A Study of High Rate of Home Deliveries in Ranagadh PHC
- Agency : Home deliveries, TBA, PHC, Health Providers, Government Schemes
- Objective : A qualitative study has been carried out in the villages of Ranagadh PHC to find out driving force that led to such high rate of home deliveries, as high as 58% and has shown no improvements over the years.
- Background : Maternal Health Services are one of the basic health services to be provided by any government health system as pregnant women are one of the most vulnerable victims of dysfunctional health system. But, when governments at centre or state are highly motivated and concerned for institutional deliveries still it is found that these messages have not percolated down to the grass root level and the beneficiaries are not receiving the benefits that are meant for them.
- Methodology : ANC mothers who are registered in SC/PHC and mothers who had delivered at home in last one year at 15 Villages of Ranagadh PHC was taken up for study. Different Questionnaire. Exploratory & Open-ended survey was done. In-depth interviews of AN & PN mothers, their husbands/gatekeeper of the family, traditional dais. Focus GDs of Health Providers also carried out. Both primary and secondary tools used.
- Findings : It was found that illiteracy rate among the key stakeholders (AN and PN mothers who delivered at home in last one year) was as high as 56%. They were found to have very poor health seeking behavior. Also, the health providers were not motivated enough to look into this matter.
- Recommendations : It was recommended that the existing infrastructure should be strengthened and the quality of health service delivery has to be improved to achieve the set goals. Also, more emphasis should be given to IEC/BCC activities, which is highly neglected in this area.