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Key Recommendations Role of DaiMas in NRHM

Key Recommendations Role of DaiMas in NRHM. The Role of Traditional Birth Attendants in The National Rural Health Mission National Consultation May 2, Delhi. Expanding the Role of DaiMas. Childbirth and beyond

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Key Recommendations Role of DaiMas in NRHM

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  1. Key RecommendationsRole of DaiMas in NRHM The Role of Traditional Birth Attendants in The National Rural Health Mission National Consultation May 2, Delhi

  2. Expanding the Role of DaiMas • Childbirth and beyond • Continuum of care & support for maternal & newborn health: at home & at the institution • Increase range of functions based on context: • Mobilize the drop outs/ hard to reach groups for FP, immunisation, child health, nutrition, health insurance, disease control prog. • Entrust social mobilization role • Especially to reach the socially excluded • Include Dais as an official member of primary health care team: • Dai/ANM/AWW & VHSC

  3. Expanding the Role of Dais ………….. • Include Dais in monthly review meetings: • PHC, block level • Select them as ASHAs: • Waive the criteria for literacy

  4. Decentralised Planning • From a programmatic standpoint: • Important to plan for inclusion of Dais at the local levels - block/district. • Women’s choices needs to be considered in planning • Where institutions are not prepared: (staff and equipment), in all tribal villages and hamlets, and in SC habitations, dais must be trained as safe delivery providers, with strong referral and transport back up. • NRHM-NGO programme guidelines should enable dais to be engaged in programmes for unserved/ underserved areas

  5. Capacity Building • Dais need appropriate training: • Based on capacity needs assessment • Documentation and inclusion of beneficial traditional practices • Psychosocial aspects should be included • Including on the job mentoring & training • Training must focus on achieving a minimum quality of care (set standards) • Include Dais: • In ASHA/AWW orientation/refresher training/field mentoring

  6. Capacity Building • Doctors & nurses must be oriented to the content and methodology of TBA training. • To sensitize and promote TBAs as service providers • Training must be done within the community • This enables communities support and recognition • Enable setting up of Dai schools at local level • Functional literacy should be included in the training.

  7. Empowerment of DAIs • Recognition: • Dais need formal recognition in the form of an identity card • Establish accreditation and certification mechanisms • Organise Dai Collectives : • At the Panchayat, block, district, State & National level • Create platform for sharing of experiences.

  8. Include Dais in financial incentive schemes • For home deliveries where the mother gets Rs. 500, some financial compensation needs to be provided to the TBAs. • In JSY scheme – TBAs should get the incentive when she accompanies the mother to the institution.

  9. Fund Allocations • Provide resources for: • For capacity building • For remunerations • For organising into groups.

  10. Thank you

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