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I
INDIA POPULATION PROJECT VIII
BASE LINE SURVEY
BELGAUM
CENTRE FOR RESEARCH IN HEALTH
AND SOCIAL WELFARE MANAGEMENT
861, BANASHANKARIII STAGE,
BANGALORE 560070.
May 1999
INDIA POPULATION PROJECT VIII
BASE LINE SURVEY
BELGAUM
CENTRE FOR RESEARCH IN HEALTH
AND SOCIAL WELFARE MANAGEMENT
861, BANASHANKARIII STAGE,
BANGALORE 560070.
May 1999
A cknowledgements
The team of Consultants and other Investigators sincerely express their grateful
thanks to Dr. M.Jayachandra Rao, Project Co-Ordinator, India Population Project and to
Dr. Mala Ramachandran for the constant support and valuable suggestions during the
survey.
The Commissioners, the Medical Officer of Health of the respective Corporations
and Municipalities and their staff deserve special thanks for providing necessary help in
completing the survey.
But for the cooperation of respondents, the survey work would not have been
possible and they deserve special thanks.
Consultants for the survey
Dr. N.S.N.Rao
Dr. M.K.Sudarshan
Mrs. Vasanti Satish
Mr. A. Prakash Rao
Medical Investigators
Dr. B.G.Parasuramulu
Dr. M.Sundar
Dr. B.J. Mahendra
Dr. D.H.Aswathnarayana
Dr. K.Rohit
\ /
AC
AIDS
ANM
ARI
CBR
CPR
FP
FW
IEC
IFA
IMR
IPP -VIII
IUD
MCH
MIS
MTP
NGO
MUAC
OPV
ORS
OT
P.G.
PPC
RCH
RTI
STD
Trd.
TT
TV
UFWC
VCR
ABBREVIATIONS
Air conditioned
Acquired immunio deficiency syndrome
Auxiliary nurse mid wife
Acute respiratory infection
Crude birth rate
Contraceptive prevalence rate
Family planning
Family Welfare
Information, Education and Communication
Iron and folic acid
Infant mortality rate
India population project VIII
Intra uterine device
Maternal and child health
Management Information System
Medical termination of pregnancy
Non Government Organisation
Mid Upper Arm Circumference
Oral Polio Vaccine
Oral Rehydration Solution
Operation Theatre
Post graduate
Post Partuim Centre
Reproductive and child health
Reproductive Tract Infection
Sexually Transmitted Disease
Trained
Tetanus toxiod
Television
Urban family welfare centre
Video Cassete Recorder
Table of contents
Page No.
Executive Summary
1
1. Introduction
10
2. Methodologies adopted for the Survey
11
3. Findings of the Community Survey
3.1. Socio-demographic particulars of surveyed women
14
3.2. Environmental sanitation facilities
15
3.3. Major demographic indicators
16
3.4. Marital status
16
3.5. Fertility status
19
3.6. Safe motherhood
22
3.7. Child health
26
3.8. Place of medical care
31
3.9. Contraceptive knowledge and practices
31
3.10. Reproductive tract infections amongst women
38
3 .11. Abortion practices
39
3.12. Knowledge on sexually transmitted diseases and HIV/AIDS
40
3.13. Knowledge and attitudes of adolescent girls
42
3.14. Health facilities in the community
46
4. Summary and Conclusions
56
Annexure 1. List of localities surveyed
59
Annexure 2. List of facilities and institutions surveyed
60
Annexure 3. Proforma used for community survey
Annexure 4. Proforma used for facilities survey
u
List of Tables
_____________________ Description of Tables_____________________
Table 1. Distribution of house holds according to socio-demographic
Characteristics.
Table 2. Literacy status of population aged over 6 years
Table 3. Distribution of house holds according to environmental sanitation
Facilities
Table 4. Age and sex structure of the population
Table 5. Age wise marital status of the population
Table 6. Distribution of currently married women according to age at
Marriage
Table 7.Mean age at marriage according to present age of women
Table 8. Distribution of women according to correct knowledge on legal
Age at marriage
Table 9. Age of mothers delivered in the previous two years
Table 10. Parity of mothers delivered in the previous two years
Table 11. Age wise parity status of mothers delivered during previous two
Years
Table 12. Age specific fertility rates for deliveries in the previous two
Years
Table 13. Age wise pregnancy history
Table 14. Particulars of ante-natal care for mothers delivered during
previous two years
Table 15. Distribution of women with correct knowledge of danger signs
during antenatal, and postnatal periods
Table 16. Particulars of post-natal care for mothers delivered during
Previous two years
Table 17. Distribution of respondents according to opinion about the
desirability of latest pregnancy
Table 18. Distribution of children below five years according to the breast
feeding practices
Table 19. Diarroheal management practices for episodes during previous
fortnight amongst under fives
Table 20. ARI management practices for episodes during previous
Fortnight
Table 21. Immunisation status of children aged 12-23 months
Table 22. Distribution of under fives according to Mid arm circumference
Table 23.Distribution of women according to place of treatment for
Sickness related to pregnancy
Table 24. Distribution of Women on affordability for payment for medical
Care
Table 25. Distribution of men and women according to knowledge on FP
Methods
Table 26. Distribution of men and women according to knowledge on
source of availability of contraceptives
Table 27. Distribution of men and women according to attitudes on FP
Page No.
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u
Table 28.Distribution of women according to FP method currently
practised
Table 29. Source of supply for current users of oral pills and condoms
Table 30. Reasons for non use of Family planning methods but desiring
no more children
Table 31. Opinion on future use of Contraceptives
Table 32. Distribution of non users according to opinion regarding desired
number of children
Table 33. Birth interval for the latest pregnancy
Table 34. Prevalence of symptoms of Reproductive tract infections
Table 35. Duration of symptoms of RTI
Table 36. Management of symptoms of RTI
Table 37. Opinion on source of infection of RTI
Table 38. Distribution of respondents according to history of abortions
Table 39. Awareness on Sexually transmitted diseases and HIV/ AIDS
Table 40. Source of information on HIV/AIDS
Table 41. Knowledge on protection from HIV/ AIDS Infection
Table 42. Background characteristics of girls interviewed
Table 43. Knowledge and attitudes and practices of girls on menstruation
Table 44. Distribution of girls according to correct knowledge on legal
age at marriage
Table 45. Distribution of girls according to knowledge on FP methods
Table 46. Attitude and knowledge on medical termination of pregnancy
Table 47. General Information on facilities
Table 48. Hospital Bed Facilities
Table 49. Available MCH & FW Services
Table 50. Manpower (MCH & FW) Availability
Table 51. Existing MCH & FW Facilities
Table 52. Drugs Availability for MCH & FW Services
Table 53. Existing Infrastructure for MCH & FW
Table 54. Existing MIS for MCH & FW
Table 55. Summary of Key indicators
33
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u
Executive summary
1. Introduction
India Population Project VIII has been extended to 11 cities in Karnataka to provide
Health and Family Welfare Services to the urban poor and slum populations in these cities to
provide Reproductive and Child Health (RCH) Services to the population
The present Baseline
Survey in Belgaum city is undertaken with the objective of
obtaining information pertaining to basic indicators.
The methodologies adopted for the survey comprised of door to door community survey
for obtaining necessary information on the baseline indicators pertaining to reproductive and
child health status, access and utilisation of critical RCH services and knowledge and attitudes
on key issues related to RCH and a facility survey to assess the present status of availability of
infrastructure, staff, equipment, drugs, IEC, MIS, etc. to provide quality MCH and FW services,
essential and emergency obstetric and pediatric care. Community survey was undertaken in 20
randomly selected clusters of slums and areas inhabited by poor populations in the city, selected
with probability proportional to sample size.
The survey was conducted during March 1999.
2. Findings of the community survey
2.1. Socio-demographic particulars of surveyed women
Of the total 2185 households surveyed, 67.8% were Hindus, 29.0% were Muslims and
1.1%
were Christians and another 2.1% were from other religions. The areas were
predominantly inhabited by lower socio-economic groups comprising of scheduled castes.
The literacy rate of the population aged over 6 years was 66.4% (74.4% males and 58.2%
females). With majority of the population the educational level was up to higher secondary level
only.
2.3. Environmental sanitation facilities
Majority of the households depended on public water facility ( 54.4%) and common taps
(4.5%). 35.5% of the households had their own toilet facilities , either pit type
(27.1%) or
sanitary type of latrine (8.4%) but a large proportion of the households (44.9%) had to depend on
open fields for defaecation and another 19.5% on common latrines.
2.3. Demographic Indicators
The sex ratio was 956 which was almost same as that of the state average of 960 and
more than that of the city. The population was composed of 38.0 % in 0- 14 years and 2.2% over
65 years. There were 51.8% women in the reproductive age group. The average size of the
family was 4.9. Three maternal deaths were reported for the previous five years.
2.4. Marital status
There were 56.6% unmarried males as compared to 48.6% females. Early marriages of
girls and boys still prevailed to a little extent as there were about 1.2% married girls and 0.6%
boys married before the legal age of marriage.
Most of the currently married women (83.5%) were married by the age of 19 years. There
were 19.3% who were married before the age of 15 years and only 16.5% were married later
than 19 years.
The knowledge on legal age at marriage for girls was poor with both women and men,
and more so with regard to the legal age at marriage for boys. Only 57.0% currently married
women in the reproductive age group and another 57.9% of men knew about the correct legal
age at marriage for girls while the corresponding percentages for the legal age at marriage for
boys were only 34.9% and 28.8% .
2.5. Fertiiity status
The crude birth rate works out to be 28.9 on an average of the previous two years. 43.4%
of the births were contributed mostly by mothers in the age group 20-24 years but still there
were 26.1% births for mothers aged below 20 years. And another 6.6% births for mothers aged
over 29 years. Parity wise, although 65.8% of births were of parity up to two, there were 17.4%
of over third parity. From the age wise parity status of mothers it is seen that there were 21.6% of
mothers with over first parity even in the age group below 19 years and 25.4% with over second
parity in that age group 20-24 years.
The general fertility rate was around 114.5. Age specific fertility rate was highest with
217.5 in the age group 20-24 years followed by 149.2 in the age group 19-24 and 126.2 in the
age group 15-19 years. Total fertility rate was 2.75.
There were on average 2.78 pregnancy events for mothers of all age groups, comprising
of 2.64 live births, 0.03 still births and 0.10 abortions. In the youngest age group 15-19 years the
average of total number of pregnancies was 0.882 indicating less than one pregnancy per mother.
2
2.6. Safe motherhood
Majority of the mothers who had delivered during the previous two years had availed of
ante-natal check ups (92.4%). Of those who had availed antenatal check up, 63.5% had initiated
the check up in the first trimester, but only 51.4% had more than four check ups and there were
only 5% who had only 1 to 2 check ups.
Utilisation of public sector facilities for antenatal care was only 46.4% and the coverage
by the health worker at home was negligible (1.1%).
There were 11.2% of deliveries who had not received any tetanus toxoid immunisation
during pregnancy.
Nearly a third of the delivered women (36.5%) had not consumed any Iron and folic acid
tablets during pregnancy. The number of those who had consumed more than 90 tablets was very
minimal (23.4%).
About 24.8% pregnant women had not received any advice during antenatal check up and
only 42.9% mothers were advised on initiating the new bom on breast feed immediately after
birth.. Similarly advice on contraception was also minimal (17.6%).
Danger signs during pregnancy was not known to 54.5% of currently married women in
the reproductive age group while the knowledge on danger signs during delivery and postnatal
period was known only to 84.5%, mostly partially.
Postnatal check up was availed by only 18.3% of mothers, that too only once or twice.
Although most of these pregnancies were wanted, there were 20.5% which were not
desired at that time or were not desired at all.
2.7. Child health
Only 62.3% of the new bom were administered with colostrum, while 32.2% of new born
children were initiated on breast milk within an hour of their birth, while 27.9% were initiated
as late as more than a day.
Plain water was administered in about 24% of new bom children within 3 months and
another 31.7% in 4-5 months.
Similarly other liquids were administered to about 13.1% of new bom within 5 months.
Breast feeding was stopped after 6 months in 26 8% of infants. Only in 33.9% of infants it was
continued to varying periods between 7 to 12 months. Supplementary feeding was started around
4-5 months only in 11.5% of infants.
3
The prevalence of diarrohea in the previous two weeks from the survey was 6.2%. Of
these episodes, only about 65% had sought some medical advice. While 25% of the episodes
were treated by Public Sector Institutions, Private Practitioners were consulted in 40%.
Quantum of fluids were reduced in 10.0% of episodes while it was increased in only
35.0%. ORS from packets were advised by medical practioners in only 50% of episodes.
Prevalence of ARI during two weeks preceding the survey was 10.0%. Of these episodes
medical advice was not sought in 32.3%, while Private doctors were consulted in majority of
episodes (43.5%).
Only 76% of mothers had the immunisation cards of their children.
The coverage for various doses of vaccines ranged from 83.6% for measles to 94.5% for
BCG. While 91.8% children had completed DPT only 88.2% had completed OPV. The drop out
rates of OPV and DPT from first to third dose were 6.7% and 2.0% respectively. However, the
drop out rate for Measles vaccination was as high as 11.5%.
Only 26.2% of children were normal (MUAC >14 cms). There were 61.9% children who
were mildly malnourished and another 11.8% severally malnourished.
2.8. Place of medical care
Public sector Institutions were utilised by 60% of the women for their problems during
pregnancy, in 25% of diarroheal episodes and 23% of ARI episodes. On questioning the mothers
about their willing to pay for services, only 23.2% expressed their willingness to pay amounts
mostly ranging between Rs 10 to 20 per month.
2.9. Contraceptive Knowledge and Practices
Almost all the men and women were aware of use of contraceptives for limiting the
family size. While female sterilisation was the most commonly known method ( 98.5% of
women and 99% men). Men were better aware of all the methods more so for male methods like
vasectomy and condoms.
Awareness on the availability of contraceptives at Public sector Institutions especially
with oral pills and condoms was lacking very much with both men and women. Only 17.2% of
men and 33.2% of women knew about the availability of oral pills at Public sector institutions
while this proportion was only 13.3% for men and 19.3% for women with respect to condoms.
Medical shops were the most commonly known sources of supply for these methods. This is
4
further reflected by the fact that majority of the current users of oral pills and condoms obtained
their supplies (90.0%) from private sources or medical shops.
Majority of men and women approved of family planning methods to limit the family
size but there were still about 11.6% of men and 8.8% of women who did not either approve or
had no opinion on the use of FP methods. This indicates females were better motivated than
males for the use of family planning methods.
The contraceptive prevalence rate was 54.2% , comprising mostly of female sterilisation
(49.5%), which contributed for 91.3% of total acceptors of FP methods . Condom acceptors
(1.1%), acceptors of Oral pill (1.1%) as well as Vasectomy (0.6%)were negligible in number.
IUD acceptance was slightly better (1.9%). Thus adoption of spacing methods as well as
Vasectomy was very poor.
The “ unmet need” for family planning i.e. the proportion of total couples in the
reproductive age group who do not want to have any more children or delay the pregnancy
excluding those who are with secondary sterility, but not using any method for various reasons,
was 24.3%.
Of those who are likely to use any method in the near future, majority expressed that they
would use in a year’s time (93.5%) and the most likely method of choice was female sterilisation
(80.6%) followed by IUD (9.7%).
Of the 434 who were not using any method, about 53.2% desired more number of
children. Of those who desired more children about 39% wanted a son, while another 9.5%
wanted two or more sons. There were 58.8% mothers who did not want to have any more
daughters., while only 22.5% wanted another daughter and 13% wanted two daughters. About
38% of women were not very particular about the sex of the desired child. This clearly
demonstrates attitudes of the community towards son preference. Those who wanted more
children, majority wanted to have the next child within one year (48.1%).
There were about 39.7% mothers with less than one year birth interval between the
previous two pregnancies. Only 39% mothers had more than three years birth interval.
