Study on quality assessment of child health care services in a district of Assam
Abstract
Introduction: Children less than five years of age is a critical indicator of the well being of children. In order to reduce infant as well as under-five mortalityrate of children, Govt of India has initiated different health programmesas well as recommended Indian Public Health Standards for health care facilities to provide quality health care.
Objective: To assess the quality of child health care services at health care facilitiesat primary and secondary level.
Methodology: A cross-sectional study hadbeen conducted at CHCs, PHCs andS/Cs in Kamrup district of Assam. The data had been collected by quality assessment checklists and exit interview with the clients availing the child health services at the health care facilities.
Results: The quality of child health care services was assessed by using a system approach-inputs, process and outputs.Therewereonly 66.66% availability of Obstetrics & gynaecologyspecialist and paediatrician. Physician were available in 33.33% of CHCs.The availability of trained personals was found to be inadequate in all the CHCs and PHCs. Most ofthe equipments and supplies were available in all the health care facilities. The child health care activities in areas of immunization and cold chain maintenance was found to be satisfactory.
Conclusion: The quality of child health care services was found to be average at primary and secondary level.
Downloads
References
2. Park K (2013), Textbook of Preventive and Social Medicine,22nd Edition.
3. Quality Assurance for District Reproductive and Child health services in Public Health System; An operational manual. Govt of India.
4. Al-Assaf. A.F MD, C Q A: Health Care Quality, International Perspective, World Health Organization., Regional Office for South-East Asia. [PubMed]
5. Donabedian A (1980): Exploration in quality assessment & monitoring vol 1; The definition of quality & approaches to its assessment, Ann Arbor, MI, Health Administration Press, June1,1980.
6. Kapilashrami MC. Universal access to health--a rights based approach. Indian J Public Health. 2005 Apr-Jun;49(2):48-52. [PubMed]
7. Satpathy SK. Public health infrastructure in rural India: challenges and opportunities. Indian J Public Health. 2005 Apr-Jun;49(2):57-62. [PubMed]
8. Agarwal M et al., Quality of reproductive health care at primary level. IJCM; 2001; 26(3): 119-27.
9. Ray SK, Basu SS, Basu AK. An assessment of rural healthcare deliverysystem in some areas of West Bengal-an overview. Indian J Public Health. 2011 Apr-Jun;55(2):70-80. doi: 10.4103/0019-557X.85235. [PubMed]
10. Gupte M et al., Improving Quality of Care in India’s Family Welfare, Programme the challenge ahead, 1999, Pune, Maharastra. [PubMed]
11. Agarwal D.Health Sector Reforms: Relevance in India. IJCM; Vol. No4,Oct-Dec, 2006.
12. Aswar NR, Deotale PG, Kale KM, Bhawalkar JS, Dhage VR. Sociomedical correlates of missed opportunities for immunisation. Indian J Public Health. 1999 Oct-Dec;43(4):148-51.
13. Perry H, David Set al.,: Impact of a community based comprehensive Primary Health care programme on Infant and Child mortality in Bolivia; J.Health Population Nutrition; Dec; 21(4); 383-395.
14. Streefland PH, et al. Quality of Vaccination services & Social demands for Vaccination in Africa or Asia, Bulletin of World Health Organization 1999; 77(9); 722-30. [PubMed]
15. Cutts F.,et al. Application of multiple methods to study the immunization programme in an Urban area of Guinea, Bulletin of the World Health Organization, 68(6), pp 769-776.
16. Tapare VS, Borle PS (2006): Assessment of vaccination performance by Lot Quality technique in an Urban community of Miraj; IJCM Vol-31, No3,pp 181-182.
17. Gulati N.et al. Factors Influencing Immunization, Status of Urban & Rural Children: In New Delhi, IJCM,1990,15 (4): 180-184.
18. Sharma P.et al. Structural Quality of Subcentres in Wardha District, Maharastra.
19. Suresh K, Saxena D. Trends and Determinants of Immunization Coverage in India. Journal of Indian Medical Association 2000;Jan 98(1):10-14. [PubMed]
20. BanerjeeB: Qualitative Analysis of Maternal & Child health services of an Urban health care centre by assessing client perception in terms of awareness satisfaction & service utilization. IJCM,2003;28(4)Oct-Dec2003.
21. Akoijam BS, Konjengbam S, Bishwalata R, Singh TA. Patients' satisfaction with hospital care in a referral institute in Manipur. Indian J Public Health. 2007 Oct-Dec;51(4):240-3.
Copyright (c) 2017 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.