DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20184001

Study to assess the labour room standards of 24×7 PHCs in Kurnool district

Praveena Ganapa, Sreedevi Arepalli, Visweswara Rao Guthi

Abstract


Background: Most of the causes of maternal and neonatal mortality were preventable through effective primary health care. Primary health care is essential to provide maternal and child health care especially in rural areas. The objective of this study is to assess the labour room standards of 24×7 PHCs in the Kurnool district.

Methods: This study is a facility based cross sectional study carried out from November 2014-May 2015 in administrative limits of Kurnool district. Questionnaire is attempted to assess the standards of labour room of that PHC by obtaining information about following standards - Infrastructure in labour room, Infection Prevention, Drugs and supplies etc.

Results: Majority (66.67%) of 24×7 PHCs had availability of <6 beds and 33.33% of 24×7 PHCs had availability of ≥6 beds. All PHCs had availability of stepping stool, ensured privacy during delivery and new born care corner. All PHCs had availability of running water facility, majority of PHCs (90.47%) had availability of antiseptics, 14/21 (66.67%) of PHCs had provision of HLD and 12/21 (57.14%) of PHCs had provision of sterilization facilities. no PHC had availability of functional ambulance and all PHCs were utilizing 108 facility for referral transport.

Conclusions: Availability of infrastructure facilities, infection prevention facilities, equipment and laboratory services were adequate in most of the PHCs. No PHCs were practicing segregation of bio medical wastes and there was deficiency in availability of antiseptics. No PHCs were provided with ambulance facility which was major concern in addressing the second delay.


Keywords


24×7 PHC, Labour room, IPHS, Infrastructure

Full Text:

PDF

References


WHO (1998), World Health report 1998, Life in the 21st century, A vision for all, Report of the Director General, WHO. Pdf. Available at: http://www. who.int/whr/1998/en/. Accessed on 25 December 2014.

Government of India (2013), Annual Report 2012-13, Ministry of Health and Family Welfare, New Delhi. Available at: http://www.wcd.nic.in/sites/ default/files/AR2012-13.pdf. Accessed on 25 December 2014.

Government of India (2014), INAP- Indian Newborn Action Plan, September 2014, Ministry of Health and Family Welfare, New Delhi. Pdf. Available at: https://www.newbornwhocc.org/ INAP_Final.pdf. Accessed on 25 December 2014.

Maternal and Newborn Health Toolkit, Maternal Health Division, Ministry of Health & Family Welfare, Government of India. January 2013. Available at: http://nhsrcindia.org/sites/default/ files/Maternal%20%20Newborn%20Health%20Toolkit.pdf. Accessed on 25 December 2014.

WHO etc. (2014), Trends in Maternal Mortality:1990 to 2013, Estimates by WHO. Available at: https://www.afro.who.int/sites/.../ files/.../trends-in-maternal-mortality-1990-to-2015. Accessed on 25 December 2014.

World Health Statistics 2010. Available at; http://www.who.int/topics/statistics/en/. Accessed on 25 December 2014.

Government of India (2013), Special Bulletin on Maternal Mortality in India 2010-12, SRS, Dec. 2013, Office of Registrar General of India. Available at: https://www.censusindia.gov.in/ vital_statistics/SRS_Bulletins/MMR_Bulletin-2010-12.pdf Accessed on 25 December 2014.

Syamala TS, Subaiya L. NRHM-PIP Monitoring for Kurnool District, Andhra Pradesh. Population Research Centre Institute for Social and Economic Change Bangalore; 2014.

Srinath V, Veena R. NRHM and IPHS – Standards in Primary health care. Int J Pharma Med Biological Sci. 2012;1-2:207-16.

District Level Household and facility Survey-4, Ministry of Health and Family Welfare, Government of India, 2012-13. Available at: https://nrhm-mis.nic.in/DLHS4/State%20Reports Pdf. Accessed on 25 December 2014.

Indian Public Health Standards (IPHS) Guidelines for Primary Health Centres Revised 2012. Available at: https://health.bih.nic.in/Docs/Guidelines/ Guidelines-PHC-2012Pdf. Accessed on 25 December 2014.

Biswas D, Ojha V. Adhering to IPHS Guidelines:A study of the health facilities in Sheikhpura district of Bihar” Centre for Health and Social Justice. Accessed on 25 December 2014.

Dhiman A, Goel NK, Walia DK, Galhotra A, Navpreet. Assessment of health centers as per Indian Public Health Standards in Chandigarh tricity, India. Indian J Applied Res. 2014;4-7:420-1.

Zaman FA, Laskar NB. An application of Indian public health standard for evaluation of primary health centers of Empowered Action Group (EAG) and a Non- Empowered Action Group state. 2010;54(1):36-9.

Sodani PR, Sharma K. Assessing Indian Public Health Standards for 24*7 primary health centers: A case study with special reference to newborn care services. The J National Accrediation Board Hospitals Healthcare Providers. 2014;1(1):12-6.

Ninama R, Thakor N, Vala M, Dund J, Kadri AM. Quality assessment of facilities at primary health care centers in Rajkot district: A cross sectional study. Int J Med Sci Public Health, 2014;4(12):1449-52.

Misra S, Macwana JK. Client’s perspective on obstetric care receives at 24*7 Primary health centers of a district located in western India. Innovaive J Med Health Sci. 2013: 136-139.

Ray SK, Basu SS, Basu AK. An Assessment of Rural Health Care Delivery System in Some Areas of West Bengal-An Overview. Indian J Public Health. 2011;55(2):70-80.