Reproductive, Maternal, Newborn and Child Health in India Page 1 of 18 Report of Workshop on “Reproductive, Maternal, Newborn and Child Health in India” Date: 13 th September 2014 Organized by: Rapporteur: Dr. Mugdha Potnis‐Lele, Scientific Advisor and Program Manager – SIIP Email: [email protected]http://www.venturecenter.co.in/campaigns/mch/events.php
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Reproductive, Maternal, Newborn and Child Health in India
Reproductive, Maternal, Newborn and Child Health in India
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RMNCH problems
Pre‐conception stage• Health informatics• Counseling•Nutritional interventions for better health outcomes • Harmful exposures
Post‐conception stage• Nutritional interventions• Harmful exposures• better access to health care services for better reproductive outcomes• good transport and communication facilities
Neonatal stage• Databases for vital statistics to monitor health outcomes• Early diagnosis for treatment and management strategies• Monitoring facilities for neonates• Management care and health support facilites (transfusion, supportive devices, physiotherapy services)• Pharmaceutical services: Drugs and Therapies
Lines of action
Political will Institutional community and family Frameworks
Some possible industries which could be involved in designing impact giving innovations in this area
were suggested:
• Mechanical / Electronics : Devices
• Biotechnology : Diagnostics
• Health Care
• Pharmaceutical
• Nutraceutical
• ICT
• Automobile and road transport
In her session on “Reproductive problems: Reducing mortalities during child‐birth”, Dr. Aparna Shrotri
highlighted the common medical causes related to maternal deaths which included:
• Post‐partum hemorrhage: where response time is as minimum as 2 hours
Reproductive, Maternal, Newborn and Child Health in India
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• Eclampsia: Pre‐eclampsia (hypertension with proteinuria at more than 20 weeks) with fits: is a major
cause of death
• Obstructed labour: leading to uterine rupture
• Post‐partum sepsis: due to aseptic precautions and anaemia
• Unsafe abortion: mainly due to teenage pregnancy problems
• Anaemia: cause of 20% deaths in pregnant women, were they die undelivered due to cardiac arrest
• Malaria during pregnancy
• Cardiac disease in pregnancy
• Hepatitis infections in pregnancy: especially non‐A, non‐B types
What are the underlying causes and possible solutions?
Underlying causes of maternal mortality Possible solutions
Reproductive factors: Maternal Age more than 35 & less than 18 years,
parity > 5, unwanted Pregnancy leading to Unsafe Abortion, Inter‐pregnancy
Interval < 2 Years
Availability of family
planning and safe
abortion services
Social factors: Low socio‐economic status of women, lack of education, poor
nutrition, delivery in absence of skilled birth attendant
Facilitating social change
Health Service Related Factors: Deficient Medical Treatment of
Complications, Mistaken or Inadequate Action by Medical Personnel, Lack of
Essential Supplies like Blood, Drugs, Equipment, Lack of Trained Personnel
Improving quality of
services
She highlighted 3 delays where intervention could be targeted:
Delays Targets for interventions
Delay in deciding to seek care Ability to Recognize Life Threatening Complications, woman’s status in
the family, husband’s awareness and presence, distance to &
Knowledge About Health Facility
Delay in reaching treatment
facility
Roads, Transportation, Cost of transport & Care
Delay in receiving adequate
treatment at the facility
Non‐availability of Trained & Dedicated Staff, Drugs & Supplies, Blood
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Some examples which have worked focused on:
• Institutionalized deliveries attended by Skilled/trained birth attendants
• Improving access to Institutional health services
• Availability of affordable and accessible Emergency Obstetric Care (EmOC)
• Availability of Family Planning and safe abortion services
• Female literacy and Women Empowerment
Some suggested interventions were:
• Diagnostic innovations: like anaemia detection & correction.
1645‐1700 Closing comments and closure of the event and Tea
Speakers and Panelists (in alphabetical order of last names)
SHARAD AGARKHEDKAR
Sharad Agarkhedkar is MD in Pediatrics and currently Professor and Head of Department of Pediatrics at Padmashree Dr. D. Y. Patil Medical College, Hospital & Research Centre. He has few national and international publications to his credit and is involved in mentoring post-graduate students in research and academic activities.
