 4 and Section 5.   (Section 4  : Infrastructure) descriptive
53 [trig_mthrs] 4.1 Is there a Triage area for mothers? yesno, Required
1Yes
0No
54 [triage_mthrs]
Show the field ONLY if:
[trig_mthrs] = '1'
4.1.1 If Yes, (Can answer all options below) checkbox, Required
1triage_mthrs___1L R
2triage_mthrs___2Anywhere else in the health facility
55 [blood_bnk_faciili] 4.2 Does the facility have a 24/7 blood bank/ blood
storage facility? 		yesno, Required
1Yes
0No
56 [facili_pharma_avail] 4.3 Does the facility have a 24/7 pharmacy available? yesno, Required
1Yes
0No
57 [facili_lab] 4.4 Does the facility have a 24/7 lab facility? yesno, Required
1Yes
0No
58 [facili_wrkng] 4.5 Does the facility have a sterlization process? yesno, Required
1Yes
0No
59 [yes_sterlisatation]
Show the field ONLY if:
[facili_wrkng]='1'
4.5.1 If Yes, Specify checkbox, Required
1yes_sterlisatation___1CSSD
2yes_sterlisatation___2Autoclave
3yes_sterlisatation___3Linked with an external agency for sterile equipment
60 [amblnc_avail] 4.6 Is there an ambulance available 24/7? yesno, Required
1Yes
0No
61 [amblnc_yes]
Show the field ONLY if:
[amblnc_avail] = '1'
4.6.1 If YES, does it have checkbox, Required
1amblnc_yes___1Emergency equipment for mothers / adults
2amblnc_yes___2Emergency equipment for newborn babies
3amblnc_yes___3Incubator
62 [hand_wash_facili] 4.7 Are there hand-washing facilities (Tap / Soap /
Liquid hand wash) available in the LR? 		yesno, Required
1Yes
0No
63 [hand_wash_2]
Show the field ONLY if:
[hand_wash_facili]='1'
4.7.1 If Yes, (Can answer all options below) checkbox, Required
1hand_wash_2___1LR
2hand_wash_2___2SNCU / NICU
64 [water_avail] 4.8 Is there 24/7 water available for handwash in the
LR? 		yesno, Required
1Yes
0No
65 [water_avail_3]
Show the field ONLY if:
[water_avail]='1'
4.8.1 If Yes, (Can answer all options below) checkbox, Required
1water_avail_3___1LR
2water_avail_3___2SNCU / NICU
66 [oxy_suppl_concen] 4.9 Is there an oxygen central
supply/concentrators/cylinders adequate? 		yesno, Required
1Yes
0No
67 [oxygn_avail]
Show the field ONLY if:
[oxy_suppl_concen] = '1'
4.9.1 If Yes, (Can answer all options below) checkbox, Required
1oxygn_avail___1LR
2oxygn_avail___2SNCU / NICU
68 [access_elect] 4.10 Is there 24/7 access to electricity? yesno, Required
1Yes
0No
69 [seprat_area_infec_moth] 4.11 Is there a separate area for infected mothers in
LR? 		yesno, Required
1Yes
0No
70 [newbrn_resus_cornr] 4.12 Is there a newborn resuscitation corner with
functional radiant warmer in the LR? 		yesno, Required
1Yes
0No
71 [facili_biochem] Section Header: Section 5Basic Laboratory and Imaging5.1 Does the laboratory have a facility to check Biochemistry (S. electrolytes, Renal function tests, Liver function tests)? yesno, Required
1Yes
0No
72 [lab_chck_biochem]
Show the field ONLY if:
[facili_biochem] = '1'
5.1.1 If Yes, (Can answer all options below) checkbox, Required
1lab_chck_biochem___1S. electrolytes
2lab_chck_biochem___2Renal function tests
3lab_chck_biochem___3Liver function tests
73 [lab_chck] 5.2 Does the laboratory have a facility to check for
the following (CBC, Clotting time, Blood grouping and
Rh Typing)? 		yesno, Required
1Yes
0No
74 [lab_facili_chck]
Show the field ONLY if:
[lab_chck] = '1'
5.2.1 If Yes, (Can answer all options below) checkbox
1lab_facili_chck___1CBC
2lab_facili_chck___2Clotting time
3lab_facili_chck___3Blood grouping and Rh Typing
75 [lab_cul_sensi] 5.3 Does the laboratory have a facility to do culture
