Reducing Maternal Mortality in Central Uttarakhand, India

1. Development in Rural Kumaon
1 July – 31 December, 2015
15 January, 2015

2. HEALTH
Aam, a village located in the remote interiors of Okhalkanda block, has no access to
road or mobile phone connectivity, as a result of which access to medical facilities is
limited. Most deliveries are conducted at home as getting medical help is a big
challenge. On 19 November 2015, Bhavana, a health supervisor at Aarohi received
information that 23 year old Ganga Devi had delivered a baby at home. Her blood
pressure had fallen drastically and she was unconscious. Preliminary diagnosis
revealed that her placenta had only been partially delivered, part of it visible outside
the body. This lead to a lot of blood loss. Ignorant of her medical condition, the
family attributed it to the ‘’devil’’ and were administering traditional medicine (‘Jhad-
phook’). On persistent counseling by the Aarohi health team, the family was finally
convinced to take her to the hospital. After almost 24 hours of this ordeal, she was
administered proper medical care. Today, both mother and child are doing well.
Timely intervention, helped save a life!
Clinical Dataincluding Hospital and Medical Mobile Unit HealthCamps
SR PARTICULARS JAN-JUN JUL-DEC TOTAL
TOTAL PATIENTS SEEN 4,033 5,362 9,395
1 No. of patients treated in hospital 739 836 1,575
Female 277 352 629
Male 430 453 883
Children < 5 years 32 31 63
Indoor patients seen 35 32 67
Home visits/Emergencies 1 0 1
2 Laboratory Tests 298 352 650
3 X-Rays 36 52 88
4 ECG 4 7 11
5 Total villages covered 50 130 180
6
School children screened for Health
problems
0 0 0
7(a) Specialist camp held 7 6 13
Total screening 272 314 586
Plastic Surgery 12 19 31
Dermatologist 0 0
Eye 22 43 65
Gynae 21 25 46
Surgery /Surgeon 47 25 72
ENT 0 0 0
Physician 154 203 357

3. Total Surgery done 31 26 57
7(b) No. of Dental camps held 7 6 13
Total dental Screenings in Dental
OPD
213 209 422
Dental screening for school children 17 0 17
No. of dental extractions done 63 64 127
Total dental filling done 78 42 120
Total scaling 8 13 21
8 Total MMU Camps including MMU 92 62 154
Total Registration of Patient 2,623 3,465 6,088
Total ANC 461 877 1,338
Total Lab Investigation 2,279 3,710 5,989
X-ray 84 79 163
ECG 5 27 32
Total Ultrasound 440 738 1,178
Total ANC Ultrasound 288 516 804
Antenatal coveragehas reached 98% and this can be attributed to MMU, women
fromremote villages are getting antenatal checkups and essential tests and
investigations done in MMU.
In the last 6 months the number of villages covered has increased to 130, almosta
38% higher reach than the period from January to June, 2015. The reasons for
this could be attributed to the following:
• The MMU route has been changed, and it now visits a village called Kodar
instead of Jhadgaon, this provides access to more remote villages that are
availing services at MMU.
• Local doctors in the villages arealso referring patients to the MMU for
essential lab investigations.