Journal of Family Medicine and Primary Care

INVITED ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 12  |  Page : 5837--5845

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


Surabhi Mishra1, Chythra R Rao2, Ajeet Singh Bhadoria3, Raman Kumar4, Pradeep Aggarwal3, Shaili Vyas1, Sudip Bhattacharya1 
1 Department of Community Medicine, Himalayan Institute of Medical Sciences (HIMS), Swami Rama Himalayan University (SRHU), Swami Ram Nagar, Jolly Grant, Dehradun, Uttarakhand, India
2 Department of Community Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India
3 Department of Community and Family Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
4 Academy of Family Physicians of India, New Delhi, India

Correspondence Address:
Dr. Ajeet Singh Bhadoria
Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Rishikesh - 249 203, Uttarakhand
India

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.


How to cite this article:
Mishra S, Rao CR, Bhadoria AS, Kumar R, Aggarwal P, Vyas S, Bhattacharya S. A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme.J Family Med Prim Care 2020;9:5837-5845


How to cite this URL:
Mishra S, Rao CR, Bhadoria AS, Kumar R, Aggarwal P, Vyas S, Bhattacharya S. A step towards real-time implementation of GDM guidelines in India: Review of Gaps in RCH Programme. J Family Med Prim Care [serial online] 2020 [cited 2021 Jan 18 ];9:5837-5845
Available from: https://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=12;spage=5837;epage=5845;aulast=Mishra;type=0