No abstract

Appropriately trained nurses can reliably conduct screening. Real-time expert feedback might improve reporting. Rigorous awareness activities and on-site treatment can reduce drop-outs. The medical institute's involvement and administrative will were instrumental.

Most of the 37 public health facilities in northern India that we assessed were not readied for providing quality care for threatened preterm birth and ensuring the safe use of antenatal corticosteroids (ACS).n Deficiencies were identified in areas of evidencebased practices, competent workforce, actionable health information system, physical resources, and communication.nThe existing ACS guidelines were not up-to-date with current evidence and were not disseminated or implemented uniformly across facilities.n Attention to accurate gestational age estimation and the quality of childbirth and preterm care were inadequate in all the facilities.

No abstract

Background:In India, Janani Shishu Suraksha Karyakaram (JSSK) was launched in the year 2011 to assure cashless institutional delivery to pregnant women, including free transport and diet.Objective:To assess the impact of JSSK on institutional delivery.Materials and Methods:A record review was done at the primary health care facility in Faridabad district of Haryana from August 2010 to March 2013. Focus group discussion/ informal interviews were carried out to get an insight about various factors determining use / non-use of health facilities for delivery.Results:Institutional delivery increased by almost 2.7 times (197 Vs 537) after launch of JSSK (p < 0.001). For institutional deliveries, the most important facilitator as well as barrier was identified as ambulance service under JSSK and pressure by elders in the family respectively.Conclusions:JSSK scheme had a positive impact on institutional deliveries. It should be supported with targeted intervention designed to facilitate appropriate decision-making at family level in order to address barriers to institutional delivery.