2.10. Reproductive tract infections amongst women
Prevalence rate of different symptoms of reproductive tract infections was 33.8%. The
person prevalence of RTI was 25.1%. The most common symptoms were Back ache (24%), and
Abnormal vaginal discharge (4.1%).
5
Majority of these symptoms were lasting for more than six months (46.8%) and some of
them for many months. About half of these symptoms (54.8%) had availed medical treatment,
mostly from allopathic doctors. Common reasons attributed for not availing treatment were
either shyness or not feeling serious about the symptoms. .Most of the women were not aware of
the source of their symptom.
Investigation or treatment of spouse was not common and was done only with 1.6%
episodes.
2.11. Abortion practices
4.70% women gave history of abortions. Of them about 35.6% were induced while others
were spontaneous. Probably many of the spontaneous abortions are under reported. The common
reason attributed for induced abortions were unwanted pregnancy (75%). Although most of the
abortions were carried out by medical personnel, there were 13.3% which were done by non
medical personnel. Post abortion check up was availed only in 68.9% of cases, while post
abortion contraception was practiced only in 22.2% of cases. Legality of MTP was known only
to 57.8% of women.
2.12. Knowledge on Sexually transmitted diseases and HIV/AIDS
Many of women and men were aware of HIV/ AIDS (46.5% women and 52.7% men),
while awareness on sexually transmitted diseases was negligible (0.9% women and 3.4% men).
Of those who were aware of HIV/AIDS, a large proportion knew all the three routes of
transmission. In majority of respondents knowledge about the disease was acquired through
Radio or TV., while health personnel had given the awareness only in a small proportion of
respondents. Knowledge on protection from the disease was also known in majority of men
(more than 85%) while these were known to a lesser number of women, especially about use of
condom.
2.13. Knowledge and attitudes of adolescents
95.2 of the girls were not married and the rest of the girls were married but had not
consummated their marriage.
There were 20% illiterates amongst these girls. Of those who had gone to the school,
most of them had studied up to middle or high school (66.6%).
Most of the girls had their onset of menstruation (74.2%), but only 23.7% of girls had
knowledge about menstruation before its onset.
6
About one third of these girls remained normal at the onset (36.6%), while the remaining
had different apprehensions and fears. Majority got worried and did not know what is happening
and even wept with fear.
Nearly 30% of girls follow various religious restrictions during menstruation.
Only a few girls use sanitary napkins while the others use piece of cloth (91.6%). This
cloth is mostly reused and majority of the girls wash them with soap (98.5%).
Knowledge on legal age at marriage for boys and girls was moderate, but slightly better
with regard to age for girls (55.4%) as compared to that of boys (43.5%).
Only 47% of the girls knew that contraceptives can be used for avoiding pregnancy. The
most commonly known method being Tubectomy (37.2%), followed by oral pills (16.4%). Few
of the girls knew about Vasectomy (13.6%) but condom use was not known to many (8.6%).
Only a few girls (29.3%) knew that unwanted pregnancy can be terminated. Further only about
19% knew that medical termination of pregnancy is legal.
2.14. Health Facilities in the city
The existing health facilities in the City consisted of one Govt. Dist. Hospital, one
Private Medical College Hospital, one Charitable Hospital, two Municipal institutions and over
15 Private Institutions (Smaller Hospitals or Nursing Homes) (Annexure 2). Of these all the
institutions under Government, Municipal and Charitable sector along with ten private
institutions offering MCH and FW services were surveyed.
There were 1744 beds in the City, 372 (21%) were for maternity and 170 (10%) for
pediatrics services. The total number of free beds availabile for maternity and pediatric services
were 169 and 80 respectively. Of the 169 free maternity beds, only 22 (16+6) were in the two
municipal institutions.
Except for routine maternity services, the population is mostly dependent on the Govt.
District Hospital for all MCH and FW services.
In the Institutions under municipal sector, no qualified obstetricians and pediatricians
were available to provide MCH and FW services. However, qualified medical and nursing
manpower was available in the Govt, sector while in the FPAI (charitable) Hospital, qualified
personnel were available only for FP services. Private Institutions had the services of qualified
persons (Obstetrician / Paedeatrician / Anesthetist) on consultation or on call basis (part-time /
visiting) as per needs.
7
Though the municipal sector had OT and bed facility, adequate MCH services were not
provided due to non availability of qualified staff (Obg. / Paed). However, the Govt, and Private
Sector institutions had adequate facilities for MCH and FP services while in the charitable FPAI
Hospital only facilities for FP services were available.
In the municipal Institutions, only the general MCH and FW drugs were available while
in the Govt.Hospital it was available for all the services and so was in the Privately run hospitals.
The FPAI (charitable) Hospital had drugs for only FP services.
The municipal institutions i.e., two corporation maternity homes were with basic
infrastructure and general facilities for MCH and FW. However, the facility for sanitary disposal
of solid waste was not available in any of the institutions.
MIS and communication facilities were generally satisfactory, but the Fax facility was
available only in the Dist hospital and the Private Medical college Hospital.
2.15. Conclusions
■
The population mostly comprised of lower economic groups like backward castes and
scheduled castes and tribes. The literacy rate was moderate.
*
Access to safe drinking water was limited while access to sanitary toilet facilities was poor.
■
Marriages were common in the adolescent ages for girls. Not many persons were aware of
the legal age at marriage for boys.
■
The fertility indicators for women indicated high fertility.
■
Safe mother hood practices
lacked with regard to maternal immunisation, prophylaxis
against anaemia and post natal check up. Awareness on danger signs during antenatal and
natal periods was not complete.
■
Healthy breast feeding practices for new bom were lacking especially for weaning practices.
*
Diarrohea management practices were deficient with regard to ORT.
*
Immunisation coverage was poor for OPV and Measles.
*
Malnutrition amongst underfive children was high.
*
Contraceptive prevalence rates were below average, and acceptors of FP methods comprised
mostly of female sterilisations and adoption of spacing methods were negligible.
■
There was high unmet need for contraception in the community.
■
Son preference of the community was evident.
■
High prevalence of Symptoms of RTI were present.
8
■
There were a few abortions attended by unqualified practitioners. Awareness on legality of
MTP was poor.
■
Awareness on transmission and prevention of HIV/AIDS was good but on other sexually
transmitted diseases were almost not known.
■ Adolescent were highly lacking in sex education.
■ Private practitioners were preferred mostly for treatment of maternal complications but less
for child hood diseases.
1
■ Many of the respondents were not willing to pay for the services.
■ The MCH and FW infrastructure, facilities, manpower and services was meagre in the
municipal sector. The population depended on the Govt. District Hospital, the Private Sector
hospitals the FPAI (charitable) hospital to some extent.
■ There is a need for strengthening the MCH and FW services through the municipal sector.
■ Areasfor strengthening IEC component:
•
•
•
•
•
•
•
•
Legal age at marriage for boys and girts
ANC care especially administration of IFA tablets and tetanus toxoid immunisation.
Postnatal care and check up
Breast feeding practices especially exclusive breast feeding up to four months and
weaning by five to six months.
Diarrohea management especially Oral rehydration therapy.
Education on small family norm and spacing methods.
Adolescent education on sex.
Education on sexually transmitted as well as reproductive tract infections amongst
women.
Recommendations for strengthening MCH & FWfacilities:
■ The new Health Centres should be provided with services of a qualified Lady Medical
Officer for providing MTP services and a qualified honorary Pediatrician on part time basis
for providing essential specialised pediatric care, along with essential newborn care facilities.
■
Adequate basic facilities like continuous water supply, IEC facilities, facilities for sanitary
solid waste disposal. Telephone facilities should be ensured.
9
1. Introduction
India Population Project VIII has been extended to 11 cities in Karnataka to provide
Health and Family Welfare Services to the urban poor and slum populations in these cities. To
fulfill this objective, it is planned under the project to provide Reproductive and Child Health
(RCH) Services to the population by
establishing 8 new Maternity homes, 45 new health
Centres, renovate 21 Urban Family Welfare Centres (UFWC) and 14 Post Partum Centres (PPC)
through the respective municipal corporations in these cities.
A Baseline Survey in Belgaum city is undertaken by M/S Centre for Research in
Health & Social Welfare Management, Bangalore. The objective of this baseline survey is to
obtain information pertaining to indicators :
1. Current reproductive and child health status of target population.
2. Access to and utilization of critical RCH services and barriers to utilization.
3. Knowledge and attitudes on key issues related to RCH.
4. Availability of infrastructure, staff, equipment, drugs, IEC, MIS, etc. to provide quality
MCH and FW services, essential and emergency obstetric and pediatric care.
10
2. Methodologies adopted for the survey
The methodologies adopted for the survey comprised of door to door community survey
for obtaining necessary information on the baseline indicators pertaining to reproductive and
child health status, access and utilisation of critical RCH services and knowledge and attitudes
on key issues related to RCH and a facility survey to assess the present status of availability of
infrastructure, staff, equipment, drugs, DEC, MIS, etc. to provide quality MCH and FW services,
essential and emergency obstetric and pediatric care.
The details of the above methodologies are described below.
a. Community survey
Community survey is undertaken in 20 randomly selected clusters of slums and areas
inhabited by poor populations in the city. The Sample of clusters is selected out of a Universe,
listing all the slums and areas inhabited by poor populations in the city, obtained through the
respective municipalities. Sample of clusters were selected with probability proportional to
sample size. Each cluster was arbitrarily divided into four approximately equal quadrants after
inspection of the entire cluster as well as discussions with the local leaders. This division was
done to ensure proper representation of all the sections of population in the sample. With in each
section canvassing of schedules was started at a random point and all house holds were covered
in a sequential order till the desired sample size was completed for the survey. One fourth of the
total sample size was covered from each quadrant. The list of clusters selected for the survey is
given under Annexure 1.
It was envisaged that in the city 1000 currently married women, 300 married males and
600 adolescent girls in the age group 10 to 18 years were to be interviewed for obtaining the
relevant information. Further, for obtaining information on births and deaths of under five
children and mothers, a total of 2000 households with approximately 10000 population were to
be interviewed. However due to non availability of respondents in spite of repeated visits, 981
currently married women, 292 married males, 581 adolescent girls and 2268 house holds, with a
population of 10671, for information on births and deaths were covered for the survey. The
information were collected by door to door survey method on pre-designed and pre-tested
questionnaires. The questionnaires were discussed with the Project Co-ordinator before
finalisation. The questionnaires used for the survey are enclosed in Annexure 3.
11
The interviews were conducted by qualified and trained interviewers, who were given
further intensive training relating to the present survey schedules for one week both in the class
room and field settings. The survey was supervised by an experienced Supervisor, who
undertook day to day editing of all the completed questionnaires.
Broad category of variables covered under the survey comprise of:
• Household particulars.
• Births & deaths in the household (maternal & child).
• Maternity history.
•
Knowledge about safe motherhood & maternal care.
• Knowledge, Attitude and Practices on Population dynamics and Family planning.
• Knowledge and practices on child care.
•
Management of ARI & Diarrhoeal diseases.
• Knowledge and management of reproductive tract infections (RTI / STD).
• Awareness about HIV / AIDS.
• Knowledge and practices with regard to abortion.
• Knowledge and practices of adolescent girls regarding menstrual hygiene.
b. Facility survey
A survey of available medical facilities and infrastructure was undertaken in the city on a
sample basis to obtain information on the available medical infrastructure. This survey covered
the District Hospital under government facility and ten leading private institutions providing
MCH and FW services in the city.
The broad category of variables covered under this component are :
• Infrastructure facilities.
•
Services provided.
•
IEC and MIS activities.
•
Availability of drugs.
The following methods were used for the survey.
• Desk review of the reports and records at the Bangalore IPPVIII office.
•
Discussions with the Project Co-ordinator.
12
• Listing of all Government and major private medical and health facilities in the city
with the help of respective Municipal Commissioners and Health Officers and
selection of a sample of health institutions for the facility survey. The list of
Institutions covered for survey is enclosed under Annexure 2.
•
Visits to the selected health institutions by a team of public health specialists
(medical).
•
Collection of necessary information on a pre-tested, structured, partly open-ended
interview cum observation schedule discussed and approved by the Project Co
ordinator (Annexure 4).
The personal efforts by municipal commissioners and the health officers ensured the co
operation by the private institutions.
The survey team leader and some of the members of the survey team had undertaken the
Mid-Term Review of IPPVIII of Bangalore City in April - June, 1998 and were already familiar
with the project needs and created facilities and their usage / benefits. This greatly benefited the
survey team performance.
The survey was conducted during March 1999.
The data was analysed on Pentium PCs using EPI info software.
13
3. Findings of the community survey
3.1. Socio-demographic particulars
a. Demographic profile of Tumkur city
As per 1991 census, the city had a population of 402,412 with a sex ratio of 921. The
population consisted of 9.3% Scheduled castes and tribes. The literacy rate for the population
over 6 years was 88.4% for males and 65.5% for females.
b Religion and caste of the surveyedfamilies
Of the total 2185 households surveyed, 67.8% were Hindus, 29.0% were Muslims and
1.1% were Christians and another 2.1% were from other religions. Amongst Hindus, 11.6%
were from forward castes like Brahmins, Vyshyas or Lingayats. Backward castes like
Vokkaligas comprised of 51.4% while Scheduled Castes and Tribes comprised of 37.0%. Thus
the areas were predominantly inhabited by lower socio-economic groups comprising of
scheduled castes (Table 1).
Table 1. Distribution of house holds according to socio-demographic characteristics.
Socio-demographic
No.
%
Characteristics
(n=2185)
Population
Religion
Hindu
Muslim
Christian
Others
Caste of Hindus
S.C
S.T
OBC
Others
1482
634
23
46
67.8
29.0
1.1
2.1
343
203
759
23.2
13.8
171
11.6
51.4
c. Educational Status
The literacy rate of the population aged over 6 years was 66.4% (74.4% males and 58.2%
females). However with a little over a third of the population, the educational status was mostly
restricted to middle school level (39.4% males and 34.3% females) and there were another
32.9% males and 22.6% females educated between high School and higher secondary level.
There were only about 2.0% males and 1.0% females educated beyond this level. Thus with
majority of the population the educational level was up to higher secondary level only.(Table 2).
14
Table 2. Literacy status of population aged over 6 years.
Literacy status
Males %
Females (%) Both
(n=2266)
(n=2196)
(n=4462)
Illiterate___________ _______ 25,6 _______ 41,8 33.6
Primary_______ _______ 16,6 _______ 14.4 15.5
Middle____________ _______ 22,8 _______ 19,9 21.3
High School________ _______ 26,3 ______ 20.3 23.4
Higher Secondary
________ 6,6 _______ 2,6 4.7_____
Graduate___________ ________ 1.6 ________ 0.8 1.2_____
Post Graduate_______ ________ 0.2 ________ 0.1 0.2_____
Professional education
0.2
0.1 0.2
3.3. Environmental sanitation facilities
a. Drinking waterfacility
Majority of the households depended on public water facility ( 54.8%) and common taps
(4.5%). About 29% were using well water. However 10.3% had their own tap or hand pump
(Table 3).
b. Toiletfacilities
Even though 35.5% of the households had their own toilet facilities , either pit type
(27.1%) or sanitary type of latrine (8.4%), a large proportion of the households (44.9%) had to
depend on open fields for defaecation and another 19.5% on common latrines.
Table 3. Distribution of house holds according to environmental
_______ sanitation facilities.
Facilities
(n=2185)
%
Drinking waterfacility
Tap in the household_________
Public tap________________
Common tap________________
Hand pump_________________
Well water______________ _
Others________________ _
Place of defecation___________
Common pit latrine___________
Own pit latrine______________
Sanitary Latrine in the household
Open fields_____________
Community sanitary latrine
Total
10.3
42.3
4.5
12.5
28.6
1.8
17.8
27.1
8.4
44.9
1.7
100.0
15
3.3. Demographic Indicators
The surveyed households had a population of 5425 comprising of 2773 males and 2652
females. Thus the sex ratio was 956 which was almost same as that of the state average of 960
and more than that of the city. The population was composed of 38.0 % in 0- 14 years and 2.2%
over 65 years. There were 51.8% women in the reproductive age group (Table 4). The average
size of the family was 4.9. Three maternal deaths were reported for the previous five years.
