AN EIGHT YEAR STUDY ON EVALUATION OF EMERGENCY MATERNAL TRANSPORT SERVICES

Dr. Beenu Kushwah, Dr. Vrinda Vinod Loyalka

Abstract


Abstract

Background:To bring down the high maternal mortality rates (MMR) in certain low performing states in India, various demand-side and supply-side interventions have been implemented in remote rural areas. Majority of these interventions aim to reduce barriers to financial access for health care services. Physical access and quality of services remain a key concern for improving utilization rates. Simultaneously nearly 20 models of ambulance service delivery have been implemented across the country. The present study was conducted to study the effect of these services on maternal and neonatal health.

Materials & Methods: All pregnant women from year 2006-2013, delivered in our institute, were included for the study. Whole duration was divided in two groups of four year each. Group 1 was assigned to the females, delivered before introduction of transport services while group 2 was assigned to the females, delivered after the introduction of these services. The effect of introduction of emergency maternal transport services was studied using Pearson Chi Square test.

Results:The MMR in group 2 declined by 15.35% and neonatal mortality decreased by 14.22%.

Conclusion:Implementation of emergency ambulance services has helped women in labour or with complications to provide institutional care, which has been further proved by present study.

Keywords: Emergency Maternal Transport Services; Janani Surkhsha Yojana; Janani Express Yojana; Maternal Mortality Ratio (MMR); Neonatal Mortality Rate (NMR); Low Performing State (LPS)


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