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TBA-A Critical Link in MCH

TBA-A Critical Link in MCH. West Bengal Experience. Consortium on “The Role of Dai in the NRHM”. New Delhi-1 st May 2008. Voice from the ground. “ Kapal kharap thakle hospital e jete hai” ( cited by a village women of Falta Block)

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TBA-A Critical Link in MCH

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  1. TBA-A Critical Link in MCH West Bengal Experience. Consortium on “The Role of Dai in the NRHM”. New Delhi-1st May 2008

  2. Voice from the ground • “Kapal kharap thakle hospital e jete hai”(cited by a village women of Falta Block) • “Sesh belai dakle jete-i hai,training thaklevalo to habeii”( cited by local UTD). • “Dai der upor manusher biswas ekhono beshi,oder proshikkhhan khub darkar,or a mayeder bojhateo pare valo” ( quoted by GP member)

  3. Pathos of a face!! EDD- 21.09.07--Delivery date-2.09.2007. Joytsana Bibi, aged 18 ,got married with Kutubiddin Mondal. After one & half years of marriage, she conceived .She got registered at sub center & received two TT & 100 IFA. Through out the period she was fit & fine ,yet on 2nd September at around 4 am she suddenly felt mild pain in lower abdomen along with cramp on her legs. Since then she could not also perceive foetal movement as stated by her. But she could not discuss it with her family members.

  4. Continue- At around 8.30 am, she felt severe pain abdomen. Her family members informed local Dai without delay. She came and examined. Then she informed that delivery would take place within very short time and she could conduct delivery of her own as foetal position is normal. Unfortunately after an hour of labor, she informed that doctor is required as situation is bit critical. Family members then called upon a local quack as PHC was bit far. He came around 10 am and gave an injection. Within five minutes after induction, part of the buttock of the baby came out from vagina. After few minutes leg came up and then he manipulated the delivery. Unfortunately it was a dead baby boy.

  5. WHY???? . • Faith in traditional beliefs & practices, • Faith in home delivery, • Familiarity and confidentiality • Inaccessible service from remotest village,

  6. WHY???? . • Lack of awareness, • Lack of decision making skills • Well equipped service yet a challenge. • Unavailability of quality of care,

  7. Urban Scenario (WB)- .

  8. Rural Scenario (WB)-

  9. Few Districts highlights-

  10. Few Districts highlights-

  11. Scenario of CINI area-Rural .

  12. Scenario of CINI area-Urban .

  13. Training of TBA-Essentiality • Creating awareness for proper pregnancy care. • Timely referral for institutional delivery. • Equipped them to conduct safe delivery at home at the time of emergency,

  14. Long March Yet to Go…..

  15. THANK YOU

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