| Title | Maternal and child health services in India with special focus on perinatal services. | | Author(s) | Singh M, Paul VK | | Institution | Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. | | Source | J Perinatol 1997 Jan-Feb; 17(1):65-9. | | MeSH | Adolescent
Adult
Child Health Services
Community Networks
Cooperative Behavior
Female
Health Care Rationing
Health Care Reform
Health Promotion
Humans
India
Infant Mortality
Infant, Newborn
Maternal Health Services
Perinatal Care
Policy Making
Pregnancy
| | Abstract | India has an excellent infrastructural layout for the delivery of MCH services in the community through a network of subcenters, primary health centers, community health centers, district hospitals, state medical college hospitals, and other hospitals in the public and private sectors. However, the health pyramid does not function effectively because of limited resources, communication delays, a lack of commitment on the part of health professionals, and, above all, a lack of managerial skills, supervision, and political will. The allocation of financial resources for the delivery of health care continues to be meager. Nevertheless, in spite of obvious constraints, the country has made laudable progress in reducing post-neonatal mortality in recent years. Indeed, the focus has shifted to the young infants and the perinates. Under the CSSM program, a massive expansion of MCH services has occurred at the sub-district and the district levels. The RCH program, to be launched shortly, aims at effective utilization of these facilities to ensure delivery of integrated services of assured quality through decentralized planning. Simultaneously, as a result of the ongoing economic liberalization, the MCH care in the private sector will also expand rapidly. Indeed, India is on the threshold of an extraordinary improvement in the status of its neonatal-perinatal health. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 9069069 |
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