Strengthening training and supervisory systems to improve Skilled Birth Assistance in Jharkhand, India
نویسندگان
چکیده
Introduction Jharkhand has a maternal mortality ratio of 312 maternal deaths for every 100,000 deliveries, higher than the national average of 254 maternal deaths for every 100,000 deliveries. Only 47% of the deliveries in Jharkhand are attended by a skilled birth attendant, as opposed to the national average 76% of deliveries in India, which have skilled birth attendance. There is a shortage of skilled birth attendants (SBAs) in Jharkhand. In addition, many auxiliary nurse-midwives (ANMs) have limited knowledge of pregnancyand delivery-related complications and did not consider conducting deliveries a top job responsibility. Health subcentres lack the basic infrastructure and drugs needed by ANMs for delivery care. Most ANMs received no performance feedback and had limited support from their supervisors.
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