Cogprints

An Approach to Monitor and Initiate Community Led Actions for Antenatal Care in Rural India – A Pilot Study

Dongre, AR and Deshmukh, PR and Garg, BS (2009) An Approach to Monitor and Initiate Community Led Actions for Antenatal Care in Rural India – A Pilot Study. [Journal (On-line/Unpaginated)]

Full text available as:

[img]
Preview
PDF - Published Version
Available under License Creative Commons Attribution No Derivatives.

202Kb

Abstract

Background and Objective: Utilization of antenatal care in rural India is far from universal. It requires monitoring and identification of specific needs at field level for timely corrective actions. To pilot test the triangulation of rapid quantitative (Lot Quality Assurance Sampling) and qualitative (Focus Group Discussion) monitoring tools for ensuring antenatal care in a community based program. Methods: The present study was undertaken in surrounding 23 villages of Kasturba Rural Health Training Centre (KRHTC), Anji, which is also a field practice area of Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. The monthly monitoring and action system of the study was based on the rapid quantitative monitoring tool (Lot Quality Assurance Sampling, LQAS)to find out poor performing supervision areas and overall antenatal service coverage and the qualitative methods (Focus group discussions (FGDs), and free listing) for exploring ongoing operational constraints in the processes for timely decision making at program and community level. A trained program supervisor paid house visit to 95 randomly selected pregnant women from 5 supervision areas by using pre-designed and pre-tested questionnaire. For poor performing indicators, semi structured FGDs and free listing exercise were undertaken to identify unmet service needs and reasons for its poor performance. Results: Registration of pregnancy within 12 weeks improved from 22.8% to 29.6%. The consumption of 100 or more IFA tablets during pregnancy significantly improved from 6.3% to 17.3%. There was significant improvement in awareness among pregnant women regarding danger signs and symptoms during pregnancy. Over three months period, the overall antenatal registration improved from 253 (67%) to 327 (86.7%). Conclusion: The present field based monitoring and action approach constructively identified the reasons for failures and directed specific collective actions to achieve the targets.

Item Type:Journal (On-line/Unpaginated)
Keywords:LQAS, Focus group discussion, Monitoring, Antenatal care, Community action
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6671
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:14 Nov 2009 11:38
Last Modified:11 Mar 2011 08:57

References in Article

Select the SEEK icon to attempt to find the referenced article. If it does not appear to be in cogprints you will be forwarded to the paracite service. Poorly formated references will probably not work.

1. World Health Organization (WHO). WHO antenatal care randomized trial: manual for the implementation of the new model. Geneva, World Health Organization, 2002.

2. Chandhiok N, Dhillon BS, Kambo I, Saxena NC. Determinants of antenatal care utilization in rural area of India: A cross sectional study from 28 districts (An ICMR task force study). J Obstet Gynecol India 2006 Jan-Feb;56(1):47-52.

3. Koot J. Monitoring and evaluation for NGOs in health and AIDS programmes. [Online]. [Cited 2007 November 12]. Available from: http://www.phc-amsterdam.nl/artikelen/monitoring_and_evaluation_for_ngos_in_health_aids_programmes_JK.pdf?PHPSES

4. Registrar General of India. Census of India 2001 [Cited 2007 November 12]. Available from URL: http://www.censusindia.net/data/mah.pdf.

5. District Level Household Survey for Reproductive and Child Health Project: International Institute for Population Sciences (IIPS), Mumbai and Centre for Operations Research and Training (CORT), Vadodara, Gujrat. 2002.

6. Valadez JJ, Weiss W, Leburg C, DavisR, Editors. A participant’s manual for base line surveys and regular monitoring. [Online]. 2001. [cited 2007 November 12]. Available from: www.coregroup.org/tools/LQAS_Participant_Manual_L.pdf

7. Dawson S, Manderson L, Tallo VL. The focus group manual: Methods for social research in disease. Boston: International Nutrition Foundation for Developing Countries (INFDC). 1993.

8. Hudelson PM. Qualitative research for health programmes. Geneva: World Health Organization;1994.

9. Borgatti S. Anthropac 4.0. Natik MA: Analytic Technologies; 1998.

10. National Rural Health Mission. Monthly village health nutrition day: Guidelines for AWWs/ANMs/PRIs. February 2007. [Cited on 2007 November 12]. Available from URL: mohfw.nic.in/NRHM/Documents/VHND_Guidelines.pdf

11. Gupta R, Sohani GG, Dhamankar M, editors. Monitoring and evaluation for strategic management and organizational development. Proceedings of an International workshop held at MDMTC;1997 Feb 17-18; Pune, India, 1997.

12. Khandait DK, Koram MR. Factors associated with late booking for antenatal care among rural women. J Obstet Gynecol India 2001 Mar-Apr;51(2):31-33.

13. Simpson H, Walker G. Why do pregnant women attend antenatal care? Br Med J: 281, 104,1980.

14. Stewart JC, Schroeder DG, Marsh, DR Allhasane S, Kone D. Assessing a computerized routine health information system in Mali using LQAS. Health Policy and Planning. 2001;16(3):248-255.

15. Valadez JJ, Brown LD, Vargas WV, Morley D. Using Lot Quality Assurance Sampling to Assess Measurements for growth monitoring in developing country’s Primary Health Care System. Int. J. Epidemiol 1996;25(2):381-387.

16. Bhattacharya S, Verma K, Agarwal N, Hague J, Sengupta S, Narayan R, Ray S. Participatory monitoring and evaluation: a key to improve sexual health programme performance. Int Conf AIDS. 1998;12:1177-8.

17. National Rural Health Mission. Community based monitoring of health services under NRHM. [Online]. [Cited 2007 November 12]. Available from: http://mohfw.nic.in/NRHM/adv_grp.htm#section2

Metadata

Repository Staff Only: item control page