Child health & immunisation
Due child immunisation schedule completed
UN target alignment 3.2 · 3.bDefinition & evidence ↗
SDG 03Good health & well-being
Reliable care. Earlier prevention. Fewer missed services.
Show the service pathway behind the percentage: who is due care, who received it, where follow-up is incomplete, and which non-clinical or infrastructure support can help the health department deliver.
An imaginary village in the Nanded district context · six selected health-service and linked nutrition indicators.
Baseline snapshot30 Jun 2026
Current snapshot30 Sep 2026
Evidence coverage · selected factors6 / 6 · 100%
Unreserved indicative CSR budget₹10,10,000
What the Collector and company should notice
The score is 77.50%, yet 12 children in this fictional measured cohort still meet the adopted SAM definition. Their clinical follow-up remains a priority regardless of the composite. Adult screening/referral also has 200 incomplete service units.
01 · UNDERSTAND THE GOAL
What belongs in this SDG page?
Child immunisation, maternal care, institutional delivery, adult prevention/referral pathways, dependable village outreach and linked child nutrition follow-up.
Maternal care & referral readiness
Women completing the ANC contacts due in the period
UN target alignment 3.1 · 3.7Definition & evidence ↗
Safe delivery access
Institutional deliveries in the resident delivery cohort
UN target alignment 3.1 · 3.2Definition & evidence ↗
NCD prevention & care linkage
Due adult prevention and referral pathways completed
UN target alignment 3.4 · 3.8Definition & evidence ↗
Primary care access & outreach
Scheduled village outreach sessions meeting the service checklist
UN target alignment 3.8 · 3.cDefinition & evidence ↗
Child nutrition & clinical follow-up
SAM prevalence in a validly measured child cohort
UN target alignment 2.2 ↔ 3.2Definition & evidence ↗
Full official goal scope · what is not measured here
The six local factors illustrate selected service pathways. The topics below are broader: a link to a topic does not mean its official target or outcome has been measured. A 100% scenario closes these six local targets only.
- 3.1Maternal survivalPartial service link
- 3.2Child / newborn survivalPartial service link
- 3.3Communicable diseasesNot assessed here
- 3.4NCDs / mental well-beingPartial service link
- 3.5Substance-use careNot assessed here
- 3.6Road-injury preventionNot assessed here
- 3.7Reproductive healthcarePartial service link
- 3.8Universal health coveragePartial service link
- 3.9Environmental health risksNot assessed here
- 3.aTobacco controlNot assessed here
- 3.bMedicines / vaccinesPartial service link
- 3.cWorkforce / financingPartial service link
- 3.dHealth-risk preparednessNot assessed here
Coverage boundary This is a local service diagnostic, not the WHO UHC index or the full SDG 3 assessment. Mortality, communicable diseases, mental health, financial protection and other outcomes require additional data. Nutrition is primarily linked to SDG 2.2 and is included here as a cross-sector health concern.
Equity check Ask for safe aggregate coverage by sex, age, disability and remote habitation. Maternal and child records remain in departmental systems. A good composite never removes the duty to follow up an individual high-risk case.
02 · SHOW THE PERCENTAGE AND ITS BASIS
Six measurements. One transparent score.
The current score is calculated from measured service rates and adopted weights. Every figure is traceable to a defined numerator, denominator, date, source and reviewer. The sample uses equal-size comparable-period cohorts to make the arithmetic easy; real returns must reconcile actual cohort changes.
Baseline scoreCurrent scoreScale 0–100
85.0020% weight80.0020% weight90.0015% weight60.0020% weight80.0015% weight70.0010% weight03 · WHAT EXISTS, WHAT IS REQUIRED, WHAT IS STILL OPEN
Gap analysis a company can act on.
