photo journey -exposure visit .pptx

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Saving lives of mothers and babies

Photo journey of exposure visit, Mewat, Haryana

USAID Applying Science to Strengthen and Improve Systems

Background of the photo journey

• The USAID ASSIST project has spread its wings to work with the Meos

(scheduled tribe) residing in the Mewat district in Haryana. The Meos

have several problems related to women’s reproductive health.

Religious and cultural norms preclude women from accessing antenatal,

intrapartum and post- partum care.

• The project started to support communities and front line health

workers to use quality improvement methods to achieve better antenatal

and intrapartum care.

• The Quality Improvement team composed of ANM, ASHA[1] , AWW[2] ,

and member from women’s group engaged in several activities

including home counselling visits of pregnant women by ASHA,

monthly meeting and group meetings for pregnant women, Village

Health Nutrition Day etc.

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USAID Applying Science to Strengthen and Improve Systems

Background of the photo journey

• While working on this, the team observed that in Salaheri village fewer

than 20% of women went to the facility to deliver. Pregnant women were

reluctant to opt for institutional deliveries despite several counselling

sessions provided to them because it was rumoured that male doctors

delivered babies, and doctors and nurses did not behave well with

patients.

• To explain the truth to the community and establish rapport with service

provider an exposure visit to Nuh , Community Health Centre, was

arranged to resolve both issues by QI members.

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Welcome to Mewat

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Being a mother in Mewat

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Life of a mother in Mewat

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Primary Health Centre, Ujjina

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Group meetings of pregnant mothers at AWW Centre

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Group counselling of pregnant women during exposure visit

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Group counselling of pregnant women during exposure visit

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Group discussion with pregnant women

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Involving husbands in exposure visit

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Participation of mother-in laws in exposure visit

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ASHA conducting the meeting

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ASHA answering the query of fathers

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Way to labour room

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Introduction to equipments at labour room

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Equipments at labour room

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Safety demonstration by staff nurse

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Safety demonstration by staff nurse

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Inside the Labour room

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Inside the labour room

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Newborn Corner

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Waiting for Hb test

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Inside the Lab for Hb test

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Hb test is in progress

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Documentation of Hb test

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Physical examination of pregnant women

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Referral facility

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Benefited from Institutional delivery

Name: Akbari

Age: 35 years

Parity: 6

Status; High risk ( anemic, twins

multigravida)

Delivered twins at Nuh, CHC

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Benefited from Institutional delivery

Name: Arshida

Age: 30 years

Parity: 3

Delivered at Nuh, CHC

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Benefited from Institutional delivery

Name: Javida

Age: 20 years

Parity: 1

High risk ( anemia, high fever)

Delivered at Nahallad Medical college

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Benefited from Institutional delivery

Name: Ravina

Age: 23 years

Parity: 4

Delivered at Nuh, CHC

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Benefited from Institutional delivery

Name: Firdose

Age: 30 years

Parity: 5

Chronic TB patient delivered at Nuh,

CHC

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Rabina, ANM QI Team- Leader

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Firozpur Namak, SC

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QI meetings

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Sanjay Rai and Masiul Haq, District team- Mewat,URC

USAID Applying Science to Strengthen and Improve Systems

Acknowledgment

• Pregnant Women, Husbands, Mother-in-law,

ASHAs

• Doctors, ANMs, Staff Nurses, Ujjina PHC

• Rabina, ANM, Firozpur, Namak, SC

• Rakesh Kumar, Photographer

• Masiul Haq, Community Improvement

Coordinator

• Sanjay Rai, District Improvement Coordinator

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