Impact of skill building of health care providers at public health facilities on maternal and newborn health in three districts of Uttar Pradesh
Journal Title: Journal of Preventive Medicine and Holistic Health - Year 2017, Vol 3, Issue 2
Abstract
ackground: Despite significant improvement in reduction in under-five and infant mortality in India, neonatal mortality is relatively stagnant. Facility level skilled perinatal care has been advocated as an important intervention in this context. An implementation research for improving knowledge and skill of birth attendants in perinatal and essential newborn care implemented in three districts of Uttar Pradesh also documented the documented the changes in antenatal, perinatal and postnatal care in the districts. Materials & Methods: This non-experimental pre-post study involved cross-sectional population proportionate to size cluster surveys at baseline (August 2014) and end-line (May 2016) in three districts of Uttar Pradesh. At baseline 642 women and at end-line 696 women who delivered in last 6 months participated in the survey. Data on care received by these women during pregnancy, delivery, postnatal periods, pregnancy outcome, neonatal status along with the socio-demography. Results: There was significant improvement in ANC contacts and quality of care during these contacts across all the districts. There was rise in birth preparedness counseling (37% to 70%) and awareness about danger signs (19% to 46%). There was sizable rise in the institutional delivery (70% to 84%) and skilled care at birth (66% to 76%). Postnatal care contact increased from 57% to 78%. Newborn care practices including delay in bathing (after 24 hours) and breastfeeding within one hour improved (70% to 91% and 44% to 74% respectively). Conclusions: Our findings indicate multi-dimensional impact of the knowledge and skill improvement interventions involving skilled birth attendants on the pregnancy and postnatal service delivery.
Authors and Affiliations
Manoja K. Das, Sadhu C. Mohapatra, Vinod K. Srivastava, Najam Khaliq, Santosh K. Kaushal, Rajesh Khanna, Surojit Chatterji
Keywords
Related Articles
- EP ID EP293927
- DOI 10.18231/2454-6712.2017.0013
- Views 93
- Downloads 0
Socio-clinical profile of burn patients: An experience from a tertiary care center in West Bengal
Introduction: Burns are one of the leading causes of disability adjusted life years lost in low and middle income countries. The risk factors include gender, age, socio-economic conditions, occupational exposure, chronic...
Suicidality in epileptics on levetiracetam therapy with preceding comorbidity
Anti-epileptic medications like levetiracetam, sodium valproate, topiramate and lamotrigine are known to produce serious adverse reactions like suicidal tendencies, Steven Johnson syndrome, toxic epidermal necrolysis, he...
Better Healthcare and Nutrition: Applications of Genetics
Genetics is the future of medicine and yet, ‘it has always been the backbone of medicine’.[1] The world is now past the ten year anniversary of the sequencing of the human genome.[2] Neil Armstrong’s quote can be used to...
“Study of self-medication pattern among adults in Tumkur city”
Introduction: Self-medication can be described as obtaining and consuming drugs without the advice of physician. In developing country like India, easy availability of wide range of drugs coupled with inadequate health s...
Morbidity pattern amongst under-five children and associated factors in a rural area of Varanasi district in Uttar Pradesh, India
Introduction Acute respiratory tract infection ARI diarrhoea measles malaria are regarded as the most important killers of underfive children Anemia and worm infestation adds to the misery of the growing children Neonata...