Service achievement, confirmed planned work and open needs are separate. Planned units are not included in the current achievement percentage. Gap units use each indicator’s own cohort and must not be added as unique beneficiaries.
| Indicator / weight | Baseline | Current | Target | Current score | Actual gap | Already planned | Open units |
|---|---|---|---|---|---|---|---|
| Due child immunisation schedule completed20% weight · EX-HL-01 | 70%70 / 100 | 85% 85 / 100 | 100% | 85.0017.00 weighted points | 15children | 5PLAN-EX-HL-01 | 10children |
| Women completing the ANC contacts due in the period20% weight · EX-HL-02 | 60%48 / 80 | 80% 64 / 80 | 100% | 80.0016.00 weighted points | 16women | 4PLAN-EX-HL-02 | 12women |
| Institutional deliveries in the resident delivery cohort15% weight · EX-HL-03 | 80%48 / 60 | 90% 54 / 60 | 100% | 90.0013.50 weighted points | 6delivery pathways | 2PLAN-EX-HL-03 | 4delivery pathways |
| Due adult prevention and referral pathways completed20% weight · EX-HL-04 | 40%200 / 500 | 60% 300 / 500 | 100% | 60.0012.00 weighted points | 200adults | 50PLAN-EX-HL-04 | 150adults |
| Scheduled village outreach sessions meeting the service checklist15% weight · EX-HL-05 | 50%10 / 20 | 80% 16 / 20 | 100% | 80.0012.00 weighted points | 4sessions | 1PLAN-EX-HL-05 | 3sessions |
| SAM prevalence in a validly measured child cohort10% weight · EX-HL-06 | 10%20 / 200 | 6% ↓12 / 200 | 0% | 70.007.00 weighted points | 12child follow-up pathways | 4PLAN-EX-HL-06 | 8child follow-up pathways |
EX-HL-01Due child immunisation schedule completed
+
- What is counted
- Resident children completing the age-appropriate schedule due by the reference date, under the department-approved definition.
- Required universe
- All 100 resident children due that same schedule, including missed and migrating children after reconciliation.
- How to measure
- Use the due-list and vaccination register; reconcile residence, age, duplicate records and actual doses received. Planned camps are not completed immunisation.
- When to report
- Monthly due-list review, quarterly validation and end-of-cycle follow-up.
- Responsible office
- PHC Medical Officer, ANM and the block health reviewer.
- Required evidence
- Signed aggregate due-versus-completed return and register reconciliation; no names or child health cards in the public view.
- Gap arithmetic
ceil(100% × 100) − 85 = 1515 − 5 = 10unreserved units- Taxonomy / database mapping proposal
- Child health & immunisation · NV-006A proposal only. These examples do not change an approved database framework.
- Source references
- MoHFW · HMIS ↗WHO · SDG health monitoring ↗
EX-HL-02Women completing the ANC contacts due in the period
+
- What is counted
- Resident women with all antenatal contacts due in the period completed under the approved schedule, including required documented referral follow-up.
- Required universe
- All 80 resident women due those contacts in the same reference period.
- How to measure
- Approve the schedule and due-cohort rules; reconcile the maternal register, completed contacts and referral closure. This is a reporting example, not a prescribed clinical schedule.
- When to report
- Monthly tracking; quarterly signed aggregate validation.
- Responsible office
- Medical Officer, ANM and the maternal-health programme reviewer.
- Required evidence
- Aggregate due-contact completion and referral follow-up statement, independently checked by the authorised officer.
- Gap arithmetic
ceil(100% × 80) − 64 = 1616 − 4 = 12unreserved units- Taxonomy / database mapping proposal
- Maternal care & referral readiness · NV-007A proposal only. These examples do not change an approved database framework.
- Source references
- MoHFW · HMIS ↗WHO · SDG health monitoring ↗
EX-HL-03Institutional deliveries in the resident delivery cohort
+
- What is counted
- Resident deliveries occurring in an appropriate authorised institution during the reference period.
- Required universe
- All 60 resident deliveries in the same period, including those outside the local facility catchment.
- How to measure
- Reconcile resident pregnancy/delivery records and institution confirmations. A facility total may include non-residents and cannot substitute for a village denominator.
- When to report
- Monthly reconciliation and quarterly review.
- Responsible office
- PHC Medical Officer and the maternal/newborn programme team.
