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Regional review of implementation of national plans for birth defects and training on improving quality of birth defects surveillance

SEA-CAH-39

© World Health Organization 2020

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3 SEA-CAH-39

Regional review of

implementation of national plans for birth defects and training on improving quality of

birth defects surveillance

Virtual Meeting 24 - 26 November 2020

Meeting Report

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Content

^Page

Regional meeting to review the progress in implementation of national plan for birth defects prevention and control in the countries of South-East Asia Region Virtual: 24 November 2020 --- 2

• Background --- 2

• Proceedings: Summary --- 2

• Annexes:

Annex 1: Summary tables of the progress in implementation of national plan for prevention and control of birth defects --- 6 Annex 2: Programme --- 9 Annex 3: List of Participants --- 10 Intercountry workshop to build capacity in strengthening birth defects surveillance focusing on quality and analysis of data: Virtual 25-26 November 2020 --- 12

• Proceedings: Summary --- 12

• Annexures

Annex 1: Programme --- 15 Annex 2: List pf participants --- 16

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2

Regional meeting to review the progress in implementation of national plan for birth defects

prevention and control in the countries of South-East Asia Region

Virtual: 24 November 2020

Background

WHO-SEARO and CDC have jointly supported SEAR Countries to develop and implement national plans for prevention and control of birth defects. WHO-SEARO has also built capacity in birth defects surveillance and supported networks of hospitals for collecting and online reporting of prospective data on birth defects at birth, among livebirths and stillbirths to define the burden and distribution of birth defects. Countries have undertaken

prevention and care activities within and as part of the ongoing RMNCAH, nutrition and immunization programmes.

WHO-SEARO organized a virtual meeting on 24 November 2020 to review the country progress and prepare plans of key activities during the next year (2021).

Focal Persons for birth defects from the ministries of health and WHO country offices were invited to the meeting. A template was shared with them to prepare and present the progress in birth defects surveillance and in implementation of plan for prevention and control of birth defects.

Proceedings: S ummary

The meeting was held on virtual platform. In the opening remarks Dr Neena Raina, Senior Adviser WHO-SEARO expressed that WHO-SEARO’s initiative for the prevention and control of birth defects has been in response to the World Health Assembly Resolution WHA 63.17, adopted in May 2010. The Resolution recognizes significant contribution of birth defects to neonatal mortality and stillbirths, and recommends implementation of prevention programmes within the existing health and related programmes, using a primary health care approach.

WHO-South-East Asia Regional Office (WHO-SEARO) and the National Center for Birth Defects and Developmental Disabilities at Centers for Disease Control and Prevention, Atlanta (CDC USA) have collaborated since 2011 to develop a Regional initiative for prevention and control of birth defects. WHO Member States of South-East Asia have been partners in the process.

We have engaged ministries of health for the of birth defects. Focal persons have been identified in MOH in all countries.

Regional Strategic Framework for prevention and control of birth defects was prepared to guide Member States to prepare national plans of prevention and control of birth defects.

All countries have interventions for surveillance, prevention and care of birth defects included in the national strategies and plans.

WHO-SEARO has established online data base – SEAR-NBBD for supporting birth defects surveillance. 115 hospitals from 6 countries are consistently reporting data – 3.29 million total births; 34,168 Babies with birth defects, more than 100,000 Stillbirths has been reported in SEAR-NBBD. Six countries have been consistently submitting data online. We request other countries – DPRK, Indonesia, Sri Lanka, Thailand and Timor-Leste to keep sharing the annual reports of analysis so that we can maintain a regional database.

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3 We have now prepared module for DHIS2 platform that will help integrating birth defects in the national health information system.

All countries are implementing interventions for prevention of birth defects within the RMNCAH, nutrition and immunization programmes but there are additional opportunities.

Rubella immunization has been introduced in all countries for elimination of CRS.

WHO has recommended fortification of staple food with folic acid as one of the strategies to prevent neural tube defects. Several countries have initiated food fortification at small scale but should consider mandatory fortification at large scale.

Dr Raina shared the objectives of the meeting to review the progress made in the countries over last year and hoped that this annual review highlights the areas where progress has been made, work sustained and remaining gaps, so the you can plan appropriate actions. She thanked the delegates for taking time out from busy schedule during the pandemic to attend this meeting.

