Baseline Studies for Developing Implementation Model for Strengthening Maternal and Newborn Health Services in District Bharatpur, Rajasthan using Health Systems Approach under NRHM

Agency : WHO India

WHO is contemplating development of an effective implementation model for strenthening maternal and newborn health services at the district level in order to reduce maternal and newborn morbidity and mortality. The baseline assessment was carried out to identify the existing gaps in the district health system and service delivery mechanism vis-a-vis maternal and newborn health at all levels of care in Bharatpur district of Rajasthan. The baseline assessment included the following five areas: facility assessment, training needs assessment, techno-managerial capacity assessment, quality of care assessment and community needs assessment. The facility assessment was done at public health facilities in the district. The training needs assessment was carried out by interviewing health functionaries, which included medical officers and nursing staff at DH, FRU/CHC, and 24x7 PHCs in the district. The third assessment study was focused on to assess techno-managerial capacity of the district / block level officials. The quality of care assessment was done by observing service provisions and conducting exit interviews of patients and/or relatives at public health facilities. The client satisfaction survey included information related to access to health care facility, utilization of health services and client-provider interaction.



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