Maternal Mortality Ratio (MMR) in Gujarat has declined from 172 per one lakh live births in 2001-3 to 91 in 2014-16. Special efforts are needed in implementing Comprehensive Emergency Obstetric Neonatal Care services to bring about a significant decline in maternal and child mortality. Many pregnant women and neonates die due to repeated referral or due to non-availability of specialists or health services.
Generally, CEmONC services are provided at First Referral Unit level and above. A functional FRU impacts availability of qualitative maternal and neonatal health affecting the overall mortality and morbidity.
Since the state has a population of 6.5 crore (Census 2011), about 129 First Referral Units (FRU) are ideally needed in Gujarat. As such, the state has opted for restructuring existing FRUs in a phased manner.
Time line of Implementation
103 FRUs were identified in the first phase in. Google Map was also used to identify functional FRUs within 50-km distance from each delivery point to ensure adequate coverage. for which the number of CEmONC facilities has gradually increased to 132 FRUs in 2017-18.
The innovative methodology
These continuous measures have resulted in making available C-Section facilities in 83% (115) of designated FRUs. 388 maternal and 7416 infant death per year have been averted by providing CEmONC service.
Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019
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