Dr Rajesh Mehta, Regional Adviser, Newborn, Child and Adolescent Health, WHO-SEARO shared a brief summary of the regional situation of the implementation of birth defects initiative and the progress since the last annual meeting.

WHO-SEARO has established an online database SEAR-NBBD since 2014 for birth defects surveillance. All countries in the Region are undertaking birth defects surveillance:

• 6 countries participate in online SEAR-NBBD: Bangladesh, Bhutan, India, Maldives, Myanmar, Nepal

• 5 countries undertake birth defects surveillance in their own systems and do not submit the case data online to SEAR-NBBD

SEAR-NBBD is a hospital-based surveillance system across the SEAR countries. Last year 115 hospitals were regularly reporting data on birth defects detected among the newborns delivered in the enrolled hospitals across 6 countries of the region.

WHO has developed training package for birth defects surveillance and has supported multiple trainings in the all countries. Since 2014 WHO has supported the capacity building as below:

• Staff in more than 350 Hospitals trained in surveillance

• More than 1000 hospital staff (doctors/nurses/data persons) trained

• Monitoring, handholding and problem-solving support is provided to 115 hospitals

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4 Since 2014 more than 3.28 million babies have been reported to SEAR-NBBD database including more than 39000 birth defects.

Year Total Births Babies with Birth Defects

Total Birth Defects

At birth prevalence of Birth Defects per 10,000

births

2020* 375310 4366 5698 116

2019 537437 7310 4524 136

2018 526991 6846 8819 130

2017 661220 6774 8742 102

2016 665030 4739 6157 71

2015 462320 3668 5088 79

2014 59490 465 565 78

Total 3287798 34,168 39,593 104

* until Sept 2020

Among the major birth defects reported to SEAR-NBBD database a large proportion is of neural tube defects, that are much more in stillbirths. (Figure below)

The following figures shows the prevalence of neural tube defects in the SEAR countries, that report data to SEAR-NBBD.

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5 As per the national birth defects plans, all countries are implementation interventions for prevention of birth defects in the RMNCAH, nutrition and immunization programmes as bellow:

• Periconception care: Folic Acid supplementation, Health education, screening for risks and carriers - Thalassemia, sickle cell disease etc

• Antenatal care: Gestational diabetes, obesity, medications

• Syphilis screening and management

• Nutrition: Micronutrient supplementation and fortification

• Immunization: Rubella vaccine for CRS prevention

• Pre-conception care and Adolescent health

While all countries in the region have introduced MMR vaccine in national immunization programme, six countries– Bangladesh, Bhutan, Maldives, Nepal, Sri Lanka and Timor-Leste have eliminated congenital rubella syndrome.

Staple food fortification programmes with micronutrients have been started in all countries but coverage is at a varying scale, several countries have introduced folic acid and B-12 fortification to prevent neural tube defects.

All countries were invited to share a summary of progress in birth defects surveillance and implementation of national action plans for prevention and control of birth defects over the last year. They were also requested to share key activities they have planned for the year 2021.

The summary of progress reported by countries is in the Annex 1

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Annex 1: Summary tables of the progress in implementation of national plan for prevention and control of birth defects

Intervention / Strategy

Pre-conception care Prenatal care and screening 2016 2017 2018 2019 2020 2016 2017 2018 2019 2020 Bangladesh

Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor-Leste

Intervention / Strategy

Birth defects prevention included in other RMNCAH programs Newborn screening Adolescent health

2016 2017 2018 2019 2020 2016 2017 2018 2019 2020 Bangladesh

Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor Leste

Not known/not answered Not included/ not present

Partial implementation/ project based/ not yet implemented at the national level National implementation efforts done or ongoing

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7 Intervention /

Strategy

Immunization - Rubella vaccination

2016 2017 2018 2019 2020

Bangladesh Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor Leste

National implementation efforts done or ongoing

Intervention / Strategy

BD prevention messages in NCD

programmes Care/management for BDs 2016 2017 2018 2019 2020 2016 2017 2018 2019 2020 Bangladesh

Partial implementation/ project based/ not yet implemented at the national level

National implementation efforts done or ongoing

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8 Intervention/

Strategy

Food fortification with Folic Acid Micronutrient supplementation programmes

2016 2017 2018 2019 2020 2016 2017 2018 2019 2020 Bangladesh

Partial implementation/ project based/ not yet implemented at the national level National implementation efforts done or ongoing

