Abstract
Background : In developing countries like India, a very high proportion of the population especially in rural areas of Madhya Pradesh does not have ready access to neonatal and child health care services. There is an urgent need for removal of obstacles to pediatric health to improve health indicators. Aims & Objectives: To assess the infrastructure and quality of child health care delivery system in Rewa district of Madhya Pradesh. Material & Method: A cross-sectional observation study carried out at tertiary care hospital. 84 Auxiliary nurse midwives (ANMs), 16 Medical officers posted at primary health centres (PHCs) and 10 medical officers in-charge of Community health centres (CHCs) were interviewed through a predesigned questionnaire over a period of one year to assess neonatal and child health care services at sub centre, PHCs and CHCs respectively. Results: 91.66% subcentres had male workers and 90.4% had ANMs. 53.5% subcentres are covering 5-10 villages and 20.2% were covering even more than 10 villages. 42.9% of studied subcentres did not have their buildings. 31.2% of studied PHCs did not have doctor. 81.2% PHCs are not having staff nurses, 43.7% of studied PHCs are not having their own buildings. Marked lack of specialists in CHCs was found affecting newborn care. Conclusion: Improvement in infrastructure and specialist facilities is needed to improve neonatal and child health care services as well as health indicators in Rewa district. Background : In developing countries like India, a very high proportion of the population especially in rural areas of Madhya Pradesh does not have ready access to neonatal and child health care services. There is an urgent need for removal of obstacles to pediatric health to improve health indicators. Aims & Objectives : To assess the infrastructure and quality of child health care delivery system in Rewa district of Madhya Pradesh. Material & Method: A cross-sectional observation study carried out at tertiary care hospital. 84 Auxiliary nurse midwives (ANMs), 16 Medical officers posted at primary health centres (PHCs) and 10 medical officers in-charge of Community health centres (CHCs) were interviewed through a predesigned questionnaire over a period of one year to assess neonatal and child health care services at sub centre, PHCs and CHCs respectively. Results : 91.66% subcentres had male workers and 90.4% had ANMs. 53.5% subcentres are covering 5-10 villages and 20.2% were covering even more than 10 villages. 42.9% of studied subcentres did not have their buildings. 31.2% of studied PHCs did not have doctor. 81.2% PHCs are not having staff nurses, 43.7% of studied PHCs are not having their own buildings. Marked lack of specialists in CHCs was found affecting newborn care. Conclusion : Improvement in infrastructure and specialist facilities is needed to improve neonatal and child health care services as well as health indicators in Rewa district. Normal 0 false false false EN-IN X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:Table Normal; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:Calibri,sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;}
Highlights
Rewa district is situated in the eastern part of Madhya Pradesh province of India
84 Auxiliary nurse midwives (ANMs), 16 Medical officers posted at primary health centres (PHCs) and 10 medical officers in-charge of Community health centres (CHCs) were interviewed through a predesigned questionnaire over a period of one year to assess neonatal and child health care services at sub centre, PHCs and CHCs respectively
At PHC Level: 6 PHCs were designated as BEmONC (Basic emergency maternal obstetric and neonatal care) centres. 31.5% (n=5) PHCs were situated more than 50 km from Rewa headquarter
Summary
Rewa district is situated in the eastern part of Madhya Pradesh province of India. Rewa is basically a plateau comprised of dissected hills, ravines plain, plateau, scrap, water fall and alluvial plain with 83.76% rural area [1]. The infant mortality rate (IMR) in Madhya Pradesh is the third highest among the states of India [2]. According to Annual Health Survey (2010-11) IMR, Under 5 mortality rate (U5MR) and Neonatal Mortality Rate (NMR) of Madhya Pradesh is 67, 89, 44 per 1000 live births respectively and for Rewa district these indicators are 73,97 and 51 respectively [3]. In developing countries like India, a very high proportion of the population especially in rural areas of Madhya Pradesh does not have ready access to neonatal and child health care services. Aims & Objectives: To assess the infrastructure and quality of child health care delivery system in Rewa district of Madhya Pradesh. Conclusion: Improvement in infrastructure and specialist facilities is needed to improve neonatal and child health care services as well as health indicators in Rewa district
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