Table of Content Details

Abstract

Institutional delivery provides an opportunity for timely management of intrapartum
complications and reduces neonatal infections. It is estimated that around 40% of
maternal deaths, stillbirths and neonatal deaths take place during labour and the day
of birth.1,2 Birth asphyxia, an Intra-partum complication, contributes 20% of neonatal
deaths.1 Quality care during labour and childbirth ensures early detection and prompt
management of complications. Bihar accounts for over 3.2 million newborns every
year. Only 63.8% institutional delivery (15% lower than the national average of
78.9%) and over 35% home deliveries was reported as per NFHS-4. Home delivery
was found high particularly in pockets having migrant population or far away homes
and populations with low education and awareness level. With the Project RIDA
100% (Rajgir Institutional Delivery Achievement 100%), an intervention model
was tested in 2018 to demonstrate that a package of both facility and communitybased
interventions could lead to attain 100% institutional delivery in Rajgir Block
of Nalanda District, Bihar. The evaluation findings showed an increasing trend of the
Institutional delivery in successive quarters of 2018 and the finding was remarkable.
Of the 21 reported home deliveries, 10 (47.6%) deliveries were in the first-quarter
(January- March 2018), 6 (28.5%) in the second-quarter (April-June 2018), 5 (23.8%)
in the third-quarter (July- September 2018) and no home delivery reported in the last
quarter (October-December 2018). This apart, coverage of Four ANC visits within
the recommended time was noteworthy, rising from 43.8% of pregnant women to
77.8% between in given time period.

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