- Required evidence
- Aggregate resident delivery reconciliation and validated institutional-service confirmation.
- Gap arithmetic
ceil(100% × 60) − 54 = 66 − 2 = 4unreserved units- Taxonomy / database mapping proposal
- Safe delivery access · NV-008A proposal only. These examples do not change an approved database framework.
- Source references
- MoHFW · HMIS ↗WHO · SDG health monitoring ↗
EX-HL-04Due adult prevention and referral pathways completed
+
- What is counted
- Eligible resident adults completing the adopted screening pathway, including follow-up for referrals due by the reference date.
- Required universe
- All 500 resident adults due that defined pathway in the period, not only camp attendees.
- How to measure
- The health office adopts the eligibility, tests and referral-closure definition. De-duplicate people and reconcile due referrals; counting tests or repeat visits is insufficient.
- When to report
- Monthly due-list updates, quarterly validation and six-month pathway review.
- Responsible office
- PHC/Health and Wellness Centre team and the district NCD reviewer.
- Required evidence
- Signed aggregate eligible-screened-completed-referral reconciliation. Patient results remain in the clinical system.
- Gap arithmetic
ceil(100% × 500) − 300 = 200200 − 50 = 150unreserved units- Taxonomy / database mapping proposal
- NCD prevention & care linkage · Additional proposed factorA proposal only. These examples do not change an approved database framework.
- Source references
- MoHFW · HMIS ↗WHO · SDG health monitoring ↗
EX-HL-05Scheduled village outreach sessions meeting the service checklist
+
- What is counted
- Due village sessions actually held with authorised staff and every required adopted service/checklist item.
- Required universe
- All 20 village sessions due in the approved reporting-period schedule, including cancelled sessions.
- How to measure
- Freeze the schedule before reporting. Verify staffing, required services and referrals, not just a camp photograph or attendance sheet.
- When to report
- After each session; monthly review and quarterly independent validation.
- Responsible office
- Medical Officer and the authorised outreach supervisor.
- Required evidence
- Approved schedule, signed delivered-service checklist and aggregate referral summary.
- Gap arithmetic
ceil(100% × 20) − 16 = 44 − 1 = 3unreserved units- Taxonomy / database mapping proposal
- Primary care access & outreach · NV-009A proposal only. These examples do not change an approved database framework.
- Source references
- MoHFW · HMIS ↗Nanded ZP · responsible offices ↗
EX-HL-06SAM prevalence in a validly measured child cohort
+
- What is counted
- Resident children classified with severe acute malnutrition under the documented, approved clinical measurement protocol.
- Required universe
- All 200 children in the defined eligible measured cohort with valid comparable measurements; show measurement coverage separately.
- How to measure
- Qualified health staff apply the approved protocol and validate measurement completeness. The illustrative 20% worst anchor is an administrative scoring choice, not a clinical threshold. Never infer recovery from supplies distributed.
- When to report
- According to the clinical follow-up protocol; aggregate monthly review and comparable remeasurement.
- Responsible office
- ICDS/CDPO and authorised PHC/NRC clinical teams.
- Required evidence
- Validated aggregate measurement coverage, SAM classification counts and clinician-confirmed follow-up results. Individual case records remain confidential.
- Gap arithmetic
12 − floor(0% × 200) = 1212 − 4 = 8unreserved units- Taxonomy / database mapping proposal
- Child nutrition & clinical follow-up · NV-010; proposed local anchor 20%A proposal only. These examples do not change an approved database framework.
- Source references
- WCD · POSHAN Tracker ↗WHO · SDG health monitoring ↗UN · SDG 2 and nutrition ↗
04 · CONNECT WORK TO MEASURED CHANGE
Which work contributed to the improvement?
Each example work record links to one measured factor, a before/after count, source evidence and an independent review. The arithmetic explains the score change; it does not prove that a single project caused the entire change. Do not credit two projects for the same service unit.
