Impact of functional VHSCs on maternal health and the delivery of antenatal a...
Study of initiatives for addressing shortage of specialists for Emergency Obstetric care in Maharashtra -Sarika Chaturvedi
1. Initiatives to address shortage of specialists for EmOC in Maharashtra Dr.Sarika Chaturvedi Dr.Bharat Randive Foundation for Research in Community Health (FRCH), Pune 2009-2010
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4. Study Area Source: Human Development Report Maharashtra 2002; DLHS-3 63.6 54 MH 32 25.3 16.5 Nandurbar 15 63.6 50.5 Amravati 10 87.4 85.6 Satara Total(%) Rural(%) HDI Rank Institutional Deliveries Districts
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6. Specialists availability at sub district level Potential for contracting in / Task shifting in 83% facilities 20 3 11 7(17%) 41 Total 12 0 1 0 13 Amravati 6 0 2 3 11 Nandurbar 2 3 8 4 17 Satara Neither Anaesonly Ob/Gyn only Ob/Gyn & Anaes Facility District
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8. Distribution of obstetricians Distribution of private obstetricians 8 times more Ob/Gyn in private sector 5 (26) 14 (74) 19 Nandurbar 97 (75) 33 (25) 130 Satara 25 (23) 86 (77) 111 Amravati Sub district(%) District HQ (%) Obst. District
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10. Distance of private specialist for contracting in Pvt. Specialist > 30kms for 50% facilities
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14. Availability of CS services 57% women had CS in private hospitals CS at sub district level: Public-5%, Pvt.- 51%
16. Cost of CS in Private hospitals n = 80 For 78% users CS cost ranges Rs.10000-20000
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19. Acknowledgements John D. & Catherine T. Mac Arthur Foundation IIM, Ahmedabad THANK YOU ! Technical Advisors: Dr. Dileep Mavalankar, IIMA Dr.P.P.Doke,SHSRC,Maharashtra Dr.C A K Yesudian,TISS,Mumbai Dr.Nerges Mistry, Director, FRCH,Pune
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