Promoting EmOC at Periphery Level: An Evaluation Study in BDCS of Rajasthan and MaharashtraReaching Out, Scaling Up Safe-Motherhood Initiatives in BDCS in Uttar Pradesh and Madhya Pradesh

Agency : UNICEF, India Country Office

The baseline study drew together experiences and evidence from women, health care providers, and the community on all aspects of maternity care to create a flexible quality needs assessment framework. However, a central challenge in developing reproductive health strategies was giving real meaning to the rights of the couples and individuals (particularly women) to determine safe motherhood freely and responsibly. Reproductive health strategies were built around a core concept of women as thinking and feeling personalities shaped by the particular social, economic and cultural conditions that are central to their own reproduction. But the existence of maternal health services did not guarantee their use by women. Neither did the use of maternal health services guarantee optimal outcomes for women. An important aspect of care was highlighted to explain why women did not have access to the services at all or had access to them when it was too late or why they suffered an avoidable adverse outcome despite timely presentation, related to the intangible nature of the quality of care. Part of the reason for the intangible nature of quality is that it is too difficult to measure. There was substantial evidence from the study that there was a relationship between the quality of care that a facility provides and patterns of utilisation.



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