Journal of Krishna Institute of Medical Sciences University (Apr 2015)
Evaluation of Maternal Health Component of Reproductive and Child Health (RCH) II Programme in Beed District, Maharashtra, India 2013
Abstract
Introduction: Situation analysis of Reproductive and Child Health programme of Government of India in Beed district of Maharashtra state in India indicated lack of achievement of targeted maternal health indicators. Evaluation of the utilization of maternal health services component of Reproductive and Child Health (RCH) II programme in Beed district of Maharashtra state in India was undertaken. Material and Methods: A cross sectional survey in the rural area of Beed district using cluster sampling method was conducted. The information about the utilization of maternal health services was collected from mothers who delivered between 1st April and 30th June 2013. A facility survey using pre tested check list was undertaken. Analysis of the data using Epi Info Version 3.5.3 and proportion for selected maternal health care indicators were calculated. Results: Out of the 374 mothers included in the study, 122 (33.0%) had registered within first trimester of pregnancy; nearly 50% had received more than three antenatal care (ANC) visits and 90% had institutional delivery. Of the 70 mothers, who made phone call for ambulance service, 56 (80%) utilized ambulance from their residence to the hospitals. Of the 183 mothers who delivered in Government hospitals, 103 (56.3%) utilized it to reach home from hospitals after delivery. Of the eligible women, 96 (76.2%) were registered for Janani Suraksha Yojana (JSY) scheme of the Government and 67 (69.8%) received the benefit. In all 46 (16.4%) Auxiliary Nurse Midwives (ANMs) were trained as Skilled Birth Attendant (SBA). Of the 22 facilities, 14 (63.6%) had delivery kits and in 6 (27.3%) facilities maternal health services were monitored by medical officers. Conclusion: The utilization of maternal health care services and knowledge and implementation regarding JSY Scheme and ambulance service utilization among mothers was less than desirable. The coverage of training of ANMs as SBA was low. Provision of antenatal services in every village regularly, training of ANM, awareness regarding JSY scheme and better sensitization and utilization of ambulance service are needed.