Table 4. Age and sex structure of the population._______
Age in years
Men
Women
Total
(n=2773)
(n-2652)
(n=5425)
%
0-4
5-9
10-14
15-24
25-34
35-44
45-54
55-64
65-74
75+
Total
%
%
13,0
12.9
12.1
19.3
16.2
13.7
8.1
2.6
1.7
0.5
100.0
12.7
12.2
13.3
24.0
16.6
11.2
4.3
___ 3.4
___ 2.0
__ 0.3
100.00
12.8
12.5
12.7
21.6
16.4
12.5
6.2
3.0
1.8
0.4
100.0
3.4. Marital status
a. Marriages amongst the population
More males as compared to females were unmarried. There were 56.6% unmarried males
as compared to 48.6% females. The proportion of currently married persons were almost same ir.
in
both the sexes. There were 6.0% widowed amongst females as compared to 0.9% males.
Early marriages of girls and boys still prevailed to a little extent as there were about 1.2%
married girls and 0.6% boys married before the legal age of marriage. (Table 5).
16
Table 5, Age wise marital status of the population.
_____ Marita status
Present age No of
Unmarried Married
Widowed
Divorced/
Total
in years
persons in
separated
the age
group
Males
0-20
1426
98.9
1,1
0.1
0.0
100.0
21+
1347
11.8
86.3
1.7
0.2
100.0
Total
2773
56.6
42.4
0.9
0.1
100.0
Females
0-14
1012
99.7
0.3
0.0
0.0
100.0
15-17
176
80.1
19.3
0.0
0.6
100.0
18+
1464
9.6
78.5
10.9
1.1
100.0
Total
2652
48.6
44.7
6.0
0.6
100.0
b. Age at marriagefor currently married women
Most of the currently married women (83.5%) were married by the age of 19 years. There
were 19.3% who were married before the age of 15 years and only 16.5% were married later
than 19 years (Table 6). (Table 7).
Table 6. Distribution of currently married women according to age at marriage.
Present age
in years
15-19
20-24
25-29
30-34
35-39
40-45
Total
No. of
women
110
232
217
_____ 160
153
_____ 109
981
Upto 14
18.2
18.1
18.9
15.0
22.2
25.7
19.3
Age at marriage in years
15-19
20-24
81.8
62.9
59-2
69.4
58.2
58.7
64.2
0.0
18.1
18.9
11.9
15.7
12.8
14.3
25-29
30-34
0.0
0.9
2.3
2.5
3.9
1.8
1.9
0.0
0.0
0.0
1.3
0.0
0.9
0.3
17
Table 7,Mean age at marriage according to present
______ age of women._________
Present age in
Mean age at Mean age at
years
marriage
first
pregnancy
15-19
16.0 _______ 17,0
16.9 _______ 18.4
20-24
25-29
17.2 _______ 18.6
30-34
17.1 _______ 18.7
35-39
16.5 _______ 18.4
40-44
16.2 ______ 124_
16.8
45+
18.2
Mean age at marriage and first pregnancy
20
19
CD
Q)
CO
i 17
16
,
14 -P
15-19
H i
I HAI f■I
s r-’
tl
I
15
■i
I
p I
I
18
■
I: -
■
| g [ 111 I [I I |g
20-24
25-29
30-34
35-39
40-44
Present age of women
c. Knowledge on legal age at marriage
The knowledge on legal age at marriage for girls was poor with both women and men,
and more so with regard to the legal age at marriage for boys. Only 57.0% currently married
women in the reproductive age group and another 57.9% of men knew about the correct legal
age at marriage for girls while the corresponding percentages for the legal age at marriage for
boys were only 34.9% and 28.8% (Table 8).
Table 8. Distribution of women according to correct knowledge on legal age at
________ Marriage.___________
Correct knowledge on legal age at
Women
Men
marriage
(n=991)
(n=292)
%
Girls
Boys
%
57.0
34.9
57,9
28.8
18
3.5. Fertility status
There were 617 births recorded in the previous two years for a population of 10671.
Thus the crude birth rate works out to be 28.9 on an average in the previous two years.
Although 43.4% of these births were contributed mostly by mothers in the age group 2024 years, there were 26.1% births for mothers aged below 20 years. And another 6.6% births for
mothers aged over 29 years (Table 9).
Parity wise, although 65.8% of births were of parity up to two, there were 17.4% of over
third parity (Table 10).
From the age wise parity status of mothers it is seen that there were 21.6% of mothers
with over first parity even in the age group below 19 years and 25.5% with over second parity in
that age group 20-24 years, which is a serious matter of concern (Table 11).
The general fertility rate was around 114.5. Age specific fertility rate was highest with
217.5 in the age group 20-24 years followed by 149.2 in the age group 19-24 and 126.2 in the
age group 15-19 years. Total fertility rate was 2.75 (Table 12).
Table 9. Age of mothers delivered in the previous two years.
Present age in years
%
(n=617)
15-19
_______ 26.1
20-24
_______ 43.4
25-29
_______ 23.9
________ 4.7
30-34
35-39
________ L9
100.0
Total
Age wise percent women delivered during prevous year
50
40
Percent 30
women 20
10
JJ ■
.1
a
oU
‘I
II
15-19
20-24
SO
25-29
30-34
35-39
40-44
Present age
19
Table 10. Parity of mothers delivered
in the previous two years
Parity
% Mothers
(n=617)
J__
42.3
2 ___
23.5
16.7
3 ___
4 ___
10,0
5 ___
4.0
_______ 1.4
6 ___
7 ___
0.9
8 ___
0.9
9+
0.2
100.0
Total
Parity of mothers delivsred during preuous two years
50
40
Percent mothers
30 ./I
20
.
10
■
j
o
1
2
3
4
5
6
7
8+
Parity
20
Table 11. Age wise parity status of mothers delivered during previous two years.
% Mothers according to parity
Present age of
mothers
1____ 2____ 3____ 4____ 5____ 6____ 7____ 8+___
0.9 __ 0.9 __ 0.0 __ 0.0 __ 0.0
15-19
78.4
16.2 __ 3,6
16.8 __ 7.6 __ 1.1 __ 0.0 __ 0.0 __ 0.0
41.1
33.5
20-24
11.8 __ 3.9 __ 1.0 __ 2.0
15.7
17.6
28.4
19.6
25-29
15.0
10.0
__ 5^0 __ 0.0
35.0
25.0 __ 5T __ 5T
30-34
12.5
0.0
12.5
25.0
12.5
12.5
25.0
0.0
35-39
Total
100.0
100.0
100.0
100.0
100.0
Table 12. Age specific fertility rates for deliveries in the previous two years.
No. of births* Age Specific
Age of mother
Estimated no.
of Women
Fertility Rate
126.168
81
15-19_____________________ ~642
217.532
134
20-24_____________________ 616
149.194
74
25-29_____________________ 496
15 _______ 40.514
30-34_____________________ 370
17.44
6
35-39_____________________ 344
40-44_____________________ 240
310
Total________ _____________ 2708
114.5
General fertility
Rate______________________
2.75
Total Fertility Rate__________
* Average of previous two years
Age specific fertility rates
250
200
150
ASFR
...L—..
I ■®
100
50
0
I
I I
WM
L Rl
,;
,u-jr..,...
......... •.
Upto 20-24 25-29 30-34 35-39 40-44
19
Age groups
There were on average 2.78 pregnancy events for mothers of all age groups, comprising
of 2.64 live births, 0.03 still births and 0.10 abortions. In the youngest age group 15-19 years the
21
average of total number of pregnancies was 0.882 indicating less than one pregnancy per mother.
The proportion of still births and abortions is 4.9% of the total pregnancies (Table 13).
Table 13. Age wise pregnancy history._____________________________
Present age of
Mean no. of events
mothers
Live births Still births Abortions Total
15-19
0.855
0.000
0.027
0.882
20-24
1.595
0.017
0.056
1.668
25-29
2.668
0.051
0.101
2.820
30-34
3.450
0.025
0.175
3.650
35-39
3.810
0.007
0.111
3.772
40-45
3.894
0.106
0.096
4.096
Total
2.647
0.032
0.099
2.778
3.6. Safe motherhood
a. Antenatal care
Majority of the mothers who had delivered during the previous two years had availed of
ante-natal check ups (92.4%). However this was below the target of 100%. Of those who had
availed antenatal check up, 63.5% had initiated the check up in the first trimester, but only
51.4% had more than four check ups and there were only 5% who had only 1 to 2 check ups.
Utilisation of public sector facilities for antenatal care was only 46.4% and that too
coverage by the health worker at home was negligible (1.1 %).
There were 11.2% of deliveries who had not received any tetanus toxoid immunisation
during pregnancy.
22
Table 14. Particulars of ante-natal care for mothers delivered during
________ previous two years.
Ante-natal care particulars
(n=197)
%
Had Ante-natal checkup
Gestation period atfirst check up
1st trimester__________________
trimester
3rd trimester
No. of check ups_____________
1-2_________________________
3-4_________________________
5-6_________________________
7-8_________________________
9+_________________________
Place of checkup____________
At home by Health worker______
Government Hospital__________
Private hospital_______________
TT Immunization_____________
None_______________________
One dose
Two / booster dose_______________
Consumption of
Iron folic acid tablets_____________
Nil
_____________________
Up to 30
31-60__________________________
61-90__________________________
>90__________________________
Advice given during Ante natal check
HP._____________________________
None_____________________ __
Need for Periodic check up_________
Food and nutrition________________
Breast feeding immediately after
delivery
___________________
Contraception
________________
Total
92.4
63.5
33.7
2.8
5.0
43.6
38.7
12.1
0.6
1.1
45.3
53.6
11.2
8.6
80.2
36.5
6.6
25.4
8.1
23.4
24.8
71.4
67.0
42.9
17.6
100.0
23
Distribution of women according
to trimester of first check up
3%
34%.^|
^63%
□ 1st trimester
■2nd trimester
□ 3rd trimester
Place of antenatal check up
□ At home by Health worker
■ Government Hospital
□ Private hospital
1%
54%
45%
24
Nearly a third of the delivered women (36.5%) had not consumed any Iron and folic acid
tablets during pregnancy. The number of those who had consumed more than 90 tablets was very
minimal (23.4%).
About 24.8% pregnant women had not received any advice during antenatal check up and
only 42.9% mothers were advised on initiating the new bom on breast feed immediately after
birth.. Similarly advice on contraception was also minimal (17.6%) (Table 14).
Danger signs during pregnancy was not completely known to 54.5% of currently married
women in the reproductive age group while the knowledge on danger signs during delivery and
postnatal period was known only to 84.5%, mostly partially. (Table 15).
b. Post natal check up
Postnatal check up was availed by only 18.3% of mothers, that too only once or twice
(Table 16).
c. Desirability of latest pregnancy
Although most of these pregnancies were wanted, there were 20.5% which were not
desired at that time or were not desired at all (Table 17).
Table 15. Distribution of women with correct knowledge of danger signs
________ during antenatal, natal and postnatal periods._________
Level of knowledge
Antenatal period
Natal and post natal
period
Complete
0.0
7.7
Partial______
45.5
76.9
No knowledge
54.5
15.4
Table 16. Particulars of post-natal care for mothers delivered
________ during previous two years.
Natal care particulars
n=197
%
No.ofpostnatal checkup
Nil_________________
_1___________________
2
81.7
4,1
14.2
25
Table 17. Distribution of respondents according to opinion about the
________ desirability of latest pregnancy._________
- (n=l97)
Desirability
%
Wanted then
Wanted later
Unwanted
Total
79,2
18,3
2,5
100.0
3.7. Child health
a. Infantfeeding practices
Healthy feeding practices during infancy and early child hood were not very common.
Only 62.3% of the new bom were administered with colostrum, while 32.2% of new bom
children were initiated on breast milk within an hour of their birth, while 27.9% were initiated
as late as more than a day.
Plain water was administered in about 24% of new born children within 3 months and
i
another 31.7% in 4-5 months.
Similarly other liquids were administered to about 13.1% of new bom within 5 months
(Table 18)
Breast feeding was stopped after 6 months in 26.8% of infants. Only in 33.9% of infants
it was continued to varying periods between 7 to 12 months.
Supplementary feeding was started around 4-5 months only in 11.5% of infants (Table
18)
26
Table 18. Feeding pattern of children below two years
Feeding practices
Colostrum administered_________________
Time of breastfeeding after birth in hours
0-1 ______________________________
2.-3__________________________________
4-5__________________________________
6-12_________________________________
13-24_____________________________ __
>24__________________________________
Age at administering water in months______
0-1_____________________________ _
2-3__________________________________
4-5__________________________________
6-12_________________________________
13-24__________________________ _
Not given
_________________________
Age at administering other liquids in months
2-3____________________________ _____
4-5
6- 12______________________ _
13-24
_____________________ _
Not given_____
Breastfeeding duration in months
0-6
7- 12_____________________________ _
13-18
19-24___________________________ _
Age at supplementaryfeed in months
0-1______________________ ____________
2-3
4-5
6-12_____________________
13-24
Not given
% of children
(n=183)
62.3
32,2
18.0
3,3
4.4
13.7
27.9
9.8
14.2
31.7
29.0
1.6
13.7
1.1
12.0
33.9
1.6
51.4
26.8
33.9
30.1
9.3
1.6
0.5
11.5
53.6
2,2
30.6
b. Diarrohea Management
The prevalence of diarrohea in the previous two weeks from the survey was 6.2%. Of
these episodes, only about 65% had sought some medical advice. While 25% of the episodes
were treated by Public Sector Institutions, Private Practitioners were consulted in 40% (Table
19).
27
Quantum of fluids were reduced in 10.0% of episodes while it was increased in only
35.0%.
ORS from packets were advised by medical practioners in only 50% of episodes (Table
19).
c. ARI management
Prevalence of ARI during two weeks preceding the survey was 10.0%. Of these episodes
medical advice was not sought in 32.3%, while Private doctors were consulted in majority of
episodes (43.5%) (Table 20).
Table 19. Diarroheal management practices for episodes during previous
________ fortnight.
Management practices
(n=614)
%
6.2
Prevalence rate ofdiarrhoea
Medical advice sought during episode
No advice
Govt. Hospital
Private Doctor___________________
Quantum offluid offered
Less than usual
Same as usual
More than usual_________________
ORS advised
35.0
25.0
40.0
10.0
55.0
35.0
50.0
Table 20. ARI management practices for episodes during previous
________ fortnight.
Management practices
(n=617)
%
Prevalence rate ofARI____________
Medical advice sought during episode
No advice
Govt. Hospital
Private Doctor
Others
10.0
32.3
22.6
43.5
1.6
28
d. Immunisation status
Only 76% of mothers had the immunisation cards of their children.
The coverage for various doses of vaccines ranged from 83.6% for measles to 94.5% for
BCG. While 91.8% children had completed DPT only 88.2% had completed OPV. The drop out
rates of OPV and DPT from first to third dose were 6.7% and 2.0% respectively. However, the
drop out rate for Measles vaccination was as high as 11.5%. (Table 21).
Table 21. Immunisation status of children aged 12-23 months.
Immunisation particulars
% Children covered
(n=110)
No.
%
Availability of Immunisation
card____________________
BCG
78
70.9
104
94.5
OPV Dose 1
104
94.5
OPV Dose 2
97
88.2
OPV Dose 3
97
88.2
DPT Dose 1
103
93.6
DPT Dose 2
103
93.6
DPT Dose 3
101
91.8
Measles
92
83.6
Vit. A
76
69.1
29
Immunisation coverage
100
I
90
80
70
60
Percent children
I
fl
50
40
30
20
feifl I
M j
10
0
BCG
OPV
Dose 3
DPT
Measles
Dose 3
Vit. A
Immunisation
e. Malnutrition amongst underfives
Malnutrition status of under fives was assessed by their mid arm circumference. Only
26.2% of children were normal (MUAC >14 cms). There were 61.9% children who were mildly
malnourished and another 11.8% severally malnourished.
