1 / 19

Moving from Home Delivery to I nstitutional Delivery

Moving from Home Delivery to I nstitutional Delivery. A Study on Experiences of Mothers and Service providers under JSY/ NRHM At Saikawt & Henglep TD Blocks In Churachandpur Dist. Manipur. Authors Peter Z. Hangmi T.Zamngam. Research Team T. Zamngam Dawnga Khiangte Mis. Vahcha

robert
Download Presentation

Moving from Home Delivery to I nstitutional Delivery

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. Moving from Home Delivery to Institutional Delivery A Study onExperiences of Mothers and Service providers under JSY/ NRHM AtSaikawt & Henglep TD BlocksIn Churachandpur Dist. Manipur Authors • Peter Z. Hangmi • T.Zamngam Research Team • T. Zamngam • Dawnga Khiangte • Mis. Vahcha • Ms. Cheenny (Zougam Institute for Community Resource Development – Manipur)

  2. Background/Context(Socio-geo-politico) Henglep Saikawt Henglep : Rural, Remote & Mountainous Saikawt : Small town close to district head quarter. C C Pur

  3. Background • Geographical boundaries • Saikawt (Block A)& Henglep (Block B) in Churachandpur Dist, Manipur • Time boundaries • Mothers who delivered during the last six months preceding this study (Jan–June, 08) • Stakeholders • Women :Saikawt 20, Henglep – 20 • ASHA : Saikawt – 10, Henglep – 3 • ANM : 1 each • Doctor : 1 each • DFWO, DMO, VA for secondary Data

  4. Looking at the two blocks Henglep PHC Saikawt PHC No labour room in both PHC Joyous ride From Henglep to Dist. Hqtr.

  5. Awareness level of mothers about JSY Health Service providers view about JSY. Factors that determine women choosing Home Delivery (H.D) Suggestions for improving the implementation of JSY. Research Objectives

  6. Methods: • Sampling From Each TD Block • Random selection of vulnerable villages 10 each • 1 ID & 1 HD each from each village selected • 13 ASHAs randomly from the selected villages • One ANM from Sub-centre • Doctor each from the two PHC • Methods of data collection (Tools used) • Indepth interview to Mothers (for Primary Data) • Survey from ASHA, ANM & Doctors, DMO, DFWO, Statistics Office (for Secondary Data) • FGD (Mothers & ASHA for Primary Data)

  7. Limitations • From CHSJ: • Short time period, Limited Finance resource, Little guideline on the subject • From Authority concern: • Less cooperation from concerned authority. DMO.DFWO and State H&FWO.

  8. Findings From Mothers

  9. Maternal Care Results/Findings Block A – Saikawt PHC Block B – Henglep PHC

  10. Awareness & Benefits of JSY Scheme

  11. Why did not deliver at govt. facility? * No medicine supply in govt. institutions.

  12. Findings from ASHa Selection of ASHA

  13. Trainings

  14. Roles and Responsibilities

  15. Incentives/Compensation

  16. Unheard Voices • Mothers : “Poorly treated in govt. hospital. No medicine supplies, expensive. No JSY Benefit as told”. • ASHAs & ANM : “Mothers don’t trust us any more. Only 3 out of all 40 women received money”. • Doctors: “Funds disbursed only at district H/Q. Women are waiting their turn, serial number published in local newspapers. So we are helpless”.

  17. Conclusions • Implementation of JSY • Block “A” avails a better facility of the scheme. • Block “B” far and remote, mountanous area, inaccessible to the scheme. • However, JSY incentives/compensation has not been given neither in town nor remote areas. • Thus, No improvement in institutional delivery according to the findings. • Most serious challenge to inst. Del. in both blocks • Poor treatment by staffs in govt. facility • Lack of prompt payment of JSY payments.

  18. Recomendations • Comment: • To Improve fund flow system district level, state level and national level. • To provide more systematic transportation referral • To strength Private Public partnership system (PPP) • One big Suggestion : • To introduce SOCIAL SERVICE DEPARTMENT in medical institutions nation wide. • Social workers should be • Licentiate by govt. • Fully recognized and supported by Human Rights Commission of the country

  19. Thanks!

More Related