Abstract of Dissertation

  • Keyword : Healthcare Delivery; Facility Survey; MNH Toolkit; MCH Services; Gap Analysis
  • Objective : The objective of study is to assess inputs (essential equipment, human resources and their training status, infrastructure and protocols) in labor rooms of health facilities in Singrauli district.
  • Background : The institutional delivery in India has improved around sixty-four per cent in last ten years. Neonatal and Maternal mortality has also shown a declining trend, but the decline has not been proportional to increase in institutional delivery rates. Studies have suggested that one of the reasons of this situation could be unavailability of required inputs like infrastructure, skilled human resource, essential equipment and drugs at the health facility. Singrauli a high priority district in Madhya Pradesh is also facing such situation. In order to understand the reason, there was a need to assess the facilities on the basis of the required inputs.
  • Methodology : Descriptive study was conducted to assess required inputs in labor rooms at health facility in Singrauli. Sample Selection: Convenience Sampling of all the CHCs (Chitrangi, Khutar, Niwas, Sarai, Berdah) and district hospital was included.
  • Findings : Data was analysed at facilities Niwas CHC does not have machintosh sheet for labour tables, yellow bucket near labour tables, fetoscope, autoclave and slipper in labour room. Sixteen protocols are not displayed at any CHC except Sarai. At Khutar and Berdah CHC NBCC was not functional. Autoclave was not available at any CHC except DH.
  • Recommendations :

Availability, accessibility, affordability, equity, efficiency and quality of MNH services highly depend on the distribution, functionality, availability and quality of infrastructure, equipment’s, human resource. Therefore, it is concluded that adequate/inadequate availability of inputs can be one of the reasons affecting the performance of these facilities.