Table 22. Distribution of under fives according
________ to Mid ann circumference.
No. of under fives
Mid arm circumference
(n= 549)
in cms._____________
11.8
< 12.5______________
61.9
12.5- 14,0___________
26.2
>14
Nutritional status as per Mid arm circumference
E3<12.5
012.5-14.0
□ >14
30
•.
< r>
i'.
■
'''
’ .tfltJ ’
.eonsn^-'T .
ii> itfj ; Mia.
’s*? ter
mtuH
foU=‘
3.8. Place of medical care
Public sector Institutions were utilised by 60% of the women for their problems during
pregnancy, in 25% of diarroheal episodes and 23% of ARI episodes. On questioning the mothers
about their willing to pay for services, only 23.2% expressed their willingness to pay amounts
mostly ranging between Rs 10 to 20 per month (Tables 23 &24).
Table 23. Distribution of women according to place
________ of treatment for sickness related to pregnancy
% women
Place of treatment
(n=5)
%
Govt, health facility
Private health facility
Total
60.0
40.0
100.0
Table 24. Distribution of Women on affordability for payment
________ for medical care.
Particulars
% women
(n=940)
Can pay for medical care
23.2
Amountfeasible per month
Up to Rs 10_____________
53.2
J5-20__________________
22.9
21-25__________________
3.2
More than 25
20.6
3.9. Contraceptive Knowledge and Practices
cl Knowledge and attitude on FP
Almost all the men and women were aware of use of contraceptives for limiting the
family size. While female sterilisation was the most commonly known method ( 98.5% of
women and 99% men). Men were better aware of all the methods more so for male methods like
vasectomy and condoms (Table 25).
Awareness on the availability of contraceptives at Public sector Institutions especially
with oral pills and condoms was lacking very much with both men and women. Only 17.2% of
men and 33.2% of women knew about the availability of oral pills at Public sector institutions
while this proportion was only 13.3% for men and 19.3% for women with respect to condoms.
Medical shops were the most commonly known sources of supply for these methods. This is
31
KJH' t^0
07 7 OU
further reflected by the fact that majority of the current users of oral pills and condoms obtained
their supplies (90.0%) from private sources or medical shops (Table 26).
Although majority of men and women approved of family planning methods to limit the
family size, there were still about 11.6% of men and 8.8% of women who did not either approve
or had no opinion on the use of FP methods. This indicates females were better motivated than
males for the use of family planning methods (Table 27).
Table25. Distribution of men and women according to knowledge
on FP methods.
Women (%)
Men (%)
(n=292)
(n-967)
Knowledge on FP methods
98,5
99.0
Tubectomy____________
77.4
67.2
Oral Pills______________
69.0
79.5
lUD/Loop_____________
54.0
90.1
Nirodh________________
45.9
93.1
Vasectomy
Knowledge of FP methods
120
100
| 80
I 60
I
I
1 40
Oh
20
I El Men
3 Q Women
FP methods
32
Table 26. Distribution of men and women according to knowledge on source of
________ availability of contraceptives. _________________
Source of
Tubectomy Vasectomy IUD
Oral pills
Nirodh____
availability
Men Wo
Men Wo Men Wo
Men Wo
Men Wo
men
men
men
men
men
Govt. Hospital
97.2 99.4 97.4 88.0 89.3 87.3 17.2 33.2 13.3 19,3
4.7 24.5
Private Hospital
4.0 15.1
1.3 19.9
0.4
2.4
1.1
2.0
Health worker
1.5
0.6
Medical shop
81.4 58.3 84.0 61.2
Depot Holder
0.3
0.4
Not known
1.0
0.3
0.7 10.6
9.5
7.6
3.5
8.4
3.4 19.5
Table 27, Distribution of men and women according to attitudes on FP.
Attitude on FP
Men (%)
Women (%)
(n=309)
(n=967)
Approve
88.4
91.2
Disapprove
5.8
5.1
No opinion
5.8
3.7
b. Contraception practices
The contraceptive prevalence rate was 54.2% , comprising mostly of female sterilisation
(49.5%), which contributed for 91.3% of total acceptors of FP methods . Condom acceptors
(1.1%), acceptors of Oral pill (1.1%) as well as Vasectomy (0.6%)were negligible in number.
IUD acceptance was slightly better (1.9%). Thus adoption of spacing methods as well as
Vasectomy was very poor. (Table 28)
Table 28. Distribution of women according to F 3 method currently practiced
Contraceptive Method
Method currently practiced
prevalence
wise
rate (%)
distribution
(n=998)
of acceptors
Nil______
________ 45.8
Vasectomy
_0.6
_L_L
Tubectomy
________ 49,5
91.3
Oral pills
_________ 1.1
2.0
I.U.D
_1.9
3.5
Condoms
_________ 1.1
2.0
Total
100.0
100.0
33
Contraceptive prevalance rates
50
45
40
35
30
Percent couples 25
20
1510
5
0
mH
iSw
Vasectomy Tubectomy Oral pills
I.U.D
Condoms
Methods
Table 29. Source of supply for current users of oral pills and condoms
% users (n=20)
Source_______________________
5.0
Govt. Hospital_________________
90.0
Private Hospital/medical shop/NGO
5.0
Others
Source of supply for oral pills & Condoms
5%
5%
□ Govt Hospital
□ Pvt. Hosp./Medical
shop
□ Others
90%
Of those who have not adopted any FP method , about 22.8% expressed desire to adopt
the same in the near future. Common reasons expressed for non use were opposition for FP, lack
of knowledge or apprehensions, which indicates the necessity of stepping up IEC activities
(Table 30). The
unmet need” for family planning i.e. the proportion of total couples in the
34
reproductive age group who do not want have any more children or delay the pregnancy
excluding those who are with secondary sterility, but not using any method for various reasons,
was 24.3%. These couples were those who had apprehensions or lack of knowledge on methods
or those who were motivated and willing to adopt the methods in the near future.
Of those who are likely to use any method in the near future, majority expressed that they
would use in a year’s time (90.3%) and the most likely method of choice was female sterilisation
(80.6%) followed by IUD (9.7%) (Table 31).
Table 30. Reasons for non use of Family planning methods_________
Reasons
% Non users desiring no
more children
(n=136)
Likely cases for use in the near future
22.8
_____ Going to use soon__________
22.8
_____ Currently pregnant_________
7.4
Secondary sterility______________
12.5
Lack of knowledge_______________
2.9
Apprehensions__________________
2.1
Afraid of sterilisation
07
_____ Worry about side effects_____
1.4
Opposition_____________________
2.9
______ Against religion___________
2.2
______ Husband opposed__________
0/7
Menopause
________
5.1
Others
3.7
35
Table 31. Opinion on future use of Contraceptives
Opinions
% Likely users
(n=31)
FP Method likely to use__________
Male sterilisation____________
3.2
Female sterilisation__________
80.6
IUD_______________________
9.7
Not decided________________
6.5
Likely period ofstarting to use a FP
method_______________________
Within a year_______________
90.3
1-2 years___________________
3.2
2+ years___________________
3.2
Not decided
3.2
The attitudes of those who are not using any FP method was assessed in terms of their
desire to have more children. It was seen that of the 434 who were not using any method, about
53.2% desired more number of children. Of those who desired more children about 39% wanted
a son, while another 9.5% wanted two or more sons. There were 58.8% mothers who did not
want to have any more daughters., while only 34.6% wanted another daughter and 6.5% wanted
two daughters. About 38% of women were not very particular about the sex of the desired child.
This clearly demonstrates attitudes of the community towards son preference. Those who wanted
more children, majority wanted to have the next child within one year (48.1 %) (Table 32).
There were about 39.7% mothers with less than one year birth interval between the
previous two pregnancies. Only 39% mothers had more than three years birth interval.
36
Table 32. Distribution of non users according to opinion regarding
________ desired number of children
Desired no. of children
% Women
(n-434)
Women desiring more children
53.2
(n=231)
Total no. children desired__________
J____________________
44.2
2______________________________
35.5
3+___________________________ _
7,0
JJndeoided______________________
13.4
No. ofsons desired_______________
0______________________________
51.5
1______________________________
39.0
2+
______________________
9.5
No. ofdaughters desired___________
0______________________________
58.8
1______________________________
34.6
2+_____________________________
6.5
Either son or daughter____________
0______________________________
61.9
_1______________________________
22.5
2_____________________________
13.0
3+ '___________________________
2.6
Likely period of having the next child
Within a year____________________
48.1
1-2 years ______________________
22.9
2+ years________________________
7.8
Not decided
21.3
Table 33. Birth interval for mothers with children
________ aged less than two years_________
Interval in months
% mothers
(n-921)
Up to one year
39.7
13-24_______
3.1
25-36_______
18.1
37-48_______
16.2
49-60_______
7.3
37-42_______
3.0
42-48_______
10.1
Over 48
2.4
37
3.10. Reproductive tract infections amongst women
Prevalence rate of different symptoms of reproductive tract infections was 33.8%. The
person prevalence of RTI was 25.1%. The most common symptoms were Back ache (24%), and
Abnormal vaginal discharge (4.1%) (Table 34).
Majority of these symptoms were lasting for more than six months (46.8%) and some of
them for many months (Table 35).
About half of these symptoms (54.8%) had availed medical treatment , mostly from
allopathic doctors (Table 36). Common reasons attributed for not availing treatment were either
shyness or not feeling serious about the symptoms or lack of time. .Most of the women were not
aware of the source of their symptom.
Table 34. Prevalence of symptoms of Reproductive tract infections.
% Women
Symptoms of RTI
(n=962)
4.1
Abnormal vaginal discharge
0.7
Genital ulcer/Rash_______
0.9
Itching around vagina/vulva
1.9
Lower abdominal pain___
1.4
Pain passing urine_______
Frequent passing of urine
0.6
Painful intercourse_______
0.2
24.0
Back ache
Symptoms of RTI amongst women
30 j
25 I
E 20 I
I 15 -
f 1050 -
■’J
i
,__ I
■
I n—wwom
1
I
ggggg
□ Vaginal discharge
■ Genital ulcer
□ Lower abdom. pain
□ Pain passing urine
■ Freq.passing of urine
□ Back ache
■ Vaginal itching
Symptoms
38
Table 35. Duration of symptoms of RTI.
Duration in days
0-30
31-60
61-90
91-120
121-150
151-180
181-210
% symptoms in
Women (n=242)
___________ 27,4
__________ 92_
4-8
____________ 1.6
____________ 8.1
____________ L6
46.8
Table 36. Management of symptoms of RTI.
% of Symptoms
Management
in Women
(n=242)
54.8
Availed any treatment
Place of treatment______
91.1
Allopathic doctor_______
2.9
Ayurvedic doctor_______
2.9
Medical shop__________
1.6
Spouse had treatment
Reasons for no treatment
4.3
Economic reason_______
4.3
Fear/ Shyness__________
30.4
Not serious____________
21.7
Lack of time___________
39.1
Not stated
________
Investigation or treatment of spouse was not common and was done only with 1.6%
episodes.
Table 37. Opinion on source of infection of RTI.i
% Women
Opinion
(n=242)
4.8
Unclean delivery
1.6
IUD insertion
1.6
Pelvic examination
32.3
Others
3.11. Abortion practices
Fortfive women or 4.70% women gave history of abortions. Of them about 35.6% were
induced while others were spontaneous. Probably many of the spontaneous abortions are under
reported. The common reason attributed for induced abortions were unwanted pregnancy (75%).
39
Although most of the abortions were carried out by medical personnel, there were 13.3% which
were done by non-medical personnel. Post abortion check up was availed only in 68.9% of
cases, while post abortion contraception was practiced only in 22.2% of cases (Table 38).
Legality of MTP was known only to 57.8% of women.
Table 38. Distribution of respondents according to abortion practices
Abortion practices
% Induced abortions_____________
Reasonsfor induced abortion_____
Unwanted pregnancy____________
Others________________________
Persons conducting abortion_____
Doctor________________________
Health worker__________________
Others________________________
Availing post abortion check up
Aware about legality of MTP_____
Availed post abortion contraception
% abortions
(n=45)
35.6
75.0
25.0
84.4
2.2
13.3
68.9
57.8
22.2
3.12. Knowledge on Sexually transmitted diseases and HIV/AIDS
Many of women and men were aware of HIV/ AIDS (46.5% women and 52.7% men),
while awareness on sexually transmitted diseases was negligible (0.9% women and 3.4% men).
Of those who were aware of HIV/AIDS, a large proportion knew all the three routes of
transmission. However certain aspects on the spread of the disease was not known to the desired
level. While most of the men knew that disease is not curable, a lesser number of women knew
about it. In majority of respondents knowledge about the disease was acquired through Radio or
TV., while health personnel had given the awareness only in a small proportion of respondents
(Tables 39 & 40). Knowledge on protection from the disease was also known in majority of men
(more than 85%) while these were known to a lesser number of women, especially about use of
condom ((Table 41).
40
Table 39, Awareness on Sexually transmitted diseases and HIV/ AIDS.
Awareness
%
%
Women Men
Heard about STD__________________ _
____ 0.9 ____ 14
Heard about HIV/AIDS__________ _
46.5
52.7
Knowledge that HIV/AIDS___________
Not curable
__________
77.2
66.2
Sexually transmitted
_____________
81.9
94.2
Person looking healthy can be infected
16.1
90.3
Infected person can transmit through sex
79.2
89.0
Cannot be transmitted by shaking hands
61.7
44.2
with infected person
Infected pregnant women can transmit
69.6
84.4
infection to fetus________
Can be transmitted through infected
72.3
85.1
syringe
_______________
Cannot be infected through mosquito bites
52.3
11.0
Table 40. Source of information on HIV/A1DS.
Source of information
%
%
Women Men___
_Radio
___ ^8^8
72.7
TV/Tilm_________
91.2
74.7
Newspaper/Magazine/Journal
22.9
38.3
Debate/Seminar____________
____ 2.3 ____ 5.2
Poster/Signboards___________
25.8
13.6
Relative/Friends/Wife/Husband
51.5 ___ 49,4
Doctor_________
21.1
5.2
ANM/LHV/HW
4.4
4.5
Social worker____________
2.3 __ 32
I Others
’ 4.5
0.8
Table 41. Knowledge on protection from HIV/ AIDS Infection.
Knowledge
%
%
Women
Use of condom
_ ______
51.0 ___ 87.0
Use of disposable sterile syringe
71.6
85.1
Use of safe blood ___
___ 67.8 __ 86.4
Sexual relation with mutually faithful
79.9
88.3
partner _______________
Personal hygiene of genital organs
55.5
87.7
41
3.13. Knowledge and attitudes of adolescents
a. Back ground characteristics of adolescents
WHO has defined adolescents as girls aged between 10 to 18 years. Due to non response
from girls who are very young only girls aged between 12 to 18 years and over were included for
the present survey. Only girls who were not married and were not living with their husbands
were considered for the survey. Thus 95.2% of the girls were not married and the rest of the
girls were married but had not consummated their marriage.
There were 20% illiterates amongst these girls. Of those who had gone to the school,
most of them had studied up to middle or high school (66.6%).
Table 42. Background characteristics of girls
_________ Interviewed.
Particulars________
% (n= 581)
Educational status
Illiterate_______
20.5
Primary________
_8?4
__ Middle
____
33.4
__ High School
33.2
__ Higher Secondary
4.5
Marital status
Married but not
4.8
consummated
l
b. Knowledge, attitudes and practices during menstruation
Most of the girls had their onset of menstruation (74.2%), but only 23.7% of girls had
knowledge about menstruation before its onset.
