Maternal Mortality Reduction Project

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Maternal Mortality Reduction Project
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Visited
No reported maternal deaths
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Process Appreciative enquiry

• Rapport building.question to begin with
• how many years in present village?
• Example Request for sharing experiences
• Story by Sister Gode (ANM)
• Phephawada village a woman gives birth to twins
  
• One at the house
• For the 2nd the ANM accompanies the pregnant
  woman to rural hospital (CHC)
• Referred to Sevagram hospital
• ANM takes a decision to nearby private hospital
  as no time Saves Life!

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Field observations

• Trust between community and ANM
• Women acting as pressure points. Eg.
• Darubandi Mahila Mandal
• Presence of self help groups in both villages
• Cattle loan
• Sub contractors for Anganwadi centre meals

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Field observations

• Girls education is promoted
• Community is in favour of girls being educated
• Government is providing incentives such as free
  bus passes, books and bicycles till Class X,
  especially for BPL families

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Broad conclusions from group discussion

• Community involvement is a key aspect
• Linkages between community and ANM needs to be
  strengthened and sustained
• Strong partnerships with NGOs as PPPs to avoid
  duplication

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Broad conclusions from group discussion

• Need for awareness generation on contraceptives
• Multi level counselling required on matters
  related to RCH/ MCH
• Mother in law, husband, self
• Need for RCH education at the adolescence and pre
  marital stages