• Dr. Rehan Ahmed Qureshi
• Dr Neena Gupta
• Dr Lavkush Rathore
• AZRA KHAN

Background: comprehensive emergency obstetric and newborn care (CEmONC) is a tertiary level health care initiative promoted in states and in their districts to reduce maternal and newborn mortality. Many agencies have extended their support in, including CEmONC training to providers, mentoring and monitoring through supportive supervision, provision of equipment and supplies, strengthening referral linkages, and improving infection-prevention practice, as package of interventions in 29 health care centers, covering barwani rural districts of Madhya pradesh to ensure timely CEmONC care. In recent years, there has been a growing interest in measuring program implementation strength to evaluate public health gains. To assess the effectiveness of CEmONC Services initiative, this study measures its implementation strength and examines the effect of its variability across intervention health centers on the rate of facility deliveries and the met need for CEmONC services. Methods: Before and after data from 29 intervention health centers were collected from April 2013 to July 2015. A CEmONCservices implementation strength index was constructed from seven input and five process indicators measured through observation, record review, and provider interview; while facility delivery rate and the met need for expected obstetric complications were measured from service statistics and patient records. Results: The CEmONCservices implementation strength index score, which ranged between zero and 12, increased statistically significantly from 4.3 at baseline to 7.7 at follow-up (p <.06). Correspondingly, the health center delivery rate significantly increased from 28% to 56% (p < .05). For every unit increase in CEmONCservices implementation strength score there was a corresponding average of 4.5 percentage points (95% confidence interval: 2.7–6.9) increase in facility-based deliveries; while a higher score for CEmONCservices implementation strength of a health facility at follow-up was associated with a higher met need.

helth center, district,

"To study on cemonc services and its contribution towards reduction of maternal mortality in district barwani of madhyapradesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.6, Issue 6, page no.489-500, June 2019, Available :http://www.jetir.org/papers/JETIR1907956.pdf

"To study on cemonc services and its contribution towards reduction of maternal mortality in district barwani of madhyapradesh", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.6, Issue 6, page no. pp489-500, June 2019, Available at : http://www.jetir.org/papers/JETIR1907956.pdf