Professor, Community Medicine, MGM Medical College, Kamothe, Navi Mumbai, Maharashtra, India.
Indian J Public Health. 2014 Jan-Mar;58(1):65-8. doi: 10.4103/0019-557X.128173.
This study compares the implementation of community-based monitoring (CBM) in 45 primary health centers (PHCs) in the pilot phase in Maharashtra with the equal number of randomly selected PHCs not implementing CBM (non-CBM) from the same districts. Information was collected by teams from Community Medicine Departments by visiting selected PHCs. Establishment of monitoring committees and training of medical officers (MOs) had been completed as required but only 36.36% MOs were trained. Only 43.18% MOs received the facility report card. Most of the MOs (90.90%) attended Jansunwai and opined that it had increased community awareness and the barriers between the people and PHC staff were broken. There was no difference in fund utilization and meetings of Rugna Kalyan Samittees. Percentage of Institutional deliveries and women receiving Janani Suraksha Yojana benefits among home deliveries was more in the non-CBM group of PHCs.
本研究比较了马哈拉施特拉邦试点阶段 45 家初级保健中心（PHC）实施基于社区的监测（CBM）的情况，以及来自同一地区的同等数量的随机选择的未实施 CBM（非 CBM）的 PHC。社区医学部门的团队通过访问选定的 PHC 收集信息。已经按照要求成立了监测委员会并培训了医务人员（MOs），但只有 36.36%的 MOs 接受了培训。只有 43.18%的 MOs 收到了设施报告卡。大多数 MOs（90.90%）参加了 Jansunwai，并认为这提高了社区意识，打破了民众与 PHC 工作人员之间的障碍。资金利用和 Rugna Kalyan Samittees 会议没有差异。非 CBM 组的 PHC 中，机构分娩率和在家分娩的妇女获得 Janani Suraksha Yojana 福利的比例更高。
