Community Delivery Centers: A Drivers for Basic Obstetric Care Among the Islanders of Indian Sundarbans

Agency : PHFI

Effective implementation is the key to realize policy and programmatic commitments. Community Delivery Centers (CDCs) have been set up in remote areas of the Indian Sundarbans for providing obstetric care. Implementation researches were undertaken to understand the issues promoting and hindering their effective functioning in provision of basic obstetric care. Sarvik Vivekananda Gram Seva Sanstha was a collaborator in this study. Two innovative participatory research methods (viz., Most Meaningful Change and Pair Wise Matrix Ranking and Scoring) were used. This implementation research project hopes to generate knowledge that can be used to inform implementation. The study tried to investigate the factors determining the differential utilization of CDCs. This research project intended to develop strategies for better utilization and effective and sustainable functioning of Community Delivery Centers in ensuring basic obstetric care in the Indian Sundarbans. Effectiveness-implementation hybrid trials approach was followed to address the study objectives.

The implementation research was carried out in three CDCs which are providing services for at least the last five years. Based on the secondary data from the CDCs, the research team decided upon well-performing, moderate-performing and closed CDCs from the six NGOs which run fourteen CDCs located in different remote areas of the Indian Sundarbans. The study findings were expected to inform policy to address issues of implementation that impeded effective healthcare.


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