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Evaluation Study of National Rural Health Mission …

Evaluation Study of National Rural Health Mission (NRHM) In 7 States Programme Evaluation Organisation Planning commission Government of India New Delhi-110001 February 2011 Contents Chapter Page Contents i-ii Tables Detail iii-iv Diagrams Detail iv I About the Study 1-5 Introduction 1 Study Objective 2 Coverage of the Study 3 Chapter Scheme 4 II Demographic Profile and Health Infrastructure in India and 7

Evaluation Study of National Rural Health Mission (NRHM) In 7 States Programme Evaluation Organisation Planning Commission Government of India

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Transcription of Evaluation Study of National Rural Health Mission …

1 Evaluation Study of National Rural Health Mission (NRHM) In 7 States Programme Evaluation Organisation Planning commission Government of India New Delhi-110001 February 2011 Contents Chapter Page Contents i-ii Tables Detail iii-iv Diagrams Detail iv I About the Study 1-5 Introduction 1 Study Objective 2 Coverage of the Study 3 Chapter Scheme 4 II Demographic Profile and Health Infrastructure in India and 7

2 States: 6-30 An NRHM Front Introduction 6 Structure of Public Health System 7 Population Characteristics 8 Status of Health Infrastructure and Facility Upgradation under NRHM 8 Utilization of Public Health Services 11 Status of Health Infrastructure and Services in States 12 Uttar Pradesh 12 Madhya Pradesh

3 14 Jharkhand 16 Orissa 18 Assam 19 Jammu & Kashmir 21 Tamilnadu 23 III Facility Survey 31-61 Introduction 31 Functioning of DHS: Roles and Responsibilities 32 Functioning of District Health Society 32 Functioning of District Hospitals 33 Functioning of Community Health Centres 37 Functioning of Primary Health Centres 43 Functioning of Sub Centres 48 Functioning of Accredited Social

4 Health Activists 53 Functioning of Village Health and Sanitation Committees 57 IV Household Survey 62-81 ii Introduction 62 Background Characteristics of the Respondents 63 MCH Care, Family Planning Services Utilization and Chronic Disease 64 ANC Utilization Patterns 64 Delivery Care Utilization Patterns 64 PNC Utilization Patterns 65 Immunization and Child Care 65 Utilization of Family Planning Services

5 66 Chronic Disease 66 Knowledge about ASHA, NRHM, VHND and VHSC 67 Insights from Field 68 V Utilization of MCH, Family Planning and Chronic Disease Control 82-100 Services by Background Characteristics Maternal Health Care 82 Ante Natal Care 82 Delivery Care 84 Post Natal Care 85 Child Health Care and Immunization 85 Child Immunization 86 Family Planning 86 Chronic Disease Control Services 87 VI MCH Care.

6 Family Planning and Chronic Disease Services Utilization 101-124 Behaviour in Rural India Introduction 101 Objective of the analysis 102 Database for the analysis 103 Methodology 103 ANC Utilization Behaviour 105 Delivery Care Utilization Behaviour 108 PNC Utilization Behaviour 112 Children s Immunization Services Utilization Behaviour 115 Family Planning Services Utilization Behaviour 117 Chronic Disease Treatment Seeking Behaviour 120 Concluding Remarks 123 VII Summary and Conclusions 125-138 Coverage and Sample

7 Design of the Study 125 Facility Survey 126 Functioning of District Health Societies 126 Functioning of District Hospitals 127 Functioning of Community Health Centres 127 Functioning of Primary Health Centres 128 Functioning of Sub Centres 129 Functioning of Village Health and Sanitation Committee 129 iiiFunctioning of Accredited Social Health Activists 130 Facility Performance Scores 130 Household Survey

8 132 Determinants of Obstetric Care, Children s Immunization, Family 134 Planning and Chronic Disease Services Overall Recommendation to Upgrade Public Health Facilities 136 References 138-140 Appendix 141-147 Volume 2 Contents Ai-Aii Abbreviations Aiii Listing of States, Districts, CHCs, PHCs, SCs A1-A10 Detailed State Level Tables A11-A174 iv Tables Page Table : Demographic Profile and Health Infrastructure for All India and 7 States 29 Table : Status of District Level Functioning of Public Health Institutions in the 35 7 Surveyed States (Numbers) Table : Community Health Centres related information in Different states (Numbers) 41 Table : Primary Health Centres & related facilities in different states (Numbers) 46 Table.

9 Sub Centres Facilities in different states (Numbers) 51 Table : ASHAs in different states (Numbers) 56 Table : VHSCs in different states 60 Table : Background Characteristics of Household 71 Table : Household Facilities 72 Table : Information about ANC 73 Table : Information about Delivery Care, JSY and Post Natal Care 74 Table : Child Care and Immunization 75 Table : Family Planning 76 Table.

10 Chronic Diseases 78 Table : Information about ASHA and NRHM 80 Table : Bivariate Table for Utilization for ANC by Background Characteristics 89 Table : Bivariate Table for Utilization of Delivery Care by Background 90 Characteristics Table : Bivariate Table for Utilization of PNC by Background Characteristics 91 Table : Bivariate Table for Utilization of Children Immunization by Background 92 Characteristics Table : Bivariate Table for Utilization of Family Planning Services by Background 93 Characteristics Table : Bivariate Table for Utilization for Chronic Diseases by Background 94 Characteristics Table : Multinomial Logit R


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