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9

Annex 2: Programme

09.30-10.00: Welcome, introductions and Opening remarks: Dr Neena Raina 10.00-10.30: Regional progress in Birth Defects Initiative: Dr Rajesh Mehta

10.30-11.45: Country presentations on the progress in implementation of national plan for prevention, surveillance and care of birth defects and future plans (MOH - 07 min each)

• Bangladesh

• Bhutan

• India

• Indonesia

• Maldives

• Myanmar

• Nepal

• Sri Lanka

• Timor-Leste 11.45-12.00: Closing

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Annexure 3: List of participants

Bangladesh

1. Dr. Muhammad Shariful Islam Program Manager

NNHP& IMCI

Directorate General of Health Services (DGHS)

2. Dr MD Jahurul Islam Deputy Program Manager Newborn Health, NNHP & IMCI MNC&AH,DGHS

Ministry of Health Bhutan

3. Ms Kinley Wangmo Email:

India

4. Dr Sumita Ghosh

Additional Commissioner Incharge

Child Health, RBSK, Adolescent Health, CAC and Aspirational Districts

Ministry of Health and Family Welfare (MoHFW)

Indonesia

5. Dr Nida Rohmawati

Head of Maternal and Neonatal Health Subdirectorate

Ministry of Health 6. Dr Rima Damayanti

Head of Neonatal Health section Ministry of Health

Maldives

7. Mr. Abdulla Muzza Adam

Senior Public Health Programme Officer Ministry of Health

Myanmar 8. Dr Thidar Win

Deputy Director Child Health Section

Department of Public Health

9. Dr Aung Nyan Min Director (Nutrition)

Department of Public Health 10. Dr Ei Kyar Phyu

Medical Officer (Nutrition) Department of Public Health Nepal

11. Ms Nisha Joshi

Senior Programme Officer Maternal and Newborn Health FWD, Department of Health Services Ministry of Health and Population Sri Lanka

12. Dr Kapila Jayaratne

National Programme Manager

Maternal & Child Morbidity & Mortality Surveillance

13. Dr Sanjeewa Godakandage National Programme Manager Maternal care programme Timor-Leste

14. Dr Loudes M.Leao Paediatrician

Department of Paediatric

Hospital Nacional Guido Valadares (HNGV ) 15. Dr Agusto Junior

National Hospital Timor-Leste

16. Ms Julieta da Cosata Focal Point

Ministry of Health 17. Ms Angelina Gusmao

National consultant WCO TLS

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11 18. Dr Mahbuba

National Professional Officer WCO Bangladesh

19. Dr Pushpa Deo Chaudhary Team Leader (RMNCAH) WCO India

20. Dr Deepti Agrawal

National Professional Officer WCO India

21. Dr Pooja Pradhan

National Professional Officer WCO Nepal

22. Dr Manjula Nishanthi Danansuriya National Professional Officer WCO Sri Lanka

23. Mr Jermias Da Cruz Programme Associate WCO Timor Leste

Regional Office for South-East Asia 24. Dr Neena Raina

Senior Adviser

Reproductive, Maternal, Newborn Child &

Adolescent Health and Ageing (MCA) 25. Dr Rajesh Mehta

Regional Adviser

Newborn, Child and Adolescent Health (CAH) 26. Dr Shuchita Gupta

Technical Officer

Newborn, Child and Adolescent Health (CAH) WHO- HQ

27. Mr Ankur Saxsena Executive Associate

Adolescent Health and Ageing (MCA) 28. Mr Amit Sood

Team Assistant

Adolescent Health and Ageing (MCA) 29. Mr Dhiraj Kumar

Executive Assistant (Data Management) Newborn, Child and Adolescent Health (CAH) 30. Ms Pooja Verma

Executive Assistant

Newborn, Child and Adolescent Health (CAH) WHO Country offices

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12

Intercountry workshop to build capacity in

strengthening birth defects surveillance focusing on quality and analysis of data

November 25-26, 2020

Proceedings: Summary

SEAR Countries have been supported to develop networks of hospitals under the SEAR-NBBD database initiative for collecting and reporting prospective data on birth defects at birth, among live births and stillbirths to define the burden and distribution of birth defects. The network hospitals have reached a reasonable level and consistency of reporting of the birth defects data. However, quality of data remains a concern and the capacity for data analysis, interpretation and dissemination to relevant stakeholders for public health action needs strengthening. Hospital networks in the SEAR countries have expressed the need for a next level of training to strengthen their capacity in these areas.

