Providing Quality Reproductive
Health in India
population of over 1 billion is still growing by 1.7%
per year. Despite improvements in lowering infant and
maternal mortality, every year 65 infants die per 1000
live births and some 440 women perish in childbirth
per 100,000 live births. Most of these preventable deaths
occur in rural villages where trained personnel and
supplies are not available. With the contraceptive prevalence
rate hovering below 50% for all methods, the government
recently abandoned contraceptive targets.
hallmark of India's new National Population Policy is
its emphasis on improving the quality of reproductive
health care by working more closely with community based
organizations and women's groups. Much remains to be
done. A recent National Family Health Survey found that
only 13% of women interviewed had received a home visit
from a health care worker during the 12 months preceding
project has three main objectives:
client's access to quality sexual and reproductive
health information and services.
the ability of service providers to respond more appropriately
to informed demand for better quality services.
the efficacy of interventions aimed at improving client
the national level two activities have been carried
Establishment of a working coalition of UN partner agencies
- UNFPA, ILO/STEP, UNICEF and WHO oversee and coordinate
2) Improving the quality of care status review study.
the local level a strategic assessment will:
existing gaps in quality of reproductive health care
from the perspective of both users and providers
community mobilization through local councils (Panchayats),
women's groups, or other community-based organizations.
baseline studies at project sites
stakeholder's meeting to help identify strategic interventions
women's groups to quality of care issues.
providers (both public and private) on quality of
a checklist to assess service quality
scope of health insurance to include coverage for