?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=An+Approach+to+Monitor+and+Initiate+Community+Led+Actions+for+Antenatal+Care+in+Rural+India+%E2%80%93+A+Pilot+Study&rft.creator=Dongre%2C+AR&rft.creator=Deshmukh%2C+PR&rft.creator=Garg%2C+BS&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background+and+Objective%3A+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%3A+The+present+study+was+undertaken+in+surrounding+23+villages+of+Kasturba+Rural+Health+Training+Centre+(KRHTC)%2C+Anji%2C+which+is+also+a+field+practice+area+of+Mahatma+Gandhi+Institute+of+Medical+Sciences+(MGIMS)%2C+Sewagram.+The+monthly+monitoring+and+action+system+of+the+study+was+based+on+the+rapid+quantitative+monitoring+tool+(Lot+Quality+Assurance+Sampling%2C+LQAS)to+find+out+poor+performing+supervision+areas+and+overall+antenatal+service+coverage+and+the+qualitative+methods+(Focus+group+discussions+(FGDs)%2C+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%2C+semi+structured+FGDs+and+free+listing+exercise+were+undertaken+to+identify+unmet+service+needs+and+reasons+for+its+poor+performance.+Results%3A+Registration+of+pregnancy+within+12+weeks+improved+from+22.8%25+to+29.6%25.+The+consumption+of+100+or+more+IFA+tablets+during+pregnancy+significantly+improved+from+6.3%25+to+17.3%25.+There+was+significant+improvement+in+awareness+among+pregnant+women+regarding+danger+signs+and+symptoms+during+pregnancy.+Over+three+months+period%2C+the+overall+antenatal+registration+improved+from+253+(67%25)+to+327+(86.7%25).+Conclusion%3A+The+present+field+based+monitoring+and+action+approach+constructively+identified+the+reasons+for+failures+and+directed+specific+collective+actions+to+achieve+the+targets.&rft.publisher=Kakkilaya+BS&rft.contributor=Kakkilaya%2C+Dr.+Srinivas&rft.date=2009-09-08&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F6671%2F1%2F2009-2-5.pdf&rft.identifier=++Dongre%2C+AR+and+Deshmukh%2C+PR+and+Garg%2C+BS++(2009)+An+Approach+to+Monitor+and+Initiate+Community+Led+Actions+for+Antenatal+Care+in+Rural+India+%E2%80%93+A+Pilot+Study.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F6671%2F