About one third of these girls remained normal at the onset (36.6%), while the remaining
had different apprehensions and fears. Majority got worried and did not know what is happening
and even wept with fear.
Nearly 30% of girls follow various religious restrictions during menstruation.
Only a few girls use sanitary napkins while the others use piece of cloth (91.6%). This
cloth is mostly reused and majority of the girls wash them with soap (98.5%). (Table 43).
42
Table 43. Knowledge and attitudes and practices
________ of girls on menstruation_______
Particulars__________ (%) (n=581)
74.2
Had Onset of
menstruation________
23.7
Had knowledge of
menstruation before
onset______________
Reactions at onset of
menstruation
28.8
Got worried
23.7
Started weeping
Did not know what is
Happening
12.3
2.1
Felt fallen sick
36.6
Remained normal
29.5
Follow religious
restrictions during
menstruation________
Kind of cloth used
during menstruation
91.6
Piece of cloth
8.4
Sanitary napkin
Cleaning cloth for
reuse
1.5
Only with water
98.5
With soap and water
Reaction of Adolecent on onset of Menstruation
40
35
30
25
Percent Girls 20
15
10
5
0
!
■
I
■
I
!
HI
!W
I
a
s
o
Reactions
43
[ 9
3
3
3
3
3
CENTRE FOR RESEARCH IN HEALTH AND SOCIAL WELFARE MANAGEMENT
BANGALORE
IPP-VHI IN OTHER CITIES OF KARNATAKA
HEALTH FACILITY SURVEY
3
3
; 3
L GENERAL INFORMATION:
1. Name of the Hospital / Health Centre (specify Type):
Address:
Phone No:
Fax:
Head:
2. Investigator:
3. Facility : ESTD(year)
-3
Total Beds :
Maternity Beds :
Pediatric Beds
II. SERVICES PROVIDED :
1. Antenatal Care:
-Routine
- ANC with complications
2 Natal Care:
- Normal delivery
- Caesarian section
- Forceps delivery
- Blood Transfusion
- General Anesthesia
- Spinal Anesthesia
Date:
Govt. 1
1^
i
5. RT1/STD Services
Non-Govt. 2
Free :
Free :
Free:
Payment :
Payment:
Payment :
Yes 1
Yes 1
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No
No
No
No
No
No
No
No
3. Postnatal Care :
- Routine PNC
Yes 1
- PNC with complications
Yes 1
(viz.PPH, breast abscess, etc;)
4. Family planning :
- IUD insertion
- Tubectomy
- Lap.Tubectomy
- No-scalpel vasectomy
- Oral pills
- C.C.(Nirodh)
-MTP
Key informant:
2
2
2
2
2
2
2
2
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
No 2
Charitable/Missionary 3
...
g—WU
.1.
3
6. Child Health Care:
- Basic new bom care
- Neo-natal resuscitation
- Growth card & Monitor
- Immunizations
- Nutrition supplements
viz. IFA & Vit-A
f
]
I
I
1
I
I
i
5
I
Yes 1
No 2
Yes 1
HI. FACILITIES AVAILABLE (IN HOUSE)
1. OPD rooms
No 2
Yes 1
2. Wards (Beds)
No 2
Yes 1
3. Labour room
Yes 1
No2
4. New bom Care
- Radiant Warmer
Yes 1
No 2
- Phototherapy
Yes 1
No 2
- Neo-natal resuscitation kit Yes 1
No 2
5. Operation theater
Yes 1
No 2
(a) Air conditioners
Yes I
No 2
(b) Generator
Yes 1
No 2
(c) Emergency light
Yes 1
No 2
6. Ultrasound
Yes 1
No 2
7. X-Ray
Yes 1
No 2
8. C.T Scan
Yes 1
No 2
9. Lab. Facilities
- Basic (hb /tc / de /esr / urine) Yes 1
No 2
- Comprehensive
Yes 1
No 2
(HBV/HIV/SERUM electrolytes)
10. Emergency drugs including
Oxygen cylinder
Yes 1
No 2
11. Drug store (pharmacy)
Yes 1
No 2
12. Blood bank
Yes I
No 2
13 Ambulance van
Yes 1
No 2
14. Round the clock available Yes 1
No 2
15 Cold chain & Sterilization Facilities
- Refrigerator
Yes 1
No 2
- Vaccine carrier / Thermocol
carrier
Yes 1
No 2
- Autoclaves
Yes 1
No 2
- Sterilizers
Yes 1
No 2
- Disposable syringes(adequate)
Yes 1
No2
- Gloves (adequate)
Yes I
No2
- Incinerator
Yes 1
No 2
16. TV,VCR, Video cassettes
Yes 1
No2
(MCH/FP)
17. MCH/FP/IEC materials/
Posters/wall charts/handouts
Yes 1
No2
18. Phone (No
)
Yes 1
No 2
Fax Facility
Yes 1
No2
Email/Intemet
Yes 1
No2
VL STAFF AVAILABILITY
1 .Obstetricians
I
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
Yes 1
Yes 1
J.aaiBSKaggMB----
MD/MRCOG/Etc
Diplomas
No
No
Full time
Full time
Part time
Part time
2 Pediatricians
MD/DABP/etc
Diplomas
No
No'
Full time
Full time
Part time
Part time
3 Anesthetist
MD/etc
Diploma
No_
No'
Full time
Full time
Part time
Part time
4,General duty Medical Officers
MBBS
No
No'
No'
Full time
Full time
Full time
Part time
Part time
Part time
5 Trained Nurses (Staff Nurses)
No
Full time
Part time
Designation
Designation
Full time
Full time
Part time
Part time
7, Labour Room
Designation
Full time
Part time
8- Neo-natal unit
Designation
Full time
Part time
9. Laboratory
Designation
Designation
Designation
Full time
Full time
Full time
Part time
Part time
Part time
10. Bipod Bank
Designation
Designation
Full time
Full time
Part time
Part time
11 Health Staff (field)
LHV
Full time.
ANM Full time
___________ Full time
___________ Full time
12. Others
Designation
Designation
Full time
Full time
Part time
Part time
Part time
Part time
Part time
Part time
V. DRUGS AVAILABILITY:
(a) Essential drugs for emergency obstetric care
1. Anesthetics
2. Analgesics(Inj)
3. Steriods(Inj)
Yes I
Yes 1
Yes 1
No 2
No 2
No 2
to
1-3
re
?
r
1?
I
1
’p
h
4. Antihistamines(In)
5. Antihypertensives/CVS
-Tabs
- Injections
6. Antibiotics
-Tabs/Caps
- Injections
7. IV fluids
8. Oxytocics
9. Diuretics
in. Antimalarials
11. Anidiabetics
12. Anti anemia
13.
14.
(b) Drugs for new bom care
1. Nalorphine
2. Sodium bicarbonate
3. Ringer lactate
4. Vtamin-K
5. Inj. Phenobarb
6.1nj. dilantin
7. Digoxin •
8. 10% Glucose
9. Antibiotics
(c) UIP Vaccines
(d) ORS packets
(e) IV fluid and drugs for
diarrhoea in children
(f) Drugs for management of
Pneumonia (severe ARI)
in children
Yes 1
No 2
Yes 1
Yes 1
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No2
No2
No 2
No2
No2
No2
No 2
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes I
Yes I
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
Yes I
No 2
No 2
Yes 1
No2
Yes 1
No 2
VL MIS (Reporting and recording system)
(a) Monthly reporting formats
available and used
Yes 1
Registers
(b)
- EC Register
Yes 1
- Stock register
Yes 1
- Service delivery register
Yes 1
(c) Annual service statistics
available
Yes 1
(d) Review meetings held regularly
Yes 1
VII.
No 2
No 2
No2
No2
No 2
No2
PHYSICAL & GENERAL FACILITIES
1. Waiting room / Lounge
2. OPD room (s)
3. Ward (s)
4. (a) Furniture (Cots / Tables / Almirahs
(b) Mattresses / linen / Pillows
5. Stores facility
6. Toilet (s)
7. Bath room (s)
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No2
No2
No2
No 2
No2
Overcrowded 3
Overcrowded 3
Overcrowded 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
8. Water supply
- Municipal
- Borewell
9. Power supply (KEB)
- Generator
- Emergency lights
10. Lighting (overall)
11. Ventilation (overall)
12. Solid waste disposal
13. Sanitary supplies
(detergents / disinfectants)
14. Laundry services
15. Buildings:
- Pucca & completed
- Compound wall &, Gate
- Parking facility
- Stray animals & Pests
- Security Staff / gate keeper
3
3
- Staff Quarters :
Doctor (s)
Staff Nurse (s)
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
No 2 Inadequate 3
Yes 1
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes I
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
Yes 1
No 2
No 2
Inadequate 3
(VIII.) ANY OTHER RELEVANT INFORMATION
Date:
MEDICAL INVESTIGATOR
(Name & Sign)
MEDICAL SUPERVISOR
(Name & Sign)
SURVEY CO-ORDINATOR
( Dr. M.K Sudarshan & sign)
c. Knowledge on legal age at marriage
Knowledge on legal age at marriage for boys and girls was moderate, but slightly better
with regard to age for girls (55.4%) as compared tothat of boys (43.5%). (Table 44).
Table 44. Distribution of girls according to correct knowledge on legal age at
________ Marriage.____________
Correct knowledge on legal age at
marriage
(n=581)
%
Girls
Boys
55.4
43.5
d. Knowledge on contraception
Only 47% of the girls knew that contraceptives can be used for avoiding pregnancy. The
most commonly known method being Tubectomy (37.2%), followed by oral pills (16.4%). Few
of the girls knew about Vasectomy (13.6%) but condom use was not known to many (8.6%).
Only a few girls (29.3%) knew that unwanted pregnancy can be terminated. Further only about
19% knew that medical termination of pregnancy is legal (Tables 45 & 46).
Table 45. Distribution of girls according to knowledge
on FP methods.
(%)
Method Known_______
No knowledge of any FP
method______________
Vasectomy___________
T ubectomy__________
Oral Pills____________
lUD/Loop___________
Nirodh
(n=581)
~ 53.0
13.6
37.2
16.4
9.8
8.6
r
44
Knowledge of Adolecent Girls on FP
40
30
Percent Giris 20
10
0
Vasectomy
Tubectomy
Oral Pills
lUD/Loop
Nirodh
FP Methods
Table 46. Attitude and knowledge on medical
_______ termination of pregnancy._______
%(n=581)
Knowledge__________
29.3
Termination of unwanted
pregnancy___________
18.8
Legality of MTP
45
3.14. Health Facilities in the city
a. General Information
Under the IPP-VIII Project, it is proposed to establish 5 New Health Centres, renovate 2
existing UFWCs and the PPC. As per the present base line survey, the existing health facilities in
the City consisted of one Govt. Dist. Hospital, one Private Medical College Hospital, one
Charitable Hospital, two Municipal institutions and over 15 Private Institutions (Smaller
Hospitals or Nursing Homes) (Annexure 2). Of these all the institutions under Government,
Municipal and Charitable sector along with ten private institutions offering MCH and FW
services were surveyed.
Table 47. General Information on facilities.
i.
Socio - Demography particulars
1.
Census Population (1991)
3,26,399
2.
Total Projected Population (by 2001)
5,16,278
3.
Estimated Slum Population @ 30%
1,54,883
4.
3562
li.
Estimated ANC / Deliveries Per annum
23 per 1000]__________________
Facilities / Institutions
Existing
1.
Medical College
1
Base line
Survey
(1998)
1
2.
Govt. Hospital
1
1
3.
Public Sector Hospital
4.
Charitable / Missionary
1
1
5.
Municipal Hospital
2
2
Proposed
(under IPP
VIII)
Under IPP - 8
i. New Health Centre
5
ii. New maternity Home / Hospital
6.
lii. Renovation of Existing Mat. Home / PPC
3
Private Small Hospitals (Nursing Homes)
16+
2 UFWC
1 PPC
9
46
b. Hospital Beds Availability
Out of the available 1744 beds in the City, 372 (21%) were for maternity and 170 (10%)
for pediatrics services. The total number of free beds availabile for maternity and pediatric
services were 169 and 80 respectively. Of the 169 free maternity beds, only 22 (16+6) were in
the two municipal institutions.
Table 48. Hospital bed facilities
No
1744
792
952
372
169
203
170
Available bed facilities
Total
Free
Payment
Maternity
Free
Payment
Pediatric
80
90
Free
Payment
(%)
100
45
55
21
45
55
10
47
53
Availability of beds
2000
1
1500
z
500
■ Payment
<8 1000
□ Free
BB
. 0 4^
Maternity
AU
Pediatric
Type of beds
b. Access to MCH and FWServices
At present, except for routine maternity services, the population is mostly dependent on
the Govt. District Hospital for all MCH and FW services.
47
Table 49. Availability of MCH & FW Services
Govt.
Municipal
Services
(n=l) (n=2)
No.
No.
i.
iii.
iv.
v.
Antenatal Care_________
Routine_______________
1
2
2. High risk / Specialized
1
Natal Care_____________
1. Normal deliveries
1
2
2. Complicated deliveries 1
2. Serious & life
I
Threatening_________
Post natal Care_________
1. Routine_____________ 1
2
3. Complicated/
1
Specialized__________
Reproductive Health_____
1. IUD [ Copper-T]
1
2
2. Oral pills & Condoms
1
2
3. Sterilization (female)
I
I
4. Vasectomy_________
5 MTP______________ 1
£
6? RTI/STD Treatment
1
1
Child Health___________
1. Basic New born Care
1
2
2, Neonatal resuscitation 1
1
4. Growth Card &
1
Monitor____________
4. Immunization_______ 1
2
5. Nutrition Supplements
1
1
(IFA & Vitamin A )
Charitable
(n=l)
No.
Private
(n=10)
No.
Total
(n=14)
No.
%
1
9
8
13
9
93
64
9
9
9
12
10
10
86
71
71
1
9
8
13
9
93
64
1
1
1
9
£
1
1
]_
1
9
13
12
11
2
11
12
93
86
79
14
79
86
1
10
14
100
10
8
12
9
86
64
9
8
13
93
79
1
8^
11
48
Distribution of Facilities according to availability of different MCH & FW services
60
100
140
Hl
60 -B
-
'
■.
80
8
1
40
I
cu 20
I
11
o 1—
K
to
20
IX
Natal care
80
Antenatal care
Normal
deliveries
Complicated
deliveries
0
High risk /
Specialized
Type of care
Routine
I
<5
Dm
100
80
60
40
20
0
Type of service
Child health
Natal care
B
Serious &
life
threatening
itil
i
1
I
120
5 100 -
S 80
J 60
-
I® if.
1
fc 20 - <
Normal Complicated Serious &
deliveries deliveries
life
threatening
Type of service
11 • ■
• 40 -:
« I
Q
CO
1
1 Ii
i
t I
<73
Reproductive health
<73
£
+-»
c(L>
£
<D
1^
60 4
52
40 1
108 it
i
ill®
Ill'll
■ I
j
.M
0 P
4^
49
Existing MCH and FW Facilities
Though the municipal sector had OT and bed facility, adequate MCH services were not
provided due to non availability of qualified staff (Obg. / Paed). However, the Govt, and Private
Sector institutions had adequate facilities for MCH and FP services while in the charitable FPAI
Hospital only facilities for FP services were available.
Table 51. Existing MCH & FW facilities - Base Line Survey
No. of institutions with availability of facilities.
Facilities
_L
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
opd________
Wards (Beds)_____
Labour room_____
New bom Care
■ Basic________
■ Specialized
Operation Theater
(OT)____________
* Ordinary______
■ AC + Generator
Ultrasound_______
X-Ray_________
Laboratory_______
■ Basic________
■ Comprehensive
Blood Bank______
Ambulance_______
Cold Chain &
Sterilization______
Incinerator_______
TV/VCR/Video
(MCH)
Govt.
(n=l)
No.
Municipal
(n=2)
Charitable
(n=l)
No.
