Abstract of Dissertation

Keyword : Childhood Pneumonia; Diarrhoea; Health Facilities; Health Services

Objective : 1. To assess the current facility status for treatment of Childhood Pneumonias and Diarrhoea 2. To know the practice of the Public front line worker for disease identification, treatment and referral for the children suffering from lower respiratory disease and Diarrhoea.

Background : The facility assessment for treatment of any illness helps any organization to identify the gap and to make the intervention with appropriate strategy for the Pneumonia and Diarroeha Programme. This study is an attempt to assess the existing facility status of the facilities in five blocks of Gonda, Uttar Pradesh. The study covers five CHCs, ten PHCs and twenty-five Sub Centers through a structured observational checklist for availability of Drugs, Equipment’s Infrastructure, and Human Resources. Qualitative data were also gathered through Focus Group Discussion with Auxiliary Nurse Midwives (ANM).

Methodology : Study Design- Cross sectional Descriptive study Study Area- Five blocks (Jhanjhari, Mankapur, Rupaideeh, Paraspur and Itiathok) of the district Gonda in Uttar Pradesh were taken for the study. Study Participants-Medical Officer, Staff Nurse, Nurse, Mentor, Pharmacists and ANM Research method- Both Qualitative and Quantitative Sampling Method- Non-probability/Purposive sampling: As all the blocks has already been decided for the facility assessment. Data Collection Tools and Technique- Face to face interview with concerned staff using semi-structured Interview schedule and Focus group discussion and Observational Checklist

Findings : The data indicate that ORS and Zinc are available at the CHCs but they were not uniformly distributed as the availability at Sub centers for ORS and Zinc is only 87 per cent and 74 per cent respectively. However some of the antibiotic like Cephalosporin and Amoxicillin were not found anywhere. X ray was found functional in only one facility and same for feeding tube. Pulse oximeter was not found at any of the visited facilities. Only 68 per cent have safe drinking water at the facility and 72 per cent have the functional toilet facility at the health facilities. Human resources vacant position was one of the major challenges. No training has been provided till for the management of the Pneumonias and Diarroeha. Majority of the Pneumonia and Diarroeha cases reported were in severe conditions which show the need of facility should be prepared with all the essential elements to handle the cases. The results of study may be useful in planning and developing the suitable strategies in strengthening the facility.