Maternal & Child Health
India continues to battle poverty, child and maternal deaths. With one maternal death reported every 10 minutes, India is likely to miss the Millennium Development Goal (MDG) related to maternal health.
India has the highest number of under-five deaths in the world in 2012, with 1.4 million children dying before reaching their fifth birthday. Nearly one-third of all global maternal deaths are concentrated in the two populous countries — India and Nigeria where India has an estimated 50,000 maternal deaths (17 per cent).
As per the Annual report on Registration of Births and Deaths in Delhi by Directorate of Economics and Statistics, the infant mortality rate (IMR) has decreased from 23.93 during the year 2012 to the current figure of 22.37 recorded in 2013 due to awareness building, mobilization of women etc by government and NGOs. Yet there is a long way to go.
India faces the enormous challenge of reducing infant mortality from 53 per 1000 live births to less than 30 and maternal mortality from 254 per 1,00,000 live births to less than 100 by 2015.(PFI)
- Enhanced the knowledge and skills on maternal and child health issues and women community groups (Swasthya Samooh) and training to improve leadership, reporting and documentation, Communication, Evidence building, Analytical skills, Social mobilization, Community based monitoring and Networking & building linkages.
- Enhancing knowledge of pregnant women and mothers on care during pregnancy, nutrition and care of new born and malnourished children, Institutional Delivery, Immunization and Open Defecation.
- The MHU provides OPD services, ANC, PNC care, Growth Monitoring & Lab services to about 1, 00,000 people residing in 10 slum clusters of North District. It reached out to 20968 patients.
- Strengthened existing public and private health care systems by building capacity of local service providers like Registered Medical Practitioners and traditional birth attendants, Anganwadi Workers, ASHA (Accredited Social Health Activist) workers and Auxiliary nurse midwives (ANMs)
- Increased accessibility and visibility of maternal and child healthcare services and ensured timely referral of complicated cases to public health facilities.
- Provided primary health care facilities, including reproductive and child health services, by bringing health care to the door steps of those in need through a Mobile Health Unit.
- Improved the conditions of TB patients thanks to Directly Observed Treatment through Short-term therapy (DOTS) centers.
- Increased the number of immunization and reduced the number of drop-outs through immunization camps, awareness generation programmes and door to door motivational surveys, thus improving home care practices related to maternal and newborn health.
- Organized comic making workshops for peer leaders /adolescent groups to be used as a medium for disseminating messages at community level.
Issues Revolving Maternal & Child Health
- A large number of deaths are preventable through safe deliveries & adequate maternal care and most causes of deaths in the new born period can be prevented or managed by households, communities and health facilities. But they often are unable to provide the required care.
- Worldwide, over 500,000 women die of pregnancy related causes, a quarter of these deaths occur in India
- India’s Maternal Mortality Ratio (MMR) recorded in 2014 per 1000 live births is 0.54, and India’s target is 109 per one lakh live births by 2015
- Infant mortality rate (per 1000 live births) has been 44 in 2012
- Percentage of all under-five deaths recorded due to neonatal conditions (55%), pneumonia (14%) and diarrhoea (10%) whereas causes of maternal deaths in India recorded in 2013 have been due to haemorrhage (30%)
- Lifetime risk of maternal death (1 in N) is 190 (2013)
- 53% women do not access safety and benefits of institutional deliveries in India
- 49% pregnant women still do not have three antenatal visits during pregnancy and only 46.6% receive iron and folic acid for at least 100 days during pregnancy.
67.4% of child births in the target area were institutional deliveries, for a total of 920 births in hospital and 1364 deliveries in community
2593 pregnant women reached out with Ante Natal care services
453 women provided with Post Natal Care through the Mobile Health Unit
20,968 patients served through the Mobile Health Unit
3138 babies were immunized and 2587 babies whose growth is being monitored
3649 people reached through almost 302 Focus Group Discussions
3822 participated in IEC sessions were conducted
30 Total No. of T.B Patient registered for DOTS treatment
9 TB patients underwent treatment of which 12 completed the course where as 5 patients underwent Multi Drug Resistant (MDR) treatment.
Sahayak Project, Bawana
Mobile Health Unit