Policy Issues for SBAs in India

1
Policy Issues for SBAs in India

• Legislation Issues
• Seeking Approval for SBAs to use and prescribe
  Drugs from Drug Comptroller India for EmOC
• Human Resource Development - Curriculum for SBA
  certified by Nursing Council - to be revised
  accordingly to upgraded tasks agreed upon
• Issue of Deployment ANMs, Linkages with private
  sector
• Issue of availability of Anesthetists training
  MBBS doctors for emergencies

2
Standards /Protocols

• National Standards for Care being revisited for
  SBA, clinical care (eg blood policy,
  installation of blood storage units)
• Standards to permit public private partnerships

3
Referrals Management Units

• Community-based mechanisms - transport
• Sub centre revitalization methodologies
• Self help groups, community advisory boards
• Intersectoral collaboration (forestry, police)
• Establishment of Management Units at District
  level ( Managers, Planners statisticians, MO)

4
MIS Strengthening

• Monitoring access and quality assurance
• (UN Process BEmOC, Cemoc) ( all births in Emoc
  facilities, facilities functional, unmet
  needs being met, C-Sections, Case fatality
  rate)
• Provision of Registries to improve reporting