In order to zero in on maternal deaths and infant mortality in Junnar and Purandar talukas of Pune district, the Pune Zilla Parishad’s health department has started a unique pilot project.
The project began on Tuesday, October 24 and if this model is successful, the officials said that it will be implemented throughout Maharashtra. Under the initiative, the rural hospitals in these two talukas have tied up with private practitioners.
The Primary Health Centers (PHC’s) are given the responsibility to take pregnant women to rural hospital for the antenatal care and the deliveries are to be carried out at rural hospital with the assistance of an expert’s, instead at PHC’s.
The special village wise programs have already been prepared and high risk pregnant women are now being scanned. Apart from lowering the mortality rate, the project also aims to lower the deliveries undertaken in a private hospital by improving the public health care facilities.
Dr Sanjay Deshmukh, Deputy Director of Health Services, Pune region, said, “At the PHC level, the gynaecologists and paediatricians are not available and if there are complications, in some cases, it leads to maternal mortality. We are therefore trying to give all the antenatal care services at our rural hospitals.”
He added, “Sometimes when the facilities are not available in the government hospitals, poor people are forced opt for the services provided by private hospitals. This pilot project will help in improving the health delivery system in a government set-up.”
Dr Dilip Bora, Assistant District Health Officer, said, “Everyday pregnant women from different villages in these talukas will be brought to the rural hospitals by the special transport facility and an extensive health check-up will be done.”
He further stated, “All the deliveries would be carried out at a rural hospital. We have collaborated with private doctors in the region, who would help government doctors to carry out deliveries and who would be paid by the government.”
Officials say that the entire exercise will ensure that the time lost in referral can be saved by directly taking these ladies to the rural hospitals. Also, facilities like ultrasound tests, thyroid tests, HIV tests and hepatitis B tests which are not available at PHC’s will be provided.
In the project, it would be responsibility of the PHC take the pregnant women from village for such tests and even routine check-ups to rural hospital have to be done three times before the delivery.