Abstract of Dissertation

Keyword : Delivery point; Infection prevention practices; Bio medical Wastes

Objective : To identify the existing infection prevention practices in all delivery points of Dindori district of Madhya Pradesh.

Background : Increasingly, women in India attend health facilities for childbirth, partly due to incentives paid under government programs. Increased use of health facilities can alleviate the risks of infections contracted in unhygienic home deliveries, but poor infection control practices in labour and delivery units also cause puerperal sepsis and other infections of childbirth. A needs assessment was conducted to provide information on procedures and practices related to infection control in delivery points of Dindori district of Madhya Pradesh.

Methodology : The study was carried out from February to May 2016 in 40 health care facilities (2 L3, 8 L2 and 30 L1 Delivery Point) within dindori districts of Madhya Pradesh. Questionnaire as tools for interviewing and for observation were used. Data collection was based on existing infection control guidelines of Government of India for clean practices, clean equipment, clean environment and availability of diagnostics and treatment.

Findings : The study findings revealed that majority of delivery point did not follow standard guidelines of government of India. only in 14 Delivery point color coded bags for disposal of Bio Medical Waste were available & proper segregation and disposal of Bio medical waste was done in 10 delivery point. Hand hygiene practiced in only 19 delivery point. 50% delivery point did not perform cleaning procedure after delivery. Only 15% of facilities reported that wiping of surfaces was done immediately after each delivery in labour rooms. 67% Maternity in charge of delivery point have accurate knowledge of sterilization and cleaning of labor room. but still they were not practicing it properly.

Recommendations : This study of current infection control procedures and practices during labour and delivery in health facilities in Dindori revealed a need for improved protocols procedures and practices, and for training and research. Simply incentivizing the behaviour of women to use health facilities for childbirth via government schemes may not guarantee safe delivery.