EXAMPLE WORK RECORD+3.00 pp
Missed-child mobilisation and service follow-up
70baseline count→85current count
The comparable coverage count moved from 70 to 85; the department checks actual schedule completion.
Evidence and accountability
Required evidence: Signed aggregate due-versus-completed return and register reconciliation; no names or child health cards in the public view.
Responsible office: PHC Medical Officer, ANM and the block health reviewer.
Illustrative review reference: EX-HL-01/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 5 children · PLAN-EX-HL-01. Excluded from measured achievement until delivered and reverified.
EXAMPLE WORK RECORD+4.00 pp
Maternal-service coordination and follow-up
48baseline count→64current count
Comparable-period completed service units increased from 48 to 64, after due-cohort reconciliation.
Evidence and accountability
Required evidence: Aggregate due-contact completion and referral follow-up statement, independently checked by the authorised officer.
Responsible office: Medical Officer, ANM and the maternal-health programme reviewer.
Illustrative review reference: EX-HL-02/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 4 women · PLAN-EX-HL-02. Excluded from measured achievement until delivered and reverified.
EXAMPLE WORK RECORD+1.50 pp
Delivery-access and referral-readiness action
48baseline count→54current count
The institutional-delivery count increased from 48 to 54 across comparable periods. This is a service-access indicator, not a maternal-mortality estimate.
Evidence and accountability
Required evidence: Aggregate resident delivery reconciliation and validated institutional-service confirmation.
Responsible office: PHC Medical Officer and the maternal/newborn programme team.
Illustrative review reference: EX-HL-03/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 2 delivery pathways · PLAN-EX-HL-03. Excluded from measured achievement until delivered and reverified.
EXAMPLE WORK RECORD+4.00 pp
Screening access and referral tracking phase
200baseline count→300current count
Completed pathways increased from 200 to 300. Equipment purchases or screenings without due follow-up do not qualify as completed pathways.
Evidence and accountability
Required evidence: Signed aggregate eligible-screened-completed-referral reconciliation. Patient results remain in the clinical system.
Responsible office: PHC/Health and Wellness Centre team and the district NCD reviewer.
Illustrative review reference: EX-HL-04/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 50 adults · PLAN-EX-HL-04. Excluded from measured achievement until delivered and reverified.
EXAMPLE WORK RECORD+4.50 pp
Reliable village outreach delivery
10baseline count→16current count
Qualifying sessions increased from 10 to 16. Additional camps count only when they meet the original required service definition.
Evidence and accountability
Required evidence: Approved schedule, signed delivered-service checklist and aggregate referral summary.
Responsible office: Medical Officer and the authorised outreach supervisor.
Illustrative review reference: EX-HL-05/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 1 sessions · PLAN-EX-HL-05. Excluded from measured achievement until delivered and reverified.
EXAMPLE WORK RECORD+2.00 pp
Nutrition and clinical follow-up coordination
20baseline count→12current count
The illustrative rate falls from 10% (20/200) to 6% (12/200). The local normalized score rises from 50 to 70. Twelve current cases still need clinical follow-up.
Evidence and accountability
Required evidence: Validated aggregate measurement coverage, SAM classification counts and clinician-confirmed follow-up results. Individual case records remain confidential.
Responsible office: ICDS/CDPO and authorised PHC/NRC clinical teams.
Illustrative review reference: EX-HL-06/R-2026Q2 · 30 Sep 2026.
Next-phase reservation: 4 child follow-up pathways · PLAN-EX-HL-06. Excluded from measured achievement until delivered and reverified.
Observed weighted change58.50 → 77.50%+19.00 percentage points
The six non-overlapping indicator contributions reconcile to this score change. They are not six separate counts of unique beneficiaries.
