Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Intersectoral collaboration to improve maternal and child health in Chandigarh, a north Indian city
MADHU GUPTA

Last modified: 2018-08-07

Abstract


Background

 

Improving urban health especially of urban poor is a great cause of concern especially for India due to increasing urban population. This abstract presents the findings of an innovative model of intersectoral collaboration to improve maternal and child health (MCH) in Chandigarh, a north Indian city

Material and Methods

 

Collaboration between state health department and department of community medicine, post graduate institute of medical education and research was established in 2011, to improve MCH indicators in the catchment area of Civil Hospital, Chandigarh, and to train the community medicine resident doctors. It catered to a population of 81,332, out of which 61% were vulnerable migrants with poor housing and sanitary conditions. MCH program implementation was strengthened through supportive supervision of MCH staff, enhanced community engagement through inter personal communication, husband’s counseling for family planning, tracking of pregnant women, identification of problem families and problem solving with cascade model (first level counseling with auxiliary nurse/social worker, then with resident doctors), and efficient referral system. MCH indicators were monitored by conducting annual health surveys at the end of financial year from 2011-12 to 2015-16

Results

 

Early registration of pregnant women increased from 39% to 95.7%, tetanus immunization from 70.8% to 99.9%, four antenatal check ups from 82.7% to 99.7%, institutional deliveries increased from 78.7% to 99.4%, at least three post natal check ups increased from 47.5% to 95.5%, fully immunized children increased from 85.8% to 97.5%, contraceptive use rate from 56.9% to 76.9% from 2011-12 to 2015-16. No maternal deaths reported during 2015-16.  Infant mortality rate declined from 25.6 to 5 per thousand live births

Conclusions

The collaborative model between community medicine department and state health department demonstrated win-win situation for both the sectors in terms of improvement in the MCH in urban areas and training of resident doctors