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A Study of High Rate of Home Deliveries in Ranagadh PHC


  • Swati
  • 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.
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