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Community Health Project
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Brief Outline about SEWA Rural's
Family Centered Safet Motherhood and New Born Care Project
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SEWA Rural is a voluntary service organisation, established in 1980 and having its base in rural, poor and tribal block of Jhagadia in Bhurach Dist., Gujarat. the organization is managing a 100 bed general hospital at Jhagadia and extensive out reach and community based health programme for almost three decades.
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SEWA Rural since 2003 is managing a "Family Centred Safet Motherhood and New Born Care Project" in entire Jhagadia Block covering a pop. of about 175,000 and in partnership with district and block level govt. health dept. The main aim of the project is to develop an evidence based model to reduce maternal and neonatal mortality and morbidity in resource poor settings.
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About 3600 pregnancies and its outcomes are registered and followed up every year so as to ensure appropriate care at all levels. Community level and family centered interventions are introduced for ensuring proper antenatal care (including aspects of birth preparedness and complication readiness) and intranatal and postpartum care. This has been made possible by building up the cadre of front line volunteers which include village level ASHA alike women volunteers (about 165 Aorgya Sakhis) and Trained Birth Attendants ( TBAs - the dais, about 100 are now active at present, while rest are gradually wearing out). Fir referral of complicated cases from periphery to base hospital, communication and transportation network is established at large. In Addition the front line volunteers have assurance obsteric and newborn care (CEmONC) and also recognised as a First Regerral Unit (FRU) by Government of Gujarat and UNICEF.
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It is encouraging to note that more & more complicated high risk maternal and neonatal cases are now reaching to base hospital. The micro level interventions have resulted into significant reduction in maternal and neonatal mortality over the pas few years. There has been about 66% reduction (from 19 to 4 ) among cases of maternal deaths and about 45% reduction (from 47 to 27) in Neonatal Mortality Rate as compared to baseline irformation. Over and above the increase in institutional delivery rate from 22% to 54%, there has been significant improvement and positive increase in coverage of various services and process indicators in aspects of prenatalcare, interanantal care, immidiate new born care and postnatal follow up both for mothers & babies at the field level.
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The poor, the illiterate, the ignorant, the afflicted - let these be your God. -Swami Vivekananda |
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