District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

Services Gaps in Services
1 Maternal Health
Ante-natal
care
PNC
Strategic Plan for Improving Health Services
Strategic Plan For Improving Health Services in District
Less number of
pregnant receive ANC
services
No regular check up
of pregnant women
and Incomplete ANC
services
Inadequate supply of
medicines
No timely registration
of pregnant women
Lack of counseling
and untimely referral
of complicated
pregnancy
No growth monitoring
of pregnant women
No early recognition
of obstetric
complications
Delivery by un trained
birth attendants in
villages
No monthly health
day in community
Low PNC cases
Poor identification
and referral of
complicated
pregnancies
Reason of Gap in
Services
No tracking of all
pregnant women.
Lack of co-ordination
with community level
stakeholders
Lack of adequate skills
and instruments
Non-availability of
medicine
Customs as barrier (
newly bride does not go
to ANM) in
early identification of
pregnant women
Lack of knowledge and
counseling skills
Activity for Filling Gaps
Household survey and establish coordination
with community level
stakeholders ( AHSA, AWW
women leader, etc) for optimum
coverage of pregnant
Obtain training and instrument
procurement. regular checkups of
pregnant and provide complete
ANC services
Follow-up of BCM for medicine
availability
Regular and frequent home visits.
Meeting with women and take help
of ASHA, AWW , TBAs
Training on complicated
pregnancy and referral mechanism
Respons
ible
Persons
ANM
DHS
and
BCM/B
43 | P a g e D i s t r i c t H e a l t h A c t i o n P l a n 2 0 1 2 - 1 3 D H S , S a r a n
HM
ANM/B
CM
ANM
DHS /
ANM
No emphasis Growth monitoring and counseling ANM
No tracking and regular
follow-up of pregnant
women and no skills of
recognizing
complications
No regular follow-up of
pregnant women and
their counseling. Lack of
delivery facilities at HSC
level. Untimely payment
of JBSY. Lack of coordinated
referral
network linking facilities
No emphasis on
community level meeting
Poor PNC visits at home
and institutional delivery
and tracking of mother
Lack of co-ordination
with AWW, ASHA ,
TBAs
Inadequate post natal
visits for child care
Lack of cleanliness and
hygiene facilities
No tracking of delivery
and follow-up visits
Regular home visits of pregnant.
Obtain training on complicated
pregnancy and its referral
management
Regular follow-up and counseling
of pregnant. Obtain training on
conducting delivery and facilities
arrangement. Follow-up of timely
payment of JBSY.
Monthly basis meeting with
community and sharing issues
Conduction of delivery at Subcenters
Establish good co-ordination with
AWW, ASHA, TBAs and women
leaders
Arrangement of cleanliness and
hygiene facilities
Obtain training on safe delivery,
technical know how of obstetric
first aid and other services
Home visits and Follow-up since
ANM
and
DHS
ANM/
BCM/B
HM/DH
S
ANM
ANM /
DHS
ANM