Status of Trainings Regarding Maternal Health Services in District Bharatpur
Agency : Skill Assessment, Training needs, SBA, EmOC
Objective : To assess the skills of medical and paramedical staff of CHC/ 24*7PHC regarding maternal care in Bharatpur district. To find out training needs of various health professionals to improve maternal care services.
Background : The situation on maternal health is not very impressive in Bharatpur as compared with Rajasthan. According to DLHS 3, institutional delivery is 43.8% in district which is 45.4% in Rajasthan. The percentage of safe deliveries (46.6%) in Bharatpur is also less in comparison to Rajasthan (52.6%).
Methodology : The study had a simple random sampling design with a quantitative technique. This study includes 13 CHCs and 19 24*7 PHCs. Checklist was developed to assess the training needs to provide comprehensive maternal care, which was administered to different health functionaries. Eighty nine health functionaries were interviewed including medical officers (21), staff nurses (12), GNMs (14), ANMs (22) and LHV (18).
Findings : It was found that very less medical officers were trained in EmOC (Emergency Obstetric Care) LSCS (Lower Segment Caesarian Section) and BeMOC (Basic Emergency Obstetric Care), use of partograph, IUCD Insertion, episiotomy, medical termination of pregnancy, and manual removal of placenta. It was revealed that very less paramedical staff nurse were trained in use of partograph during labour, IUCD Insertion, ARSH (Adolescent Reproductive Sexual Health) and in providing complete ante natal care. All medical officers interviewed stated that they will be interested in attending training for: EmOC, LSCS, LSAS, BeMOC, medical methods of abortion and manual vacuum aspiration/electric vacuum aspiration and use of forceps and vacuum. Most of the paramedical nurses required training for use of partograph during labour, identification of danger signs, IUCD insertion, and use of intra muscular injections.
Recommendations : Based on the findings it is suggested to conduct training on emergency obstetric care for medical officers, with emphasizing on intrauterine.
To assess the skills of medical and paramedical staff of CHC/ 24*7PHC regarding maternal care in Bharatpur district