A Skilled Birth Attendant (SBA) is defined by GOI (2010) as “accredited health professional such as midwife/doctor or nurse who has been educated and trained to achieve proficiency in the skills to manage normal (un-complicated) pregnancies, child birth and the immediate postnatal period and in the identification, management and referral of complications in women and new born to a FRU/appropriate facility without delay”.
GoUP Vision 2023- With the GoUP committed to reducing MMR and NMR in the state and achieving the SDG targets, there was an intent to train all government health providers conducting deliveries from sub-center to DWH level in SBA by the end of 2023.
UP TSU provided technical support to GoUP and proposed the scale up of “Cluster based” SBA training model across UP to achieve this goal in which trainees in batches of multiples of 4 (8,12 or 16) are brought centrally to the DWH for 5 days theoretical training following which they are sent in batches of 4 to CHC training sites within the district for 16 days practical training. The training content was reviewed and revised. The district level trainings were rolled out in November 2022 following a detailed microplanning from State.
1217 master trainers (doctors and nurses) were then trained on the revised training content from the 75 districts across UP in the 4 state skill labs in 2022 to take the training forward in the districts. UP now has 265 SBA training sites (district hospital and CHCs) with set of at least 4 master trainers at each site.
A total of 2966 nurses and ANMs and 45 AYUSH LMOs have been SBA trained in UP in 745 batches from November 2022-March 2023.
This edition focuses on the support provided by UP TSU to the Government of Uttar Pradesh in developing guidelines to provide beneficiary centric antenatal care through the community platform and its quality certification and the systemic effort to converge the services by ASHA-AWW area alignment in each of the revenue villages. UP TSU is committed to providing state-wide roll-out support.
ASHAs act as an interface between the community and the public health system in creating awareness on health and its social determinants within the community, and mobilizing the community towards local health planning and increased utilization of health services. This brief highlights importance of building capacities of ASHAs through the cluster meeting platform.
The Government of Uttar Pradesh has rolled out a comprehensive digital health application called e-Kavach with the support of UP TSU. The app allows for longitudinal tracking of patient information – family planning, ANC, PNC, child health, & non-communicable diseases. It is intended for FLWs and facility-based users, with data available to all health officials for monitoring, identifying gaps, and developing implementation strategies. The report talks in-depth about the roll-out, challenges, and learnings from the pilot implemented in Uttar Pradesh.