Mother & Child care

Executive Summary

iKure’s Mother and child healthcare interventions leveraging technology address the major causes of mortality among pregnant women and adolescents, delay in early child’s development and accessing& utilizing health care and services.

Gap in Mother and Child care in India

iKure’s need assessment survey in rural Karnataka, West Bengal &UP identified key challenges related to mother and child care:

  • Social taboo, myths and misconceptions, along with gender biases and economic constraints is a major setback affecting mothers and child health in the region.
  • Early marriages, unsafe child birth are prime causes of high infant and maternal deaths..
  • High level of illiteracy and unawareness towards nutrition, sanitation and hygiene was evident across the rural community.

Recognizing the gap, iKure worked out an operational model focusing on providing entire gamut of healthcare services leveraging technology for rural mother & children.

Our Approach
  • Increasing accessibility and affordability of care leveraging technology:
    Introducing WHIMS , iKure screens and monitors pregnant women & children, provide information on pregnancy, child birth, generate alerts in real-time on high risk pregnancy, anaemia, infant’s congenital heart diseases and early child development disorder. It also provides tertiary link to hospitals for timely escalation & consultation. This is facilitated by network of CHWs trained by iKure.
  • Dietary/nutrition counseling:
    iKure CHWs periodically visit mothers to monitor their nutrition in-take. Based on the health data captured on WHIMS portal, and inputs from nutritionists/dieticians, iKure’s CHWs counsel them on appropriate dietary habits, sanitation and hygiene.
  • Communication for behaviour change programme:
    iKure adopt CBC approach to drive the community towards improved care seeking behavior and good health practices. This is undertaken at different level, at patient-level, iKure medical team counsel pregnant women; wherein the community health workers carrying health posters share information about basic health measures that are easily practiced at home such as safe pregnancy, breastfeeding and dietary inputs etc. At family-level they engage mother-in-laws, husbands, as in most cases the decision makers are mother in law/ husband. Interaction at this level motivate their families to provide support to pregnant women.

At community-level, the communication strategy addresses social taboos & cultural myths through interactive meetings, discussions, street plays, bringing in senior doctors from District level to speak about the best practices in health & hygiene etc. Pamphlets, hoardings and street plays are also a part of the approach.

Our key offerings:

                     

Community Health worker’s Training:

Building trust with the village residents is the key determinate to motivate patients towards improved care seeking behavior. Thus, iKure’s CHWs are selected from the community who themselves become the driver for change. Through rigorous training, iKure CHWs are empowered to provide care in last mile communities.

                     

Mother and child healthcare Project in association with Deshpande Foundation

Executive Summary

With the aim to establish a sustainable mother and child healthcare model, iKure in association with Deshpande Foundation offers strategic intervention in Haveri, rural Karnataka and Varanasi, UP targeted at increasing accessibility and affordability of service delivery up to the last mile and reducing rate of IMR and MMR in the region.

Baseline Survey

To access the gap in the region, iKure medical team conducts baseline survey in the region. Rural Karnataka and Uttar Pradesh consists of large population of socially excluded communities that includes scheduled castes, scheduled tribes and other ‘backward castes’. Several indicators related to health, nutrition and education are amongst the worst in both the states. Cycle of poverty, illness and death occurring in the region is a part of early child marriage and chronic malnutrition among adolescent, young wives having babies early and many do not survive childbirth. Iron deficiency is prevalent affecting almost half the women of child-bearing age who are more likely to have complications during child birth. Based on the survey our approach consisted of the following parameters:

                     

Our service package

Newly mothers: The intervention focus on monitoring newly mothers for a period of 1 year. Here community health workers diagnose incidence of anaemia, nutritional needs, provide counselling on maternal practices, breast feeding and safe pregnancy etc.

    • Pregnant women: Tracking, Monitoring, & escalation for High risks pregnancies with periodic doctor consultation.
    • Infants(0 - 24 months): Detecting early child development disorder, monitoring, and referral to hospitals for timely doctor’s consultation.
    • Community: Awareness building &health camps
Project Outcomes
  • Improved clinical and non-clinical services that includes regular screening, and monitoring services to pregnant women and infants
  • Enabling collection of baseline survey which will help identifying the gap areas and enhance the outcome of the intervention manifolds.
  • Proving diagnostic support through health camps such as prenatal health check up, haemoglobin, Urine Protein, Sugar test within the community.
  • Improved awareness, support and care seeking behavior of pregnant women, family and community members at large.
  • Nutritional counselling through dieticians enabling healthy food habits leading to reduced malnutrition among children
  • This project aims to reduce rate of MMR and IMR in the long run.

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