1. Debjani Barman, Rittika Brahmachari
Community Delivery Centers: A Drivers for Basic Obstetric Care among the islanders of Indian Sundarbans
Debjani Barman, Rittika Brahmachari
Background:
Maternal deaths till account for highest share of DALY.
Community Delivery Center (CDC) is an unit of basic obstetric care for hard to reach Indian regions like Sundarbans
This Public private partnership aims to achieve third sustainable development goal as well as seventeenth goal
Given geographical inaccessibility and poor presence of public facilities CDC has a pivotal role
Objective:
To explores the role of CDC by exploring facilitating and hindering factors for its differential utilization from providers’ and communities’ perspectives in the Indian Sundarbans.
Methods:
Qualitative Participatory Action Research methods- Most Significant Change (MSC) and Pair-wise ranking and scoring (PWRS) used to capture most significant changes in the health seeking behavior for safe delivery and their priorities in choosing the health facility. Total 36 PWRS and 62 MSC have been done using maximum variation principle where the data were analyzed using software NVivo10
Acknowledgement:
This study was funded and supported by Alliance for Health Policy and Systems Research (AHPSR), WHO, Geneva.
Results:
Majority of respondents ranked CDC as their first priority for safe delivery followed by higher tier government facilities
Private facilities ranked far below given its high cost.
Deliveries by informal providers or untrained birth attendant are the bottom two choices for child delivery.
Positive MSC stories speak about good doctor and staff behavior, availability of free of cost medicines and ambulance service
Negative MSC stories talk about delay in timely referral absence of cesarean facility and system factors like delay in fund disbursement, renewal of contracts and retention of human resource. As a result pregnant women go to higher tier facilities with serious consequences on her health and family income.
Conclusion:
Usage of participatory research approach churns out contextual factors both from providers’ and communities’ side.
Addressing the barriers and facilitating the positive factors can act as a catalyst for strengthening of CDCs in achieving universal health coverage in promoting healthy well being of child and mother in Indian Sundarbans.
Contact Details:
Debjani Barman, IIHMR University,
1, P.D. Marg, Jaipur, India