With an objective to improve quality of surveillance, capacity to analyze data and use data for public health action, WHO-SEARO and CDC organized a 2-days virtual workshop on November 25-26, 2020. Focal points for birth defects surveillance from NBBD hospitals from six countries were invited and about 120 participants attended this workshop. Zoom digital platform was used to host this meeting. The agenda is in the Annex 1.

The following pre-workshop activities were suggested to the invitees before they joined the workshop:

• Online basic course on birth defects surveillance: Hospital focal points will be expected to complete the ICBDSR course and get the certificate.

• Basic standard analysis of hospital specific data from NBBD Database: Hospital focal points were provided data for the last 2 years along with an exercise on analysis for them to practice.

To begin the workshop, Dr Rajesh Mehta, Regional Adviser, WHO-SEARO welcomed the delegates and introduced the objectives of the training and the facilitators for the workshop.

He presented an overview of SEAR-NBBD platform and emphasized the importance and mechanisms to ensure data quality in NBBD surveillance.

The first technical presentation was by Ms Yan Ping Qi, Health Scientist, CDC Atlanta on “Key characteristics of quality data in birth defect surveillance” (pre-recorded presentation). She explained the key elements of data quality in surveillance systems. She demonstrated an example of process mapping of a hospital-based surveillance program. She emphasized on quality of primary data at the point of collection, correct coding and classification of birth defects. She also mentioned that process mapping is a key element of monitoring surveillance systems and an important tool to diagnose the root causes of the poor quality.

The second session “SEAR-NBBD QA/QC Checklist: Effective Use for improvement” was by Dr Madhulika Kabra, Director of the WHO Collaborating Center on Genetics, All India Institute of Medical Science (AIIMS), New Delhi. She explained the existing SEAR-NBBD quality assurance mechanisms. She informed about the progress in data quality in SEAR-NBBD network over the years, remaining gaps, possible solutions and the way forward. Dr Kabra mentioned the importance of quality of data and emphasized on correct identification of the birth defects and timely reporting of the cases. She also emphasized the importance of consistent and standardized denominator reporting. She strongly recommended that verification of data must be enhanced at the level of each hospital and the country coordinator of the national network.

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13 The last session on Day 1 “Clinical checklists for neural tube defects- Improving description, coding and classification” was covered by Dr Neerja Gupta, Associate Professor, WHO Collaborating Center on Genetics All India Institute of Medical Science (AIIMS), Delhi. She explained the embryological origin and clinical classification of Neural Tube Defects (NTDs) and the importance of correct coding of different types of NTDs. She summarized standard NTD reporting format and checklist for high quality clinical description and quality indicators.

She mentioned the importance of accurate clinical description of all birth defects and how to work systematically using the clinical check list, as described in the example of NTDs.

On Day 2, Dr Madhulika Kabra, summarized the proceedings of the Day 1 and again emphasized the importance of quality data under the NBBD surveillance.

The first session on Day 2 “Data quality indicators (DQI) overview” was conducted by Dr Priyakanta Nayak, CDC Consultant. He explained the attributes of high quality data and gave an overview on Data Quality Indicators (DQI). Dr Nayak explained the uses of DQI and its importance for the 4 key processes of the surveillance system. He demonstrated DQI tool and explained the systematic assessment of data quality. Dr Nayak also mentioned the importance of using DQI tool regularly, not just once.

The second session on Day 2 “Data analysis and interpretation” was by Dr Priyakanta Nayak.

He explained the pre-workshop exercise on data analysis of the hospital specific data from NBBD Database. He clarified the basic analysis by calculating indicators like, birth defect prevalence per 10,000 birth, prevalence of babies born with birth defects per 10,000 births, at birth prevalence of birth defects among live births, at birth prevalence birth defects among stillbirths and how to calculate the still birth rate.