and sensitivity? 		yesno, Required
1Yes
0No
76 [lab_facili_cult_sensi]
Show the field ONLY if:
[lab_cul_sensi] = '1'
5.3.1 If Yes, (Can answer all options below) checkbox, Required
1lab_facili_cult_sensi___1Blood
2lab_facili_cult_sensi___2Urine
3lab_facili_cult_sensi___3Other
77 [other_5_3]
Show the field ONLY if:
[lab_facili_cult_sensi(3)] = '1'
5.3.1.a Any other, specify text, Required
78 [lab_urin_tst] 5.4 Does the laboratory have a facility to do urine
testing for the following? 		yesno, Required
1Yes
0No
79 [lab_facili_urine]
Show the field ONLY if:
[lab_urin_tst] = '1'
5.4.1 If Yes, (Can answer all options below) checkbox, Required
1lab_facili_urine___1Protein
2lab_facili_urine___2Sugar
3lab_facili_urine___3Microscopy
80 [lab_diabt] 5.5 Does the laboratory have a facility to do testing
for diabetes? 		yesno, Required
1Yes
0No
81 [lab_facili_test]
Show the field ONLY if:
[lab_diabt] = '1'
5.5.1 If Yes, (Can answer all options below) checkbox, Required
1lab_facili_test___1GTT (Glucose tolerance test)
2lab_facili_test___2RBS (Random blood sugar)
82 [lab_fac_chck] 5.6 Does the laboratory have a facility to check for
the following (Malaria, VDRL / Syphilis, Hepatitis B,
HIV, Dengue)? 		yesno, Required
1Yes
0No
83 [lab_facili_5_5]
Show the field ONLY if:
[lab_fac_chck] = '1'
5.6.1 If Yes, (Can answer all options below) checkbox, Required
1lab_facili_5_5___1Malaria
2lab_facili_5_5___2VDRL / Syphilis
3lab_facili_5_5___3Hepatitis B
4lab_facili_5_5___4HIV
5lab_facili_5_5___5Dengue
84 [sec_equip_6] (Section Header: Section 6 Functional equipment -) Are the following available and functional in the LR? Equipment, Supplies and Drugs: Walk through the LRand check for the following equipment as given in Section 6. You could check for availability in the LR orthe pharmacy for supplies and drugs as given in Section 7. descriptive
85 [thermo_msrs_temp] 6.1 Thermometer to measure temperature? yesno, Required
1Yes
0No
86 [msrs_tape] 6.2 Measuring tape to measure fundal
height/abdominal girth/height? 		yesno, Required
1Yes
0No
87 [digi_weigh_machn] 6.3 Digital/ Beam weighing machine to check weight of an adult? yesno, Required
1Yes
0No
88 [digi_weigh_bby] 6.4 Digital / Beam weight machine? Weighing
machine to check weight of a baby? 		yesno, Required
1Yes
0No
89 [stadiomtr_hgt_wmn] 6.5 Stadiometer to measure height of woman? yesno, Required
1Yes
0No
90 [bp_apparts] 6.6 BP apparatus yesno, Required
1Yes
0No
91 [suctn_apparts] 6.7 Suction apparatus? yesno, Required
1Yes
0No
92 [adlt_neontal_bags] 6.8 Are appropriate size Adult bag and masks
available? 		yesno, Required
1Yes
0No
93 [neontl_msks] 6.9 Are appropriate size neonatal bag and masks
available? 		yesno, Required
1Yes
0No
94 [gluc_avail] 6.10 Is there a glucometer available? yesno, Required
1Yes
0No
95 [refigrt_avail] 6.11 Is there a refrigerator available? yesno, Required
1Yes
0No
96 [room_thermo_avail] 6.12 Is there a room thermometer available? yesno, Required
1Yes
0No
97 [minute_needle_avail] 6.13 Is there a minute needle / digital clock available? yesno, Required
1Yes
0No
98 [cardioto_apparts] 6.14 Cardiotocography yesno, Required
1Yes
0No
99 [ultrasound_ga] 6.15 Ultrasound 24/7 to check GA in radio, Required
1Yes
2No
100 [ultrasound_location]
Show the field ONLY if:
[ultrasound_ga] = '1'
Ultrasound done at (Please specify location) radio
1LR
2Anywhere in facility
101 [xray_mchn] 6.16 Xray machine 24/7 in facility yesno, Required
1Yes
0No
102 [doppler] 6.17 Doppler? yesno, Required
