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Chiranjeevi Initiative: Improving Maternal and Neonatal Health in Gujarat

Learn how the Chiranjeevi program in Gujarat addresses maternal mortality, involving private OBGYNs, prompt payments, and successful outcomes in saving lives. Dr. Amarjit Singh explains the impact and benefits of this initiative.

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Chiranjeevi Initiative: Improving Maternal and Neonatal Health in Gujarat

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  1. Chiranjeevi Reducing maternal and neonatal mortality through PPPP Gujarat experience in safe motherhood and child survivalAchieving MDG 5 Dr Amarjit Singh IAS Principal Secretary (FW) & Commissioner Health Government of Gujarat Currently ED, Population Stabilization Fund, GOI 26th October, 2009

  2. Why Chiranjeevi? 15% women have pregnancy related complications 5 lac deaths globally 1.5 lacs in India Huge morbidity

  3. Development of ChiranjeeviFocus on the marginalised population • Development after a year long consultative process with • Insurance companies • IIM Ahmedabad • Sewa Rural Jhagadiya • GTZ • FOGSI • Public Health Experts • Advance to private ObGYNs; Legal support In case of death during delivery • One of the interventions in the package of maternal health interventions; the other interventions like trg SBAs; MOs in CeMOC and BeMOC skills continued • Scheme kept simple; Use of existing mechanisms such as BPL cards issued by RDD

  4. Package Rates for Chiranjeevi for Private Institutions (Dollars)

  5. Gynecologist involvement in Chiranjeevi

  6. Transport support for delivery Responded to 8.88 lac emergencies; average 2300 medical emergencies per day; around 2.76 lac (32%) pregnancies; delivery by EMT 6735 {5256 in ambulance; 1489 at site} 91% from rural areas;saved around 37,774 lives

  7. Outcome of Chiranjeevi (CY) Scheme: Mothers & New Born babies saved ( Up to Sept-09) Increase in institutional deliveries • Normal Deliveries: 340977 • C-Section: 23155 (6.0%) • Complicated Deliveries: 20789 (5.4%) • Private specialist enrolled: 817/2000

  8. Source: Form No. 9, State report

  9. Recognition Issues Doable- Unprecedented support from the Private OBGYNs – potential for replication in other areas Surge of demand - boon to the poor - Unindicated C-section in check High level of anemia in women - Availability of blood??? Demand side effort Prompt payments – awards to high performers - independent regulation of contract • SEARO, WHO conference in Gujarat • Asian innovation award • Publication in The Lancet • PM award for excellence in Pub Admn

  10. Let us join hands to reduce maternal mortality. We make a living by what we get; we make a life by what we give! THANKS Dr Amarjit Singh Principal Secretary, FW, Department of Health & FW Government of Gujarat, Gandhinagar, Gujarat

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