Assessment of infrastructure of first referral unit facilities in Surguja division: a responsibility of providing emergency obstetric care

Authors

  • Abha Ekka Department of Community Medicine, Government Medical College, Ambikapur, Surguja Chhattisgarh, India
  • Shubra A. Gupta Department of Community Medicine, Pt. Jawahar Lal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
  • Divya Sahu Department of Community Medicine, Government Medical College, Ambikapur, Surguja Chhattisgarh, India
  • Anmol Madhur Minj Department of Community Medicine, Government Lakhiram Medical College, Raigargh, Chhattisgarh, India
  • G. P. Soni Department of Community Medicine, Government Medical College Rajnandgaon, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195464

Keywords:

Health facility infrastructure, First referral unit, EmOC

Abstract

Background: Availability of emergency obstetric care (EmOC) is one of interventions to reduce maternal and newborn deaths. The health system fails when effective and affordable health interventions do not reach the population, when Poor infrastructure, drugs and equipment are lacking, and qualified human resources are scarce. The objective of the present study was to assess the availability of EmOC infrastructure in first referral units (FRUs) of Surguja division, Chhattisgarh.

Methods: A cross sectional study was designated with 13 FRUs of Surguja division. A semi structured, closed-ended questionnaires was observed on the basis of check list, reviewing record, and interview by available staff.

Results: FRUs of Surguja division for physical infrastructure scored 68.5%, for essential medicine 69.2%, for equipments 50.7%, for instruments 45.3% and for availability of blood 34.6%, for health man power category of specialist score was 25.7% but for supportive staff 65.4%.

Conclusions: Our study revealed three existing bottlenecks in the healthcare delivery system as inadequate civil infrastructure, short fall of specialists as well as inadequate supplies of drugs and equipment, hampering the function of facility.

References

Arora SVP. Maternal mortality-Indian scenario. Med J Armed Forces India. 2005;61(3):214-5.

Singh A, Mavalankar DV, Bhat R, Desai A, Patel SR, Singh PV, et al. Providing skilled birth attendants and emergency obstetric care to the poor through partnership with private sector obstetricians in Gujarat, India. Bull World Health Organ. 2009;87(12):960-4.

WHO 2005 improving maternal, newborn and child health in the south east Asia region, New Delhi, 10th revision (ICD-10). Trends in maternal mortality 1990 to 2013 estimated by WHO, UNICEF, UNFA, World Bank and the United Nation Division.

Hailu S, Enqueselassie F, Berhane Y. Health facility-based maternal death audit in Tigray, Ethiopia. Ethiop J Health Dev. 2009;23(2):115-9.

Special bulletin on maternal mortality in India 2014- 2016, SRS Office of registrar General India May; 2018.

Basic Emergency Obstetric Care: First Response Technology Opportunity Assessment Prepared for the Merck for Mothers Program.

SRS 13 Office of Registrar General India. Special bulletin on maternal mortality in India 2013. Available at: http://www.censusindia.gov.in/vital statistics /SRS. Accessed on 16 August 2019.

Annual Health Survey Bulletin 2012-2013. Chhattisgarh Office of the Registrar, India.

Say L, Chou D, Gemmill A, Tuncalp O, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis; 2014.

Government of India. Guideline for operationalising FRUs MoHFW; 2004.

World Health Organizations. The World Health Report: Improving Performance. Geneva, Switzerland: World Health Organization; 2000.

Hulton LA, Matthews Z, Stones RW. Applying a framework for assessing the quality of maternal health services in urban India. Soc Sci Med. 2007;64: 2083-95.

Anwar I, Khan N, Koblisky M. Quality of obstetric care in public sectors facilities and constraints to implementing emergency obstetric care services: evidence from high and low performing districts of Bangladesh. Dhaka, Bangladesh: Public Health Science Division; ICCDR, B, GPO Box 128.

Sahu KK, Manar MK Singh SK. Assessment of health care facilities for maternal and child health care at Bal Mahila Chikitsalyas in Lucknow district, India. Intl J Biomed Advance Res. 2014;5(1):26-8.

Uganda Services Availability and readiness assessment. Summary Report: Key findings in figures; 2013.

Analysis of CHCs in Rajasthan, SIHWF (State institute of health and family welfare at Jaipur, ISO 9001: 2008.

Gaidhane A, Quazi ZR. Reaching the unreached. Rapid Assessment Studies of Health Programmes Implementation in India, Assessing the Readiness of CHCs to deliver emergency obstetric care a study in Wardha District, Maharashtra.

Raman PS, Sharma B, Mavalankar D, Upadhyaya M. Assessing the regional and district capacity for operationalizing emergency obstetric care through first referral units in Gujarat; 2009. Ahmedabad, India: Indian Institute of Management: W.P. No.2009-04-01.

Hagopian A, House P, Das A. Reaching the unreached. Rapid Assessment Studies of Health Programmes Implementation in India. Assessing the readiness of the health system to address maternal mortality: a study in Uttar Pradesh. Gazipur, Delhi: Nidhi Books; 2009.

Pandve HT, Giri PA. First referral unit (FRU): needs focus in India. Int J Community Med Public Health. 2015;2(2):75-6.

UN Millennium Project 2005. Who's got the power? Transforming health system for women and children. Task force on child health and maternal health. Earthscan, London; 2005.

Scholz S, Ngoli B, Flessa S. World Health Organization. Working together for health. World Health Report. Geneva: WHO; 2006.

Project Implementation plan 2012-2013, Chhattisgarh. Available at: cg web.nic.in/ health / programme. Accessed on 16 August 2019.

NRHM in the Eleventh Five Year Plan (2007-2012); National Health Systems Resource Centre, New Delhi.

National Institute of Health and Family Welfare. Programme Advisory Committee Meeting. New Delhi, India: NIHFW-PAC 2011.

Health Index Transforming states to transform India, 2018. Available at: pibphoto.nic.in.>p20182901. Accessed on 16 August 2019.

Healthy state, progressive India: Health Index June 2019 NITI Aayog’s.

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Published

2019-11-27

How to Cite

Ekka, A., Gupta, S. A., Sahu, D., Minj, A. M., & Soni, G. P. (2019). Assessment of infrastructure of first referral unit facilities in Surguja division: a responsibility of providing emergency obstetric care. International Journal Of Community Medicine And Public Health, 6(12), 5168–5173. https://doi.org/10.18203/2394-6040.ijcmph20195464

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Original Research Articles