Kandhamal Tops in Institutional Deliveries: According to an assessment of the percentage of institutional deliveries against estimated pregnancies during the period from April to July this year, Kandhamal district has topped among 30 districts in Odisha. Details
Institutional delivery in India
- Institutional delivery has shown a praiseworthy rise in Odisha’s Kandhamal district due to use of bike ambulances, delivery vans, and ‘Janani’ auto-rickshaws despite a large number of inaccessible villages,
- During these four months, as against the target off 4,887 institutional deliveries, 5,055 institutional deliveries were registered, raising the percentage in the district to 103%.
- This is the highest rate of institutional delivery in the State, and higher than the state average of 76% for institutional delivery during the period.
- At-home deliveries by expectant mothers are on the decline in the district, although it has around 810 inaccessible villages that can only be reached by foot.
- This could be achieved because of the efforts of grassroots-level medical officers, paramedics, Asha volunteers, and other health officials.
- Apart from regular monitoring and awareness measures, infrastructure additions have helped the rise in institutional deliveries.
- To transport expectant mothers from inaccessible areas, five bike ambulances, 14 ‘Janani’ auto-rickshaws, and an institutional delivery van are being used in remote areas of the district.
Government initiatives to increase institutional deliveries
- As per the National Family Health Survey (NFHS-IV 2015-16), institutional delivery in rural areas is 75.1%.
- Data on Institutional delivery being conducted in rural areas is not being captured through survey data on a yearly basis.
- As per data available through the National Family Health Survey (NFHS), Institutional delivery in rural areas has increased from 31.1% in 2005-06(NFHS-III) to 75.1% in 2015-16(NFHS-IV).
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- Promotion of institutional deliveries through Janani Suraksha Yojana (JSY), a conditional cash transfer scheme.
- Janani Shishu Suraksha Karyakram (JSSK) entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery, including cesarean section. Similar entitlements have been put in place for all sick infants accessing public health institutions for treatment.
- Operationalization of Sub-Centers, Primary Health Centers, Community Health Centers and District Hospitals for providing 24x7 basic and comprehensive obstetric care.
- Capacity building of health care providers in basic and comprehensive obstetric care with a strategic initiative “Dakshata” to enable service providers in providing high-quality services during childbirth at the institutions
- Mother and Child Tracking System are being implemented to ensure antenatal, intranatal and postnatal care along-with immunization services.
- Engagement of more than 9.90 lakh Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
- Establishing Maternal and Child Health (MCH) Wings at high caseload facilities to improve the quality of care provided to mothers and children.
- Newer interventions to reduce maternal mortality and morbidity- Diagnosis & management of Gestational Diabetes Mellitus, Hypothyroidism during pregnancy, Training of General Surgeons for performing Caesarean Section, Calcium supplementation during pregnancy and lactation, Deworming during pregnancy, Maternal Near Miss Review, Screening for Syphilis during pregnancy and Dakshata guidelines for strengthening intrapartum care.
- The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been introduced with the aim of conducting special ANC checkups for pregnant women in their 2nd / 3rd Trimesters of pregnancy in the country on 9th of every month by Medical Officers in the government health facilities and also through Private sector on voluntary basis for tracking of high risk pregnancy to ensure institutional deliveries.
- To sharpen the focus on the low performing districts, 184 High Priority Districts have been prioritized for Reproductive Maternal New-born Child Health+ Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes.
- Referral transport for pregnant women, sick neonates, and sick infants is being provided by the States as per their local needs, using different models.