2010 December Impact Analysis

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.

IMPACT OF PROGRAM IN 854 VILLAGES AS OF DEC 2010

METHOD:

• The health literacy program was started in 2008. We trained one health activist (“Swasthya Sakhi”) per village, who further spread health literacy awareness in their villages.
• We communicated with and collected data on every pregnant woman in these villages and connected them to public health facilities.
• We compared the first set of 1,550 pregnancies and deliveries with the next set of 1,532 pregnancies in same 256 villages in 22 blocks.
• We will continue to examine the impact of our program in sets of sequential 1,500 pregnancies.

 

RESULTS:

• We have achieved significant maternal and infant mortality reduction.We have seen significant improvement in personal hygiene habits.
• We have seen no improvement in adoption of family planning methods.

CONCLUSION:

• Health Literacy has a significant effect in reducing maternal and infant mortality.
• Health literacy improves habits of personal hygiene.
• In our model we had no effect on acceptance of family planning: we are working to improve this.

Events	From May to Nov 09 Baseline before training	Nov 09 to Dec 2010 Data after training	Reduction
Number Pregnancies	1550	4327
Maternal  Deaths	10	2	93%
Infant  Deaths	63	60	66%

Activity till Dec 2010

Number of Training Sessions	994
Number of Health Activists Trained	1302
Number of Villages Covered	854

Collateral Benefits

Number of Families adopted clean habits (hand washing)	78078
Number adopted family planning (Vasectomy or Tubectomy)	1287

Qualitative Impact

• Awareness of health-care and health issues has risen within each community
• Community members have internalized the best practices on health-care
• Health-seeking behavior within the community has improved.
• There is higher awareness, among women, of Government-sponsored plans such as the Janani Suraksha Yojana run under the National Rural Health Mission (NRHM)
• Increased synergy with community and health functionaries: Self-Help Group meetings have emerged as platforms at which communication on health issues and information on health-care can be disseminated by government or village functionaries
• Increased community support to Auxiliary Midwives and Anganwadi workers in disease surveillance and referrals
• The convergence approach has brought a sense of responsibility among government functionaries and provided them an opportunity to work more effectively
• Improved recording of health statistics.
• Increased participatory involvement.

Deaths were due to:

• Delay in registration with public health.
• Poor antenatal care.
• Delay in reaching the hospital.
• Delivery at home.

How does this information help the program?

• Health activists use the adverse outcomes to illustrate to the community the disastrous effects of the mistakes.
• The data will form the base line to assess the impact our program has. To see this impact, we will compare this data to new data after next 1,500 live births

Data to December 2010:

	Name of block	Number of pregnant women	Number of deliveries							number of training events	Number of families started healthy habits	No adopted family planning
			Total	M	F	ID	MD	I	NI
1	Amthi	175	106	51	55			98	8	11	561	19
2	Shahgarh	223	189	91	98			189		19	1098	21
3	Musafir khana	180	136	79	57			136		13	648	27
4	Gauri ganj	193	136	66	70			136		12	498	18
5	Sangram pur	163	124	53	71			124		12	464	23
6	Bhadar	187	142	67	75			140	2	11	478	19
7	Baldirai	254	176	101	75	3		174	2	18	669	19
8	Bhetua	242	121	58	63			121		18	598	24
9	Bhadiya	201	123	61	62			123		17	589	21
10	Jamo	224	173	84	89			170	3	19	598	19
11	Shukl bajar	122	98	43	55	2		96	2	18	488	11
12	Jagdish pur	182	133	66	67			128	5	10	589	24
13	Dubeypur	203	149	82	67			139	10	16	568	16
14	Kurwar	267	192	97	95			190	2	8	592	24
15	Dhanpatg	187	87	41	46			81	6	9	498	17
16	Deeh	129	55	28	27	3		47	8	10	500	6
17	Bahadur pur	127	56	28	28	3		49	7	12	560	2
18	Salon	57	37	15	22	2		26	11	5	286	2
19	Jagatpur	113	55	21	34	1		41	14	11	522	9
20	Singhpur	49	21	10	11	2		18	3	2	110	1
21	Rahi	183	70	33	37	4		60	10	14	570	3
22	Gaura	110	46	27	19	3		44	2	16	505	4
23	Amava	151	58	28	30	1		55	3	6	655	3
24	Chatoh	71	50	24	26	4		39	11	7	210	1
25	Unchahar	85	40	19	21	2	1	37	3	6	435	3
26	Rohaniya	28	10	6	4			7	3	2
27	Dalmau	42	24	12	12	6		19	5	4	335	1
28	Lalganj	110	55	23	32	3		50	5	8	480	4
29	Harchandpur	50	18	10	8	1		15	3	4	230
30	Bachrava	54	30	14	16	1		23	7	8	390	1
31	Sareni	83	62	30	32	2		50	12	9	410	5
32	Mahraj ganj	30	11	5	6			8	3	1
33	Satav	28	11	6	5	2		9	2	2
34	Lambua	17	1	1					1	6		1
	Total	4520	2795	1380	1415	45	1	2642	153	344	15134	348

 

Abbreviation used

M: Male;              F: Female             ID: Infant death      MD: Maternal death

I: Institution (hospitals)          NI: Non institutional (house)