No,
2_______
2_______
2
1
1
1
1
2
1
1
1
1
1
1
1
1
1
j
1
1
2
I
1
I
Total
(n= 10)
(n= 14)
No
10_____
10_____
9
No.
14
14
12
%
100
100
86
8
6
12
7
86
50
4
4
7
2
6
6
3
43
43
57
21
8
6
1
2
10
9
7
2
4
14
64
50
14
28
100
1
1
6
8
7
56
1
J.
Private
f. Availability of Drugs
In the municipal Institutions, only the general MCH and FW drugs were available while
in the Govt.Hospital it was available for all the services and so was in the Privately run hospitals.
The FPAI (charitable) Hospital had drugs for only FP services.
51
- d-O
071 OU
I <
Table 52. Drugs Availability for MCH & FW Services.
No. of institutions with availability of drugs
Govt.
Municipal
(n=2 )
No.
(n=l)
Charitable
(n=l)
No.
Private
(n= 10 )
No.
Total
(n= 14)
No.
Type of Drugs
1.
Emergency Obst. Care
1
Emergency New bom
Care_______________
3.
General Anesthesia
4.
Spinal Anesthesia
5.
Blood (Transfusion)
IV fluids____________
7.
General Antibiotics, etc.
8.
UIP Vaccines________
9.
Hematinics (IFA) &
Nutrition Suppliments
(Vit A, etc.)
1
2
%
12
10
86
70
10
10
8
14
13
13
11
70
70
57
9
T
9
x
x
x
x
x
x
x
x
No.
8
8
7
1
2
x
2
1
1
x
x
x
10
10
9
1
8
100
93
93
79
Table53. Existing Infrastructure for MCH & FW.
No. of institutions with availability of infrastructure
Type of Infrastructure
1.
OP room(s)________
2.
Wards (Beds)______
3.
Stores____________
4.
Bath & Toilet______
5.
Water Supply______
6.
Power Supply______
7.
Solid waste disposal
8^ Laundry Services
9.
Pucca Bldg with Gate
& Compound Wall
10. Staff Qrs.
(accommodation)
■
Doctor_________
■
Nurse
Govt.
Municipal
Charitable
Private
Total(n= 15 )
(n=l )
(n=2)
(n=l)
No.
No.
No.
(n= 10)
No.
No.
%
2
1
2
2
1
14
100
100
93
93
1
x
x
1
1
1
10
10
10
10
9
10
12
8
14
57
1
7
10
2
2
4
4
29
29
1
x
x
x
1
1
1
1
2
x
1
14
13
13
11
79
86
100
52
^Physical Infrastructure and General Facilities
The municipal institutions i.e., two corporation maternity homes were with basic
infrastructure and general facilities for MCH and FW. However, the facility for sanitary disposal
of solid waste was not available in none of the institutions.
Management Information System and Communication
MIS and communication facilities were generally satisfactory, but the Fax facility was
available only in the Dist hospital and the Private Medical college Hospital.
Table 54. Existing MIS for MCH & FW.
_______________________
No. of institutions with availability of services.
Particulars
Govt.
Municipal Charitable
Private
Total (n= 14)
(n=l ) (n=2 )
(n=l )
(n= 10) No.
%
No.
No.
No.
1.
Monthly report
_1_____
2______
j________
10
14
100
2.
Registers (Services)
j_____
2_______ j_______
10
14
100
3.
Annual reports
J____ J_____ j_______ 10
13
93
£ Phone___________
_1_____
1
1
10
13
93
5.
Fax_____________
1
1
2
14
6.
E - mail & Internet
53
A Conclusion
1.
The MCH and FW infrastructure, facilities, manpower and services was meagre in the
municipal sector. The population depended on the Govt. District Hospital, the Private
Sector hospitals the FPAI (charitable) hospital to some extent.
2.
There is a need for strengthening the MCH and FW services through the municipal
sector.
j. Some observation on the Project proposals
1.
The existing two maternity homes to be renovated and at each of these centres LMO
with DGO qualification (MD preferable) to be appointed.
2.
At the renovated maternity homes, services of pediatrician (DCH qualified minimum,
MD preferable) to be appointed on part-time / honorary basis (on the lines of IPP-VIII of
Bangalore city). Facilities for neonatal resuscitation and essential newborn care
including radiant warmer and Photo therapy services are to be made available in these
institutions.
3.
At the Angol maternity Home, adequate water supply (sump, pump and overhead sintex
tank or bore well) is to be provided.
4.
The maternity homes at Basavangalli are to be provided with generator facilities for OT.
5.
Laundry services, facilities for sanitary disposal of solid wastes are to be made available
at maternity homes and one ambulance is to be stationed at Basavangalli Maternity
home to cover all the Municipal health facilities. All the proposed health institutions are
to be provided with telephones, TV/VCR/MCH and FW video cassettes and hired private
security services.
6.
One staff quarters is to be built near the Angol Maternity home.
7.
The maternity homes are to be promoted as ‘baby friendly hospitals’ with proper
training, facilities and certification from the State task force.
8.
At the new health centres, one female medico-social worker is to be appointed to
strengthen IEC activities, supervise link workers at the community level and for effective
linkages between health centres, maternity homes (referral institutions / and the district
hospital.
54
9.
If MTPs are planned to be conducted at new health centres, LMOs with DGO
qualification are to be appointed or alternatively part-time LMO/ OBG specialist (MD
preferably with MD or DGO minimum) may be contracted (to visit at least on 3days a
week on honorary basis) specifically for reproductive health services for women.
55
4. Summary and Conclusions
The summary of key indicators is provided in Table 55.
The following observations emerge out of these indicators.
■
The population mostly comprised of lower economic groups like backward castes and
scheduled castes and tribes. The literacy rate was moderate.
■
Access to safe drinking water was limited while access to sanitary toilet facilities was poor.
■
Marriages were common in the adolescent ages for girls. Not many persons were aware of
the legal age at marriage for boys.
■
The fertility indicators for women indicated high fertility.
■
Safe mother hood practices lacked with regard to maternal immunisation, prophylaxis
against anaemia and post natal check up. Awareness on danger signs during antenatal and
natal periods was partial.
■
Healthy breast feeding practices for new bom were lacking especially for weaning practices.
■
Diarrohea management practices were deficient with regard to ORT.
■
Immunisation coverage was poor for OPV and Measles.
■
Malnutrition amongst underfive children was high.
■
Contraceptive prevalence rates were below average, and acceptors of FP methods comprised
mostly of female sterilisations and adoption of spacing methods were negligible.
■
There was high unmet need for contraception in the community.
■
Son preference of the community was evident.
■
High prevalence of Symptoms of RTI were present.
■
There were a few abortions attended to by unqualified practitioners. Awareness on legality
of MTP was poor.
■
Awareness on transmission and prevention of HIV/AIDS was good but on other sexually
transmitted diseases were almost not known.
■
Adolescent were highly lacking in sex education.
■
Private practitioners were preferred mostly for treatment of maternal complications.
■
Many of the respondents were not willing to pay for the services.
■
The MCH and FW infrastructure, facilities, manpower and services was meagre in the
municipal sector. The population depended on the Govt. District Hospital, the Private Sector
hospitals the FPAI (charitable) hospital to some extent.
56
■
There is a need for strengthening the MCH and FW services through the municipal sector.
Areas for strengthening IEC component are:
•
•
•
•
Legal age at marriage for boys and girls
ANC care especially administration of IFA tablets and tetanus toxoid immunisation.
Postnatal care and check up
Breast feeding practices especially exclusive breast feeding up to four months and
weaning by five to six months.
• Diarrohea management especially Oral rehydration therapy.
• Education on small family norm and spacing methods.
• Adolescent education on sex.
• Education on sexually transmitted as well as reproductive tract infections amongst
women.
Recommendations on facilities:
■ The new Health Centres should be provided with services of a qualified Lady Medical
Officer for providing MTP services and a qualified honorary Pediatrician on part time basis
for providing essential specialised pediatric care, along with essential newborn care facilities.
■
Adequate basic facilities like continuous water supply, IEC facilities, facilities for sanitary
solid waste disposal. Telephone facilities should be ensured.
Table 55, Summary of Key Indicators for the localities___________
Key Indicators_______________
% Households with access to tapped drinking water______________
% Households with access to sanitary means of excreta disposal
% Men with knowledge on legal age of marriage for boys_________
% Men with knowledge on legal age of marriage for girls_________
% Women with knowledge on legal age of marriage for boys
% Women with knowledge on legal age of marriage for girls_______
% Adolescent girls with knowledge on legal age of marriage for boys
% Adolescent girls with knowledge on legal age of marriage for girls
% Antenatals with three or more ANC check up_________
% Antenatals with complete dose of TT immunisation
% Antenatals received more than 90 tablets of IFA______________
% Deliveries with postnatal check up_______
% Women with knowledge on legality of MTP__________________
% Adolescent girls with knowledge on menstruation before its onset
% Adolescent girls with knowledge on legality of MTP___________
% New bom given colostrum______________
% New born initiated breast feeding before four hours of birth
% infants started complementary feeding by 4-5 months
% children completed BCG____________
% children completed DPT
% children completed QPV
% Infants immunised against measles
Present Survey
___________ 69.6
___________ 55.1
___________ 28,8
___________ 57,9
___________ 34.9
___________ 57.0
___________ 43.5
___________ 55.4
___________ 95,0
___________ 80,2
___________ 23.4
___________ 18.3
___________ 57.8
___________ 23.7
___________ 18,8
___________ 62,3
___________ 50,2
___________ 11.5
___________94.5
___________91.8
___________ 88.2
83.6
57
Key Indicators_________________________________________
% Infants administered Vit A_____________________________
% Drop out from 1st to 3rd dose for DPT
% Drop out rate from 1st to 3r dose for OPV_________________
%Prop out rate for measles_______________________________
Period prevalence rate of diarrhoea in previous two weeks______
% Episodes of diarrhoea sought treatment___________________
% Episodes of diarrhoea advised ORS______________________
% Children nutritionally deficient__________________________
Period prevalence rate of ARI in previous two weeks___________
% Episodes of ARI sought treatment________________________
% Men with knowledge with any one method of FP____________
% Women with knowledge with any one method of FP_________
% Adolescent girls with knowledge with any one method of FP
% Contraceptive prevalence rate___________________________
% Births in the previous one year with more than 3 years interval
% Births in previous two years for mothers aged <20 years______
% Births in previous two years of more than 3rt parity__________
Crude birth rate________________________________________
General fertility rate_____________________________________
Total fertility rate____________________________________
No. of maternal deaths in the last five years__________________
% Unmet need FP methods_______________________________
% Men with knowledge on transmission of AIDS______________
% Women with knowledge on transmission of AIDS___________
% Men with knowledge on transmission & prevention of AIDS
( Any one route)_______________________________________
% Women with knowledge on transmission & prevention of AIDS
( Any one route)________________________ ______ _________
No. of health delivery institutions__________________________
No, of beds available for Maternity services__________________
No. of beds available for pediatric care______________________
No, of blood banks______________________________________
% Surveyed Institutions providing specialised antenatal care_____
% Surveyed Institutions providing specialised natal care________
% Surveyed Institutions providing specialised neonatal care_____
% Surveyed Institutions providing specialised postnatal care_____
% Surveyed Institutions providing Tubectomy services_________
% Surveyed Institutions providing MTP services______________
% Surveyed Institutions providing Vasectomy services
Present Survey
___________ 69.1
____________ 1.9
____________ 6,7
___________ 11.5
____________ 6,2
___________ 65.0
___________ 50.0
___________ 73.7
___________ 10.0
___________ 67,7
___________ 99,0
___________ 98.5
___________ 37.2
___________ 54.2
___________ 39.1
___________ 26.1
___________ [7\5
___________ 28.9
__________ 1145
___________ 2.75
_____________ 3
___________ 24.3
___________ 94,2
___________ 81.9
88.3
79.9
21+
372
170
_L
64
71
86
64
79
79
14
58
Annexure 1
List of localities surveyed
SI. No. Name of the cluster__________
Kamaleshwamagar, Majagaon
j____
Zatpat colony_____________
2 ___
Nazar Camp & Harjanwada
3 ___
Sambaj inagar Extn, I
4 ___
Sambajinagar Extn. II
5 ___
Collar colony, Chambarwada
6___
2__ Godseywadi, & Chowglewadi
J__ Joshimala, Khasbagh________
Kasaigalli_____________ __
9 ___
Chavatgalli Harijanwada
10 __
Hanumannagar________
11 __
Jadavnagar and sorroundings I
12 __
Jadavnagar and sorroundings II
13 __
Jadavnagar and sorroundings III
14 __
Vaibhavnagar__________
15
Vaddarchavani __________
16__
Veerabhadranagar__________
17
New & Old Gandhinagar
18
Basavankol Muthyanhatti
19
Bedar colony
_
20
59
Annexure 2
List of Facilities and institutions Surveyed.
L
Government.
1. District Hospital, Belgaum (Ph 0831 - 420173)
IL
Municipal
2. Basavangalli maternity Homes, Hosur (Ph. 428730)
3. Angol Maternity Home, Rajhamsa Galli (Ph. Nil)
ILL
Charitable
4. FPAI Hospital, Hindvadi (Ph. 428337)
IV.
.
Private
5. KLE Hospital (Ph. 473777 Fax 451732)
6. Kodkany’s Maternity Homes, Maruti Galli (Ph. 422125 / 421543)
7. Deshpande’s Maternity, Samadeva Galli (Ph. 423490/464314)
8. Dr. Shravage’s Maternity Homes, Kakativies (Ph. 460898)
9. Janakibai’s maternity Home, Gondhali Galli (Ph. 4326880
10. Ashok Hospital, PB Rd. (Ph. 471288)
11. Kasbekar - Metgud Clinic, Shivajinagar (Ph. 21570 / 22530)
12. Shivayan Nursing Home, College Rd. (Ph. 426083)
13. Acharya Maternity and Children Hospital, Kirloskar, Rd (Ph. 424848)
14. Dr. Natu’s Children Hospital, Maruti Galli (Ph. 461283 / 462892)
Other Existing Institutions (but not surveyed)
1. Ganga Matenity Home (Pvt)
2. Dr. Anil Kulkami’s Paed. Hospital (Pvt)
3. Dr. Thirgundi’s Paed. Hospital (Pvt)
4. Dr. Bhandurga Hospital (Pvt)
5. Dr. Dhakoji Maternity Home (Pvt)
6. Dr. Baljakar Maternity Home (Pvt)
60
ANEXURE3
INDIA POPULATION PROJECT - VIII
BASE LINE SURVEY IN ELEVEN CITIES
CENTRE FOR REASEARCH HEALTH AND SOCIAL WELFARE MANAGEMENT
379, 10th B MAIN ROAD, JAYANAGAR, III BLOCK, BANGALORE - 560011.
HOUSEHOLD SCHEDULE
1.1 Name of city
1.2 Name of the cluster
1.3 Name of Head of the Household
1.4
Religion
(Hindu-1, Muslim-2,
Christian-3, Budhist-4, Sikh-5, Others-7)
1.5
Caste (SC-1,
1.6
Name of the interviewer
1.7
Date of interview
1.8
Total members in the household
1.9
Total children below 5 yis.
ST-2, OBC-3, Others 7)
1.10 Total Eligible women
1.11 Total No. of Adolescents
1.12 Total No. of (Ever Married, aged 15-45 years)
1.13 Water supply in the household
1.14 Toilet facility in the household
FOR OFFICE USE
Field edited By:
Name
Date
Office Edited By :
IL DEMOGRAPHIC INFORMATION
Please name all the people who are presently living in this household
SI.
No
Name of
Household member
2.2
2.1
Relationship with
head of the household
2.3
Sex
l.Male
2 .Female
2.4
Age
(in completed
years)
2.5
Marital
Status
2.6
1
2
3
4
5
6
7
8
9
L_.
