Abstract of Dissertation

Keyword : Facility Survey; Delivery Point; Availability; Functionality; Utilization; Labour Room Monitoring; Essential Equipment; Infrastructure Facilities

Objective : The study aims to assess the required equipments, drugs, human resources and infrastructural facilities in labour room of delivery points in Satna district; • Availability of essential equipments • Functionality of essential equipments • Utilization of essential equipments • Training status of available human resources • Infrastructure facilities • Drugs and supplies

Background : The pregnancy-related mortality and morbidity continues to have a huge impact on the lives of Indian women and their newborn. Around 70 percent of maternal deaths can be prevented by small intervention which required availability and functionality of adequate essential equipment’s, drugs, skilled human resource, and infrastructure (WHO 2014). The maternal mortality ratio is the number of women who die from any cause related to or aggravated by pregnancy or pregnancy management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the site of the pregnancy and duration, per 100,000 live births.

Methodology : A mixed method approach (Qualitative and Quantitative research) was adopted for this study. It was a descriptive cross-sectional study using supportive supervision checklist conducted to assess inputs (infrastructure, equipment’s, drugs and trained personnel) in the labor rooms of eight CHC of eight blocks out of total 32 delivery points (DH, CHC, PHC and SHC) in Satna district of Madhya Pradesh for 3 months, from February 6th, 2017 to April 5th 2017.

Findings : Nearly three-fourths of the respondents (73.8%) had knowledge of protocols followed in Labour room but lacked detail and in-depth knowledge of the component parts of the partograph, AMTSL, PPH management, Pre-eclampsia management and eclampsia management., knowledge of seven delivery trays set-up, equipment functionality, drugs availability had a significant relationship with its utilization. Little knowledge of the partograph (50%), lack of retained knowledge on AMTSL, PPH management (60%), availability of non-expired drugs (40%), shortage of staff (51.5%) and the fact that most of them were less motivated towards their work.

Recommendations :The Maternal and Neonatal deaths can be reduced to a large extent if all the protocols regarding infrastructure, equipment and drugs, trained human resource are followed as per the guidelines and standards. For this, regular monitoring and supervision is required, starting right from the ground level up to the highest administrative level. Only then will the gaps be identified in time, and corrective measures planned, and appropriate action taken.