Rapid Assessment of health Facility Survey in UP

Agency : Constella Futures Group, on behalf of the Ministry of health and Family Welfare, Government of India

To reduce MMR and to meet the goal of less than 100 per 100,000 live births by the year 2010, the Government of India has provisioned for skilled attendance at every birth and emergency obstetric care to pregnant women having complications through nearly 2,000 FRUs, all ChCs and 50% of PhCs in the country. Selected FRUs, ChCs and 24x7 PhCs were upgraded as per the guidelines developed for this purpose. As a part of this effort, Constella Futures Group had undertaken a rapid assessment of facilities in Uttar Pradesh, Uttaranchal and Jharkhand. health sector varies considerably against the critical criteria of functionality of each type of facility. IhMR was entrusted withthe field work, data analysis and report preparation for Uttar Pradesh.

The major objective of the rapid assessment was to understand the functioning of FRUs and 24x7 PhCs as per the Government of India guidelines and to provide the feedback. The specific objectives were to:

As per the guidelines, FRUs must be equipped to provide delivery services on a 24-hours basis. however, it was found that nearly 10 percent FRUs failed to provide the 24-hour delivery service. New districts were partially operational and a few districts did not have a district hospital. Most of the hospitals failed to maintain proper records of date and time of delivery and discharges. Only one out of four district hospitals and two out of five PhCs had proper recording of date and time of delivery and discharges.



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