Are our sub-centers prepared enough to tackle high-risk pregnancies? A cross-sectional survey from Southern Rajasthan, India

Bharti Paliwal, Rupa Sharma, Rajath Rao
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Abstract

Introduction and aim. Sub-centers (SC) are the first contact point with the community with auxiliary nurse midwife (ANM) as the instrument, delivering all the primary health care services. The SCs are under constant criticism for their inability to deliver quality services. This study assessed the preparation of facilities available at the SC to manage high-risk pregnancies (HRP) and to compare the same between rural and tribal blocks of the selected district. Material and methods. This health facility-based cross-sectional observational study was done for 6 months among 276 rural and tribal SC of the Udaipur district by a two-stage random sampling method using an observational checklist to assess the infrastructure and logistics of SCs. Data were analyzed using SPSS 20. Results. The study covered 264 (95.7%) non-24x7 SCs and 12 (4.3%) 24x7 SCs. Only one-third SCs, 93 (33.6%) were situated at the center of the village. Only 151 (54.7%) SCs had attached ANM quarters. All 24x7 SCs and 78.4% of non-24x7 SCs had adequate equipment and infrastructure. Conclusion. Most of the subcentres’ infrastructure and functional equipment was equipped to tackle HRP. Rural SC adhered more than tribal. Most HRPs were tracked and referred to higher centers. Unless we emphasize strengthening SCs, the dream of a healthy nation will remain obscure.
我们的分中心是否做好了应对高危妊娠的充分准备?印度拉贾斯坦邦南部的横断面调查
介绍和目的。副中心(SC)是与社区的第一个接触点,辅助护士助产士(ANM)作为工具,提供所有初级卫生保健服务。公营机构因无法提供优质服务而不断受到批评。这项研究评估了最高法院现有设施的准备情况,以管理高危妊娠(HRP),并比较选定地区的农村和部落街区之间的设施。材料和方法。这项基于卫生设施的横断面观察研究在乌代普尔地区的276个农村和部落SC中进行了为期6个月的研究,采用两阶段随机抽样方法,使用观察清单评估SC的基础设施和后勤。数据采用SPSS 20进行分析。结果。该研究涵盖264个(95.7%)非24x7 SCs和12个(4.3%)24x7 SCs。只有三分之一的sc,即93个(33.6%)位于村庄中心。只有151家(54.7%)SCs附属于ANM宿舍。所有24x7 SCs和78.4%的非24x7 SCs都有足够的设备和基础设施。结论。大多数次级中心的基础设施和功能设备都配备了解决HRP问题的设备。农村的SC比部落的更多。大多数hrp被追踪到更高的中心。除非我们强调加强SCs,否则健康国家的梦想将是模糊的。
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