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No roads! Tribal women have less access to hospital delivery in Kotra 

Udaipur : Despite incentives, institutional setups, ambulances and a band of health workers, deliveries are no less nightmares for pregnant women in Kotra block of Udaipur district. Seeta wo Kanti Kapasiya, resident of Amba village delivered a still born baby on roadside two days back while she was being taken on a cycle to the nearest health center. Ironically, from her house, the hospital could be seen and her husband chose the 3 km long kutcha road to transport her, over the 104 service availble in the area, as the ambulance took 9 km to reach.

Consequence was fatal as the woman suffered extreme labour pain and delivered a still born baby onthe roadside. Similar is the story of Indira wo Mukesh Pargi, resident of Amba village who was carried, earlier last week, in a sling almost midway until the family members spotted a jeep to transport her.However, the woman delivered inside the vehicle itself, luckily both the mother and child survived. Such stories are often reported from the area which has ample health and medical facilities and infrastructural support, however, lack of awareness, slow mobilisation and no roads have made life miserable for people here.

The population resides in scattered settlements in remote and hilly locations where transport facilities are not available and nearest primary health centres are several kilometres away. As per the records, there are 5 Primary Health Centers (PHCs), 3 Community Health Centers(CHCs), 53 subcenters and 236 Aanganbadis functional in the block. Every center has a medical officerwhile there are 46 ANMs working in these centers. There are 6 ambulances including two 108 services for the area.

“Infrastructre is quite well enough as we have buildings and proper care facilities,however, there are no roads and so it takes several kilometers for ambulances to carry the patient. And therefore people do not call the 104 or 108 for transport and themselves carry the patients in a sling, bicycle, cot or whatever they can think of through short cuts which are kutcha roads” an AASHA worker informed. ” Lack of awareness among the locals  pose a major problem often. Seeta Kapasiya who delivered the still born child, was brought to the CHC however, her family took her  away the same day from the hospital without being officially discharged. We have given a  notice to the medical officer concerned” Dr Ashok Aditya, the district reproductive and child health officer informed, who  held an enquiry in the case. ” We are highly concerned to increase instutionalized deliveries in remote areas and so filling up the vacant AASHA posts so that the mobilisation task may gear up” the officer said.

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