A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme

Gestational Diabetes Mellitus (GDM) risks the affected mother-child duos not only with respect to adverse perinatal outcomes but also for chronic diseases later in life. Therefore, in 2014, the Government of India (GoI) mandated universal GDM screening for all pregnant women as a part of essential o...

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Main Authors: Surabhi Mishra, Chythra R Rao, Ajeet Singh Bhadoria, Raman Kumar, Pradeep Aggarwal, Shaili Vyas, Sudip Bhattacharya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=12;spage=5837;epage=5845;aulast=Mishra
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author Surabhi Mishra
Chythra R Rao
Ajeet Singh Bhadoria
Raman Kumar
Pradeep Aggarwal
Shaili Vyas
Sudip Bhattacharya
author_facet Surabhi Mishra
Chythra R Rao
Ajeet Singh Bhadoria
Raman Kumar
Pradeep Aggarwal
Shaili Vyas
Sudip Bhattacharya
author_sort Surabhi Mishra
collection DOAJ
description Gestational Diabetes Mellitus (GDM) risks the affected mother-child duos not only with respect to adverse perinatal outcomes but also for chronic diseases later in life. Therefore, in 2014, the Government of India (GoI) mandated universal GDM screening for all pregnant women as a part of essential obstetric care within the Reproductive and Child Health (RCH) programme. Later in 2018, the domain experts from GoI envisaged pan India implementation of GDM screening services within its RCH framework by 2023. As Uttarakhand—a hilly, EAG state of north India—would also be part of this nation-wide drive; prior identification of RCH services coverage in the State assumes paramount importance, as it reflects probable executability of GDM screening services within its delivery platform. Therefore, the present review aims to assess the readiness of Uttarakhand maternal health functionary system in view of GDM national guidelines implementation at both state and district levels. In this regard, freely accessible, full-text GoI documents pertaining to GDM implementation guidelines and maternal health program of India and Uttarakhand available in public domain in English language were reviewed. The present review favors the pilot implementation in district Dehradun prior to implementing in all districts of the state. It may, however, require overall improvement in maternal health programmatic services in all parts of the State for much efficient service delivery. Effective implementation of GDM guidelines requires urgent correction in the background performance of RCH program.
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spelling doaj.art-96d0c9fcc26b488d99913997ddc8c51b2022-12-21T23:23:52ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019125837584510.4103/jfmpc.jfmpc_611_20A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH ProgrammeSurabhi MishraChythra R RaoAjeet Singh BhadoriaRaman KumarPradeep AggarwalShaili VyasSudip BhattacharyaGestational Diabetes Mellitus (GDM) risks the affected mother-child duos not only with respect to adverse perinatal outcomes but also for chronic diseases later in life. Therefore, in 2014, the Government of India (GoI) mandated universal GDM screening for all pregnant women as a part of essential obstetric care within the Reproductive and Child Health (RCH) programme. Later in 2018, the domain experts from GoI envisaged pan India implementation of GDM screening services within its RCH framework by 2023. As Uttarakhand—a hilly, EAG state of north India—would also be part of this nation-wide drive; prior identification of RCH services coverage in the State assumes paramount importance, as it reflects probable executability of GDM screening services within its delivery platform. Therefore, the present review aims to assess the readiness of Uttarakhand maternal health functionary system in view of GDM national guidelines implementation at both state and district levels. In this regard, freely accessible, full-text GoI documents pertaining to GDM implementation guidelines and maternal health program of India and Uttarakhand available in public domain in English language were reviewed. The present review favors the pilot implementation in district Dehradun prior to implementing in all districts of the state. It may, however, require overall improvement in maternal health programmatic services in all parts of the State for much efficient service delivery. Effective implementation of GDM guidelines requires urgent correction in the background performance of RCH program.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=12;spage=5837;epage=5845;aulast=Mishraempowered action group statehyperglycemia in pregnancymaternal healthreproductive and child health programmeuttarakhand
spellingShingle Surabhi Mishra
Chythra R Rao
Ajeet Singh Bhadoria
Raman Kumar
Pradeep Aggarwal
Shaili Vyas
Sudip Bhattacharya
A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
Journal of Family Medicine and Primary Care
empowered action group state
hyperglycemia in pregnancy
maternal health
reproductive and child health programme
uttarakhand
title A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
title_full A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
title_fullStr A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
title_full_unstemmed A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
title_short A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme
title_sort step towards real time implementation of gdm guidelines in india review of gaps in rch programme
topic empowered action group state
hyperglycemia in pregnancy
maternal health
reproductive and child health programme
uttarakhand
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=12;spage=5837;epage=5845;aulast=Mishra
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