People's Journal of Scientific Research
Published December 1, 2014 | Version v1
Journal article Open

Sub Centre Support, Need of the Hour: A Comparative Study from Lucknow

Authors/Creators

  • 1. Department of Community Medicine & Public Health, CSM Medical University, Lucknow (UP), India

Description

Rural health in India depends a lot on the functioning of Sub-Centers. The conditions of the Sub-Centers in the
country are far below than the expected performance. The present study aimed to find out the infrastructure and functioning
of Sub-Centers, after introduction of National Rural Health Mission. Study design was cross-sectional. It followed multistage
random sampling for selecting 16 Sub-Centers in Lucknow district, Uttar Pradesh. A score card was developed to evaluate
different parameters in structure and functioning of Sub-Centers. Although labor room was present in half of the Sub-
Centers, the deliveries were found to be conducted in none of those. Electricity and water supply were present only in
18.8% and 56.2% of the Sub-Centers respectively. Ante-natal registration and immunization were found to be good in 75%
of the Sub-Centers. Post-natal care was virtually non-existing and referral of high risk pregnancies was very poor in most
of the Sub-Centers. The focus of improvement should be centered on the betterment of structure and services provided at
the Sub-Center level.

Files

6 RoyMP6.pdf

Files (38.1 kB)

Name Size Download all
md5:05d78d733695c0acc160a5ae2345319f
38.1 kB Preview Download

Additional details

References

  • 1. Bajpai N, Sachs JD, Dholakia RH. Improving access, service delivery and efficiency of the public health system in rural India: Mid-term evaluation of the National Rural Health Mission. CGSD Working Paper No. 37. October 2009 (http://www.mohfw.nic.in/ NRHM/Documents/NRHM_Evaluation_Report.pdf). Accessed on 3rd January, 2010
  • 2. Sodani PR, Sharma L, Sharma S. Operationalizing IPHS at Public Health Facilities: Current Status, Issues and options in Rajasthan. Proceedingsof the52nd National Conference, IPHA 2008;7-9; New Delhi.
  • 3. International Institute for Population Science. District Level Household and Facility Survey (DLHS - 3), 2007- 08. Ministry of Health and Family Welfare, Government of India. 2010. Mumba
  • 4. Pal DK, Tiwari R, Kasar PK, Sharma A, Verma S, Gautam P et al. Functioning of the Sub Health Centers in Mandla District. Proceedings of National Symposium on Tribal Health, 2006 Oct 19-20; Jabalpur
  • 5. Govt. of U.P. Baseline Facts – Uttar Pradesh (2005-07): Concurrent Assessment and Technical Assistance to districts. Family Welfare Directorate, Govt. of U.P.
  • 6. Madhu K, Chowdary S, Masthi R. Breast feeding practices and newborn care in rural areas: A descriptive cross-sectional study. IJCM 2009;34:243-46.
  • 7. Murthy N. The Quality of Family Welfare Services in Rural Maharashtra: Insights from a Client Survey. In: Improving Quality of Care in India's Family Welfare Programme edited by Michael A. Koenig and M.E. Khan. Population Council 1999:33-48.
  • 8. Govt. of India. Indian Public Health Standards (IPHS) for Sub-Centres: Guidelines. Directorate General of Health Services, MoHFW, New Delhi. 2006.
  • 9. Reissland N, Burghart R. The quality of a mother's milk and the health of her child: Beliefs and practices of the women of Mithila. Soc Sci Med 1988; 27(5):461-9
  • 10. Indian Public Health Standards (IPHS) Guidelines for Sub Centres, Revised 2012, Director General of Health Services, Ministry of Health and Family Welfare, Government of India.
  • 11. Govt. of India. Regional Evaluation Team. Ministry of Health and Family Welfare. (http://www.mohfw.nic.in/ NRHM/RET_final.htm). 2009. Accessed on 3rd January, 2010.
  • 12. Jain S, Singh JV, Bhatnagar M, Garg SK, Chopra H, Bajpai SK. Evaluation of Physical Facilities Available at Subcentres in District Meerut. IJCM 1999; 24:27-29.
  • 13. International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Vol. I, Mumbai: IIPS.
  • 14. Indicators for local level health planning (http:// www.pbnrhm.org/formulas/health_indicators.pdf . Last accessed on 15th June, 2014
  • 15. Government of India. National Population Policy, Ministry of Health and Family Welfare. New Delhi: GOI; 2000: 01–39.
  • 16. Lal S. Kapoor S; Vashist B M, Punia M.S. Coverage & Quality of Maternal & Child Health Services at Subcentre level. IJCM 2001:26(1):16-20