Low Birth Weight, Maternal Nutrition and Antenatal Care in Rural Jharkhand: Findings from Ranchi Low

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Low Birth Weight, Maternal Nutrition and
Antenatal Care in Rural JharkhandFindings from
Ranchi Low Birth Weight Project

• Dr. Subrato K. Mondal
• Ronita Chattopadhyay
• Ranchi, 9th October 2006

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Project Partners Krishi Gram Vikas Kendra Child
In Need Institute Social Initiatives Group, ICICI
Bank In collaboration with Department of
Health, Medical Education and Family Welfare,
GoJ Department of Social Welfare, GoJ
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Reducing the Incidence of Low Birth Weight using
a Community based Life Cycle Strategy

• Aims to impact key maternal and child health
  indicators
• Focus on community mobilisation processes and
  enhancing linkages between the communities and
  the health systems
• Action research Seeking to understand and
  capture the processes of change (at the community
  and systemic level)

Research Objective To evaluate the impact of a
community level Life Cycle based intervention
along with the improvement of primary health care
delivery system on maternal and child health
outcomes.
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Study Design
4 Blocks in Ranchi District
Intervention Blocks
Comparison Blocks (No intervention)
Angara Silli
Sonahatu Mandar
No intervention in 50 SC areas
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Methodology
72 SCs from four blocks
195 villages
Ist stage
2nd stage

• Survey Instruments
• Married Woman Questionnaire
• ANC Questionnaire
• Village Schedule
• Youth Questionnaire
• ANM and AWW Questionnaire
• TBA Questionnaire

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Study area
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Birth Weight
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Details of ANC cohort followed
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Birth Weight Distribution
Proportion of LBW babies 41.7 Mean birth
weight 2516.3 gm, S.D. 383.5
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Place and assistance during delivery
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Birth Weight Some more findings
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Maternal Care
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(No Transcript)
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Tetanus Toxoid Immunisation and IFA consumption
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Received at least 3 Antenatal Check ups
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Maternal Diet and Workload
Food pattern during pregnancy
Women performing heavy/risky work during pregnancy
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Womens decision making
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Womens autonomy and dietary practices
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Poverty and health behaviour
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Reasons for accessing health care public and
private