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Why are We Doing it ?
Goals of the Program
Conceptual Model of Project Implementation
Project Implementation Unit
Delivery of Health Care Services
24 x 7 Emergency Transport Facility (EmTF)
Comprehensive Emergency Obstetric & Newborn Care (CEmONC) Unit
Promoting Community Participation
Training and Monitoring
Computerized Management Information System (MIS)
 
Why are We Doing it ?

 

Severe complications during pregnancy and childbirth are the leading causes of death among women of reproductive age in India and worldwide. Every five minutes, a woman in India dies from complications associated with childbearing and delivery. The global figures are equally alarming – each year almost 550,000 pregnancy related deaths occur - approximately a death in every minute. India accounts for one out of five of these deaths. In India :


15 percent of all pregnant women develop life–threatening complications
60 percent of deliveries take place at home
Only 48 percent of women have a skilled birth attendant present at the time of delivery
60 percent of all maternal deaths occur after delivery, but only 36 percent receive proper postnatal care

Rationale: The State Population Policy of the Government of Gujarat (2000) reiterates the government’s commitment to safe motherhood and child survival within the wider context of reproductive health. As specified by the policy pertaining to safe motherhood and child survival, the goals identified by the state to achieve by 2010 are:

Reduction in total fertility rate to 2.1
Increase in contraceptive prevalence to an average of 70%
Reduction in Infant Mortality Rate (IMR) to 16 per 1000 live births
Reduction in Maternal Mortality Ratio (MMR) to less than 100 per 100,000 live births

To assist the Government of Gujarat in realizing the goals related to infant and maternal mortality, Deepak Foundation has undertaken the Safe Motherhood and Child Survival (SMCS) project in rural and tribal blocks of Vadodara, in partnership with the state’s Health and Family Welfare Department.



Goals of the Program
Behaviour Change Communication. click for big image
Strengthening the health care delivery in rural areas of Vadodara
Increase in Institutional deliveries to > 80%
Reduction in MMR from 469 per 100,000 live births to less than 100 per 100,000 live births
 
Public Private Partnership – the Essence of the SMCS Intervention
 

The Foundation works in tandem with the existing government health delivery system as depicted below.

 

Conceptual Model of Project Implementation

 

The conceptual model of project implementation was designed to address the three delays, discussed by Maine, in accessing timely care by pregnant and postpartum women. The aim of the program is to increase institutional deliveries in the area through a three pronged intervention comprising the following:

 
Behaviour change communication at the grassroot level to increase the identification of danger signs and perceive the need to seek timely care
Emergency Transport Facility (EmTF) to transport emergency cases to the nearest health facility
Comprehensive Emergency Obstetric and Newborn Care (CEmONC) unit to provide emergency care in the vicinity of villages
 

A Help Desk was added to the model to facilitate the accessing of quality care at the tertiary health center i.e. the District Hospital at Vadodara. Strengthening of government health centers was also  taken up to assist and reinforce the government health delivery system.
 
 
 
 
 
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