Dr Nayak explained the data analysis being regularly conducted by WHO-SEARO. He emphasized that such basic data analysis must be done at hospital level monthly or quarterly based on the number of birth defects detected; a similar analysis must be done at the level of the country coordinator who receives the data from network hospitals monthly, quarterly and annually.

Mr Dhiraj Kumar, WHO SEARO demonstrated the section of “Reports” in the SEAR-NBBD web- platform and explained how to do an automated basic analysis online at hospital and country- coordinator levels. He also demonstrated the method to generate visuals and graphics of the analysis.

The last session on Day 2 “Using data for public health actions: Data reports and other communication products” was covered by Ms Cara Mai, Health Scientist, CDC through a prerecorded presentation. She explained various elements that are important for preparing plan for appropriate dissemination of surveillance data. These include identifying target audience, objectives, and communication channels, and deciding the content of the messages.

She also mentioned how to prepare a comprehensive program report and explained the main components like executive summary, introduction, method, result, interpretation and appendices. She emphasized on delivering a timely report tailormade for the needs of the identified audience, clear data presentation with classification of birth defects and their outcomes. She also emphasized the importance of correct interpretation of the analysis of data in the report.

Dr Jennifer Williams, Team Lead, Neural Tube Defect Surveillance and Prevention Team, US CDC, delivered a recorded video message acknowledging the successful journey of the WHO- SEARO and US CDC collaborative initiative on birth defects in the South-East Asia Region that started in 2011. She lauded the efforts and commitment of the national governments in the region in preparing and implementing national plans for prevention and control of birth defects. She appreciated the hospital networks that have participated in the SEAR-NBBD database. She thanked all participants for moving NBBD surveillance program.

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14 The concluding remarks were given by Dr Rajesh Mehta. He mentioned that all surveillance systems require constant attention to continuous quality improvement at all levels. He requested the participants to undertake periodic data analysis and interpretation and disseminate the findings to relevant stakeholders for public health action. He expressed that the online workshop on higher level of training to strengthen data quality in the SEAR-NBBD network has been a success because of the interest and commitment from the staff form hospitals who have been busy with COVID cases recently. He greatly appreciated the support from the expert facilitators form CDC and WHO collaborating Center at AIIMS, New Delhi. He emphasized the regular workshops on virtual platform will be useful and effective in future, even after the pandemic is over. He assured that WHO will provide support for such training and retraining workshops when needed. He thanked all the delegates and the facilitators for the successful deliberations during the workshop.

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Annex 1: Programme

Day 1: 25 Nov 2020

• Training overview and expectations

• Birth defects surveillance programme: Key data quality characteristics

• SEAR-NBBD QA/QC Checklist: Effective Use for improvement

• Improving description, coding and classification o Clinical checklists for neural tube defects o Discussion

• Closing Day 2: 26 Nov 2020

• RECAP Day-1

• Data quality indicators (DQI) overview

• Data analysis and interpretation

o Descriptive analysis of cases, e.g., prevalence of selected birth defects;

stratification by key variables o Report generation in NBBD

• Using data for public health actions: Data reports and other communication product

• Closing

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Annexure 2: List of participants

Bangladesh

1. Prof. Dr Mohammod Shahidullah Professor & Chairman

Department of Neonatology

Principal Investigator, NBBD Project

Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka-1000

2. Prof. Dr. M.A. Mannan Professor

Department of Neonatology Co-PI, NBBD Project

3. Dr. Firoza Begum Professor

Department of Obstetrics & Gynecology 4. Prof. Dr. Sanjoy Kumer Dey

Professor

5. Dr. Sadeka Choudhury Moni Associate Professor

6. Dr. Md. Kamrul Hassan Shabuj Associate Professor

7. Dr. Ismat Jahan Sheme Assistant Professor

8. Dr. Rumpa Mani Chowdhury Assistant Professor

9. Dr. Shahida Akhter Professor

Department of Pediatrics

Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka

10. Dr. Ferdoushi Begum

Professor, Dept. of Gynecology & Obstetrics Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka

11. Dr. Afsari Ahmad Consultant

Department of Gynecology & Obstetrics United Hospital Ltd. (UHL), Dhaka.

