{"id":731,"date":"2025-03-29T05:58:42","date_gmt":"2025-03-29T05:58:42","guid":{"rendered":"https:\/\/arth.in\/new-arth-website\/?page_id=731"},"modified":"2025-03-29T09:28:00","modified_gmt":"2025-03-29T09:28:00","slug":"sampark","status":"publish","type":"page","link":"https:\/\/www.arth.in\/index.php\/relief-activities\/sampark\/","title":{"rendered":"SAMPARK"},"content":{"rendered":"\t\t
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SAMPARK - To improve the referral system and emergency obstetric care services (2015-2018)\n<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Places of operation\/activity:<\/p>\n\n \n \n \n \n
District<\/th>\n Population covered<\/th>\n <\/tr>\n
Bharatpur<\/td>\n 25,48,462<\/td>\n <\/tr>\n
Chittorgarh<\/td>\n 15,44,338<\/td>\n <\/tr>\n
Sawai Madhopur<\/td>\n 13,35,551<\/td>\n <\/tr>\n<\/table>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Introduction:<\/b><\/p>

Maternal death is defined as \u201cThe death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. The top causes of maternal deaths are: postpartum bleeding, complications from unsafe abortion, hypertensive disorders of pregnancy, postpartum infections and obstructed labour. Most maternal deaths are avoidable, as the healthcare solutions to prevent or manage complications are well known. Improving access to antenatal care in pregnancy, skilled care during childbirth, and care and support in the weeks after childbirth will reduce maternal deaths significantly.<\/span><\/p>

Situation Analysis:<\/b><\/p>

Rajasthan is a state with a population of 6,85,48,437, 75% of which is rural (Census 2011), and had a high maternal mortality ratio of 255 per lakh live births (SRS 2010-12). Even though the health facilities had increased in number there was no consequent decrease in Maternal Mortality Ratio. The government system provides the bulk of maternal health services. Although the service infrastructure had improved in stages, the availability of maternal health services in rural areas remains poor because of low availability of human resources, especially midwives and clinical specialists, and their non-residence in rural areas. Various national programmes, such as the Family Planning, Child Survival and Safe Motherhood and Reproductive and Child Health, had attempted to improve maternal health; however, they had not made the desired impact either because of an earlier emphasis on ineffective strategies, slow implementation as reflected in the poor use of available resources, or lack of effective ground-level governance, as exemplified by the widespread practice of informally charging users for free services. The availability of safe abortion services is limited, resulting in a large number of informal abortion service providers and unsafe abortions, especially in rural areas. The Janani Suraksha Yojana provides an opportunity to improve maternal and neonatal health, provided the quality issues can be adequately addressed. After the implementation of Jannani Suraksha Yojna there was a 3 fold rise in institutional deliveries but MMR had not declined appreciably. The possible reason could be the poor referral system in the state. According to a review of maternal deaths in Rajasthan in 2012, 22% of maternal deaths occurred in vehicles while 65% in hospitals.<\/span><\/p>

Interventions<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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