STATUS OF AVAILABILITY OF SERVICES OF MATERNAL AND NEWBORN CARE AT HEALTH CARE FACILITIES WHERE DELIVERIES ARE CONDUCTED IN SOLAN AND MANDI DISTRICTS OF HIMACHAL PRADESH

Vikas Thakur*, Rakesh Thakur, Sumit Sharma, Gurmeet Singh and Jai Gopal Vohra

ABSTRACT

Objectives: To assess the availability of health care services at heath care facilities where deliveries are conducted. Methods: Cross-sectional study done at health care facilities where deliveries are conducted in Solan and Mandi disrict of Himachal Pradesh with help of checklist for assessment of FBNBC. Results: Assessment of FBNBC was an important part of present study where it was found that Inj oxytocin used for augmentation of labour pains and in management of PPH was available in 100% health care facilities where deliveries are conducted in both Districts. Obstetricians or pediatricians were available only in 28.5% of such health facilities in Solan Disrtict and in District Mandi at 25% of public health institutions. In present study all 100% of these healthcare facilities were having availability of NAS(108) for transportation of delivery cases in both Districts. Amongst these facilities blood bank services were available at 21.4% places in District Solan whereas in District Mandi it was present at 25% of these institutions.Amongst these facilities phototherapy unit was present at 28.5% & 40% places in Solan and Mandi districts respectively. Conclusions: In our study of assessment of FBNBC need of Obstetrician and Pediatrician is of an absolute importance. Similarly at healthcare facility providing delivery facilities should be equipped at least with blood storage units where provision of blood bank facility is difficult so as to manage PPH. Furthers strategies are to be made to strengthen Maternal and Child Health (MCH) for better outcomes.

Keywords: FBNBC, NAS, PPH, MCH.