12. Dr. Sharmin Afroz Child Specialist

United Hospital Ltd. (UHL), Dhaka 13. Lt. Col. Dr. Nahid Reja Shapla

Consultant

Department of Gynecology & Obstetrics Department of Paediatrics Combined Military Hospital (CMH), Dhaka

14. Maj. Dr. Md. Jahangir Alam

Combined Military Hospital (CMH), Dhaka 15. Dr. Md. Al-Amin Mridh

Professor

Department of Paediatric

Shahid Suhrawardi Medical College Hospital (ShSMCH), Dhaka

16. Dr. Jannat Ara Ferdous Assistant Professor

Department of Gynecology & Obstetrics Shahid

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17 Suhrawardi Medical College Hospital (ShSMCH),

Dhaka

17. Dr. Shah Nizam Uddin Shaon Project Coordinator

NBBD Project

Bangabandhu Sheikh Mujib Medical University (BSMMU)

18. Dr. Md. Abdul Baki Assistant Professor Department of Paediatrics

Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka

19. Dr. Nargis Ara Begum Sr. Consultant

Department of Neonatology United Hospital Ltd. (UHL), Dhaka 20. Lt. Col. Dr. Sabina Yesmin

Consultant

Department of Paediatrics Combined Military Hospital (CMH), Dhaka

21. Dr. Zakia Nahar Assistant Professor

Dept. of Paediatrics Shahid Suhrawardi Medical College Hospital (ShSMCH), Dhaka

22. Dr. Md. Rakibul Haque Khan Assistant Professor

Department of Neonatology 23. Prof. Manisha Banerjee

Professor

Department of Neonatology 24. Dr. Jesmin Akter

Assistant Professor Department of Paediatric 25. Dr. Mozibur Rahman

Associate Professor

Department of Neonatology 26. Dr. Nadira Afroz

Junior Consultant Department of Paediatrics 27. Dr. Asma Habib

Associate Professor

Department of Gynecology & Obstetrics 28. Dr. Taiaba Sultana

Junior Consultant

Department of Paediatrics 29. Dr. Monika Mojumder

Consultant

Department of Paediatrics 30. Prof. Dr. Jagadish C Das

Professor and Head Department of Paediatrics 31. Dr. Bidhan Chandra Biswas

Assistant Professor

Department of Neonatology 32. Dr. Md. Ismail Hossain

Assistant Professor

Department of Neonatology 33. Dr. S M Nazim Uddin

Junior Consultant

Department of Pediatrics 34. Dr. Dilara Alo

Associate Processor

Department of Neonatology 35. Dr. Masuma Khan

Assistant Professor Department of Pediatrics 36. Dr. Mohammad Neamat Hossain

Assistant Professor

Department of Neonatology Bhutan

37. Dr. Mimi Lhamo Head of Department Pediatrician

Jigme Dorji Wangchuck National Referral Hospital

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18 38. Dr. Kuenley Pelden

39. Dr Karma Yangdon

40. Dr Dinesh Pradhan

Central Regional Referral Hospital (CRRH) 41. Dr Choining Wangmo

Eastern regional referral hospital (ERRH) 42. Dr Sonam Tenzin

Trashigang Hospital 43. Dr Purna BDR Bhattarai

Samtse Hospital 44. Dr Yeshi Choden

Pling Hospital 45. Kinley Wangmo

Ministry of Health India

46. Dr. Poonam Shivkumar, Professor& Head, Dept. Of Ob & Gy,

Mahatma Gandhi Institute of Medical sciences, Sewagram Dist.Wardha, 442102

47. Dr Manish Jain, Neonatologist Dept. Of Ob & Gy,

Mahatma Gandhi Institute of Medical sciences, Sewagram Dist.Wardha, 442102

48. Dr Smiti Nanda

Prof & HOD, Obst & Gynae

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS) 49. Dr Geeta Gathwala

Prof & HOD, Pediatrics

Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

(PGIMS)

50. Dr. Rajeev Sen

Professor and Head, Dept. of Pathology Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences

(PGIMS)

51. Dr Bishan Dhiman Prof & HOD

Deptt of OBG KNSH for M&C

Indira Gandhi Medical College, Shimla 52. Dr. Neelam Grover

Prof & Head, Dept of Pediatrics Indira Gandhi Medical College, Shimla 53. Dr. Manjit Mohi