1Yes
0No
103 [medic_avail_lr_facili] Section Header: Section 7Supplies and drugs:7.1 Are the following medications available in LR /health facility? checkbox, Required
1medic_avail_lr_facili___17.1.1 Inj. MgSO4
18medic_avail_lr_facili___187.1.2 Antibiotics (oral / injectable)
19medic_avail_lr_facili___197.1.3 Inj. Oxytocin
20medic_avail_lr_facili___207.1.4 Methergin (oral /injectable)
21medic_avail_lr_facili___217.1.5 IV fluids
22medic_avail_lr_facili___227.1.6 Inj. Adrenalin
23medic_avail_lr_facili___237.1.7 Blood and blood products
24medic_avail_lr_facili___247.1.8 Tab. IFA
25medic_avail_lr_facili___257.1.9 Tab. Calcium
26medic_avail_lr_facili___267.1.10 Anticonvulsants (oral /injectable)
27medic_avail_lr_facili___277.1.11 Antenatal corticosteroids (Dexamethasone/Betamethasone)
28medic_avail_lr_facili___287.1.12 Inj. Insulin
29medic_avail_lr_facili___297.1.13 Antidiabetics (oral)
30medic_avail_lr_facili___307.1.14 Antihypertensives (oral / injectable)
31medic_avail_lr_facili___317.1.15 Tocolytics (oral / injectable)
32medic_avail_lr_facili___327.1.16 Tab. Misoprostol
33medic_avail_lr_facili___337.1.17 Inj. Lasix
34medic_avail_lr_facili___347.1.18 Plasma Expanders
104 [stock_out] 7.2 Has there been stock out of any supplies in the
last three months? 		yesno, Required
1Yes
0No
105 [stock_3_mnths]
Show the field ONLY if:
[stock_out]='1'
7.2.1 If YES, specify if there was stock out of any of
the following? 		checkbox, Required
1stock_3_mnths___17.2.1. Sanitizers
2stock_3_mnths___27.2.2. Suction tubes
3stock_3_mnths___37.2.3. Sanitary pads
4stock_3_mnths___47.2.4. Sutures
5stock_3_mnths___57.2.5. Inj. MgSO4
6stock_3_mnths___67.2.6. Antibiotics (oral / injectable)
7stock_3_mnths___77.2.7. Inj. Oxytocin
8stock_3_mnths___87.2.8. Methergin (oral / injectable)
9stock_3_mnths___97.2.9. IV fluids
10stock_3_mnths___107.2.10. Inj. Adrenalin
11stock_3_mnths___117.2.11. Blood and blood products
12stock_3_mnths___127.2.12. Tab IFA
13stock_3_mnths___137.2.13. Tab Calcium
14stock_3_mnths___147.2.14. Anticonvulsants (oral / injectable)
15stock_3_mnths___157.2.15. Antenatal corticosteroids (Dexamethasone/Betamethasone)
16stock_3_mnths___167.2.16. Inj. Insulin
17stock_3_mnths___177.2.17. Antidiabetics (oral)
18stock_3_mnths___187.2.18. Antihypertensives (oral / injectable)
19stock_3_mnths___197.2.19. Tocolytics (oral/injectable)
20stock_3_mnths___207.2.20. Tab Misoprostol
21stock_3_mnths___217.2.21. Inj. Lasix
22stock_3_mnths___227.2.22. Plasma Expanders
23stock_3_mnths___237.2.23. Glucometer strips
24stock_3_mnths___247.2.24. Urine testing strips for albumin and sugar
25stock_3_mnths___257.2.25. Blood testing kits (HIV/HBsAg/Syphilis/Hemoglobin)
106 [iec_mater_avail] 7.3 Is there IEC material available for women as given
below? 		checkbox, Required
1iec_mater_avail___17.3.1 Prevention of infection
2iec_mater_avail___27.3.2 Danger Signs During Pregnancy
3iec_mater_avail___37.3.3 Preparedness for childbirth
107 [comments_7_799c95] Comments: notes, Required
108 [sec_rcrd_8] Section Header: Section 8: Record Review in Delivery Point :Review the ANC and Parturition register to obtain the information for the last three months. If information is not available, mention it below as a comment :(9998 - Not documented, 9999 - Not available) descriptive
109 [month_1] Name of the Month text, Required
110 [no_antenal_moth_reg_8ba6b3] 8.1 Number of Antenatal mothers registered in the facility text, Required
