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Dear All,

Monday, i.e. the 11th of April was the National Safe Motherhood Day. Apart from

the obvious national significance, and the importance in every doctor's life,

esp. Ob-Gyn nad Public Health specialists, this year the day assumed great

importance for me profesionally.

As I'd written before, I am working as a Consultant to the Ministry of Health,

the Maternal Health Divison. One of my " deliverables " (excuse the job lingo) was

a technical protocol titled " Guidelines for Ante-natal Care and Skilled

attendance at birth by ANMs and LHVs " . This " book " was officially released at

the hands of the Secretary Health and family Welfare on Monday. As the " chief

author " you can imagine my pride on seeing my book released with the GoI cover

and under the GoI banner and at the hands of an Impt person in the " system " .

Incidentally, these guidelines are a landmark of sorts, as they bring to the

nursing cadre certain permisiions for things that they were not allowed to do

earlier (officially). For e.g. believe it or not, till now the nurse was not

allowed to give an IV (Inj. or fluids)!!! But here the group at the Ministry

(with me as the youngest member) went back to the Drug Controller of India to

seek modifications in the rules, and got approval. Other approvals include the

use of oral Misoprostol ( a uterotonic drug, sometimes used for Medical

abortion) routinely after each delivery for the prevention of PPH etc.(Any

comments Kishoreda, as a Gyneacologist?)

To be part of such " historic changes " feels good. And of course the professional

appreciation and recognition is a much welcome " fallout " of this endevour. Very

soon similar guidelines will be released for the Medical officers (MBBS) too. Of

course, I am the one writing it again!

But before I take all the credit, i must say that there have been people here in

the Ministry and with the UN agencies (incl WHO) who have gone out of their way

to help me, and give me technical inputs wherever required. I am a public Health

person, so you can imagine what i went thru while writing an Obst. Book!! But

there were Numerous Gynaecs more than willing to help out!

We often blame the govt. fot " sitting idle " . Now that I'm here i can say that

they work. But they too are the victims of red-tapism. They fight it the best

they can. But a serious and sincere officer with a good team can achieve a lot.

Anchita (93) 

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