Nirihyana – District Administration Ganjam
Nirihyana
Problem
- Addressed delays in detecting high-risk pregnancies.
- Financial and logistical barriers to essential maternal healthcare services.
- Introduced systematic screenings to identify complications early.
- Bridged disparities in healthcare delivery by integrating technology and streamlining processes.
- Low uptake of USG tests and missed high-risk pregnancies contributed to poor maternal and neonatal health outcomes.
Solution
- Enhanced awareness and participation among pregnant women and their families.
- Addressing diagnostic gaps was critical to ensuring timely identification and management of high-risk pregnancies.
- Engaged private USG centers through PPP, ensured free USG tests and trained ASHAs for mobilization.
- Identified beneficiaries via ANC registers, issued coupons for free USG tests and ensured ASHA escorts.
- Strengthened follow-up by ASHAs and ANMs for HRP cases, ensuring timely referral and linkage with institutional delivery facilities.
Challenges
- Initially, only 8 government and 2 private USG centers, leading to accessibility constraints, especially in remote and rural areas.
- Lack of a seamless IT system for tracking referrals, creating inefficiencies and delays in follow- up care for pregnant women.
- Low awareness among communities about the importance of early USG tests, leading to low uptake.
- Shortage of trained staff and resources in government facilities, impacting the quality and timeliness of USG services.
Innovation
- The Nirikhyana is a holistic and multifaceted approach to addressing gaps in the maternal healthcare system.
- By integrating technology, expanding access through PPPs, offering flexible scheduling.
- Providing essential support services, the program effectively tackles the barriers to quality maternal healthcare.
- The inclusion of USG tests in the first trimester is an innovative practice providing critical early insights.
- Nirikhyanas best practices in data integration, proactive healthcare, public-private collaboration and flexible testing.
Outcomes
- The percentage of pregnant women undergoing USG tests rose to nearly 100% in 2023-24.
- High-risk pregnancy detection rate increased from 6% to 24.7%, enabling timely interventions.
- Institutional births increased from 97% to 98.6%, reflecting improved access to safe delivery services.
- Preterm birth rate decreased from 7.2% to 4.7%.
- Access to USG services improved significantly in rural and remote areas.
SKOCH Award Nominee
Category: State Government – Health & Family Welfare
Sub-Category: secState Government – Health & Family Welfare
Project: Nirihyana
Start Date: 7-20-2022
Organisation: District Administration Ganjam
Respondent: Dibya Jyoti Parida
https://nirikhyanainitiative.in/nirikhyana
Level: Excellence
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Case Study
Nirihyana
Introduction:
The Nirikhyan Programme is a pioneering initiative by Ganjam District that revolutionizes maternal healthcare by providing free ultrasound tests to pregnant women. This innovative Programme addresses the critical need for early detection and management of high-risk pregnancies, ensuring timely interventions and reducing maternal and neonatal mortality rates.
Problem:
Addressed delays in detecting high-risk pregnancies and financial and logistical barriers to essential maternal healthcare services. Introduced systematic screenings to identify complications early. Bridged disparities in healthcare delivery by integrating technology and streamlining processes. Low uptake of USG tests and missed high-risk pregnancies contributed to poor maternal and neonatal health outcomes.
Solution:
Enhanced awareness and participation among pregnant women and their families. Addressing diagnostic gaps was critical to ensuring timely identification and management of high-risk pregnancies. Engaged private USG centers through PPP, ensured free USG tests and trained ASHAs for mobilization. Identified beneficiaries via ANC registers, issued coupons for free USG tests and ensured ASHA escorts.
Challenges:
Initially, only 8 government and 2 private USG centers, leading to accessibility constraints, especially in remote and rural areas. Lack of a seamless IT system for tracking referrals, creating inefficiencies and delays in follow- up care for pregnant women and low awareness among communities about the importance of early USG tests, leading to low uptake. Shortage of trained staff and resources in government facilities, impacting the quality and timeliness of USG services.
Innovation:
The Nirikhyana is a holistic and multifaceted approach to addressing gaps in the maternal healthcare system. By integrating technology, expanding access through PPPs, offering flexible scheduling and providing essential support services, the program effectively tackles the barriers to quality maternal healthcare. The inclusion of USG tests in the first trimester is an innovative practice providing critical early insights.
Outcomes:
The percentage of pregnant women undergoing USG tests rose to nearly 100% in 2023-24. High-risk pregnancy detection rate increased from 6% to 24.7%, enabling timely interventions. Institutional births increased from 97% to 98.6%, reflecting improved access to safe delivery services.
Opportunities:
Nirikhyanas implementation has identified several best practices that can be replicated in other projects or areas. The seamless data integration across healthcare levels stands out as a model for effective information flow.
Summary:
The Nirikhyan Programme is a testament to Ganjam District’s commitment to inclusive healthcare and serves as a replicable model for achieving safe motherhood across the nation. Its success exemplifies innovation in public health delivery and reinforces the potential for impactful governance reforms at the grassroots level.
For more information, please contact:
Dibya Jyoti Parida at dm-ganjam@nic.in
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