Strengthening training and supervisory systems to improve Skilled Birth Assistance in Jharkhand, India

Ragini Pasricha,Madhuri Narayanan,Manju Shukla

doi:10.1186/1753-6561-6-s5-p2

Abstract

Jharkhand has a maternal mortality ratio of 312 maternal deaths for every 100,000 deliveries, higher than the national average of 254 maternal deaths for every 100,000 deliveries. Only 47% of the deliveries in Jharkhand are attended by a skilled birth attendant, as opposed to the national average 76% of deliveries in India, which have skilled birth attendance. There is a shortage of skilled birth attendants (SBAs) in Jharkhand. In addition, many auxiliary nurse-midwives (ANMs) have limited knowledge of pregnancy- and delivery-related complications and did not consider conducting deliveries a top job responsibility. Health subcentres lack the basic infrastructure and drugs needed by ANMs for delivery care. Most ANMs received no performance feedback and had limited support from their supervisors.

Highlights

Jharkhand has a maternal mortality ratio of 312 maternal deaths for every 100,000 deliveries, higher than the national average of 254 maternal deaths for every 100,000 deliveries
47% of the deliveries in Jharkhand are attended by a skilled birth attendant, as opposed to the national average 76% of deliveries in India, which have skilled birth attendance
We have found that the newly trained skilled birth attendants (SBAs) conduct more institutional deliveries and provide services that adhere to standard guidelines when compared to the baseline (November 2008)

Summary

Introduction

Jharkhand has a maternal mortality ratio of 312 maternal deaths for every 100,000 deliveries, higher than the national average of 254 maternal deaths for every 100,000 deliveries. 47% of the deliveries in Jharkhand are attended by a skilled birth attendant, as opposed to the national average 76% of deliveries in India, which have skilled birth attendance. There is a shortage of skilled birth attendants (SBAs) in Jharkhand. Many auxiliary nurse-midwives (ANMs) have limited knowledge of pregnancy- and delivery-related complications and did not consider conducting deliveries a top job responsibility. Health subcentres lack the basic infrastructure and drugs needed by ANMs for delivery care. Most ANMs received no performance feedback and had limited support from their supervisors

Methods

Results

Conclusion