Effectiveness of auxiliary nurse midwife in delivering XXXX service.

@entity1 @entity1501 @entity417 @entity33197 @entity27127 @entity116
In analysis of the integrated program of the Maternal @entity1 Health Program the need for protection against disease and pre and post-natal care were highlighted. The data analysed came from the district of Sultanpar in Uttar Pradesh, India. The reference period was from 1st April 1976 to 15th January 1978. The Auxiliary Nurse Midwife is expected to provide services for about 5 villages, with the help of trained dais (midwives). In order to assess program effectiveness data was collected from cards kept on mothers and @entity1 by the @entity33197 . It was found that 70% of births were not registered by the @entity33197 and so did not receive @entity27127 services; the majority of deliveries were still conducted by untrained dais, not the @entity33197 . Though the ante-natal immunization for @entity116 and @entity1501 tablets against @entity417 are a very important aspect of maternal- @entity1 services the majority of @entity1 were not so protected. Very few @entity1 received Diptheria, Polio, @entity116 immunization. This may be due to the reluctance on the part of the parents to immunize their @entity1 in the 1st year of life. It is also stated that the stress on acceptance of family planning may be to the detriment of the @entity27127 programs. It is suggested that the trained dai work closely with the @entity33197 . The medical training officer of the primary health center should work out the most effective approach for such cooperation. Strict and careful supervision would also be effective. The @entity116 toxoid immunization should be streamlined for maximum coverage. Awareness of the necessity of immunization should be created through media and publicity programs.