Prof & HOD, Deptt of OBG& Gynae Govt. Medical College, Patiala 54. Dr Baljinder,

Paediatrician

Govt. Medical College, Patiala 55. Dr. Sangeeta Singal,

Gynecologist,

Civil Hospital, Sec-6, Panchkula 56. Dr. Raj Kumar,

Paediatrician

Civil Hospital, Sec-6, Panchkula 57. Dr. Navneet Takkar,

Associate Professor and Head Dept. of Obst. & Gynaecology

Govt. Medical College and Hospital Sector-32, Chandigarh

58. Dr Deepak Chawla Associate Professor

Department of Pediatrics Govt. Medical College and Hospital Sector-

32, Chandigarh 59. Dr. Vanita Suri

Prof. & Head, Dept. of Obst. & Gynaecology Post Graduate Institute of Medical Education and Research, Chandigarh (PGIMR)

60. Dr. Neelam Aggarwal Assistant. Professor

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19 Dept. of Obst. & Gynaecology

Post Graduate Institute of Medical Education and Research, Chandigarh (PGIMR)

61. Dr. Venkataseshan Assistant Professor Pediatrics (Neonatology)

Post Graduate Institute of Medical Education and Research, Chandigarh (PGIMR)

62. Dr. Sujata Sharma Prof. & Head

Dept. of Obst. & Gynaecology

Government Medical College, Amritsar 63. Dr Ashwani Sareen

Neonatologist

Government Medical College, Amritsar 64. Dr. Baba Ram Bhagat

Assistant professor Gynecologist

Government Medical College, Jammu 65. Dr. Anuj Bhatti

Neonatologist

Government Medical College, Jammu 66. Dr. Sudha

Gynecologist

Government Multi Speciality Hospital Maldives

67. Dr Khadheeja Shiuna SSA - (Data Entry Officer)

Indira Gandhi Memorial Hospital 68. Dr Sheeza Abdul Wahid

Senior Nursing Supervisor

Abdul Rahman Dhonkaleygefaanu Hospital 69. Dr Mohamed Hamdhoon

Medical Records Officer Baa Atoll Hospital

70. Aishath Azneesha Hassan Senior Registered Nurse Gaaf Alif Atoll Hospital

71. Mizna habeeb

Assistant Medical Records Officer Regional Hospital, Hithadhoo 72. Ahmed Thalaal

Assistant Medical Records Officer Ungoofaaru Regional Hospital 73. Fasaah Abdulla

Translator

Lhaviyani Atoll Hospital 74. Aishath Fiusha

Registered nurse Gan Regional Hospital 75. Sameena Mohamed

Senior Community Health Officer Kulhudhuffushi Regional Hospital 76. Aishath Azlifa

Medical Records Officer

Gnaviyani Atoll Regional Hospital 77. Sadhaagath Abdulla

Medical Records Officer

Abdul Samad Memorial Hospital 78. Naazira Ibrahim

Senior Registered Nurse Dhaalu Atoll Hospital 79. Aminath Sulthana

Assistant Medical Records Officer Noonu Atoll Hospital

80. Mohamed Nizam

Assistant Medical Records Officer H.A Atoll hospital

81. Mohamed Thasneem

Assistant Medical Records Officer Sh. Atoll hospital

82. Aminath Moosa

Assistant Medical Records Officer F. Atoll hospital

83. Yaasmeen Adam

Assistant Medical Records Officer M. Atoll hospital

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20 84. Hawwa Fazeena

Enrolled Nurse A.Dh. Atoll Hospital 85. Suma Mohamed

Assistant Medical Records Officer Th. Atoll Hospital

86. Suweydha Abdul Azeez Enrolled Nurse

A.A Atoll Hospital 87. Asma Ibrahim

Assistant Officer Hulhumale hospital 88. Ibthisham Mohamed

Medical records, S. executive Treetop

Myanmar

89. Professor Dr. Moe New Professor

Obstetrics and Gynecological Specialist Hospital, Naypyitaw

90. Professor Dr Cho Cho Win Professor

Department of Paediatrics Children Hospital, Naypyitaw 91. Professor, Dr Lily Win

Professor

Department of Paediatrics

Central Women Hospital, Mandalay 92. Professor Dr. Nant San San Aye

Professor (Neonate)

Central Women Hospital,Yangon 93. Dr. Nyo Nyo

Senior Consultant (OG)

