Urban health and nutrition day or only immunisation day? barriers and bottlenecks in implementing Urban health and nutrition day in an Urban primary health centre of Nagpur, Central India
, , , , and | Oct 11, 2021
About this article
Article Category: Original paper
Published Online: Oct 11, 2021
Page range: 51 - 60
Received: Feb 11, 2021
Accepted: May 18, 2021
DOI: https://doi.org/10.34763/jmotherandchild.20212501.d-21-00006
Keywords
© 2021 Sitikantha Banerjee et al. published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1
Figure 2
Availability of drug and contraceptives at UHND sessions
| Sl No | Name of the drug that need to be supplied | Current availability status | Comment |
|---|---|---|---|
| 1 | ORS sachet | Available | Regular supply# |
| 2 | IFA tablet | Available | Regular supply* |
| 3 | IFA tablet (small) | Not available | Not supplied |
| 4 | IFA syrup | Not available | Irregularly supplied |
| 5 | Anti-malarial syrup/tablet | Not available | Not supplied |
| 6 | Cotrimoxazole tablet/ syrup | Not available | Not supplied |
| 7 | Paracetamol tablet | Available | |
| 8 | Pediatric Paracetamol syrup | Not available | Not supplied |
| 9 | Albendazole tablet/ syrup | Available | Regular supply |
| 10 | Zinc tablet | Not available | Supplied, but not brought to the session by ANM; not available in the field. |
| 11 | Calcium tablet for pregnant women | Not available | Irregular supply |
| Contraceptives: | |||
| 1 | Mala-N | Not available | Not supplied |
| 2 | Chhaya (Centchromen) | Not available | Supplied to UHTC, but asked by Municipality to return back to store; no supply in this moment |
| 3 | Antara (Medroxyprogesterone injection) | Not available | Injection given at UHTC; not supplied for field use |
| 4 | Condom | Not available | Supply available at UHTC; not distributed to ASHA/ANM till date. |
| 5 | Emergency Contraceptive Pills | Not available | Available at UHTC; not supplied for UHND session |
Distribution of UHND sessions according to the availability of logistics in the session: (n=28)
| Sl No | Logistics that need to be available | Number of sites where available (%) | Comment |
|---|---|---|---|
| 1 | Hand gloves | 28 (100) | Limited number of gloves available |
| 2 | Red bag for disposal | 28 (100) | |
| 3 | Black bag for disposal | 28 (100) | |
| 4 | Absorbent cotton | 28 (100) | |
| 5 | Cotton bandage | 0 | |
| 6 | Blank MCP cards | 28 (100) | |
| 7 | Due list of beneficiaries | 28 (100) | |
| 8 9 | Adult weighing machine available Adult weighing machine functioning properly and calibrated | 22 (78.6) 19 (67.9) | All the six sessions organised outside AWCs surement don’t facilities have weight/height mea- |
| 10 | Salter’s scale/digital paediatric weighing machine | 22 (78.6) | |
| 11 | Salter’s scale/digital paediatric weighing machine in usable condition available | 17 (60.7) | In five sites machine either out of order or not calibrated |
| 12 | Height measurement scale (any type) | 20 (71.4) | |
| 13 | Examination table, screen for privacy, stethoscope, digital sphygmomanometer, , foetoscope, thermometer, inch tape, MUAC tape, haemoglobin testing kit, RDK kit, needle/lancet, pregnancy testing (Nischay) kit, urine testing kit (Uristix), test tube, urine collection container, sputum collection container, IMNCI chart booklet | 0 | Digital sphygmomanometer pregnancy testing (Nischay) kit: available in UPHC, but not brought in UHND session site |
Activities actually performed and that need to be made available at UHND session: free listing as per ASHA’s perspective
| Activities performed in a routine UHND session | Activities that should be performed/facilities that need to be available | ||||||
|---|---|---|---|---|---|---|---|
| Sl No | Items | Frequency (%) | Salience | Sl No | Items | Frequency (%) | Salience |
| 1 | Immunisation for 0-5 yr child | 91.7 | 0.786 | 1 | Supplementary nutrition for children | 33.3 | 0.319 |
| 2 | Registration of pregnant mother and providing MCP card | 75.0 | 0.510 | 2 | Involving beneficiaries not having permanent address | 33.3 | 0.222 |
| 3 | Educating mother on newborn and child care, nutrition | 83.3 | 0.351 | 3 | BP measurement | 33.3 | 0.161 |
| 4 | Antenatal care | 33.3 | 0.300 | 4 | Ensure supply of floor mat | 16.7 | 0.150 |
| 5 | Inj TT to pregnant women | 41.7 | 0.296 | 5 | Calcium supplementation | 25.0 | 0.144 |
| 6 | TT injection for 10 and 15 yr child | 33.3 | 0.142 | 6 | Proper sitting arrangement and space | 33.3 | 0.143 |
| 7 | Educating antenatal women on diet and other issues | 33.3 | 0.135 | 7 | IFA supplementation | 25.0 | 0.141 |
| 8 | IFA distribution to pregnant women | 16.7 | 0.127 | 8 | Ensure supply of weighing machine | 16.7 | 0.117 |
| 9 | Advising postnatal women on contraceptives | 25.0 | 0.103 | 9 | Health education/counselling session | 16.7 | 0.117 |
| 10 | Information on government schemes | 16.7 | 0.093 | 10 | Supplementary nutrition for pregnant mothers | 16.7 | 0.111 |
| 11 | Searching and vaccinating left-out population | 16.7 | 0.090 | 11 | Ensuring drinking water facility | 16.7 | 0.108 |
| 12 | Reminder for immunisation | 16.7 | 0.080 | 12 | Weighing of children | 16.7 | 0.107 |
| 13 | Weighing of pregnant women | 16.7 | 0.074 | 13 | Health camp | 8.3 | 0.083 |
| 14 | Registration for family planning | 8.3 | 0.073 | 14 | Separate room for check-up of pregnant mothers | 8.3 | 0.083 |
| 15 | Postnatal care | 8.3 | 0.063 | 15 | Medical check-up by doctor | 8.3 | 0.083 |
| 16 | Calcium distribution to pregnant women | 8.3 | 0.046 | 16 | Nutritional counselling | 8.3 | 0.083 |
| 17 | Weighing of children | 16.7 | 0.026 | 17 | Weighing of pregnant women | 16.7 | 0.081 |
| 18 | Ask ANC mother to bring Adhar card | 8.3 | 0.014 | 18 | paediatric facility | 8.3 | 0.067 |
| 19 | Giving vitamin A | 8.3 | 0.014 | 19 | Ensure supply of height measurement scale | 8.3 | 0.050 |
| 20 | Advise on hygiene | 8.3 | 0.012 | 20 | Iron supplementation for children | 8.3 | 0.042 |
| 21 | Deworming | 8.3 | 0.028 | ||||
| 22 | Distribution of syrup for children | 8.3 | 0.019 | ||||
| 23 | Diagnostic/testing facility | 8.3 | 0.017 | ||||
| 24 | Temperature check | 8.3 | 0.014 | ||||
| 25 | Antenatal check up | 8.3 | 0.009 | ||||