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Sub Centre Support, Need of the Hour: A Comparative Study from Lucknow

Authors: Manas P Roy; U Mohan; SK Singh; VK Singh; AK Shrivastava;

Sub Centre Support, Need of the Hour: A Comparative Study from Lucknow

Abstract

{"references": ["1. Bajpai N, Sachs JD, Dholakia RH. Improving access, service delivery and efficiency of the public health system in rural India: Mid-term evaluation of the National Rural Health Mission. CGSD Working Paper No. 37. October 2009 (http://www.mohfw.nic.in/ NRHM/Documents/NRHM_Evaluation_Report.pdf). Accessed on 3rd January, 2010", "2. Sodani PR, Sharma L, Sharma S. Operationalizing IPHS at Public Health Facilities: Current Status, Issues and options in Rajasthan. Proceedingsof the52nd National Conference, IPHA 2008;7-9; New Delhi.", "3. International Institute for Population Science. District Level Household and Facility Survey (DLHS - 3), 2007- 08. Ministry of Health and Family Welfare, Government of India. 2010. Mumba", "4. Pal DK, Tiwari R, Kasar PK, Sharma A, Verma S, Gautam P et al. Functioning of the Sub Health Centers in Mandla District. Proceedings of National Symposium on Tribal Health, 2006 Oct 19-20; Jabalpur", "5. Govt. of U.P. Baseline Facts \u2013 Uttar Pradesh (2005-07): Concurrent Assessment and Technical Assistance to districts. Family Welfare Directorate, Govt. of U.P.", "6. Madhu K, Chowdary S, Masthi R. Breast feeding practices and newborn care in rural areas: A descriptive cross-sectional study. IJCM 2009;34:243-46.", "7. Murthy N. The Quality of Family Welfare Services in Rural Maharashtra: Insights from a Client Survey. In: Improving Quality of Care in India's Family Welfare Programme edited by Michael A. Koenig and M.E. Khan. Population Council 1999:33-48.", "8. Govt. of India. Indian Public Health Standards (IPHS) for Sub-Centres: Guidelines. Directorate General of Health Services, MoHFW, New Delhi. 2006.", "9. Reissland N, Burghart R. The quality of a mother's milk and the health of her child: Beliefs and practices of the women of Mithila. Soc Sci Med 1988; 27(5):461-9", "10. Indian Public Health Standards (IPHS) Guidelines for Sub Centres, Revised 2012, Director General of Health Services, Ministry of Health and Family Welfare, Government of India.", "11. Govt. of India. Regional Evaluation Team. Ministry of Health and Family Welfare. (http://www.mohfw.nic.in/ NRHM/RET_final.htm). 2009. Accessed on 3rd January, 2010.", "12. Jain S, Singh JV, Bhatnagar M, Garg SK, Chopra H, Bajpai SK. Evaluation of Physical Facilities Available at Subcentres in District Meerut. IJCM 1999; 24:27-29.", "13. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005\u201306: India: Vol. I, Mumbai: IIPS.", "14. Indicators for local level health planning (http:// www.pbnrhm.org/formulas/health_indicators.pdf . Last accessed on 15th June, 2014", "15. Government of India. National Population Policy, Ministry of Health and Family Welfare. New Delhi: GOI; 2000: 01\u201339.", "16. Lal S. Kapoor S; Vashist B M, Punia M.S. Coverage & Quality of Maternal & Child Health Services at Subcentre level. IJCM 2001:26(1):16-20"]}

Rural health in India depends a lot on the functioning of Sub-Centers. The conditions of the Sub-Centers in the country are far below than the expected performance. The present study aimed to find out the infrastructure and functioning of Sub-Centers, after introduction of National Rural Health Mission. Study design was cross-sectional. It followed multistage random sampling for selecting 16 Sub-Centers in Lucknow district, Uttar Pradesh. A score card was developed to evaluate different parameters in structure and functioning of Sub-Centers. Although labor room was present in half of the Sub- Centers, the deliveries were found to be conducted in none of those. Electricity and water supply were present only in 18.8% and 56.2% of the Sub-Centers respectively. Ante-natal registration and immunization were found to be good in 75% of the Sub-Centers. Post-natal care was virtually non-existing and referral of high risk pregnancies was very poor in most of the Sub-Centers. The focus of improvement should be centered on the betterment of structure and services provided at the Sub-Center level.

Keywords

evaluation, National Rural Health Mission (NRHM), India, ANM (Auxiliary Nurse Midwife), Sub-Center (SC), IPHS (Indian Public Health Standards), physical facilities

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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