AN ASSESSMENT OF QUALITY OF ANTENATAL CARE SERVICES AT PRIMARY HEALTH CENTRE’S AND SUB HEALTH CENTRE’S OF UDAIPUR DISTRICT.

Abstract

Introduction: Pregnancy-related deaths and diseases remain unacceptably high. Quality health care during pregnancy and child birth can prevent many of maternal and new born deaths. Objectives: To assess quality of Antenatal care services provided at Primary and Sub Health Centre’s of Udaipur district and to assess the association of various socio-demographic factors on their utilization. Material and methods- A health facility based cross sectional descriptive study. Results:- All PHC’s and SHC’s had name and facilities displayed prominently. Most, (≥80%) PHC’s fulfilled other requirements of infrastructure as per IPHS. Availability of Instruments/investigation materials and accessories for Antenatal checkup were almost 100%. Almost all, 38(95%) ANM at PHC’s and at SHC’s 78(97.5%) displayed adequate skills of prescribing treatment for ANC. In our study, more than half of the women 238 (58.0%) were in the 21-25 years age group. Hundred percent of women got their pregnancy registered in any health facility. Majority 244 (59.5%) of them were registered for pregnancy in 1^st trimester still only 44 (38.9%) women had utilized full antenatal care during pregnancy. Conclusion: To conclude we can say that the infrastructure and functional equipment's at most of the Primary Health Centre’s and sub-centre’s were as per IPHS norms. The ANMs skills were limited to prescribing injection T.T. and Iron folic acid tablets only.