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Delivery huts to promote safe delivery in the rural areas, Haryana
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Subject Area="Access to service and coverage." Objective="Improved outreach services."
Details for Reform Option "Delivery huts to promote safe delivery in the rural areas, Haryana"
Summary

Background: Nearly 78% of women in Haryana deliver at home in the hands of untrained dais that puts both mother and child at risk. Promotion of clean and safe delivery practices in rural areas is a high priority strategy to reduce maternal and infant mortality in the State. In order to provide safe delivery services with in villages, which is equally accessible and affordable, delivery huts were established in the rural areas in September 2005-06. Action: Delivery huts are being set up with in the villages for providing services required during labour in the institutions having all facilities required for normal deliveries and referral arrangements. Old buildings of some of the subcentres / Primary Health Centres are being renovated in a phased manner to meet the cleanliness standard of a health facilities. The health department is providing the required furniture, equipments and trained staff to conduct safe deliveries. Positioning of the additional Auxillary Nurse Midwife (ANM) strengthen the delivery of services like ante natal check ups, immunisation of the mother and children, birth registration and referral services. An revolving amount of INR 10,000 has been placed in a joint account of Panchayat Raj Institution (PRI) and ANM as untied fund to meet the routine requirements including referral. Results: Though long term effect of the scheme is still awaited to evaluate but response in the four months has shown that – Delivery huts established –258 Deliveries conducted-4193.

Cost State government has sanctioned INR one crore for the scheme in financial year 2005-06.
Place All the districts of Haryana.
Time Frame Approximate time from Planning to implementation is one year.
Advantages

Safe deliveries: Services are made available through trained personnel to the needy people. Accessible: Services are both economic and geographical accessible with in the community. Referrals: First delay in making decision for referral is tried to make shorter in the benefit of the patient.

Challanges

Trained personnel: availability of the trained personnel at the delivery hut for twenty four hour is big obstacle for smooth functioning. Infrastructure: Logistic and infrastructure needs continuous replenishment.

Prerequisites

State government order.

Who needs to be consulted

District officials PRI members

Risks

Sustainability

Good. Scheme is self sustainable as existing resources are strengthened to deliver the services at the local level.

Chances of Replication

Good.

Comments

In rural areas more than 80 percent deliveries are home based deliveries. Establishing delivery huts and promoting delivery through trained personnel is one step ahead to promote safe deliveries among rural women.

Contact

Submitted By

Dr. Anuradha Davey, Research Consultant, National Institute of Medical Statistics, ICMR, June 2006.

Status Active
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