Financial accountability stays separate
Illustrative earlier/current work ledger. Pending commitments do not count as delivered services, and expenditure does not automatically increase SDG achievement. The new open-need estimates below are separate from this ledger and need overlap checks.
| Work | Committed | Disbursed / delivered | Utilized / verified |
|---|---|---|---|
| Village outreach support | ₹4,00,000 | ₹3,00,000 | ₹2,00,000 |
| Adult screening and referral logistics | ₹5,00,000 | ₹4,00,000 | ₹3,00,000 |
| Nutrition follow-up logistics | ₹3,00,000 | ₹2,00,000 | ₹2,00,000 |
| Separate totals | ₹12,00,000 | ₹9,00,000 | ₹7,00,000 |
05 · MAKE THE OPPORTUNITY CONCRETE
What could your company support next?
Explore only the unreserved units. These are illustrative gross planning estimates, not quotations, approved budgets, eligibility certificates or funding requests. The responsible office must confirm scope, permission, cost and existing support before any real commitment.
Illustrative implementation window01 Dec 2026 → 31 May 2027Each package retains its own delivery and follow-up dates.
OPEN SERVICE GAP 10 children
Support outreach for the remaining due children
Department-approved mobilisation and logistics around authorised clinical services. Health professionals retain all clinical decisions and delivery.
Unreserved indicative estimate₹1,00,000
Maximum modeled score gain+2.00 pp
- When
- 90 days, linked to the official due schedule.
- Required before starting
- Signed aggregate due-versus-completed return and register reconciliation; no names or child health cards in the public view.
- Risk to check
- Cohort changes or counts of doses instead of fully covered children can overstate achievement.
- After handover
- PHC keeps the due-list and routine outreach responsibility.
OPEN SERVICE GAP 12 women
Strengthen access and referral follow-up
Approved appointment coordination, access logistics and referral tracking. No clinical case files are shared with the company.
Unreserved indicative estimate₹1,80,000
Maximum modeled score gain+3.00 pp
- When
- Three months with monthly officer review.
- Required before starting
- Aggregate due-contact completion and referral follow-up statement, independently checked by the authorised officer.
- Risk to check
- Counting registrations or one visit as a completed due schedule would inflate performance.
- After handover
- The health department maintains the maternal-service pathway.
OPEN SERVICE GAP 4 delivery pathways
Improve remaining delivery-access arrangements
Department-approved access/referral arrangements, emergency readiness and documented handover. Clinical care stays with authorised providers.
Unreserved indicative estimate₹80,000
Maximum modeled score gain+1.00 pp
- When
- 90 days to establish arrangements; review each reporting period.
- Required before starting
- Aggregate resident delivery reconciliation and validated institutional-service confirmation.
- Risk to check
- A higher institutional-delivery rate alone does not prove quality of care or reduced mortality.
- After handover
- District health team maintains referral readiness and service availability.
OPEN SERVICE GAP 150 adults
Support the unreserved prevention-service cohort
Approved access logistics, equipment readiness and tracking support around clinician-led services; verify referral completion.
Unreserved indicative estimate₹3,00,000
Maximum modeled score gain+6.00 pp
- When
- Six months, with monthly aggregate progress checks.
- Required before starting
- Signed aggregate eligible-screened-completed-referral reconciliation. Patient results remain in the clinical system.
- Risk to check
- Service completion is not a guarantee of disease control or a reduction in mortality.
- After handover
- Health department owns follow-up and equipment maintenance responsibilities.
OPEN SERVICE GAP 3 sessions
Make remaining scheduled sessions dependable
Approved venue readiness, power, logistics and equipment support. Staff and clinical-service availability must be confirmed by the department.
Unreserved indicative estimate₹1,50,000
Maximum modeled score gain+2.25 pp
- When
- 90 days, matched to the approved session calendar.
- Required before starting
- Approved schedule, signed delivered-service checklist and aggregate referral summary.
- Risk to check
- Adding low-service events must not replace the due-session denominator or lower the service standard.
- After handover
- PHC owns the continuing calendar and required staff deployment.
OPEN SERVICE GAP 8 child follow-up pathways
Support department-led follow-up and nutrition logistics
Only approved non-clinical logistics and programme support around clinician-led care. Actual improvement needs repeat clinical measurements; this plan does not predict recovery.
Unreserved indicative estimate₹2,00,000
Maximum modeled score gain+2.00 pp
- When
- As directed by the clinical team; six-month programme review.
