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HRH Crisis - Coggle Diagram
HRH Crisis
Anesthetist Coverage Gap
Hazaribagh SDH: No 24/7 anesthetist coverage
CHC Deoghar: No 24/7 anesthetist coverage
Issue: Critical gaps during night shifts
Unavailablilty of 24*7 coverage
Pediatrician Vacancy
CHC Deoghar: Position vacant, no pediatrician on staff
Gap: Neonatal emergency management not available
Nurse Midwife Gaps
Sadar Hospital Deoghar: No posted nurse midwives (GNMs)
Consequence: Maternity care without proper nursing support
Specialist Doctors
Gynecologist Shortage
CHC Palamu: No dedicated gynecologist
CHC Mahegaon Godda: No dedicated gynecologist
SDH Madhupur Deoghar: No dedicated gynecologist
Impact: Maternal health service delivery severely constrained
Result: Excessive referrals to higher-level facilities
Consequence: Unsustainable burden on district hospitals
Nursing and Support Staff
Shared Nursing Personnel
Hazaribagh: Nursing staff shared across Labor, Maternity, NBSU
Other facilities: Complete lack of dedicated nurses
Skilled Birth Attendance Training
Status: Many ANMs lack SBA certification
Salary delays and lack of motivation