Journal of Emergencies, Trauma, and Shock
Home About us Editors Ahead of Print Current Issue Archives Search Instructions Subscribe Advertise Login 
Users online:1406   Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size   


 
 Table of Contents    
LETTER TO EDITOR  
Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 68-69
Availability of Swasthya Vahan Sewa (102 services) and constraints in its utilization in a rural block of Haryana, India


Department of Community Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India

Click here for correspondence address and email

Date of Web Publication30-Jan-2015
 

How to cite this article:
Panda M, Kumar N, Vashisht BM, Malik JS, Khanna P. Availability of Swasthya Vahan Sewa (102 services) and constraints in its utilization in a rural block of Haryana, India. J Emerg Trauma Shock 2015;8:68-9

How to cite this URL:
Panda M, Kumar N, Vashisht BM, Malik JS, Khanna P. Availability of Swasthya Vahan Sewa (102 services) and constraints in its utilization in a rural block of Haryana, India. J Emerg Trauma Shock [serial online] 2015 [cited 2020 Mar 28];8:68-9. Available from: http://www.onlinejets.org/text.asp?2015/8/1/68/150403


Sir,

The lack of proper transport facility severely affects the access to emergency services. The Government of Haryana thus launched a service branded as "Haryana Swasthya Vahan Sewa No.102" on 14 November 2009, with the main objective of providing assured referral transport for pregnant women in labor or newborns, as well as attending to other emergencies.

We carried out a cross-sectional study to look out for the availment of Swasthya Vahan Sewa (102 services) and constraints in its utilization in a rural block of Haryana, India from January to April 2013. The Primary health centre (PHC) Chiri (five sub-centers and five villages) was chosen for the purpose with population of 24,567 as on March 2013. A list of all the Janani surakshya yojana (JSY) beneficiaries who had children between 0-6 months was obtained from the Auxiliary Nurse Midwifery (ANM). A total of 120 subjects were interviewed. A set of pre-tested semi-structured questionnaire was given to the respective beneficiary after visiting her house. The pie chart in [Figure 1]a shows knowledge about the Swasthya Vahan Seva among the study subjects and the [Figure 1]b shows the level of knowledge as well as the use of the 102 services by the beneficiaries. [Table 1] shows the association of the socio-demographic factors with knowledge and avail of the ambulance services.
Figure 1: (a) Knowledge about the Swasthya Vahan Seva among the study subjects. (b) Knowledge as well as use of the 102 services among the beneficiaries

Click here to view
Table 1: Association of knowledge and utilization of 102 services with the socio-demographic details of beneficiaries

Click here to view


Reduction of maternal mortality rate (MMR) needs easy accessibility to emergency obstetric care (EmOC) facilities for all women having obstetric complications which require a well-functioning referral transport system. [1] Study by Mavalankar et al.,[2] found out that improvement in referral services led to an increase in institutional deliveries from 36% to 55%. National Rural health Mission (NRHM) since its inception in 2005 has taken fast striding steps in building up the infrastructure for good referral services. Reasons of non-utilization of referral services were found to be maximum because subjects said they did not know about it (40%) followed by long time taken for response (25%). Poor knowledge about the processes to avail it and poor quality of services provided ranked next each contributing 12% approximately. Bhat et al.,[3] also observed that poor quality and long time for response accounted for most of the reasons why people did not avail the government services. Private partnership needs to be more emphasized more ardently and supervision and accountability needs to be strictly increased.

Education status was, however, significantly associated with both the factors. Similar association was shown by Mavalankar et al., in his study in Gujrat. [2] Larger families had better knowledge and utilization of the referral services. A family earning more and where beneficiary was a working mother, the level of use and knowledge was also more. [4] Poor people or people below poverty line hardly get time to think anything other than their survival and so prefer doing deliveries at home since they feel that is the easiest way out. So health functionaries should target these groups specifically so that they are most benefitted out of the government services provided to them free of cost.

 
   References Top

1.
Navaneetham K, Dharmalingam A. Utilisation of maternal health care services in southern India. Soc Sci Med 2002;55:1849-69.   Back to cited text no. 1
    
2.
Mavalanker DV, Vora K, Ramani KV, Raman P, Sharma B, Upadhyaya M. Maternal Health in Gujrat, India: A case Study. J Health Popul Nutr 2009;27:235-48.  Back to cited text no. 2
    
3.
Bhat R, Mavalankar DV, Singh PV, Singh N. Maternal health care financing: Gujarat′s Chiranjeevi Scheme and its beneficiaries. J Health Popul Nutr 2009;27:249-58.   Back to cited text no. 3
    
4.
Prakasamma M. Maternal mortality-reduction programme in Andhra Pradesh. J Health Popul Nutr 2009;27:220-34.  Back to cited text no. 4
    

Top
Correspondence Address:
Meely Panda
Department of Community Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.150403

Rights and Permissions


    Figures

  [Figure 1]
 
 
    Tables

  [Table 1]



 

Top
  
 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  


    References
    Article Figures
    Article Tables

 Article Access Statistics
    Viewed1456    
    Printed38    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal