Improving Public Institutional Deliveries: Skilled Birth Attendant training to AYUSH doctors in Gujarat
Journal Title: Healthline - Year 2016, Vol 7, Issue 1
Abstract
Introduction: Public institutional deliveries have increased over last one decade. Still there is huge scope to improve it further. AYUSH (Ayurvedic, Unani, Homeopathy and Siddha) doctors are posted in most of PHCs (Primary Health Centers). These AYUSH doctors were trained for Skilled Birth Attendant (SBA) training. Present paper tries to understand impact of training 178 AYUSH for SBA on delivery conductance by AYUSH and its impact on institutional performance for delivery. Method: HMIS (Health Management and Information System) provides facility wise monthly details on institutional deliveries. Similarly, PMCC (Performance Monitoring and Control Centre) unit within health department collected information on delivery conducted by AYUSH doctors. In present study, we used data sets from Apr-Jun 2013 as baseline data set. Trainings were conducted from October 2013 to March 2014. End line data were collected from Apr-June 2014.Results: The delivery performance of AYUSH doctors improved from 9% before training to 69% after the training. There was a significant difference in the delivery conductance by AYUSH after training (M=5.25, SD=9.20) and before training (M=0.47, SD=2.03); t (177) =7.09, p = 0.000. Similarly, number of PHCs conducting any delivery increased from 27 before training to 127 after training. Functional Delivery Points also increased during this time point from 4 before training to 21 after training. Conclusion: training AYUSH on SBA has been very useful in improving public health institutional deliveries. Further capacity building of AYUSH at other facilities should also be planned in order to further enhance performance. At the same time, efforts should be made to ensure timely recruitment and training of Medical Officers and Staff Nurses in these facilities to augment delivery conductance further in public health institutions.
Authors and Affiliations
Apurva Ratnu , N Dholakia , Bina Vadalia , Sadab Boghani , A Pathan
Keywords
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