Strengthening Antenatal Care: Block Level Implementation Strengthening Support (BLISS) Model
In Uttarakhand, the coverage and Quality of Antenatal Care (ANC) remained poor over the years. Focus during ANC in public settings (especially at Sub center and outreach level) has been primarily on Tetanus Toxoid Immunization and Iron and Folic Acid Tablets distribution. Other basic components of ANC Services including proper history taking, examination, investigations and counselling have been largely neglected. Essential commodities required for providing ANC services are also not available in adequate quantities.
VRIDDHI State RMNCH+A Unit (SRU) worked closely with the state government to develop a solution titled as Block Level Implementation Strengthening Support (BLISS) Model. The BLISS model aims to improve coverage and quality of ANC services, in a systematic manner, by addressing knowledge and competency gaps among providers, improving supply and logistics to increase the availability of commodities, and encouraging regular monitoring and review of ANC services. The model is being tested in the Laksar Block of Haridwar District in Uttarakhand.