Abstract of Dissertation

Keyword : VHND, VHSNC, FLW, AEFI; Maternal Death; Antenatal Care

Objective : The objectives of the present study were: 1. To assess the services being provided in VHND session site. 2. To assess the availability of drugs and supplies at VHND sites.

Background : Uttar Pradesh has one of the highest MMR of 285 maternal deaths per 100,000 live births (SRS 2011–13) in India. IMR of Uttar Pradesh i.e. 50/1000 Live Birth is higher than the national average of 40/1000 LB (SRS 2013).and Shrawasti is one of the poorest in health indicator in entire Uttar Pradesh. MMR is 368 per 100,000 live births and IMR is 98 per 1000 live births (AHS 2013). Prevalence of under nutrition and anemia is very high. Almost 97% population of Shrawasti district lived in rural areas, so VHND can be successfully used as a platform for providing first-contact primary health care in this state.

Methodology : cross sectional descriptive study was carried in ikauna block. 48 session sites were selected randomly. Checklist to assess the VHND sessions was prepared to collect the data and collected data was analyzed by using MS-Excel.

Findings : From the findings, we can drive that out of 48 sessions only 16 sessions (33%) were conducting abdominal examination. Availability of IFA small tablet at session site 15 were (32%) and availability of albendazole were (66%) at the session site. Only 40% of availability of condoms at the session site.18 sessions were observed for conducting urine test for protein and sugar. There were no proper management of AEFI and list of drop out and left out cases.

Recommendations : From the above study, it can be concluded that services being provided during VHND were poor and availability of drugs and supplies were not adequate and performance of ANMs during vaccination and Antenatal Care were not satisfactory.