Maternal Healthcare Providers in Uttar Pradesh, India: How to Position Informal Practitioners within the System?

  • Chesta Sharma School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
  • Kanchan Mukherjee School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
Keywords: Health Human Resources, India, Informal Providers, Maternal Healthcare

Abstract

Objective: To understand the knowledge and services of informal providers and to explore their role in addressing the human resource gap in Uttar Pradesh, India, within the context of maternal health.Materials and methods: The study is exploratory in nature, conducted in four blocks of four districts of Uttar Pradesh state, India. Semi-structured interviews were conducted with 114 informal providers.Results: More than one-third (38%) providers have some formal education and unrecognized degrees. Approximately three-fourths (74%) of them have more than 5 years of work experience. They also provide delivery and in-patient services and have basic equipment available. However, they lack essential knowledge about maternal health. They have mixed opinion about their contribution towards maternal health but the only ones available. Therefore, despite lacking requisite knowledge, training and services, they become indispensable due to lack of emergency and timely public health services, and being the only ones existing in the community.Conclusion: Informal sector practitioners are a critical link in reaching out to population for health services in developing countries. As opposed to the general notion, they possess years of formal education, experience, informal trainings along with trust of communities. Thus, it becomes important to accept their presence and manage them to the best of their abilities even for specialized care like maternal health.

References

Yadav K, Jarhyan P, Gupta V, Pandav CS. Revitalizing rural health care delivery: can rural health practitioners be the answer? Indian J Community Med 2009; 34: 3-5.

World Health Organization. Working together for health: the world health report 2006. Geneva: WHO; 2006.

Sathpathy S, Venkatesh S. Human resources for health in India’s national rural health mission: dimensions and hallenges. Regional Health Forum 2006; 10: 29-37.

Gidwani GC. The effect of franchising rural private practitioners in India on quality of care – a sustainable approach? Available from: http://www.expertsmind.com/library/effect-of- franchising-rural-private-practitioners-54716.aspx.

George A, Iyer A. Unfree markets: socially embedded informal health providers in northern Karnataka, India. Soc Sci ed 2013; 96: 297-304.

Bloom G, Standing H, Lucas H, Bhuiya A, Oladepo O, Peters DH. Making health markets work better for poor people: he case of informal providers. Health Policy Plan 2011; 26: i45-52

Census of India. Provisional population totals paper 1: 2011. Available from: www.censusindia.gov.in/2011- prov-results/census2011_paper1_states.html

Sample Registration System. Special bulletin on maternal mortality in India 2007-09. New Delhi: Vital Statistics Division, Office of Registrar General of India, 2011.

International Institute of Population Sciences (IIPS) and Macro International. National family health survey 2005-06: India: Volume I. Mumbai: IIPS; 2007.

What is known about informal private healthcare providers across the world? Center for Health Market Innovations; 2013. Available from: http://healthmarketinnovations.org/blog/what-known- about-informal-private-healthcare-providers-across- world

UNICEF. Maternal and perinatal death inquiry and response. Available from: http://www.unicef.org/india/MAPEDIR Maternal_and_Perinatal_Death_Inquiry_and_Response -India.pdf

Gautham M, Shyamprasad KM. The ‘Basic’ doctor for rural India: a failed promise. EPW 2010; XLV: 25-9.

Olson DJ. Quacks, traditional healers and village doctors: informal providers emerge as force in health care. Impact: Global Health News and Commentary;

Available from: http://blog.psiimpact.com/2013/04/quacks-traditional- healers-and-village-doctors-informal-providers-emerge- as-force-in-health-care/

WHO, UNICEF, UNFPA and World Bank. Trends in maternal mortality: 1990 to 2008. Geneva: WHO; 2010.

How to Cite
1.
Sharma C, Mukherjee K. Maternal Healthcare Providers in Uttar Pradesh, India: How to Position Informal Practitioners within the System?. J Fam Reprod Health. 8(4):183-188.
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Original Articles