Abstract
A facility based survey was conducted from Oct 2011 to March 2012 at six Bal Mahila Chikitsalyas (BMCs) in Lucknow district. It was a cross section study. All the BMCs, work as first referral units (FRUs) was included in the study. Assessment was done on the basis of availability of infrastructure, human resources and medical equipments. Functional electric Generator facility was available in 33.3% of BMCs. Availability of functional ambulance was in only 16.7 percent of BMCs. Blood transfusion and caesarean services were available in only 33.3% of BMCs. About 50% of BMCs had regular paediatrician and obstetricians. In 66.7% of BMCs regular anaesthetics or MO trained in LSAS were present. BMCs (50%) had medical officers (MO ) who were trained in integrated management of neonatal and childhood infection (IMNCI) and two BMCs (33.3%) had MO trained in emergency obstetric care (EmOC). Radiant warmers were found in all the BMCs, but functional in only three (50.0%). Only two (33.3%) centres had functional phototherapy unit. In hypertensive drug, four BMCs (66.7%) had Nifedipine and Methyl Dopa. In Emergency drugs like adrenaline and aminophylline were available in 33.3% and 100.0% of BMCs. Calcium gluconate was found only in two (33.3%) of the BMCs. Vitamin K was available only one (16.7%) BMC.
Highlights
At present India has the world’s second largest urban population, next to China, and is facing an unprecedented scale of ur banization[1]
Several studies have demonstrated that urban health care facilities often benefit only an affluent minority and that widespread socioeconomic inequalities result in major health disparities 4,5,6,7
Less is known about the gaps in access to care in small and medium towns[5], where most of the urban population resides and where growth is outpacing that of larger agglomerations 8
Summary
At present India has the world’s second largest urban population, next to China, and is facing an unprecedented scale of ur banization[1]. According to the provisional Census of India (2011), 377 million people are residing in urban areas, constituting 31% of the total population, and this is projected to increase to 900 million by 2050. This will be more than 2.5 times the size of the United States of Ameri ca’s current population[2]. There are three tire system for the health care delivery but in urban there are no such type of system for health care. Increasing urbanization and widening inequalities, unmatched by the development of affordable services, could lead to restrictions in access to care and higher propensity to resort to self-treatment among the poor 9
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