AN ANALYTIC CROSS-SECTIONAL STUDY DEPICTING TRENDS OF INSTITUTIONAL DELIVERIES ALONG WITH STATUS OF CAESAREAN-SECTIONS IN SOLAN AND MANDI DISTRICT OF HIMACHAL PRADESH

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

ABSTRACT

Aims & Objectives: To analyze the transition towards institutional deliveries trends of C-section. Methods: cross-sectional study where data of HMIS is analyzed to compare trends of institutional deliveries along with status of caesarean-sections in Solan and Mandi district of Himachal Pradesh. Results: In 2010-11 institutional deliveries in H.P were 63.17% which rose to 92.79% by 2019-20. In a similar way progressive gain in institutional deliveries was noticed in Solan Districts from 69.8% in 2010-11 to 96.88% in 2019-20. Similarly the hike in Mandi District was from 46.94% to 91.45%. The number of C-section deliveries conducted at (public & private) facilities to total number of deliveries conducted in the given year, which increased from 10.75% in 2010-11 in H.P to 22.3% in 2019-20. Same expansion was noticed in Solan District from 7.3% to 20.2% and in Mandi District it raised from 8.73% to 20.45 for the corresponding years. Conclusions: There had been constant raise in institutional deliveries which clearly depicts that there had been great interventions at facility and community level. Similarly raise in C-section is result of detection and management of high risk pregnancies detected during ANCs. Enhancement of Information Education Communication (IEC) activities by health care professionals regarding promotion of institutional deliveries will definitely yield better outcome.

Keywords: HMIS, C-section, high risk pregnancies, ANC.