111 [no_women_4_anc_5de7bd] 8.2 Number of women with 4 ANCs text, Required
112 [no_women_riskfctrs] 8.3 Number of women with risk factors text
113 [seve_anemia] 8.3.1 Severe anemia (< 7gm/dl) text, Required
114 [raisd_bp_ad15fa] 8.3.2 Raised BP (>140/90) text, Required
115 [mult_prgnacy] 8.3.3 Multiple pregnancy text, Required
116 [prev_boh_066e04] 8.3.4 Previous BOH text, Required
117 [gdm_d9bcd6] 8.3.5 GDM text, Required
118 [bleed_disordr_12f44e] 8.3.6 Bleeding disorder text, Required
119 [infect_bef0e4] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any other) text, Required
120 [oth_mdcl_cndtn_0] 8.3.8 Other medical conditions
(Tuberculosis/Asthma/COPD/ Heart disease/Bleeding
disorders/others....) 		text, Required
121 [regstrs_antnal_mothrs_e9c622] 8.4 Number of registered antenatal mothers who
came for delivery 		text (number), Required
122 [no_wmn_lbr_usg_0] 8.5 Number of women who came in labour and who
had an USG report 		text, Required
123 [no_women_lbr_comp] 8.6 Number of women with labour complications text
124 [bleed_dh_0] 8.6.1 Bleeding per vagina text, Required
125 [hgh_fvr_dh_0] 8.6.2 High fever text, Required
126 [preclmap_dh_0] 8.6.3 Pre-eclampsia / Eclampsia text, Required
127 [pretrm_lbr_dh_0] 8.6.4 PROM /PPROM / preterm labour text, Required
128 [ftl_obs_dh_0] 8.6.5 Fetal and obstetric complications (Fetal
problems: Absent or Reduced Fetal Movement/ Cord
prolapse / Cord around the neck / Fetal Growth
Retardation. Obstetric problems: Malposition or mal
presentation /Obstructed labour, Transverse lie,
Abruptio placenta, Bad obstetrical history, Multiple
pregnancy). 		text, Required
129 [oth_mdcl_pblms_dh_0] 8.6.6 Other medical problems (History of major
medical illness - Asthma, COPD, Heart disease,
bleeding disorder, Gestational, diabetes, Specify) 		text, Required
130 [no_wmn_nrml_dlvry_d1d56c] 8.7 Number of women who had normal delivery text, Required
131 [vaccum_dh_0] 8.8.1 Vacuum text, Required
132 [forceps_dh_0] 8.8.2 Forceps text, Required
133 [no_lscs_dh_2c7c64] 8.9 Number who had LSCS? text (number), Required
134 [no_liv_brths_dh_0] 8.10 Number of live births text, Required
135 [macertd_dh_0] 8.11.1 Macerated text, Required
136 [frsh_dh_0] 8.11.1 Fresh text, Required
137 [no_neontl_dths_dh_37e009] 8.12 Number of early neonatal deaths (within 24
hours of birth) 		text (number), Required
138 [within_24_hrs] 8.12.1 within 24 hours of birth text (number), Required
139 [after_24_hrs] 8.12.2 After 24 hrs of birth till 7 days of life text (number), Required
140 [no_wmn_cortico] 8.13 Number of woman receiving antenatal
corticosteriods (GA assessed by USG between 24-34
weeks, In preterm labour, No signs of infection,
Probability of delivery within 7 days) 		text (number), Required
141 [no_wmn_antibio] 8.14 Number of woman who received antibiotics? text, Required
142 [no_wmn_mag_3] 8.15 Number of woman who received Inj Mag Sulph? text, Required
143 [women_refrd_othrfacili] 8.16 Number of women who were referred to
another facility during labour 		text (number), Required
144 [commts_8] Comments notes
145 [month_2] Name of the Month text, Required
146 [no_antenal_moth_reg_1_35693d] 8.1 Number of Antenatal mothers registered in the facility text (number), Required
147 [no_women_4_anc_1_04d09a] 8.2 Number of women with 4 ANCs text (number), Required
148 [no_women_riskfctrs_2] 8.3 Number of women with risk factors text
149 [seve_anemia_1] 8.3.1 Severe anemia (< 7gm/dl) text, Required
150 [raisd_bp_1_9235f8] 8.3.2 Raised BP (>140/90) text, Required
