Student Dissertation

Agency : Delivery Points; Health personnel; Labour room

Objective : To assess the current available resources including, infrastructure, human resources, equipment, capacity needed to deliver RMNCH+A intervention in two blocks of Chhatarpur district.

Background : Improving the maternal and child health and their survival are central to the achievement of national health goals under the National Health Mission (NHM) as well as Millennium Development Goals 4 and 5. In order to bring greater impact through Reproductive and Child Health (RCH) Program, it is important to recognize that reproductive, maternal and child health cannot be addressed in isolation as these are closely linked to the health status of the population at various stages of life cycle. Just as different stages in the life cycle are interdependent so are the aspects of where and how healthcare is provided.

Methodology : The main objective of conducting district situation analysis in high priority district Chhatarpur is to rapidly understand the gaps in implementation of a set of strategic RMNCH+A interventions across life stages, so that a baseline for monitoring the progress of RMNCH+A is established, that can also be used for setting targets and strategies by district administration. Data for the study was collected during the months of February, March, and April 2016 by the researcher in two blocks of Chhatarpur district to find out the current situation of RMNCH+A services. This includes an assessment of functional delivery units. The primary data was collected from institutions with the help of checklist provided in MNH toolkit which contain the information regarding RMNCH+A service. The checklist was filled by direct observation and remarks were noted and quality aspects were explored by interaction with respondents. Sampling technique and Selection of Samples: A multi stage sampling methodology was adopted for this study. Sample Size: There are total 32 delivery points in Chhatarpur district out of which a total of 20 facilities was covered in this study. Out of these 20 facilities, two CHC, six PHC and the remaining were Sub Centre. Tools for Data collection: A pre-designed and pre-tested tool will be used for the collection of the data.

Findings : The assessment shows that most of the delivery points labour room lacks basic amenities and infrastructure. Mandate drugs and equipment’s are unavailable at the site. As far as new born care is concerned functional radiant warmers are present at very few delivery points. Cord clamp and ambu bag are mostly found absent in new born resuscitation kit. The training status of ANM is not found satisfactory. Sterilization protocols are not being followed in labour rooms.

Recommendations : The findings underpin the need for improving the existing reproductive and child health services by capacity building and enhancing skills of service providers to reduce maternal and neonatal mortality in India.

What is the current service accessibility and availability situation of RMNCH+A services in two blocks of Chhatarpur district?