Improving Womens Access to Maternal Health Care Services

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Improving Women’s Access to Maternal Health Care Services in the state of Gujarat 1

Improving Women’s Access to Maternal Health Care Services in the state of Gujarat 1

Aim ¨ To evolve community based mechanisms in Navsari district in Gujarat State to

Aim ¨ To evolve community based mechanisms in Navsari district in Gujarat State to improve women’s access to maternal health and promote its replicability in other districts of Gujarat state and at other states and at National level. 2

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Navsari District at a Glance 4

Navsari District at a Glance 4

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Observations TBA ¨ Mean age of the TBA is 59 years ¨ Average number

Observations TBA ¨ Mean age of the TBA is 59 years ¨ Average number of deliveries (2006 -07) -14 ¨ 40 % were untrained ¨ Limited role during antenatal & post natal period. Only to manage the labour ¨ Not aware about their own entitlement and health service entitlement of pregnant women ¨ Weak linkages between TBAs ANM 6

Observations Panchayat ¿ Knowledge about maternal health is limited ¿ 47% believes that they

Observations Panchayat ¿ Knowledge about maternal health is limited ¿ 47% believes that they do have a responsibility in the area of health ¿ Usually do not make arrangement for transporting women during emergencies for delivery ¿ Do not monitor the visit of ANM or AWW 7

Training of TBA Training in Vansada Block n Total Number of TBAs Trained -287

Training of TBA Training in Vansada Block n Total Number of TBAs Trained -287 n 8 PHCs are Covered Core Role and Expanded role as developed by the Dai Association –Gujarat and approved by the DHFW-GOG 8

Training of ANM/FHW Training AWW Panchayat member SHG Village Health committee Dai Training Transport

Training of ANM/FHW Training AWW Panchayat member SHG Village Health committee Dai Training Transport facilities Improve access to maternal health services 9

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Experience of Dai. Training n n n TBAs are committed It is essential to

Experience of Dai. Training n n n TBAs are committed It is essential to train pairs of TBAs TBA training requires hands on and repetition Presence of ANM/MO/CDHO is essential to make linkages. TBA Training at PHC helps to develop linkages with health team 11

Pre/Post Training Results 12

Pre/Post Training Results 12

Action taken by trained Dais (September November 2007) Action Taken % Used antiseptic to

Action taken by trained Dais (September November 2007) Action Taken % Used antiseptic to clean the outer reproductive organs before delivery Used gloves during delivery 36 42 Discussed the messages related to 42 birth preparedness with family Provided support to organize transport 45 Provided support to get the three ANC done 30 13