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Assessment of two district delivery points in Chhattisgarh

OBJECTIVES:

Assessment of delivery points and services in two district hospitals.

METHODOLOGY:

Study Design: Cross-sectional study

Study period: Between April and June 2016

Study Area: Raipur, Dhamtari

Source of Data: Data was collected from Raipur District Hospital and Dhamtari District

Hospital.

Data Collection: RMNCH+A monitoring Check-list was used (Reproductive Maternal Newborn

Child Health and Adolescent Programme of Government of India)

Consent: Permission was taken from the civil surgeon to visit the district hospital

Results

Infrastructure

1. Basic hospital infrastructure was good and available in both the hospitals.

IN RAIPUR DISTRICT HOSPITAL

Habitable Staff Quarters for MOs, Staff Nurses and other categories were not

available. Due to this, they may not able for emergency cases.

Functional Blood Bank was not available in District Hospital Raipur.

IN DHAMTARI DISTRICT HOSPITAL

Adolescent Friendly Health Clinic timing was mentioned in hospital, but services have

not started in hospital.

Equipment

Most essential equipment was available in both the hospitals. However Functional Fetal

Doppler was not present in either district hospital.

ESSENTIAL MEDICAL SUPPLIES

Most essential medical supplies were available in both the hospitals.

Sanitary napkins were not in supply at Raipur district hospital.

IFA tablet (blue) was not in supply.

EDL was not displayed in either district hospital

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Comparison of few performance indicators in both the districts

1. NUMBER OF TUBECTOMY CASES

COMMENT- High no. of Tubectomy cases are seen compare to allotted gynecologist and

anaesthetist especially in Dhamtari district.

2. ADOLESCENT FRIENDLY HEALTH CLINIC

In Raipur

Total pt. in 1month Counsellor(2)

AFHC 31 15/month/Counselor

COMMENT- Very few cases are seen in Adolescent clinic. The counselor could be utilized for

other services like counseling before HIV tests, and of TB, Hypertension, Diabetes and Sickle Cell

patients who need long term treatment

RECOMMENDATIONS:

Training programs for medical officers on C-section, Tubectomy and LSAS to reduce

case burden.

Staff quarters should be provided to hospital staff to ensure their availability in

emergency situations.

Supply of essential medicines and equipments (IFA-Blue, Calcium) should be ensured.

Rational use of Counselors by utilizing their skills for many other health programs.

Raipur Dhamtari

Tubectomy

Cases/month

113

Tubectomy

Cases/month

153

OBG(4)

28/month/Obstetrician

OBG(1)

153/month/Obstetrician

Anesthetist(2)

56/month/Anesthetist

Anesthetist(1)

153/month/Obstetrician