- Required before starting
- Validated aggregate measurement coverage, SAM classification counts and clinician-confirmed follow-up results. Individual case records remain confidential.
- Risk to check
- Missing measurements or a changing cohort can make prevalence look better. A high overall score never overrides clinical needs.
- After handover
- ICDS and health teams continue the approved care and follow-up pathway.
06 · WHAT, HOW, WHEN AND WHO
From a register entry to an accountable company proposal.
- 01
Define what will be measured
Collector Office + departmentAdopt the indicator, denominator/cohort, direction, target, anchor, weight, mandatory factors, geography and dates before measurement. Version changes; do not change the test after seeing results.
- 02
Enter departmental facts
Assigned departmental makerReturn village/LGD codes, numerator, denominator, actual source date, period, register reference, aggregate evidence, N/A/unavailable reasons and confirmed plan units. Personal records stay in the source system.
- 03
Independently verify
Different authorised reviewerReconcile the complete eligible cohort, duplicate records, measurement coverage, date freshness, plan overlap and evidence. Return discrepancies; missing values never become zero.
- 04
Approve a safe report release
Collector / authorised district approvalA real corporate-facing page needs a separately approved safe aggregate release. Do not expose the private SDG workspace, NGO grants, evidence or small identifiable cohorts. Publish the as-of date, coverage and method with the percentage.
- 05
Prepare a verified unmet-need report
Department / permitted NGO + PMUSpecify the exact village, open service units, existing schemes/plans, proposed intervention, site readiness, technical estimate, permissions, maintenance owner and outcome test. Route through normal need verification.
- 06
Agree the company contribution
Company + department + district approvalConfirm permitted delivery arrangements, milestones, responsibility and reporting dates. Keep committed, delivered/disbursed and utilized/verified figures separate. No example-page button makes a financial commitment.
- 07
Monitor delivery and hand over
Responsible line office + independent field reviewCheck actual service delivery and functionality, technical acceptance, receipts and maintenance ownership. Photographs and expenditure are supporting evidence, not substitutes for the outcome measurement.
- 08
Remeasure, then update achievement
Department → verifier → CollectorUse the adopted method and a reconciled cohort at the next due observation. Record the new date, evidence and approval. Only then replace the current percentage and publish the measured contribution with its limits.
VILLAGE NEED REPORT · MINIMUM CONTENT
The company pitch should answer these questions.
- Where? Verified village/LGD, habitation/site and responsible office.
- What exists? Current service count, denominator, rate, source date and evidence status.
- What is needed? Target count − current achievement; subtract confirmed planning units for the open requirement.
- Why this intervention? Root cause, readiness, permissions and alternatives.
- How much and when? Independent estimate, recurring costs, delivery milestones and due dates.
- What result? Specific service units, measurement method, independent reviewer and follow-up date.
- Who sustains it? Named operating/maintenance owner and handover acceptance.
Village → Gram Panchayat → taluka → district
Keep verified LGD mappings. For an equity view, give each qualified village one equal weight and show qualified/total villages. Do not average GP or taluka averages without preserving the village counts. Separately aggregate numerator/denominator service coverage.
Example: one village at 70% and one unassessed village means “70% among 1 of 2 qualified villages”, not 35% district achievement. Keep the unassessed village in the action queue. A GP-level official PAI score must not be relabelled as a village score.
07 · OFFICIAL REFERENCES, LOCAL RETURNS
Where the definitions and figures should come from.
Official links explain target areas and source systems. They do not verify the fictional numbers on this page. Request current, village-tagged, signed aggregate extracts from the responsible office; district totals and facility catchment data cannot automatically become village-resident counts.
UN · SDG 3 targets ↗WHO · SDG health monitoring ↗MoHFW · HMIS ↗WCD · POSHAN Tracker ↗UN · SDG 2 and nutrition ↗Nanded ZP · responsible offices ↗MoSPI · indicator metadata guidelines ↗
Reference review: 4 November 2026. Reporting periods on this page are illustrative.