ANALYTIC CROSS-SECTIONAL STUDY TO COMARE IMPACT OF STRENGTHENING HEALTHCARE SERVICES ON ANTENATAL CARE IN SOLAN AND MANDI DISTRICTS OF HIMACHAL PRADESH

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

ABSTRACT

Aims & Objectives: to compare impact of strengthening healthcare services on antenatal care services in Solan and Mandi districts of Himachal Pradesh. Methods: cross-sectional analytic study where data of 2010-11 before introduction of newer approaches was compared with 2019-20. Results: in Himachal Pradesh the registrations of ANC in first trimester out of total registered cases jumped from 41.6% in 2010-11 to 87.5% in 2019-20. In Solan and Mandi districts the pattern is same. Corresponding figures for Solan District are 25.7% and 80.8% and in Mandi District these figures jumped from 51.1% to 93.4%. In year 2010-11 neither Glucometers were available at all Health Sub Centres nor all workers were trained about sugar testing but after subsequent years after providing Glucometers and training the health care providers figure of detection of GDM in 2019-20 in H.P was 1.3%, in Solan District 0.9% and In Mandi District 0.4% cases were detected. Iron and Folic Acid supplementation to pregnant women out of total antenatal registered which in 2010-11 was 56%, 62.1% and 77.5% in H.P, Solan and Mandi Districts respectively. The delivery of IFA prophylaxis to pregnant women got enhanced all over in H.P, Solan and Mandi Districts to 84.8%, 75.6% & 87.6% respectively during the year 2019-20. Conclusions: There have been great improvements in all the parameters of service delivery of antenatal are services. Still efforts should be continued for 100% achievement in all targets.

Keywords: ANC, glucometers, GDM, IFA, prophylaxis.