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Improving Women’s Access to Maternal Health Care Services in the state of Gujarat

Improving Women’s Access to Maternal Health Care Services in the state of Gujarat. Aim.

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Improving Women’s Access to Maternal Health Care Services in the state of Gujarat

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  1. Improving Women’s Access toMaternal Health Care Services in the state of Gujarat

  2. Aim • To evolve community based mechanisms in Navsari districtin Gujarat State to improve women’s access to maternal health and promote its replicability in other districts of Gujarat state and at other states and at National level.

  3. Navsari District at a Glance

  4. Observations TBA • Mean age of the TBA is 59 years • Average number of deliveries (2006-07) -14 • 40% were untrained • Limited role during antenatal & post natal period. Only to manage the labour • Not aware about their own entitlement and health service entitlement of pregnant women • Weak linkages between TBAs ANM

  5. Observations Panchayat • Knowledge about maternal health is limited • 47% believes that they do have a responsibility in the area of health • Usually do not make arrangement for transporting women during emergencies for delivery • Do not monitor the visit of ANM or AWW

  6. Training of TBA • TBA Training in Vansada Block • TotalNumber of TBAs Trained -287 8 PHCs are Covered Core Role and Expanded role as developed by the Dai Association –Gujarat and approved by the DHFW-GOG

  7. Training of ANM/FHW AWW Panchayat member Dai Improve access to maternal health services Training Training SHG Village Health committee Transport facilities

  8. Experience of DaiTraining • TBAs are committed • It is essential to train pairs of TBAs • TBA training requires hands on and repetition • Presence of ANM/MO/CDHO is essential to make linkages. • TBA Training at PHC helps to develop linkages with health team

  9. Pre/Post Training Results

  10. Action taken by trained Dais(September November 2007)

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