1 / 21

Study Rationale

Assessment of Promoters and Barriers to Effective Health Services for Women and under 5 Children in Communities. Study Rationale. Baseline for CHN UC Kharak. Key Objectives.

mead
Download Presentation

Study Rationale

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Assessment of Promoters and Barriers to Effective Health Services for Women and under 5 Children in Communities

  2. Study Rationale • Baseline for CHN • UC Kharak

  3. Key Objectives • Identify the barriers and promoters for MNCH service availability, utilization accessibility and quality at the community level • Identify priority policies and interventions that can most reduce under 5 deaths & closely align with WV Pakistan’s MNCH program. • Guide CHN campaign strategy, in relation with WV Pakistan programs.

  4. Demographic Profile • District Population3.58 million • Tehsil Muzaffargarh1.35 million • Kharak(Rural Union council)42,355 • Estimated pregnancies/month 1524 • Target Population in surveyed Households • Female Population 51% • Male Population 49% • <5 year 38%

  5. Study Methods • HHS: 150 were randomly selected having children under 2 years or pregnant at the time of survey • HFA: 3 BHUs, RHC and DHQH • CCA: LHW, LHV & TBA (5 each) • FGD: mothers and fathers (1 each) • IDI: LHS and CMWs trainer (1 each) • SSI: District and provincial health managers • KII: Development partners

  6. Key Findings of our Research

  7. ANC During Pregnancy

  8. Delivery & Early Newborn Care

  9. Delivery & Early Newborn Care

  10. Safe Delivery Practices

  11. Safe Delivery Practices

  12. Safe Delivery Practices • Infants breast feeding after delivery • Immediately after birth 19% • Less than ½ hr 10% • ½ hr to 1 hr 17% • 1hr and 24 hrs 33% • Infants who received Colostrum 63% • Breast feeding awareness in CBAWs 83% • PNC-1 follow-up 29%

  13. Birth spacing • Opinion about Birth Spacing • 2 years 57% • 3 year 26% • more than 3 years 16%

  14. Management Basics • Staff JDs were deficient at most surveyed facilities • Service delivery protocols were not seen at any of the surveyed facilities • IEC Materialdeficient at most surveyed facilities

  15. ANC-1 at 3 BHUs

  16. Normal Delivery at 3 BHUs

  17. PNC-1 at Primary Health care Facilities

  18. Availability of medicines and lab services

  19. Community Perspective • LHWs and TBAs were recognized as “first approach” health care providers for the community because people preferred to deliver within their community • Community recognition, demand for functional public health facility and utilization is existent

  20. Recommendations • Community based care-CMWs • Referral mechanism • Increased awareness about ANC, SBA and PNC etc • Enhanced supervision • The HR -infrastructure -accessible health facilities • Data and information system utilization • Missed opportunities for Immunization • Local level advocacy • Horizontally integrated vertical programmes

  21. THANK YOU

More Related