Document Type : Original Article


1 Department of Community and Family Medicine, All India Institute of Medical Sciences, Bathinda, Punjab, India

2 Civil Hospital (Sector 45), Chandigarh Administration, Chandigarh, India

3 Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India


BACKGROUND: To ascertain the effectiveness of a collaborative model between the Department
of Community Medicine and state health department to improve MCH outcomes among the urban
poor in Chandigarh.
MATERIALS AND METHODS: A quasi‑experimental study was conducted from 2011–12 to 2015–16
in the intervention and control areas. A collaboration was established between the state health
department and the Department of Community Medicine of an autonomous institute. The intervention
and control areas were mainly inhabited by the poor migrant population. Critical elements of an efficient
collaboration such as the early engagement of partners, clearly stated purpose with common goals,
effective communication, and no financial conflict were implemented in the intervention area. MCH
program’s implementation was strengthened through supportive supervision, enhanced community
engagement, male partner involvement, tracking of high‑risk pregnant women, and identification of
problem families. Trend analysis of MCH indicators was done. The difference‑in‑difference (DID)
analysis was done to measure the net effect of the intervention.
RESULTS: All the MCH indicators improved significantly in the intervention area compared to the
control area (P < 0.05). DID analysis depicted a net increase in the early registration of pregnancies
by 18%, tetanus toxoid immunization by 9.2%, and fully immunized children by 8.6%. There was also
an improvement in the maternal mortality ratio by 121.1 points, infant mortality rate by 2.2 points,
and neonatal mortality rate by 2.6 points in the intervention area.
CONCLUSION: An innovative, collaborative model between the state health department and the
Department of Community Medicine effectively improved the MCH outcomes in Chandigarh.


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