DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200462

Preliminary evaluation of records of antenatal care at sub-centre in Western Maharashtra

Shekhar S. Rajderkar, Sonali A. Sohani, Amit N. Sohani, Yogesh R. Saale

Abstract


Background: Health record are essential for monitoring and evaluation of programmes and routine data collection at facility level. Antenatal care is an important intervention for preventing maternal morbidity and mortality. The aim of study is to assess the antenatal care records at sub-centre level. The objective are evaluation of antenatal registration and completeness of antenatal register.

Methods: A record based cross sectional study was conducted at a sub-centre in Western Maharashtra. Study period was for 1 month. Data collection was done one year i.e., recent record from November 2017 to October 2018 is selected for study.

Results: Out of 141 entries from registers, level of completeness of various data entries in the register were as follows. Mother’s name was 100% (141), mother’s ID was 69.5% (98), expected date of delivery was 97.87% (138), initial weight of mother was 16.31% (23), tetanus toxoid received by mother was 9% (13). Whereas records of address of mother, height of mother and 4 antenatal visits which includes haemoglobin, blood pressure, urine albumin/sugar details were completely lacking. Only 64.5% (91) of antenatal registration were within 12 week of pregnancy.

Conclusions: Early registration of pregnancy is less and needs to be increased for proper antenatal care. Incomplete records lead to loss of important health data; hence staff should be made aware of the need to keep records updated. Sub-centre-specific reasons for incomplete records e.g., lack of training, lack of time or motivation needs to be identified for improvement.


Keywords


Health records, Antenatal care, Maharashtra

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References


Morrato EH, Elias M, Gericke CA. Using population-based routine data for evidence-based health policy decisions: lessons from three examples of setting and evaluating national health policy in Australia, the UK and the USA. J Public Health. 2007;29(4):463-71.

De Coster C, Quan H, Finlayson A, Gao M, Halfon P, Humphries KH, et al. Identifying priorities in methodological research using ICD-9-CM and ICD-10 administrative data: report from an international consortium. BMC Health Serv Res. 2006;6:77.

WHO Recommendations on antenatal care for a positive pregnancy experience. Available at: https://apps.who.int/iris/bitstream/10665/259947/1/WHO-RHR-18.02-eng.pdf?ua=1. Accessed on 10 December 2019.

Royal College of Obstetricians and Gynaecologists. Clinical Guideline. Antenatal Care Routine Care for the Healthy Pregnant Woman. London: RCOG Press; 2003.

World Health Organization. WHO Antenatal Care Randomized Trial: Manual for the Implementation of the New Model. WHO Programme To Map Best Reproductive Health Practices. Geneva: WHO; 2002.

Government of India. Guidelines for Antenatal Care and Skilled Attendance at Birth by ANM/LHV/SNS. New Delhi: Ministry of Health and Family Welfare; 2010.

Park K. Textbook of Preventive and Social Medicine. 24 ed. Jabalpur: M/S Banarasidas Bhanoth Publishers; 2017: 561.

Schultz L. Record-keeping in the antenatal care register in Tshwane District, Gauteng Province. 2016: 1-102.

Sable, Pavan SM. Association of early registration of pregnancy with ANC visits during pregnancy and birth. Glob J Res Anal. 2017;6(6):21-3.