Table 2

Process of antenatal care (ANC) services as observed in the study facilities

Steps suggested in the PMSMA guidelinesSteps followed at the sampled facilities
StepDetailGaya district
CHC 1
Gaya district
CHC 2
Gaya district
SDH
Supaul district
CHC 1
Supaul district
CHC 2
Supaul district
SDH
1RegistrationRegistrationRegistrationRegistrationRegistrationRegistrationRegistration
2ANC OPD by ANM/nurseDoctor’s consultationDoctor’s consultationDoctor’s consultationReceipt of medicinesLaboratory investigationsANC OPD by ANM/nurse
3Laboratory investigationsLaboratory investigationsLaboratory investigationsLaboratory investigationsLaboratory investigationsCollection of laboratory reportsDoctor’s consultation
4Collection of laboratory reportsCollection of laboratory reportsCollection of laboratory reportsCollection of laboratory reportsCollection of laboratory reportsANC OPD by ANM/nurseLaboratory investigations
5Doctor’s consultationANC OPD by ANM/nurseANC OPD by ANM/nurseANC OPD by ANM/nurseDoctor’s consultationDoctor’s consultationCollection of laboratory reports
6CounsellingReceipt of medicinesReceipt of medicinesReceipt of medicinesANC OPD by ANM/nurseReceipt of medicinesCounselling
7Receipt of medicinesCounsellingReceipt of medicines
8Feedback and grievance redressalFeedback and grievance redressalFeedback and grievance redressal
  • ANM, Auxiliary Nurse and Midwife; CHC, community health centre; OPD, outpatient department; PMSMA, Pradhan Mantri Surakshit Matritva Abhiyan; SDH, subdistrict hospital.