NEEDS ASSESSMENT OF RCH CARE : INTRODUCTION ----- .

NEEDS ASSESSMENT : REPRODUCTIVE & CHILD HEALTH [RCH] CAREPRASANTA KUMAR SAHA, M.Sc.(Stat),CStat(UK),Fellow of the Royal Statistical Society, UK,Chartered Statistician, UK. E-Mail

IN GENERAL NECESSITY FELT BY PEOPLE FOR CERTAIN BASIC & ESSENTIAL SERVICES THOSE SERVICES TO BE PROVIDED BY THE GOVT OR PUBLIC SECTOR NEEDS ASSESSMENT OF RCH CARE : INTRODUCTION-----.

ANY RESEMBLANCE WITH ESTIMATION OF DEMANDS OR NEEDS FOR GOODS? ESTIMATION OF DEMANDS OR NEEDS FOR SERVICES? NO. NEEDS ASSESSMENT OF RCH CARE: INTRODUCTION-Contd.

SUCH DEMAND OR NEEDS ESTIMATION RELATES TO A MATHEMATICAL RELATIONSHIP SHOWING DEMAND AS A DEPENDENT VARIABLE PRICE OR SUPPLY AS INDEPENDENT VARIABLES NEEDS ASSESSMENT OF RCH CARE: INTRODUCTION-Contd.

NEEDS ASSESSMENT OF RCH CARE: INTRODUCTION-Contd. • THE PROCESS OF NEEDS ASSESSMENT FOR RCH CARE IS A MECHANISM FOR IMPLEMENTING THE COMMUNITY PARTICIPATION APPROACH FOR REPRODUCTTIVE RIGHTS & REPRODUCTIVE HEALTH RECOMMENDED BY CAIRO CONFERRENCE OF ICPD IN SEPT.,1994.

NEEDS ASSESSMENT OF RCH CARE: CONCEPT & DEFINITION • IN THIS TOPIC DEFINITION OF NEEDS ASSESSMENT RELATES TO ASSESSING OR WORKING OUT THE NEEDS FOR REPRODUCTIVE HEALTH CARE OF WOMEN IN REPRODUCTIVE AGE GROUP & CHILD HEALTH CARE COVERING INFANTS AND CHILDREN .

NEEDS ASSESSMENT FOR RCH CARE: A SPECIFIC SOCIAL CONCEPT AN INNOVATIVE CONCEPT WITH WIDE SIGNIFICANCE A NOBLE CONCEPT WITH WIDE IMPLICATIONS EFFECTIVE APPROACH IN DEVELOPING SOCIETY NEEDS ASSESSMENT OF RCH CARE: CONCEPT & DEFINITION -Contd.

QUESTION OF AVAILIBILITY OF RCH SERVICE FACILITIES DEVELOPING SOCIETY VIS-A-VIS RICH SOCIETY RICH SOCIETY: SERVICES ARE OPTMUM DEVELOPING SOCIETY: SERVICES ARE SUB-OPTIMUM NEEDS ASSESSMENT OF RCH CARE: ITS SIGNIFICANCE

DEVELOPING SOCIETY: ENTIRE RESPONSIBILITY WITH GOVT ECONOMIC CAPACITY OF PEOPLE VERY WEAK MAGNITUDE OF PROBLEMS-MORE COMPLEX & VAST. NEEDS ASSESSMENT OF RCH CARE: ITS SIGNIFICANE -Contd.

DEVELOPING SOCIETY : COMMON PEOPLE CAN’T AFFORD COSTLY HEALTH CARE SERVICES CAN’T AFFORD THOSE SERVICES FROM PRIVATE SECTOR PRIVATE SECTOR SERVICES VERY COSTLY PRIVATE SECTOR SERVICES INADEQUATE. NEEDS ASSESSMENT OF RCH CARE: ITS SIGNIFICANE -Contd.

INDIA: THIS CONCEPT IS ABSOLUTELY NEW TILL 1996-97 NO SUCH CONCEPT IN ANY SECTOR VERY CHALLENGING FOR THE GOVT INNOVATIVE & REVOLUTIONARY APPROACH NEEDS ASSESSMENT OF RCH CARE: STATUS IN INDIA

OBJECTIVE OF NA: PROVIDING QUALITY RCH SERVICES MEETING DEMAND-DRIVEN CLIENT’ S SATISFACTION THUS FULFILLING OBJECTIVES OF RCH CONCEPT AS RECOMMENDED BY ICPD’94. NEEDS ASSESSMENT OF RCH CARE : OBJECTIVE

TO PREPARE ANNUAL ACTION PLANS FOR ALL ITEMS OF RCH & FAMILY WELFARE SERVICES AT VARIOUS LEVELS NEEDS ASSESSMENT OF RCH CARE : OBJECTIVE-CONTD

MECHANISM OF FULFILLING THE OBJECTIVES: THROUGH COMMUNITY PARTICIPATION THROUGH PLANNING AT THE GRASS-ROOT LEVEL NEEDS ASSESSMENT OF RCH CARE: FULFILLING THE OBJECTIVES