Central Women Hospital, Mandalay 94. Dr. Nay Nwe Aung

Senior Consultant ( OG)

Central Women Hospital, Yangon 95. Dr. Zaw Win Moe

Senior Consultant (Paediatrician)

Yankin Children Hospital,Yangon 96. Dr. Myat Thida

Senior Consultant (OG)

lnsein General Hospital,Yangon

Nepal

97. Dr. Yuba Nidhi Basaula

Bharatpur Hospital, Chitwan (BHC) 98. Dr. Sameera Thapa

Dhulikhel Hospital (DKH) 99. Dr. Henish Shakya

KIST Medical College (KISTMCH) 100. Dr. Mahesh Koirala

Nepal Civil Hospital, Kathmandu (NCH-K) 101. Dr Needa Shrestha

Paropakar Maternity (PMWH) 102. Dr. Sahisnuta Basnet

Manipal Teaching Hospital (MTH_P) 103. Dr. Nabin Shrestha

Western Regional Hospital, Pokhara 104. Dr. Shreyasi Aryal

Lumbini Medical College (LMC_P) 105. Ms. Nisha Joshi

GoN, Family Welfare Division Timor-Leste

106.Dr Lourdes National hospital Timor-Leste

107. Ms Julieta da Cosata Focal Point

Ministry of Health 108. Ms Angelina Gusmao

National Consultant WCO TLS

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21 Participating Hospitals

India

109. Dr Harish Chellani Head of Department Department of Paediatrics Safdarjung Hospital, New Delhi 110. Dr Anil Gulati

Focal Person

Department of Paediatrics Safdarjung Hospital, New Delhi 111. Dr Anil Gulati

Head of Department Department of Paediatrics Deen Dayal Upadhayay Hospital 112. Dr Ritu Chandra

Focal Person

Department of Paediatrics Deen Dayal Upadhayay Hospital 113. Dr Veena Devgan

Head of Department Department of Paediatrics Hindu Rao Hospital 114. Dr Dinesh Yadav

Focal Person

Department of Paediatrics Hindu Rao Hospital 115. Dr. Sunil Gomber

Head of Department Guru Teg Bahadur Hospital Department of Paediatrics 116. Dr Prerna Batra

Focal Person

Department of Paediatrics Guru Teg Bahadur Hospital 117. Dr Anuradha Govil

Head of Department Department of Paediatrics Kasturba Gandhi Medical College 118. Dr. Rashmi Sahai

Focal Person

Department of Paediatrics Kasturba Gandhi Medical College 119. Dr. Arvind Saili

Head of Department Department of Paediatrics Lady Hardinge Medical College 120. Dr Sushma Nangia

Focal Person

Department of Paediatrics Lady Hardinge Medical College 121. Dr. S. Ramji

Head of Department Department of Paediatrics Maulana Azad Medical College 122. Dr. Aashish Jain

Focal Person

Department of Paediatrics Maulana Azad Medical College WHO Country offices

123. Dr Mahbuba

National Professional Officer WCO Bangladesh

124. Mr Lobzang Dorji

National Professional Officer WCO Bhutan

125. Dr Pushpa Deo Chaudhary Team Leader (RMNCAH) WCO India

126. Dr Pooja Pradhan

National Professional Officer WCO Nepal

127. Ms Fathimath Hudha National Programm Officer

Programme, Planning a& Monitoring WCO Maldives

128. Mr Jermias Da Cruz Programme Associate WCO Timor-Leste

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22 Regional Office for South-East Asia

129. Dr Neena Raina Senior Adviser

Adolescent Health and Ageing (MCA) 130. Dr Rajesh Mehta

Regional Adviser

Newborn, Child and Adolescent Health (CAH) 131. Dr Shuchita Gupta

Technical Officer

Newborn, Child and Adolescent Health (CAH) WHO HQ

132. Mr Ankur Saxsena Executive Associate

Adolescent Health and Ageing (MCA) 133. Mr Amit Sood

Team Assistant

Adolescent Health and Ageing (MCA) 134. Mr Dhiraj Kumar

Executive Assistant

Executive Assistant (Data Management) Reproductive, Maternal, Newborn Child & Adolescent Health (MCA)

135. Ms Pooja Verma Executive Assistant

Newborn, Child and Adolescent Health (CAH)

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