In order to analyze the impact of our program, we assess both quantitative data and qualitative factors. We collect data on: number of trained health activists, number of mothers registered, number of their prenatal visits, medicines supplied, immunization status and deaths due to pregnancy and delivery. Infant deaths are also recorded.
Independent Evaulation by International Institute for Health Management Research (IIHMR) Delhi (Evaluation Report by IHMR)
- ” There is a strong need to recognize Swasthya Sakhis in the health system for their crucial role in tracking women’s health status at a household level. Credit to their work through MIS at PHIC and CHC level in addition to ASHA and ANM is vital for the continued success of the project. “
- “In order to bring change at policy and programme level with improved resource allocation, it is utmost requirede that the voices of Swasthya Sakhis and women are heard by bureaucrats, far beyond their community.”
2012 DECEMBER IMPACT ANALYSIS
MATERNAL MORTALITY REDUCTION
Uttar Pradesh – Save A Mother layed the foundation of maternal mortality production programs, and develpoed a replicable successful model. Unicef and Malinda & Bill Gates Foundation has taken up the program and expanded to 15 districts.
Gadag, Karnataka – To replicate the success of Save A Mother program in U.P. we launched a new program in Gadag, Karantaka with the help of Deshpande foundation. Program started in May 2012 and covered 103 villages by the end of December. The program will expand to 150 villages by the end of 2013.
In order to analyze the impact of our program, we assess both quantitative data and qualitative factors. We collect data on: number of trained health activists, number of mothers registered, number of their prenatal visits, immunization status, maternal deaths and neonatal deaths.
IMPACT OF PROGRAM IN 103 VILLAGES AS OF DECEMBER 2012
- The health literacy program was started in May 2012. We trained one health activist (“Swasthya Sakhi”) per village, who further spreads health literacy awareness in their villages.
- We have trained 128 health activists in 103 villages.
- We educated over 900 pregnant women about maternal and child care and collected data on every pregnant woman in these villages and connected them to public health facilities.
- Though it’s early to tell the quantitative impact, the trend shows replication of results and decrease in maternal mortality seen in programs in U.P.
- We will continue to examine the impact of our program in 2013.
TUBERCLOSIS CONTROL PROGRAM
Uttar Pradesh – In keeping with our mission to develop healthcare solutions for the poor Save A Mother launched a T.B. control program. The Pilot Program started in April 2012 in 25 villages covering a population of approximately 77,000 people.
- We are replicating our success of full model of social persuation
- Our field staff and health activists hold meetings in the villages to educate people about the symptoms and signs of Tuberclosis and spread the awareness about the consequences of untreated Tuberclosis.
- People who have a cough for more than 2 weeks or have symptoms of weight loss, fever, night sweats, or loss of appetite are refered to public health T.B. control department for sputum tests.
- Those who show T.B. bacteria in the sputum are treated with DOTS program prescribed by WHO and RNTCP. (Revised National T.B. Control Program)
- We track every Tuberclosis patient and motivate repeatedly every person who has the symptoms of T.B.
- Before we launched the program in April 2012 their were only 19 known Tuberclosis patients receiving treatment in the project area. By the end of Decemeber 2012 Save A Mother campaign has detected 156 new patients who are undergoing treatment.
- Number of people who had symptoms: 3031
- Number of people who went for sputum test: 1921
- Number of people that had bacteria in the sputum: 156
- Number of people who did not got for sputum test: 1110 (Save A Mother is continually interacting with these people and motivating them to go for sputum tests as some of them could have Tuberclosis)
- The pilot program will end in March 2013. We plan to expand this program from 400 to 1000 villages depending on the availibility of resources.
FREE CLINICS AND HEALTH IT PROGRAM
Save A Mother is helping in management of 16 free clinics in Amethi, U.P. which are funded by Asia Heart Foundation. Save A Mother successfully finished a pilot program of computerizing these clinics in 2012. This successful program will expand in 2013.