PRADNYA ARADHYE
Pradnya Aradhye is currently Associate, Bioincubator, Venture Center. She has done her M.Tech in Biological Sciences and Bioengineering from IIT Kanpur. Currently she is handling all BioIncubator activites at Venture Center. She is responsible for creating a pipeline of potential and signing-up incubates for the Bioincubator. Contribute to building scientific support systems and resources for VC incubates including specific expertise. Discussions with scientists to understand their competencies.
SONIA GANDHI
Sonia Gandhi is currently assisting the Investment group of BIRAC, New Delhi as Project Manager and is responsible for proper functioning of the grants management system, ensuring compliance to regulations, evaluation and management of projects as per guidelines. Previous to this she worked with BIRAP as Program Manager for Healthcare with responsibility of Techno-commercial guidance and support for projects in identified areas of Healthcare Industry. Prior to this, she was in Quality Management Systems of Reliance Life Sciences and is involved in ensuring the compliance of various processes of the product development to applicable regulatory guidelines. She is double Masters in Biotechnology and Quality Management and also a Certified Quality Management Professional from Birla Institute of Technology and Science and Reliance Institute of Life Sciences. She also visited the EMA, MHRA, HTA and NICE offices at UK to understand the regulatory scenario impacting Medical Devices, Clinical Trials, Vaccines and Stem Cells development.
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ANJELINE JEYAKUMAR
Anjeline Jeyakumar has done her M.Sc. In Nutrition and Dietetics and M.Phil in Foods and Nutrition. Her doctoral work focuses on Iron deficiency among adolescent girls. She has been the coordinator of the Masters' programme in dietetics at the School of Health Sciences, University of Pune. She is also coordinating the UGC funded e-pathshala project for Public health nutrition. She is a visiting faculty at SNDT Women’s University.
ANUJA JAYARAMAN
Dr Anuja completed a PhD in Agricultural, Environmental and Regional Economics and Demography from the Pennsylvania State University, USA and has over 10 years of rich and varied international experience in the field of development. She has expertise in monitoring and evaluation of health programs. Her research focuses on areas of non - income dimensions of well - being including health (maternal and child health, HIV / AIDS), housing and education in the context of South Asia and Africa.
PRASAD KULKARNI
Prasad Kulkarni is MD in Clinical Pharmacology and is currently Medical Director at Serum Institute of India Ltd., Pune. He has been involved in many clinical trials on vaccines like BCG, Measles, Rubella, Hepatitis B, Hib, H1N1, Influenza to name a few and various therapeutic products. He has several national and International publications to his credit. He has also been an advisor to WHO. He is a visiting faculty at various research and academic institutes in the country and has been a part of Institutional Ethics Committees. He is also associated with some journals in the capacity of editorial board member and referee.
MUGDHA LELE
Dr Mugdha Lele is a Scientific Advisor at Venture Center, NCL Innovation Park, Pune. She was previously an Assistant Professor in Dept of Genetics, Immunology and Biochemistry at Maharashtra University of Health Sciences. Her research work is related to epidemiological profiling and development of molecular diagnostics for Genetic disorders. She has a few national and international publications to her credit.
APARNA SHROTRI
Aparna Shrotri has been a Professor at Dept of Obstetrics & Gynecology, B. J. Medical College, Pune. She is currently visiting faculty at Maharashtra University of Health Sciences. She is Member and Chairperson of Institutional Ethics committees of various medical and research institutions. She has several national and international publications to her credit. She is also master trainer for training programs in reproductive health for Govt of Maharashtra.
PREMNATH VENUGOPALAN
Dr. V. Premnath Founding Director – Venture Center and Head, NCL Innovations.He holds a B.Tech. from the Indian Institute of Technology - Bombay and a Ph.D. from the Massachusetts Institute of Technology, USA. He has also been a Chevening Technology Enterprise Fellow with the Centre for Scientific Enterprises, London Business School and Cambridge University, UK. He brings with him considerable experience in technology development and commercialization, working with start-up companies (in Cambridge-UK and India) and engaging with large corporations on research and consulting projects as project leader.
Reproductive, Maternal, Newborn and Child Health in India