151 [mult_prgnacy_1] 8.3.3 Multiple pregnancy text, Required
152 [prev_boh_1_c62d8f] 8.3.4 Previous BOH text, Required
153 [gdm_1_1ea5b2] 8.3.5 GDM text, Required
154 [bleed_disordr_1_ab9be1] 8.3.6 Bleeding disorder text, Required
155 [infect_1_87b1ff] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any
other) 		text, Required
156 [oth_mdcl_cndtn_dh_1] 8.3.8 Other medical conditions
(Tuberculosis/Asthma/COPD/ Heart disease/Bleeding
disorders/others....) 		text, Required
157 [regstrs_antnal_mothrs_1_2ea8da] 8.4 Number of registered antenatal mothers who
came for delivery 		text (number), Required
158 [no_wmn_lbr_usg_1] 8.5 Number of women who came in labour and who
had an USG report 		text, Required
159 [no_women_lbr_comp_2] 8.6 Number of women with labour complications text
160 [bleed_dh_1] 8.6.1 Bleeding per vagina text, Required
161 [hgh_fvr_dh_1] 8.6.2 High fever text, Required
162 [preclmap_dh_1] 8.6.3 Pre-eclampsia / Eclampsia text, Required
163 [pretrm_lbr_dh_1] 8.6.4 PROM /PPROM / preterm labour text, Required
164 [ftl_obs_dh_1] 8.6.5 Fetal and obstetric complications (Fetal
problems: Absent or Reduced Fetal Movement/ Cord
prolapse / Cord around the neck / Fetal Growth
Retardation. Obstetric problems: Malposition or mal
presentation /Obstructed labour, Transverse lie,
Abruptio placenta, Bad obstetrical history, Multiple
pregnancy). 		text, Required
165 [oth_mdcl_pblms_dh_1] 8.6.6 Other medical problems (History of major
medical illness - Asthma, COPD, Heart disease,
bleeding disorder, Gestational, diabetes, Specify) 		text, Required
166 [no_wmn_nrmldlv_1_2e9043] 8.7 Number of women who had normal delivery text (number), Required
167 [vaccum_dh_1] 8.8.1 Vacuum text, Required
168 [forceps_dh_1] 8.8.2 Forceps text, Required
169 [no_lscs_1_dc313d] 8.9 Number who had LSCS? text (number), Required
170 [no_liv_brths_dh_1] 8.10 Number of live births text, Required
171 [macertd_dh_1] 8.11.1 Macerated text, Required
172 [frsh_dh_1] 8.11.1 Fresh text, Required
173 [no_neontldths_1_352eb4] 8.12 Number of early neonatal deaths (within 24 hours of birth) text (number), Required
174 [within_24_hrs_2] 8.12.1 within 24 hours of birth text (number), Required
175 [after_24_hrs_2] 8.12.2 After 24 hrs of birth till 7 days of life text (number), Required
176 [no_wmn_cortico_2] 8.13 Number of woman receiving antenatal
corticosteriods (GA assessed by USG between 24-34
weeks, In preterm labour, No signs of infection,
Probability of delivery within 7 days) 		text (number), Required
177 [no_wmn_antibio_2] 8.14 Number of woman who received antibiotics? text, Required
178 [no_wmn_mag_2] 8.15 Number of woman who received Inj Mag Sulph? text, Required
179 [women_refrd_othrfacili_2] 8.16 Number of women who were referred to
another facility during labour 		text, Required
180 [commts_8_1] Comments notes
181 [month_3] Name of the Month text, Required
182 [no_antenal_moth_reg_2_300d39] 8.1 Number of Antenatal mothers registered in the
facility 		text (number), Required
183 [no_women_4_anc_2_bfabae] 8.2 Number of women with 4 ANCs text (number), Required
184 [no_women_riskfactors_3] 8.3 Number of women with risk factors text
185 [seve_anemia_2] 8.3.1 Severe anemia (< 7gm/dl) text, Required
186 [raisd_bp_2_0bc518] 8.3.2 Raised BP (>140/90) text, Required
187 [mult_pregnancy_2] 8.3.3 Multiple pregnancy text, Required
188 [prev_boh_2_6510ae] 8.3.4 Previous BOH text, Required
189 [gdm_2_c9e115] 8.3.5 GDM text, Required