11
12
CODES:
Relationship:
01 Head
02 Wife or Husband
03 Son or Daughter
04 Son-in-law or D-in-law
88 Don’t know
05 Grand children
06 Parents
07 Parents-in-law
08 Brother or sister
09 Brother-in-law/Sister-in-law
10 Other relatives
11 Adopted/foster child
12 Not related
Marital Status:
1 Unmarried; 2 Currently married; 3 Widow; 4 Divorced; 5 Separated; 6 Married but no gauna
Literacy status:
1. Illiterate; 2 Primary 3; Middle 4; High School 5; Higher Secondary/Diploma; 6. Degree;
7. Post graduate; 8. Professional Degree.
Literacy
Status
2.7
u
2.8 Did any birth occur in the household since
Diwali 1996 ?
Yes
No
1
2
Kindly give the following details for each women who has given birth since, Diwali 1996
(i.e. during last two years)
Name of Mother
Mother’s age
Sex of the
Parity
Whether
If yes, present
at Hie time of
child
of
surviving
age of child
delivery
1. Boy
mother
1. Yes
(months)
2. Girl
2. No
2.9
2.10
2.11
2.11
2.12
2.13
2.15 Since, Diwali 1996, has any children below
5 years of age died in the household ?
Yes
No
If not alive,
age at
Death (months)
2.14
... 1
...2
2.16 How many?
Kindly provide the following information about each of these deaths
Name of the
Date of death
Sex of Deceased
Deceased
Male-1
Female-2 __ _____
2.17
2.18
2.19
Age at death
(Years)
Cause of death
2.20
2.21
2.22 Did any maternal death occur during last
Yes
1
five years in this household ?
No
2
Kindly provide the following information about each of these deaths
Name of the deceased
Date of death
Age at death
J
2.24
(Years) 2.25
Cause of death
2.26
k /
III. MATERNITY HISTORY
Collect information for all women married in the age group 15-45 years
3.1. Identification No. of Household
3.2. Name of the Head of Household
3.3. Name of the respondent
3.4 Line No. in the Household schedule
3.5. What is your current age ? (Completed years)
3.6. How old were you at the time of current
marriage ?( Completed years)
3.7. How old were you when you started living
with husband ? (Completed years)
3.8.What is the legal age at marriage
for girl and boy in India ?
Girl
Boy
3.9. Have you ever become pregnant?
Yes
No
3.10. What was your age at the time of 1 st
pregnancy ?
1
2
Don't remember
3.12. How many pregnancies did you have so far ?
3.13. How many live births did you have so far
Male
Female
Total
3 14. Did you have any miscarriages/abortion or
Still births?
Still births
Miscarriages/
Spontaneous/
Induced abortion
(If none, record O’)
3.15. How many surviving children do you
have now ?
Male
(Include those living elsewhere)
Female
1
96
Total
3.16. What is the age of your youngest child ?
(In months)
Male_
Female
3.17. What is the birth interval between the last
and next elder child ?
Months
Not applicable
99
IV. KNOWLEDGE ABOUT SAFE MOTHERHOOD AND MATERNAL CARE
Collect information for all pregnancies in the last two years
4.1.
a) Do you know about danger signs during
pregnancy
Yes
No
1
2
b) If yes, enumerate the danger signs
1
2
3
4.2. a) Do you know about danger signs during
delivery and after delivery ?
Yes
No
1
2
Correct
Incorrect
Partially correct
1
2
4.3. Did you contact(or contacted by) medical
personnel for check-up during pregnancy ?
Yes
No
1
2
4.4. At the time you became pregnant, did you
want to become pregnant then, did you want
to wait until later, or did you not want
to become pregnant at all ?
Then
Later
Not at all
1
2
b) If yes, enumerate the danger signs
3
3
4.5. How many months pregnant were you at the
time of 1st medical check-up ?
Months
4.6. How many times you have received the medical
check-up
Frequency
4.7. From where you received these services ?
At home by HW
District hospital
Pvt. clinic/hospital
2
1
2
3
Others
(Specify)
4.8. What advises were you given during medical
check-up ?
(Multiple Response Possible)
4
No advise
1
Advised on periodic
checkup
2
Advised on food
intake
3
Advised on breast
feeding the new born
immediately after
delivery
4
Advised on
contraceptive
5
Others
6
(Specify)
4.9. During ante-natal check-up were you told that Yes
you are anemic ?
No
2
4.10. If yes, whether therapeutic dose of IF A tablets
was given
Single
dose of IFA
tabs
1
Double dose of IFA
labs
2
Others
9
(Specify)
4.11 Did you receive Iron and Folic Acid
(IFA) tablets ? (record ‘00' for none) Packets
4 12. How many packets have you consumed of
IFA tablets ? (record 00' for none) Packets
4.13. Did you receive Tetanus Toxoid (TT)
injection ? (record O' for none)
No
One dose
Two/dose or
booster dose
2
4.14. Did you have any problem during or after
delivery in the previous pregnancy ?
Yes
No
1
2
4.15. Where do you go ? or where did you visit
when you had the problem in past ?
Govt, facility 1
Pvt. Facility 2
3
I
0
1
Both
Other
(Specify)
3
4
Kms
4.16. What is distance of health facility at which
generally you go in case of any problem ?
Yes
4 17 Can you pay some fee for the services?
No
1
2
Rs
4.18 If yes, how much you can pay per visit
One at home or in
1
facility
Two or more at
home or health
2
facility
No post natal check
3
up
4.19. Did you receive post natal check-up ?
health
V. USE OF CONTRACEPTION
There are various ways or methods that a couple can use to delay or avoid pregnancy. Which
ways or methods have you heard about?
INS. Code 1 for all the methods mentioned without prompting in 36. For the methods not
mentioned, probe for each method. If answers is yes. Code 2 and ask 5.3 & 5.4, if doesn’t know
code 0 or else Code 9 and move to next method.____________________ _________________
What are the methods you know or have heard of?|
Have you ever used
Do you know from
Have you ever
FP Method
the method ?
where it can be
heard Of the
Yes 1 No 2
obtained ?
method ?
5.4
5.3
5.2
5.1_________________
a) Male Sterilisation
Conventional__ _____
b) Male SterilisationNon scalpel vasectomy
c) ) Female Sterilisation
d) Copper-T or IUD
e) Oral pills_________
f) Condom or Nirodh
Not applicable
g) Rhythm__________
Not applicable
h) Withdrawal
4
Codes for Source of:
1 Govt Hospital
4 Male Worker
7 Depot Holder
3. Private Doctor
6. Medical Shop
2. Private Hospital
5. Female Worker
9. Others (Specify)
5.5. Do you approve or disapprove of couples
using a method to avoid getting pregnancy ?
Approve
Disapprove
DK/Can't say
1
2
9
5.6. Are you or your husband currently using
any family planning method ?
Yes
1
2
5.7. Which method are you using ?
Vasectomy
Tubectomy/
Laparoscopy
IUD
Oral Pills
Condoms
Periodic abstinence
Withdrawal
Any other
(Specify)
5.8.
No
Duration of use
1
2
3
4
5
6
7
8
months
Ornl Pills/CC Users
5.9. Current status of use ?
Regular
Irregular
1
2
5.10.a) Whether supply is regular9
Yes
No
I
2
Govt Hospital
Pvt Hospital/NGO/
medical shop
Depot holder
Others
(Specify)
I
b) Source of supply
2
3
4
For Terminal Method
5.11 Place of sterilisation ?
5
Govt. Hospital
1
Private Hospital
Others
(Specify)
2
3
Unmet Need for Family Planning
5.12. Apart from the children you already have do you
want to have more children ?
Yes
1
2
No
Undecided/upto God 3
DK
9
5.13. How many more children would you
Total
9
like to have ?
DK
5.14. Of them, how many would you like to be son Sons
and how many would you like to be daughter? Daughters
Either
5.15 When would you like to have your (next)
child ?
Within one year/soon. 1
1 -2 years
2
2+ years
3
DK
9
5 .16^ Reasons for not having any (more)
child(ren) ?
No more/None
Currently pregnant
Menopause
Sterile
Others
(Specify)
5.17. Why are you not using a FP method to avoid
pregnancy when you are not interested ?
Going to use soon
01
Natural sterility
02
Currently pregnant
03
Lack of knowledge 04
Afraid of sterilisation 05
Cost too much
06
Can't work after
sterilisation
07
Worry about side
Effects
08
Hard to get methods 09
Against religion
10
Opposed to FP
1 I
Husband opposed
12
6
1
2
3
4
9
Other people opposed 13
Difficult to get
14
pregnant
15
Menopausal
16
Inconvenient
Don’t like existing
17
methods
99
Others
(Specify)
5.18. When are you planning to adopt a FP
method ?
Within a year/soon
1 -2 years
2+ years
DK
1
2
3
9
5.19. Which method are you planning to adopt?
Male sterilisation
Female sterilisation
Copper-T or IUD
Pill
Condom or Nirodh
Safe Period for
periodic abstinence
Withdrawal
Others
(Specify)
1
2
Permanent method
Reliable
Easy to adopt
Safe method
HW advised
Friends/relative
adopted it
Other method DK
Others
(Specify)
1
2
3
4
5
IUD
Oral Pills
Condoms
Any other
(Specify)
1
2
4
9
5.20. Why is this method preferred ?
5.21.Which spacing method have you used ?
5.22. a) How long you have used this method
7
3
4
5
6
7
9
6
7
9
(months) ?
Months
VI. PREVENTION AND MANAGEMENT OF REPRODUCTIVE TRACT INFECTION
(RT1)/STD)
6.1. Name of Respondent/Interview No
6.2. Line number of Q 2.1 in household schedule
6.3. Do you have any of the following complaints
at present?
a) Abnormal vaginal discharge
b) Genital Ulcer/Rash
c) Itching around vagina/vulva
d) Lower abdominal pain
e) Pain in passing urine
f) Frequent passing of urine
g) Painful intercourse
h) Backache
6.4. If there is any of complaints , since how long
you have this problem (days) ?
6.5. Have you availed treatment for this problem?
6.6. Where did you seek treatment?
(Multiple Responses Possible)
6.7. Was your spouse also given treatment?
Yes
No
DK
1
1
1
1
1
2
2
2
2
2
2
2
2
9
9
9
9
9
9
9
9
1
1
1
Days
Yes
No
1
2
Allopathic Doctor
Ayurvedic doctor
ANM/LHV/HW
Medical shop
Friends
Self treatment
Other
(Specify)
1
2
Yes
No
1
2
6.8. Why did not you seek treatment ?
6.9.In your opinion, how did you develop
this problem ?
a) After unclear delivery
Yes
1
8
3
4
5
6
7
No
2
DK
9
\ )
b) Aller unclear abortion
c) ITom husband
d) After adopting IUD
e) After pelvic examination
0 Any Others
(specify)
I
I
1
1
1
<)
9
9
9
2
2
2
Awareness About STD And HIV/AIDS
6.10.
Have you heard about STD ?
I
No
6.1 1.
If yes. Enumerate STDs ?
6 12.
Have you heard about HIV/AIDS ?
6.13.
Yes
Yes
No
Is AIDS curable disease ?
2
Yes
2
No
Do you aware that ?
HIV/AIDS is sexually transmitted disease ?
Can a person who looks healthy be infected
with HIV/AIDS ?
Can HIV/AIDS be transmitted by having
J sex
with someone who is infected with HIV/AIDS ?
Can a person get the HIV/AIDS Virus by shaking
hands with someone who is infected with the
virus ? . ..
t .
Can a pregnant woman who is infected with HIV
pass on the virus to her unborn child ?
HIV/AIDS can be transmitted by use of
unsterilized syringe/needle ?
Mosquito bite can cause HIV/AIDS ?
6.14.
a)
b)
c)
d)
e)
0
g)
6.1 5 What is the source of this information ?
a) Radio
b) TV/Film
c) Newspaper/Magazine/Journal
d) Debate/Seminar
e) Poster/ signboards
0 Relative/Friends/Wife/Husband
g) Doctor
h) ANM/LHV/HW
i) Social worker
Yes
1
1
1
2
DK
9
9
2
9
1
9
1
2
1
2
1
2
9
Yes
No
2
2
2
DK
9
1
1
1
1
1
o
1
2
2
2
2
1
2
1
1
9
No
2
9
Q
9
9
9
9
9
9
9
9
2
H Othei (Specify)
1
Have you ever discussed about mode of
transmission of HIV/AIDS with your husband 9
Yes
No
b. 17. How can a person protect herself from getting
infected with HIV/AIDS 9
a t Use of Condom
b) Use of Disposable sterile syringe
c) Use of Safe blood
d) Sexual relation with mutually faithful partner
e) Personal hygiene of genital organs
0 Wash organs after sexual intercourse
g) Other--------- (Specify)
Yes
No
DK
1
1
1
I
1 '
1
I
2
2
2
2
2
2
2
9
9
9
9
9
9
9
o lo
I
2
VIL SAFE ABORTION
months
7 1 I low many months pregnant were you at the time
of abortion '?
Spontaneous
Induced
WhL.c this abortion was conducted/occurred ? Your home
Parent’s home
Other home
Govt Hospital
Pvt.Hospital/clinic/
maternity home
()thers
(Speuifv)
7 2. Whether abortion was induced or spontaneous ?
7 3
7 •
A ho conducted the abortion '
, v.1.:Itiplt Response Possible!
Doctor
MW
’ BA/DAi
tSpi cihv -
oh; haw <:'i\ comj licalton du/ing o: ai'c'
2
7 I
I-/:: ofconip-'. ailOII> OCCUI1 C'd'.'
I
2
3
4
5
)
7
1
()».tic: :•
I'
1
n
1 .xccssix e bleedins.'
I evei
7.8.Were you given contraceptive counseling
after abortion ?
Incomplete abortion
Uterine rupture
Other.,
(Specify)
3
4
9
Yes
No
1
2
7.9. If yes, which method adopted ?
7.10. Why did you decide for this abortion ?
On health ground
I
Unwanted pregnancy 2
Son preference
3
Spontaneous
4
Others
7
(Specify)
7.11 .Are you aware with legality of MTP services ? Yes
No
1
2
7 12.Did you receive post abortion check-up ?
I
Yes
No
VIII. INFANT FEEDING PRACTICES AND POS IN ATAL CARE
Collect Information for the last Child born during (he previous Two years
8.1.
When did you start breast feeding the child ?
(Record in hours )
Hours after birth
No breast-feeding
8.2.
Whether the child was given colostrum
Yes
No
8.3.
Why did you not breast-feed the child ?
( please give the reason for only infant
child)
.98
I
Mother ill/weak
I
2
Child ill/wcak
Child died
3
Nipple/brcasi problem 4
s
Dry breast
Mother working
6
Child refused
Other
8
(Specify)
8.4. For how many months have you breastfeed
ll
Months
V >
*
■Al-."-
the child, since birth5?-'
V
•T
> i jYes
8.5. Was the child given plain watei'/sti'gir water/
honey Xvatei/Janam ghutty^aiier’biHh ?
8.6. If yes, whether it was ritual or regular?'
y’ ■
,:/•
No
•
.
.'.;hib?<rt;-.>!;Ritu^‘jf< ■ r
Regular
■ Don’t remember
8.7. 1 low many months old was child, when he was
given the following on a regular’basis ?
Age in months ..
Not given
96
a) Plain water
b) Formula or milk other than breast milk ?
Age in months .
Not given
96
Age in months .
Not given 96
c) Other liquids?
d) Any semi solid or mash food ?
(like Cereals, Pulses, Green leaf or
yellow vegetables. frdit); ‘;
..
.11-
r.
2
Age in months
'Not given?? .96 t
'■
8.8. Up.to how many months was the child given
exclusively breast milk ?
(Exclusively breast feeding means, child
was given only breast milk without any
liquid supplement like water, sugar/jaggery,
water, and highly diluted cow milk).
a) exclusively breast milk
b) nearly exclusively breast-feeding
•
a) Days
a) Months
b) Days
b) Months
(Code 98 for DK/DR)
A2
.1.
