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