1. Financial Alternative Gujarat Experience in improving Maternal and Child Health Care Dr Harshad Vaidya ( M D ) Medical director, Alka Hospital and Sonography Clinic, At: Kheralu, Dt. Mahesana, Gujarat. India Pin: 384325 Email : harshad9669@gmail.com, harshad9779@yahoo.comharshad9669@gmail.comharshad9779@yahoo.com Website: www.motherbabycare.orgwww.motherbabycare.org Cell: +91 94263 66660

2. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Journey towards safe motherhood ( 1994-2010) CHALLENGES.. Poor socioeconomic conditions Female’s health-least priority Delivery - still not a medical emergency! Quack’s and untrained dais hold at the village level-home delivery ! Always scared of the medical bills ! Transportation, Blood Transfusion, Anaesthetist’s service

3. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Journey towards safe FP-MNCH care ( 1994-2010) Module to Improve MCH care.. Regular ANC to identify and treat high risk factor at the earliest, to bring all high risk group patients into low risk group To increase institutional delivery: “Safe Time Margin” to ensure and assure the complete ANC,INC, PNC and neonatal Care in small, affordable, fixed budget Offer family planning services to target couple

4. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Financial Alternatives Sampurna Suraksha Card (for all patients ) ( Scheme of Alka Hospital since 2004 : more than 5000 patients ) ANC, USG, Indoor, Any type of delivery, caesarian section, FP surgery.. Everything included in just Rs 1500 ( 30 USD ! ) Chiranjivi Yojana - PPP (for BPL patients ) ( Scheme of Govt of Gujarat since 2006 : more than 5500 patients) Govt pays to Gynaecologist Rs 1795 for any type of the delivery Bal Sakha Yojana - PPP (for BPL patients ) ( Scheme of Govt of Gujarat since 2009 : more than 2000 babies ) Govt pays to Neonatologist Rs 1300 for any type of the Neonatal care

5. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Supportive Initiatives….. Ambulance Services ( 100 Rs for any distance, any time ), 108 services Blood Storage Centre : Blood transfusion Services, Inj Anti D ( Free of cost - CY) 24 hours helpline service for mother and baby SMS Service ( ANC : objective specific visit, Vaccination, ICTC ) ISO 9000:2008 certification, Staff training and qualification

6. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Achievements…….. 1387 1720 1721 1868 2234 2668 3200 Average 22.4% increament in institutional deliveris !

7. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Achievements 301 130 52 www.unicef.org/infobycountry/india_33208.html Maternal Mortality Rate Neonatal Mortality rate 70 49 30 25 22 18

8. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Achievements at Alka Hospital No Maternal death in three years ( in more than 9600 consecutive deliveries ) 100 % Institutional Delivery for last three years 82% first trimester registration Less than 20 neonatal deaths in 1000 live births

9. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Future Plan to scale up…. “ Ensure fetal and maternal health ” by further improvising ANC watch the “ fetus as a patient ” To follow up the LBW and premature babies more precisely and vigorously To strengthen the postnatal services to reduce the maternal morbidity Ensuring the family planning services “in time”

10. Dr Harshad Vaidya - Bangkok Reconvening - 2010 Goal Defined…… See you again.... Thank you all ! Safe mother and Safe baby, In time at a Safe place, In Safe hands !