study rationale
DESCRIPTION
Assessment of Promoters and Barriers to Effective Health Services for Women and under 5 Children in Communities. Study Rationale. Baseline for CHN UC Kharak. Key Objectives. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/1.jpg)
Assessment of Promoters and Barriers to Effective Health Services for Women and under 5 Children in
Communities
![Page 2: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/2.jpg)
Study Rationale
2
• Baseline for CHN• UC Kharak
![Page 3: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/3.jpg)
Key Objectives1. Identify the barriers and promoters for MNCH
service availability, utilization accessibility and quality at the community level
2. Identify priority policies and interventions that can most reduce under 5 deaths & closely align with WV Pakistan’s MNCH program.
3. Guide CHN campaign strategy, in relation with WV Pakistan programs.
3
![Page 4: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/4.jpg)
Demographic Profile• District Population 3.58 million• Tehsil Muzaffargarh 1.35 million• Kharak (Rural Union council) 42,355• Estimated pregnancies/month 1524• Target Population in surveyed Households– Female Population 51%– Male Population 49%– <5 year 38%
4
![Page 5: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/5.jpg)
Study Methods HHS: 150 were randomly selected having
children under 2 years or pregnant at the time of survey
HFA: 3 BHUs, RHC and DHQH CCA: LHW, LHV & TBA (5 each) FGD: mothers and fathers (1 each) IDI: LHS and CMWs trainer (1 each) SSI: District and provincial health managers KII: Development partners
5
![Page 6: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/6.jpg)
Key Findings of our Research
![Page 7: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/7.jpg)
ANC During Pregnancy
13
![Page 8: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/8.jpg)
Delivery & Early Newborn Care
15
![Page 9: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/9.jpg)
Delivery & Early Newborn Care
16
![Page 10: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/10.jpg)
Safe Delivery Practices
18
![Page 11: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/11.jpg)
Safe Delivery Practices
19
![Page 12: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/12.jpg)
Safe Delivery Practices
• Infants breast feeding after delivery – Immediately after birth 19%– Less than ½ hr 10%– ½ hr to 1 hr 17%– 1hr and 24 hrs 33%
• Infants who received Colostrum 63%
• Breast feeding awareness in CBAWs 83%
• PNC-1 follow-up 29%
20
![Page 13: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/13.jpg)
Birth spacingOpinion about Birth Spacing
2 years 57% 3 year 26% more than 3 years 16%
21
![Page 14: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/14.jpg)
Management Basics• Staff JDs were deficient at most surveyed
facilities• Service delivery protocols were not seen at
any of the surveyed facilities
• IEC Material deficient at most surveyed facilities
25
![Page 15: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/15.jpg)
ANC-1 at 3 BHUs
26
![Page 16: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/16.jpg)
Normal Delivery at 3 BHUs
27
![Page 17: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/17.jpg)
PNC-1 at Primary Health care Facilities
28
![Page 18: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/18.jpg)
Availability of medicines and lab services
30
![Page 19: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/19.jpg)
Community Perspective• LHWs and TBAs were recognized as “first
approach” health care providers for the community because people preferred to deliver within their community
• Community recognition, demand for functional public health facility and utilization is existent
31
![Page 20: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/20.jpg)
Recommendations 1. Community based care-CMWs2. Referral mechanism3. Increased awareness about ANC, SBA and PNC etc4. Enhanced supervision5. The HR -infrastructure -accessible health facilities6. Data and information system utilization7. Missed opportunities for Immunization8. Local level advocacy9. Horizontally integrated vertical programmes
37
![Page 21: Study Rationale](https://reader035.vdocument.in/reader035/viewer/2022062518/56814982550346895db6caae/html5/thumbnails/21.jpg)
38