ROLE OF COMMUNITY PARTCIPATION [CP] FOR NA FOR RCH SERVICES: PROCESS OF NA TO BE PERFORMED THROUGH CP CP IS PRINCIPAL FORCE FOR NA WITHOUT PEOPLE’S PARTICIPATION VALIDITY OF NA NOT ACCEPTABLE. NEEDS ASSESSMENT [NA] OF RCH CARE: COMMUNITY PARTICIPATION

FUNCTIONARIES TO WORK OUT NA: AT SUB-CENTER: ANM MPHW AT PHC: MO SUPERVISORY HEALTH STAFF NEEDS ASSESSMENT OF RCH CARE : INFRASTRUCTURES

FUNCTIONARIES -CONTD.: AT CHC/FRU: SR. SUPERVISORY IN –CHARGE AT DISTRIC HOSPITALS: CMO/DY.CMO AT STATE HEALTH DEPT.: COMMISIONER/DIRECTOR OF HEALTH & FW. NEEDS ASSESSMENT OF RCH CARE: INFRASTRUCTURES -CONTD.

VILLAGE LEVEL: TO BE PERFORMED IN THE START OF A FINANCIAL YEAR IN VILLGES BY ANM& MALE MPW OF SC HOUSE-TO-HOUSE INTERACTIONS WITH CLIENTS CONSULTATIONS WITH PANCHAYAT, HEALTH COMMITTEE, ANGANWADI WORKERS, WOMEN GROUPS IN THE VILLAGES. NEEDS ASSESSMENT OF RCH CARE : PROCEDURE theth

TO HOLD DISCUSSION WITH THE CONCERNED PEOPLE IF NEEDED TO PREPARE ACTION PLAN TO FILL UP PRESCRIBED FORM TO NOTE DOWN THE INFORMATION ON REQUIREMENT OF RCH CARE FOR ACTION PLAN NEEDS ASSESSMENT OF RCH CARE: PROCEDURE -CONTD.

ACTION PLANS PREPARED AT THE LEVELS OF: SUB-CENTER [SC] PRIMARY HEALTH CENTER [PHC] COMMUNITY HEALTH CENTER[CHC]/FIRST REFERRAL UNIT[FRU] DISTRICT HEALTH AUTHORITY STATE HEALTH AUTHORITY NEEDS ASSESSMENT OF RCH CARE: PROCEDURE -CONTD.

ANTE-NATAL CARE [ANC] NATAL CARE NEO-NATAL CARE MTP RTI/STI NEEDS ASSESSMENT OF RCH CARE: TYPES OF RCH CARE TO BE COVERED

NEED OF IFA TABLETS TO PREVENT & CURE ARI TO PREVENT & CURE ACUTE DIARRHOEAL DISEASE NEED OF FAMILY PLANNING METHODS NEEDS ASSESSMENT OF RCH CARE: TYPES OF RCH CARE TO BE COVERED - CONTD.

NEEDS ASSESSMENT OF RCH CARE: CONCLUSION • AS HAS BEEN MENTIONED IN THE BEGINNING OF THIS LECTURE, NEEDS ASSESSMENT IS AN INNOVATIVE AND ABSOLUTELY NEW SYSTEM IN A DEVELOPING COUNTRY LIKE INDIA. AS IT IS WELL KNOWN, A MOST MODERN TECHNOLOGY MAY NOT GENERATE DESIRED EFFECT IN SOCIAL OR ECONOMIC LIFE UNLESS MINDSET OF THE PEOPLE IS CHANGED. THIS SITUATION IS ALSO APPLICABLE TO NEEDS ASSESSMENT PROCESS IN INDIA.

NEEDS ASSESSMENT OF RCH CARE: CONCLUSION -CONTD. • THE MINDSET OF THE HEALTH SERVICE PROVIDERS IS YET TO CHANGE TO EMBRACE THIS NOBLE SYSTEM. THE CONVENTIONAL SYSTEM OF IMPOSING TARGET FROM THE HIGHER LEVEL AMONG THE STATE AUTHORITIES IS STILL PREVALENT IN MAJORITY OF THE HEALTH PERSONNEL IN THE STATES. HOWEVER, ABOUT 40% OF THE DISTRICT AUTHORITIES OF HEALTH & FW IN INDIA ARE GETTING ENGAGED IN THEIS SYSTEM. IN RESPECT OF COMMUNITY PARTICIPATION, ASSOCIATION OF PANCHAYAT IN THE VILLAGES IS NOT IMPRESSIVE. HOWEVER, ANM’S VISIT TO HOUSE AND THE COUPLES IN THE VILALGES IS BEING DONE IN AN IMPRESSIVE MANNER.

NEEDS ASSESSMENT OF RCH CARE: CONCLUSION -CONTD. • HOWEVER, A GOOD NUMBER [OUT OF ABOUT 530 DISTRICTS] OF THE DISTRICT AUTHORITIES OF HEALTH & FW IN INDIA ARE GETTING ENGAGED IN THIS SYSTEM. IN RESPECT OF COMMUNITY PARTICIPATION, ASSOCIATION OF PANCHAYAT[ A LOCAL ELECTED BODY IN THE VILLAGE] IN THE VILLAGES IS NOT IMPRESSIVE. HOWEVER, ANM’S VISIT TO HOUSES AND THE COUPLES IN THE VILLAGES IS BEING DONE IN AN IMPRESSIVE MANNER. THANKS

NEEDS ASSESSMENT OF RCH CARE : INTRODUCTION ----- .