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 Health  Vol.8 No.14 , November 2016
Community Based Survey Methodology for Maternal Healthcare Utilization: Gujarat, India
Abstract: Background: About 60% of institutional births occur in the private sector in Gujarat due to limited availability of obstetricians in the government. Chiranjeevi Yojana (CY), a voucher-like program initiated in 2007, accredits private obstetricians who are reimbursed by the state government to provide free delivery care to eligible women i.e. below poverty line and tribal. One million women have delivered under the CY program yet there are no large community based studies of the program. Methodology of a prospective community study is described here. Methods/Designs: A prospective cohort study was done in 142 villages across 3 districts in Gujarat between July, 2013 and November, 2014. A detailed survey was done by trained researchers to ascertain maternal healthcare information including antenatal, intra-partum and post-partum care, place of delivery, birth outcomes, out of pocket expenses etc. Results: 54,955 households were surveyed. 73% of all households had poverty documentation. 4274 mothers who delivered in the study period were included. Discussion: This paper is description of the methodology of a large community based survey and household and individual level characteristics. The survey was nested in a larger project to evaluate the CY program in the state of Gujarat.
Cite this paper: Vora, K. , Annerstedt, K. , Mavalankar, D. , Dholakia, N. , Yasobant, S. , Saiyed, S. , Upadhyay, A. and De Costa, A. (2016) Community Based Survey Methodology for Maternal Healthcare Utilization: Gujarat, India. Health, 8, 1542-1553. doi: 10.4236/health.2016.814152.
References

[1]   National Rural Health Mission (2005) National Rural Health Mission Document (2005-2012)-Mission Document. Indian Journal of Public Health, 49, 175-183.

[2]   Bhattacharyya, S., Srivastava, A., Avan, B.I. and Graham, W. (2012) Quality Care at Childbirth in the Context of Health Sector Reform Program in India: Contributing Factors, Challenges and Implementation Lesson. iMedPub Journals, 1, 1-8.

[3]   National Health Systems Resource Centre, New Delhi, India (2014) NRHM in the Eleventh Five Year Plan (2007-2012): Strengthening Public Health System.
http://nhsrcindia.org/NRHM%20Eleventh%20Five%20Year%20Plan.pdf

[4]   Planning Commission, Government of India (2013) Poverty Estimates for 2011-12.
http://planningcomission.nic.in/news/pre_pov2307.pdf

[5]   The Office of the Registrar General & Census Commissioner, India (2014) States and Union Territories of India.
https://en.wikipedia.org/wiki/States_and_union_territories_of_India

[6]   Planning Commission, Governement of India (2014) State-Wise: Population, GSDP, per Capita Income and Growth Rate.
http://pbplanning.gov.in/pdf/Statewise%20GSDP%20PCI%20and%20G.R.pdf

[7]   International Institute for Population Sciences (1999) District Level Household and Facility Survey (DLHS-1), 1998-99.
http://www.rchiips.org/pdf/rch1/National_Report_RCH-1.pdf

[8]   International Institute for Population Sciences (2008) District Level Household and Facility Survey (DLHS-3) Policy Brief.
http://www.rchiips.org/pdf/rch3/policy-brief.pdf

[9]   Averting Maternal Death & Disability Program (2003) Using the UN Process Indicators of Emergnecy Obstetric Services: Averting Maternal Death & Disability Program.
https://www.mailman.columbia.edu/sites/default/files/pdf/usingunindicatorsqa-en.pdf

[10]   The United Nations Population Fund (2014) Programme Manager’s Planning, Monitoring & Evaluation Toolkit. Tool Number 6: Programme Indicators. Part II: Indicators for Reducing Maternal Mortality.
http://www.unfpa.org/monitoring/toolkit/Tool6_2.doc

[11]   WHO, UNICEF & AMDD (2010) Monitoring Emergency Obstetric Care: A Handbook: World Health Organization.
http://whqlibdoc.who.int/publications/2009/9789241547734_eng.pdf

[12]   Mohanan, M., Bauhoff, S., La Forgia, G., Babiarz, K.S., Singh, K. and Miller. G. (2014) Effect of Chiranjeevi Yojana on Institutional Deliveries and Neonatal and Maternal Outcomes in Gujarat, India: A Difference-In-Differences Analysis. Bulletin of World Health Organization, 92, 187-194.
https://doi.org/10.2471/BLT.13.124644

