MARKING THE DOUBLE CENTURY BOUNDARY

A case study of Tikari Delivery Point

It was October 2016 when the Tikari Sub Centre was inaugurated marking the first Delivery point
established by Project Samuday. Started with the idea of bridging the gap between accessibility of
quality healthcare and delivery services to the community.

In the initial years of Samuday project, barrier analysis of Kachauna gave a picture of gaps for the
various interventions that could be worked upon. In contrast to the NRHM guidelines there was just
one Delivery point, the CHC, that too overloaded with deliveries and OPDs. As a result, more
number of home deliveries was a common scenario in Kachauna. Hence, establishment of four
delivery points at four different zones as per population distribution along with refurbishment of
CHC was decided.

Establishment of first delivery point at

Tikari Sub Centre was started on
priority. Deliveries at Tikari and
adjacent GPs were challenged with the
railway crossing resulting into
maximum number of home deliveries.
In the year 2016, establishment of
Tikari Sub-Centre as a delivery point
was a milestone towards improved
health indicators like increased ANC
check-ups, institutional delivery and
Immunization services.

An area where home deliveries was

common, it was another biggest Image1: Tikari Sub-Centre established as first Delivery
challenge for HCL Samuday to convince the community for institutional
point delivery. From the very
initial period awareness generation in the community has been detrimental. But the efforts put in
by HCL employed staff nurse, Shabnam, posted at Tikari Delivery point has proved to be the reason
behind an achievement of 199 safe deliveries resulting into safe mother and infant.

Her determination to serve the community challenging every odds of

Achievement of this milestone have been possible because of her extended efforts to capacitate the
the society have been an epitome of conviction. She has conducted
front line workers of her area on every AAA meeting. Not only she trains them individually on their
deliveries at wee hours early in the morning at 5 and even late in the
weaker areas but also support them in conducting focused group discussions and Interpersonal
evening. Timings of delivery point is just a number for her. Her skills
counselling of target groups for better results in improving the requisite health indicators of Tikari
and technical knowledge assisted with her counselling skills and
Sub Centre.
personal rapport with the community and front line workers has
Shabnam says that the initial been a guiding principle towards increased confidence of the families
hurdle
of convincing the community coming
for for deliveries and ANC services at Tikari Sub Centre.
Image2: Shabnam Conducting ANC
institutional delivery has been an
I feel so overwhelmed when
opportunity in disguise. As after the
women come with their kids for
 delivered at Tikari SC . It fills me
with immense happiness and
motivates me to do more

Today Savitri works as a positive deviant and support the FLWs of her
village community helping in motivating and promoting institutional
delivery through Group meetings and Interpersonal communications
with pregnant females in her village resulting into improved health
indicators of Tikari.
Image3: Savitri with her newborn at Tikari SC

The major success behind reaching this milestone of deliveries touching

nearly the double century has been the efforts of a committed Service provider with a confident and
reliable community. It’s all because the community has played a vital role in the referral model of
spreading the message around about the finest services being provided at the Sub centre. In order
to spread the quality services being provided at Tikari Sub Centre, regular activities like Nukkad
Natak, Community meetings through Jagrukta Express, Matritva Utsav wherein ANC checkup and
counselling is done.

Image4: Nukkad Natak for Image5: Community Meeting Image6: Matritva Utsav at
Awareness Generation by Savitri Tikari SC