Assessment of health care facilities for maternal and child health care at Bal Mahila chikitsalyas in Lucknow district, India

Abstract

A facility based survey was conducted from Oct 2011 to March 2012 at six Bal Mahila Chikitsalyas (BMCs) in Lucknow district. It was a cross section study. All the BMCs, work as first referral units (FRUs) was included in the study. Assessment was done on the basis of availability of infrastructure, human resources and medical equipments. Functional electric Generator facility was available in 33.3% of BMCs. Availability of functional ambulance was in only 16.7 percent of BMCs. Blood transfusion and caesarean services were available in only 33.3% of BMCs. About 50% of BMCs had regular paediatrician and obstetricians. In 66.7% of BMCs regular anaesthetics or MO trained in LSAS were present. BMCs (50%) had medical officers (MO ) who were trained in integrated management of neonatal and childhood infection (IMNCI) and two BMCs (33.3%) had MO trained in emergency obstetric care (EmOC). Radiant warmers were found in all the BMCs, but functional in only three (50.0%). Only two (33.3%) centres had functional phototherapy unit. In hypertensive drug, four BMCs (66.7%) had Nifedipine and Methyl Dopa. In Emergency drugs like adrenaline and aminophylline were available in 33.3% and 100.0% of BMCs. Calcium gluconate was found only in two (33.3%) of the BMCs. Vitamin K was available only one (16.7%) BMC.