Maternal Health Review Karnataka during Covid-19 quarter-2

All health services are essential and need to be functional across the country. 

SDG target of MMR is 70 per 1 lakh population by the year 2030.

ANC registration during the year 2019-20 Q2 is 568310 and during 2020 -21 Q2 it is 516133. There is decrease in the 5.55% of total ANC registration during the year 2020-21. In normal scenario along with the increased knowledge of the RCH portal among the Jr HA F and M the ANC registration must have increased. Due to the pandemic the ANC registration decreased in the state as all the health staff were deputed to the core Covid functionalities. Though MCH services not neglected but took a back step during the period.

1st Trimester ANC registration during the year 2019-20 Q2 is 79.2% and during 2020 -21 Q2 it is 79.8%. There is decrease in the 0.6% of total 1st Trimester ANC registration during the year 2020-21. 

% of Pregnant women received 4 or more ANC checkups during the year 2019-20 Q2 is 98.5% and during 2020 -21 Q2 it is 88.9%. There is decrease in the 9.6% of Pregnant women received 4 or more ANC checkups during the year 2020-21. 

No of institutional deliveries during the year 2019-20 Q2 is 456198 and during 2020 -21 Q2 it is 412972. There is decrease in the 9.5% of  of institutional deliveries during the year 2020-21. During the peak of the Covid-19 during the 2nd quarter  majority of the private hospitals were closed. Government hospitals provided the delivery services. There might be chances that some of the deliveries which have taken place in the home and other facilities have not been reported in the software.

% of institutional deliveries to TRD during the year 2019-20 Q2 is 99.5% and during 2020 -21 Q2 it is 99.8%. There is decrease in the 0.1% of   institutional deliveries to TRD  during the year 2020-21. 

% of C section deliveries performed  during the year 2019-20 Q2 is 31.3% and during 2020 -21 Q2 it is 33.5%. There is increase in the 2.2%of C section deliveries  during the year 2020-21. The number of C-sections performed increased which is cause of worry.

Maternal Death Surveillance 

SRS Data  during 2015-17   India is  122 and Karnataka state is 97 and during 2016-18 India is 113 and Karnataka state is 92.  

                                                                                                q1                               q1 

                                                                                             2019-20                      2020-21 

Total number of estimated maternal deaths                            278                                 250.

Total number of deaths reported in                                         203                                 220

% of maternal deaths reported                                                18.3                                22.0

Total number of maternal deaths reviewed by the CMHo       49                                   7

Total number of maternal deaths reviewed by the DM            43                                   7

From the  above date it is observed that there is increase in the number of maternal during the same quarter from the previous year. The number of maternal deaths reviewed by the CMHO and the DMs are 100%. District Magistrate and CMHOs must compulsorily review the maternal deaths to assess the reason for the death and discuss the future plans to control the deaths due to similar causes.

FRU

There are total number of 173 FRUs in the state  and out of these 128 FRUs fulfill the FRU conditionalities. 

Laqshya - Labour room and quality improvement initiative

There are total of 124 facilities are identified under the laqshya. 

Certification as on October -2020

                                                                            Labour Room    Operation Theater

State                                                                        33                                33

National                                                                   13                               15 

Achievement in financial year 2020                        0                                0        


The current guidance is based on available evidence & situation of COVID in India as on date and are aligned to overall COVID 19 guidelines.

Follow all guidelines and protocols as updated on  https://www.mohfw.gov.in/

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