9
X ARI AND DIARRHOEAL DISEASES
Collect information for all the children aged between 0-59 months in the household
—
Child 3
Child 2
Child 1
10 I
No. of tire child -______________________
10.2. Age of the Child_________________ ______
10.3. Sex of the child___________________________
D’d the child have Fever/cough
Yes 1 No 2
10 4. When (Name) was ill with fever/cough, did he/she
breathe faster than usual with short, rapid breaths ?
10 5. Did you see^ advice or treatment for problem ?
10 6 Where did you seek advice/treatment
1
Govt. Hospital
Pvt. Doctor
Others__________________
10.7. Was anything given to treat ?
Yes ] No 2 "
10.8. What was given to treat the
fever/cough
Injection
I
Anti biotic. (Pill or syrup)
2
2
3
Cough syrup
3
Home remedy
4
Herbal medicine
5
Others (specify)
6
10 9 Did Jthe_cliiId haveDiarrhoea
Yes 1 No 2
10.10. For how many days (has the diarrhoea lasted/
did the diarrhoea last)_?
10.11. Was there_any blood in stools ?
Yes 1 No 2
10.12. During the diarrhoea, did increase the feeding
or reduce the feeding to the child
Increased
1
Reduced
2
Same
3
10.13. Did you seek advice or treatment for the diarrhoea
Yes 1 No 2_____________________________
10.14. Where did you seek advice/treatment
Government Hospital
Pvt. Doctor
Others
I
2
3
14
| 10.15. Was anything advised to treat diarrhoea 9
i Yes 1 No 2
■
II
10.16. What ..............
was advised
-.....for
- tre--atment ?
Oils Fluid from packet
2
Home fluid
3
Antibiotic
4
Other pill or syrup
5
Injection
6
I Icrbal med
____ ?
Others (Specify)
i d'17. Mid arm circumference in Cms
v.'
HUSBAND S SCHEDULE
I
2
3
4
5
6
Name of the City
Name/Number of Cluster/PSU
Name of Respondent/lnterview No
Line number of Q 2.1 in household schedule
What is your educational status ?
(Codes as in House hold Schedule)
Do you know what is the legal age
at marriage for girl and boy in India ?
Girl
Boy
KNOWLEDGE OF CONTRACEPTION
__________________________________________
There are various ways or methods that a couple can use to delay or avoid pregnancy. Which ways of
methods have you heard about?
INS. Code 1 for all the methods mentioned without prompting in 7.For the methods not mentioned,
probe lor each method. If answers is yes, Code 2 and ask 8 & 9,if don’t know any method code 0 or else
Code 9 and move to next method.
FP Method
Have you ever
heard of the
method 9
7
a) Male Sterlisation
conventional
b) Male Sterilisation- Nor
Scalpel Vasectomy
_
c) Female Sterilisation
d) Copper-T or IUD
e) Oral pills___________
f) Condom or Nirodh
g) Rytlim_____________
h) Withdrawal
Do you know from where
it can be obtained ?
8
Have you ever used the method 9
Yes 1 No 2
9
Not applicable
Not applicable
Codes for Source of supply
1. Govt. Hospital
5. Female Worker
2. Private Hospital
6. Medical Shop
10. Do you approve or disapprove of couples
using a method to avoid getting pregnancy ?
1
3. Private Doctor
7. Depot Holder
Approve
1
Disapprove 2
DK/Can't say 9
4 Male Worker
8.Others (Specify)
u
Awareness About STD And HIV/AIDS
II Do you have any of the following complaints
at present?
a) Genital swelling or boil
b) Genital Ulcer/Rash
c) Urethral discharge
d) Painful ejaculation
e) Pain in passing urine
f) Painful intercourse
g) Childlessness
a)
b)
c)
d)
e)
Yes
No
DK
1
2
2
2
2
2
2
2
9
9
9
9
9
9
9
1
1
1
1
0
1
g)
1
12 If there is any of complaints , since how
long you have this problem (days) ?
Days
13 Have you availed treatment for this
problems ?
Yes
No
14 Where did you seek treatment?
(Multiple Responses Possible)
Allopathic Doctor
Ayurvedic doctor
Medical shop
Friends
Self treatment
Other
(Specify)
15
Was your spouse also given treatment?
Yes
No
16 Why did you/ (your spouse) not seek
treatment
17 In your opinion, how did you develop this
problems ?
2
1
.2
1
2
1
2
3
4
5
9
AWARENESS ABOUT STD AND HIV/AIDS
Yes
No
18 Have you heard about STD ?
1
2
19 If yes. Enumerate STDs ?
20
21
Have you heard about HIV/AIDS ?
Yes
No
Is AIDS curable disease ?
Yes
No
1
2
1
2
22
Do you aware that ?
Yes
No
DK
a)
HIV/AIDS is sexually transmitted
a)
disease ?
Can a person who looks healthy be
b)
infected with HIV/AIDS ?
Can HIV/AIDS be transmitted by having
c)
sex with someone who is infected with HIV/AIDS ?
Can a person get the HIV/AIDS Virus by
d)
shaking hands with someone who is
infected with the virus ?
Can a pregnant woman who is infected
with HIV pass on the virus to her
e)
unborn child ?
HIV/AIDS can be transmitted by use of
f)
unsterilized syringe/needle ?
Mosquito bite can cause HIV/AIDS ?
g)
1
2
9
1
2
9
1
^2
9
1
2
9
1
2
9
1
2
9
1
2
9
No
2
2
2
2
2
2
2
2
2
2
DK
9
9
9
9
9
9
9
9
9
9
b)
c)
d)
e)
f)
g)
23 What is the source of this information ?
a) Radio
a)
b) TV/Film
b)
c) Newspaper/Magazine/Journal
c)
d) Debate/Seminar
d)
e) Poster/ signboards
e)
f) Relative/Friends/Wife/Husband
0
g) Doctor
g)
h) ANM/LHV/HW
h)
i) Social worker
i)
j) Other(Specify)
j)
Yes
1
1
1
1
1
1
1
1
1
1
3
24 Have you ever discussed about mode of
transmission of HIV/A1DS with your wife ?
25
Yes
No
How can a person protect herself from
getting infected with AIDS ?
a) Use of Condom
b) Use of Disposable sterile syringe
c) Use of Safe blood
d) Sexual relation with mutually
faithful partner
e) Personal hygiene of genital organs
f) Wash organs after sexual intercourse
g) Other--------- (Specify)
Yes
No
DK
1
1
2
2
2
2
9
9
9
9
f)
g)
h)
1
1
1
2
2
2
9
9
9
26 If childlessness, has the couple been
living together at least for two years ?
Yes
No
1
2
27
Yes
No
1
2
a)
b)
c)
d)
Has the couple been trying hard for a
pregnancy during this period ?
4
I-
1
2
1
1
!
i
INFORMATION FOR ADOLOSCENT GIRLS
1.
Name of the City
2.
Cluster number / PSU
3.
Name of the Respondent / Interview No.
4.
Line No. of Q.2.1 in Household schedule
5.
Till what class you have stiudied
6.
7.
8.
9.
1 Ilitrate
Primary
Middle
High School
Higher Sec.
Degree
Professional
0
1
2
3
4
5
6
Yes
No
Are you married ?
If yes have you started living with your husband ?
Have you started menstruating ?
Did you know about menstruation before you
experienced ?
10. When you menstruated for the first time what was
your reaction
11. Do you follow any restriction during menstruation ?
1
1
2
Yes
No
2
Yes
No
2
Yes
No
1
2
Got very worried
Started weeping
Did not understand
what is happening
Felt 1 have fallen
sick
Remained normal
Others
(specify)
1
Yes
No
1
1
2
3
4
5
6
1
2
12. What kind of cloth or sanitary napkins do you use
during mensus ?
13. If you reuse cloth how do you clean the cloth ?
Piece of cloth
Sanitary napkin
Others
(specify)
1
2
With soap
With only water
1
2
3
14. What is the legal age at marriage ?
15. Do you know that there are methods by which
pregnancy can be stopped ?
16. If yes, name the methods
17.
18.
Do you know that unwanted pregnancy can be
terminated ?
In your opinion is abortion legal / illegal
2
Girl
Boys
years
years
Yes
No
1
2
Male sterilisation
Female sterilisation
Oral pills
IUD
Condom /Nirodh
Others
(specify)
1
2
3
4
5
6
Yes
No
1
2
Legal
Illegal
1
2
CENTRE FOR RESEARCH IN HEALTH AND SOCIAL WELFARE MANAGEMENT
BANGALORE
IPP-VIH IN OTHER CITIES OF KARNATAKA
HEALTH FACILITY SURVEY
I. GENERAL INFORMATION:
1. Name of the Hospital / Health Centre (specify Type):
Address:
Phone No:
Fax:
Head:
2. Investigator:
3. Facility : ESTD(year)
Total Beds :
Maternity Beds :
Pediatric Beds :
Il. SERVICES PROVIDED :
1- Antenatal Care :
-Routine
- ANC with complications
2. Natal Care:
- Normal delivery
- Caesarian section
- Forceps delivery
- Blood Transfusion
- General Anesthesia
- Spinal Anesthesia
Date:
Govt. 1
5. RTI/STD Services
Non-Govt. 2
Free .
Free :
Free:
Payment:
Payment:
Payment:
Yes 1
Yes 1
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No
No
No
No
No
No
No
No
3. Postnatal Care :
- Routine PNC
Yes 1
- PNC with complications
Yes 1
(viz.PPH, breast abscess, etc;)
4. Family planning :
- IUD insertion
- Tubectomy
- Lap. Tubectomy
- No-scalpel vasectomy
- Oral pills
- C.C.(Nirodh)
-MTP
Key informant:
2
2
2
2
2
2
2
2
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes I
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
No 2
Charitable/Missionary 3
6- Child Health Care :
- Basic new bom care
- Neo-natal resuscitation
- Growth card & Monitor
- Immunizations
- Nutrition supplements
viz. IFA & Vit-A
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
HI. FACILITIES AVAILABLE (IN HOUSE)
1. OPD rooms
Yes 1
No 2
2. Wards (Beds)
Yes 1
No 2
3. Labour room
Yes 1
No 2
4. New bom Care
- Radiant Warmer
Yes 1
No 2
- Phototherapy
Yes 1
No 2
- Neo-natal resuscitation kit Yes 1
No 2
5. Operation theater
Yes 1
No 2
(a) Air conditioners
Yes 1
No 2
(b) Generator
Yes 1
No 2
(c) Emergency light
Yes 1
No 2
6. Ultra sound
Yes 1
No 2
7 X-Ray
Yes 1
No 2
8. C.T Scan
Yes I
No 2
9. Lab. Facilities
- Basic (hb/tc / de/esr / urine) Yes 1
No 2
- Comprehensive
Yes 1
No 2
(HBV/HIV/SERUM electrolytes)
10. Emergency drugs including
Oxygen cylinder
Yes 1
No 2
11. Drug store (pharmacy)
Yes 1
No 2
12. Blood bank
Yes 1
No 2
13 Ambulance van
Yes 1
No 2
14. Round the clock available
Yes 1
No 2
15 Cold chain & Sterilization Facilities
- Refrigerator
Yes 1
No 2
- Vaccine carrier / Thermocol
carrier
Yes 1
No 2
- Autoclaves
Yes 1
No 2
- Sterilizers
Yes 1
No 2
- Disposable syringes(adequate)
Yes 1
No 2
- Gloves (adequate)
Yes 1
No 2
- Incinerator
Yes 1
No 2
16. TV,VCR,Video cassettes
Yes 1
No 2
(MCH/FP)
17. MCH/FP/IEC materials/
Posters/wall charts/handouts
Yes 1
No 2
18. Phone (No
)
Yes 1
No 2
Fax Facility
Yes 1
No 2
Email/Intemet
Yes 1
No 2
VI. STAFF AVAILABILITY
1 Obstetricians
Yes 1
u
MD/MRCOG/Etc
Diplomas
No.
No
Full time.
Full time
Part time
Part time
2,Pediatricians
MD/DABP/etc
Diplomas
No
No
Full time
Full time
Part time
Part time
3 .Anesthetist
MD/etc
Diploma
No
No
Full time
Full time
Part time
Part time
No
Full time
Full time
Full time
Part time
Part time
Part time
5 Trained Nurses (Staff Nurses)
No
Full time
Part time
4 General duty Medical Officers
MBBS
No
No’
6. Theatre staff (OT)
Designation
Designation
Full time
Full time
Part time
Part time
7, Labour Room
Designation
Full time
Part time
8 Neo-natal unit
Designation
Full time
Part time
9. Laboratory
Designation
Designation
Designation
Full time
Full time
Full time
Part time
Part time
Part time
10. Blood Bank
Designation
Designation
Full time
Full time
Part time
Part time
11. Health Staff (field)
LHV
Full time
ANM Full time
_________ _ Full time
___________ Full time
12. Others
Designation
Designation
Full time
Full time
Part time
Part time
Part time
Part time
Part time
Part time
V. DRUGS AVAILABILITY:
(a) Essential drugs for emergency obstetric care
1. Anesthetics
2. Analgesics(Inj)
3. Steriods(Inj)
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
4. Antihistamines(In)
5. Antihypertensives/CVS
- Tabs
- Injections
6. Antibiotics
-Tabs/Caps
- Injections
7. IV fluids
8. Oxytocics
9. Diuretics
10. Antimalarials
11. Anidiabetics
12. Anti anemia
13.
14.
(b) Drugs for new born care
1. Nalorphine
2. Sodium bicarbonate
3. Ringer lactate
4. Vtamin-K
5. Inj. Phenobarb
6.1nj. dilantin
7. Digoxin
8. 10% Glucose
9. Antibiotics
(c) UIP Vaccines
(d) ORS packets
(e) IV fluid and drugs for
diarrhoea in children
(f) Drugs for management of
Pneumonia (severe ARI)
in children
Yes 1
No 2
Yes 1
Yes 1
No 2
No 2
Yes 1
Yes I
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No2
No 2
No 2
No 2
No 2
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
Yes 1
No 2
No 2
Yes 1
No 2
Yes 1
No 2
VI. MIS (Reporting and recording system)
(a) Monthly reporting formats
available and used
Yes 1
Registers
(b)
- EC Register
Yes 1
- Stock register
Yes 1
- Service delivery register
Yes 1
(c) Annual service statistics
available
Yes 1
(d) Review meetings held regularly
Yes 1
VII.
No 2
No 2
No 2
No 2
No 2
No 2
PHYSICAL & GENERAL FACILITIES
1. Waiting room / Lounge
2. OPD room (s)
3. Ward (s)
4 (a) Furniture (Cots / Tables / Almirahs
(b) Mattresses / linen / Pillows
5. Stores facility
6. Toilet (s)
7. Bath room (s)
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Overcrowded 3
Overcrowded 3
Overcrowded 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
8. Water supply
- Municipal
- Borewel!
9. Power supply (KEB)
- Generator
- Emergency lights
10. Lighting (overall)
11. Ventilation (overall)
12. Solid waste disposal
13. Sanitary supplies
(detergents / disinfectants)
14. Laundry services
15. Buildings.
- Pucca & completed
• Compound wall & Gate
- Parking facility
- Stray animals & Pests
- Security Staff / gate keeper
- Staff Quarters:
Doctor (s)
Staff Nurse (s)
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
No 2
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Inadequate 3
Yes 1
No 2
Inadequate 3
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
Yes 1
No 2
No 2
No 2
No 2
No 2
No 2
Yes 1
Yes 1
No 2
No 2
(VIII.) ANY OTHER RELEVANT INFORMATION
Date:
MEDICAL INVESTIGATOR
(Name & Sign)
MEDICAL SUPERVISOR
(Name & Sign)
SURVEY CO-ORDINATOR
( Dr. M.K Sudarshan & sign)
Position: 1253 (4 views)