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Undertake Bottleneck Analysis in four identified districts of Rajasthan
Agency : UNICEF
Evidence suggests lack of quality in the Pregnancy and Child Tracking System (PCTS), however, there is no robust analysis to assess the extent of its inaccuracy. We aim to bridge this gap in evidence by assessing the extent of completeness and quality of PCTS data in Rajasthan state of India.
Data on utilization of key Reproductive, Maternal, Neonatal, Child Health, and Adolescent Health (RMNCH+A) services were collected using a cross-sectional household survey from 1157 ANC, 207 Home Delivery, 824 Institutional delivery, 1051 PNC, 1157 children (0-24 month), 105 eligible couples who are using temporary or permanent family planning services, 70 babies of under 5 age group who suffer from Diarrhea or ARI in last 3 months and 35 adolescent girls who are not going to school in a total of 195 villages under 80 Sub-Centre (SC) and 40 PHC areas across 4 districts from 4 different health zone of Rajasthan state. Information for the same services was also recorded in RCH register and other records maintained by auxiliary nurse midwives (ANMs) at SCs and PHC to check under- or over-recording (Level 1 discordance). Data on utilization of RMNCH+A services from SC/PHC ANM records, for a subset of the total beneficiary covered in the household survey, were also collected and compared with monthly reports submitted by ANMs to assess under or over-reporting while report preparation (Level 2 discordance) to paint the complete picture for quality and completeness of routine PCTS data.
PCTS records for RMNCH+A services at Sub-centre/PHC level in Rajasthan state were satisfactory in terms of completeness. However, there were significant differences in terms of reported and evaluated coverage of RMNCH+A services. Quality of PCTS data needs to be improved to make it relevant for public health program planning and research.
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1, Prabhu Dayal Marg,Near Sanganer Airport, Jaipur - 302029
Phone: 91-141-3924700, 2791431-32
E-mail: iihmr@iihmr.edu.in
