The quality of services is poor due to a lack of discipline, accountability and motivation among the health care givers at all levels. Often even the basic common courtesies are not extended. A telling evidence is the treatment meted out to the women at tubectomy camps, where numbers score over the entitlement of the people. People are not necessarily aware of the facilities that are potentially available for Maternal and Child Health. Corruption is present at many levels.
Money is demanded even when the delivery care is to be free of charge.
Unaccounted charges are collected even from the poorest. Increasing the skills of ANMs in the CNA methodology. Revision of the existing training syllabus to incorporate enhanced technical and communication skills. Sensitisation regarding the importance of the timing, spacing and number of births and exclusive breast feeding for the first 6 months. The role of Dais in safe deliveries should be supported and training enhanced.