Golden Notes for Preventive and Social Medicine-II

Parashar, Anupam; Rattan, Saurabh; Barwal, Vijay Kumar

doi:10.18203/2394-6040.ijcmph20213059

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“…In urban settings, these services are delivered not only at Urban health centres but also through outreach efforts, typically held at an Anganwadi centre situated in a slum or semi-slum area of the city. (7) Among the three categories of Avedis Donabedian's (8) measures of the quality of health care (structure, process, and outcomes) have historically drawn the greatest attention in the form of government surveys of health facilities and record keeping. The process components of health care service delivery determine whether or not resources can be effectively used to provide beneficiaries with high-quality treatment or to assess the calibre of the health care delivery process.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Child Health Services during Mamta Divas (Health and Nutrition Day): Insights from the Urban Health Centres of Ahmedabad, Gujarat - A Cross-Sectional Study

Singh,

J Bhatt

2024

Int J Health Sci Res

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Background: Maternal and infant mortality rates in India are impacted by limited access to healthcare services. So, the current study was conducted to evaluate the effectiveness of the child health service delivery during the Mamta divas at Urban health centres of Ahmedabad district. Aims/Objectives: 1) To assess the planning components including availability of logistics/vaccines/other supplies during Mamta divas sessions. 2) To evaluate the process and extent of child health services implemented during Mamta Divas sessions. Methodology: A cross sectional study was conducted at the seven Urban primary health care settings (including slum and non-slum areas) for duration of 18 months. Total 42 mamta sessions were evaluated using a preformed semi-structured Questionnaire comprising information about planning components, logistics and maternal health services. Results: The study revealed that child health services followed the micro-plan consistently, focusing primarily on child registration, weight assessment, immunization, and filling out Mamta cards. However, 32% of outreach sessions were conducted in poorly defined areas. Lacunae were noted in height/length measurements, which were conducted in only 50% of cases, and the absence of growth chart plotting. Additionally, two-thirds of the sessions failed to identify different grades of malnutrition. Moreover, the four key post-vaccination messages were communicated to beneficiaries in only half of the Mamta sessions. Conclusions: Therefore, the process evaluation of Mamta Divas will serve as a tool to advocate for ways to improve services and highlight strengths and flaws. Key words: Process evaluation, Urban primary health centres, Mamta divas, Child health services

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Section: Introductionmentioning

confidence: 99%