Financial Alternative
Gujarat Experience in improving Maternal and
Child Health Care
Dr Harshad Vaidya ( M D )
Medical director,
Alka Hospital and Sonography Clinic,
At: Kheralu, Dt. Mahesana, Gujarat. India Pin: 384325
Email : harshad9669@gmail.com, harshad9779@yahoo.com
Website: www.motherbabycare.org
Cell: +91 94263 66660
Journey towards safe motherhood ( 1994-2010)
CHALLENGES..
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Poor socioeconomic conditions
Female’s health-least priority
Delivery - still not a medical emergency!
Quack’s and untrained dais hold at the
village level-home delivery !
Always scared of the medical bills !
Transportation, Blood Transfusion,
Anaesthetist’s service
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Journey towards safe FP-MNCH care ( 1994-2010)
Module to Improve MCH care..
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Regular ANC to identify and treat high risk
factor at the earliest, to bring all high risk
group patients into low risk group
To increase institutional delivery: “Safe Time
Margin”
to ensure and assure the complete ANC,INC,
PNC and neonatal Care in small, affordable,
fixed budget
Offer family planning services to target couple
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Financial Alternatives
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Sampurna Suraksha Card (for all patients )
( Scheme of Alka Hospital since 2004 : more than 5000 patients )
ANC, USG, Indoor, Any type of delivery, caesarian section, FP surgery..
Everything included in just Rs 1500 ( 30 USD ! )
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Chiranjivi Yojana - PPP (for BPL patients )
( Scheme of Govt of Gujarat since 2006 : more than 5500 patients)
Govt pays to Gynaecologist Rs 1795 for any type of the delivery
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Bal Sakha Yojana - PPP (for BPL patients )
( Scheme of Govt of Gujarat since 2009 : more than 2000 babies )
Govt pays to Neonatologist Rs 1300 for any type of the Neonatal care
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Supportive Initiatives…..
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Ambulance Services ( 100 Rs for any distance,
any time ), 108 services
Blood Storage Centre : Blood transfusion
Services, Inj Anti D
( Free of cost - CY)
24 hours helpline service for mother and baby
SMS Service ( ANC : objective specific visit ,
Vaccination, ICTC )
ISO 9000:2008 certification, Staff training and
qualification
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Achievements……..
4000
3000
2000
1000
0
3200
2668
2234
1387
1720
1721
1868
Del
2003 2004 2005 2006 2007 2008 2009
Average 22.4% increament in institutional deliveris !
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Achievements
350
70
301
70
300
60
250
200
49
50
130
150
52
100
India
Gujarat
Alka Hospital
40
30
10
0
0
Maternal Mortality Rate
25
22
18
20
50
2009
30
Gujarat
Alka Hospital
Neonatal Mortality rate
www.unicef.org/infobycountry/india_33208.html
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
2006
2009
2010
Achievements at Alka Hospital
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No Maternal death in three years
( in more than 9600 consecutive deliveries )
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100 % Institutional Delivery for last three years
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82% first trimester registration
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Less than 20 neonatal deaths in 1000 live
births
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Future Plan to scale up….
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“ Ensure fetal and maternal health ”
by further improvising ANC
watch the “ fetus as a patient ”
To follow up the LBW and premature babies
more precisely and vigorously
To strengthen the postnatal services to
reduce the maternal morbidity
Ensuring the family planning services
“in time”
Dr Harshad Vaidya - Bangkok
Reconvening - 2010
Goal Defined……
See you again.... Thank you all !
Safe mother and Safe baby, In time at a Safe place,
In Safe hands !
Dr Harshad Vaidya - Bangkok
Reconvening - 2010