190 [bleed_disordr_2] 8.3.6 Bleeding disorder text, Required
191 [infect_2_27789e] 8.3.7 Infections (HIV/Hepatitis/Malaria/VDRL/any
other) 		text, Required
192 [oth_mdcl_cndtn_dh_2] 8.3.8 Other medical conditions
(Tuberculosis/Asthma/COPD/ Heart disease/Bleeding
disorders/others....) 		text, Required
193 [regstrs_antnal_mothrs_2_25c77f] 8.4 Number of registered antenatal mothers who
came for delivery 		text, Required
194 [no_wmn_lbr_usg_2] 8.5 Number of women who came in labour and who
had an USG report 		text, Required
195 [no_women_lbr_comp_3] 8.6 Number of women with labour complications text
196 [bleed_dh_2] 8.6.1 Bleeding per vagina text, Required
197 [hgh_fvr_dh_2] 8.6.2 High fever text, Required
198 [preclmap_dh_2] 8.6.3 Pre-eclampsia / Eclampsia text, Required
199 [pretrm_lbr_dh_2] 8.6.4 PROM /PPROM / preterm labour text, Required
200 [ftl_obs_dh_2] 8.6.5 Fetal and obstetric complications (Fetal
problems: Absent or Reduced Fetal Movement/ Cord
prolapse / Cord around the neck / Fetal Growth
Retardation. Obstetric problems: Malposition or mal
presentation /Obstructed labour, Transverse lie,
Abruptio placenta, Bad obstetrical history, Multiple
pregnancy). 		text, Required
201 [oth_mdcl_pblms_dh_2] 8.6.6 Other medical problems (History of major
medical illness - Asthma, COPD, Heart disease,
bleeding disorder, Gestational, diabetes, Specify) 		text, Required
202 [no_wmn_nrmldlv_2_862b1b] 8.7 Number of women who had normal delivery text (number), Required
203 [vaccum_dh_2] 8.8.1 Vacuum text, Required
204 [forceps_dh_2] 8.8.2 Forceps text, Required
205 [no_lscs_2_6276d6] 8.9 Number who had LSCS? text (number), Required
206 [no_liv_brths_dh_2] 8.10 Number of live births text, Required
207 [macertd_dh_2] 8.11.1 Macerated text, Required
208 [frsh_dh_2] 8.11.1 Fresh text, Required
209 [no_neontl_dths_2_405a0b] 8.12 Number of early neonatal deaths (within 24
hours of birth) 		text, Required
210 [within_24_hrs_3] 8.12.1 within 24 hours of birth text (number)
211 [after_24_hrs_3] 8.12.2 After 24 hrs of birth till 7 days of life text, Required
212 [no_wmn_coritco_3] 8.13 Number of woman receiving antenatal
corticosteriods (GA assessed by USG between 24-34
weeks, In preterm labour, No signs of infection,
Probability of delivery within 7 days) 		text (number), Required
213 [no_wmn_antibio_3] 8.14 Number of woman who received antibiotics? text, Required
214 [no_wmn_mag] 8.15 Number of woman who received Inj Mag Sulph? text, Required
215 [women_refrd_othrfacili_3] 8.16 Number of women who were referred to
another facility during labour 		text, Required
216 [commts_8_2] Comments notes
217 [par_joindate] Install Date text (datetime_seconds_ymd)
Field Annotation: @MC-PARTICIPANT-JOINDATE @HIDDEN
218 [par_joindate_utc] Install Date (UTC) text (datetime_seconds_ymd)
Field Annotation: @MC-PARTICIPANT-JOINDATE-UTC @HIDDEN
219 [par_timezone] Participant Timezone text
Field Annotation: @MC-PARTICIPANT-TIMEZONE @HIDDEN
220 [par_code] Participant Code text
Field Annotation: @MC-PARTICIPANT-CODE @HIDDEN
221 [chckd_dh_1] Checked by Nurse name text, Required
222 [dt] Date text (date_dmy), Required
223 [chckd_dh_2] Checked by Supervisor Name text, Required
224 [dt_1] Date text (date_dmy)
225 [chckd_dh_1_2] Checked by Taluk Coordinator Name : text, Required
226 [dt_3] Date text (date_dmy)
 
 227 [form_1_complete]
Section Header: Form Status
Complete? 		dropdown
0Incomplete
1Unverified
2Complete
REDCap 15.1.0 - © 2025 Vanderbilt University - Cookie policy