photo journey -exposure visit .pptx

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Saving lives of mothers and babies

Photo journey of exposure visit, Mewat, Haryana

USAID Applying Science to Strengthen and Improve Systems

Background of the photo journey

• The USAID ASSIST project has spread its wings to work with the Meos

(scheduled tribe) residing in the Mewat district in Haryana. The Meos

have several problems related to women’s reproductive health.

Religious and cultural norms preclude women from accessing antenatal,

intrapartum and post- partum care.

• The project started to support communities and front line health

workers to use quality improvement methods to achieve better antenatal

and intrapartum care.

• The Quality Improvement team composed of ANM, ASHA[1] , AWW[2] ,

and member from women’s group engaged in several activities

including home counselling visits of pregnant women by ASHA,

monthly meeting and group meetings for pregnant women, Village

Health Nutrition Day etc.

2

http://en.wikipedia.org/wiki/Accredited_Social_Health_Activist#cite_note-1

http://en.wikipedia.org/wiki/Accredited_Social_Health_Activist#cite_note-1


Background of the photo journey

• While working on this, the team observed that in Salaheri village fewer

than 20% of women went to the facility to deliver. Pregnant women were

reluctant to opt for institutional deliveries despite several counselling

sessions provided to them because it was rumoured that male doctors

delivered babies, and doctors and nurses did not behave well with

patients.

• To explain the truth to the community and establish rapport with service

provider an exposure visit to Nuh , Community Health Centre, was

arranged to resolve both issues by QI members.

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USAID Applying Science to Strengthen and Improve Systems4

Welcome to Mewat


Being a mother in Mewat


Life of a mother in Mewat


Primary Health Centre, Ujjina


Group meetings of pregnant mothers at AWW Centre


Group counselling of pregnant women during exposure visit


Group discussion with pregnant women


Involving husbands in exposure visit


Participation of mother-in laws in exposure visit


ASHA conducting the meeting


ASHA answering the query of fathers


Way to labour room


Introduction to equipments at labour room


Equipments at labour room


Safety demonstration by staff nurse


Inside the Labour room


Inside the labour room


Newborn Corner


Waiting for Hb test


Inside the Lab for Hb test


Hb test is in progress


Documentation of Hb test


Physical examination of pregnant women


Referral facility


Benefited from Institutional delivery

Name: Akbari

Age: 35 years

Parity: 6

Status; High risk ( anemic, twins

multigravida)

Delivered twins at Nuh, CHC



Name: Arshida

Age: 30 years

Parity: 3

Delivered at Nuh, CHC



Name: Javida

Age: 20 years

Parity: 1

High risk ( anemia, high fever)

Delivered at Nahallad Medical college



Name: Ravina

Age: 23 years

Parity: 4

Delivered at Nuh, CHC



Name: Firdose

Age: 30 years

Parity: 5

Chronic TB patient delivered at Nuh,

CHC


Rabina, ANM QI Team- Leader


Firozpur Namak, SC


QI meetings


Sanjay Rai and Masiul Haq, District team- Mewat,URC


Acknowledgment

• Pregnant Women, Husbands, Mother-in-law,

ASHAs

• Doctors, ANMs, Staff Nurses, Ujjina PHC

• Rabina, ANM, Firozpur, Namak, SC

• Rakesh Kumar, Photographer

• Masiul Haq, Community Improvement

Coordinator

• Sanjay Rai, District Improvement Coordinator

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photo journey -exposure visit .pptx

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