[13]   Bhat, R., Mavalankar, D.V., Singh, P.V. and Singh. N. (2009) Maternal Healthcare Financing: Gujarat's Chiranjeevi Scheme and Its Beneficiaries. Journal of Health Population & Nutrition, 27, 249-258.
https://doi.org/10.3329/jhpn.v27i2.3367

[14]   Government of Gujarat, Health & Family Welfare Department (2006) Chiranjeevi Yojana: An Overview. 2006.
http://www.gujhealth.gov.in/chirnajivi-yojana-gujarat.htm

[15]   Mavalankar, D., Singh, A., Patel, S.R., Desai, A. and Singh, P.V. (2009) Saving Mothers and Newborns through an Innovative Partnership with Private Sector Obstetricians: Chiranjeevi Scheme of Gujarat, India. International Journal of Gynecology and Obstetrics, 107, 271-276.
https://doi.org/10.1016/j.ijgo.2009.09.008

[16]   Singh, A., Mavalankar, D.V., Bhat, R., Desai, A., Patel, S.R., Singh, P.V., et al. (2009) Providing Skilled Birth Attendants and Emergency Obstetric Care to the Poor through Partnership with Private Sector Obstetricians in Gujarat, India. Bulletin of the World Health Organization, 87, 960-964.
https://doi.org/10.2471/BLT.08.060228

[17]   Ng, M., Shanker-Raman, P., Mehta, R., De Costa, A. and Mavalankar, D.V. (2013) Initial Results on the Impact of Chiranjeevi Yojana: A Public-Private Partnership Programme for Maternal Health in Gujarat, India. The Lancet, 381, S98.
https://doi.org/10.1016/s0140-6736(13)61352-5

[18]   De Costa, A., Vora, K.S., Ryan, K., Raman, P.S., Santacatterina, M. and Mavalankar, D. (2014) The State-Led Large Scale Public Private Partnership ‘Chiranjeevi Program’ to Increase Access to Institutional Delivery among Poor Women in Gujarat, India: How Has It Done? What Can We Learn? PLoS ONE, 9, e95704.
https://doi.org/10.1371/journal.pone.0095704

[19]   Sidney, K., de Costa, A., Diwan, V., Mavalankar, D.V., Smith, H. and MATIND Study Team (2012) An Evaluation of Two Large Scale Demand Side Financing Programs for Maternal Health in India: The MATIND Study Protocol. BMC Public Health, 12, 1-11.
https://doi.org/10.1186/1471-2458-12-699

[20]   Government of Gujarat (2013) State Profile, Gujrat, India.
http://www.gujaratindia.com/

[21]   Census of India (2001) Size, Growth Rate and Distribution of Population. Provisional Population Totals.
http://censusindia.gov.in/

[22]   Harris, P.A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N. and Conde, J.G. (2009) Research Electronic Data Capture (REDCap)—A Metadata-Driven Methodology and Workflow Process for Providing Translational Research Informatics Support. Journal of Biomedical Informatics, 42, 377-381.
https://doi.org/10.1016/j.jbi.2008.08.010

[23]   Commissionerate of Rural Development, Gujarat State, India (2014).
http://www.ruraldev.gujarat.gov.in/

[24]   Mavalankar, D.V., Vora, K.S., Ramani, K.V., Raman, P., Sharma, B. and Upadhyaya, M. (2009) Maternal Health in Gujarat, India: A Case Study. Journal of Health, Population, and Nutrition, 27, 235-248.
https://doi.org/10.3329/jhpn.v27i2.3366

[25]   de Costa, A., Vora, K., Schneider, E. and Mavalankar, D. (2015) Gujarat’s Chiranjeevi Yojana—A Difficult Assessment in Retrospect. Bulletin of the World Health Organization, 93, 436A-436B.
https://doi.org/10.2471/BLT.14.137745

[26]   Ellison, G.T., de Wet, T., Matshidze, K.P. and Cooper, P. (2000) The Reliability and Validity of Self-Reported Reproductive History and Obstetric Morbidity amongst Birth to Ten Mothers in Soweto. Curationis, 23, 76-80.
https://doi.org/10.4102/curationis.v23i4.753

[27]   Sloan, N.L., Amoaful, E., Arthur, P., Winikoff, B. and Adjei, S. (2001) Validity of Women’s Self-Reported Obstetric Complications in Rural Ghana. Journal of Health Population & Nutrition, 19, 45-51.

 
 
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