PrimoPDF, Job 2 - PRC

15each respondent and consent form is generally signed either by the spouse of the respondentor any other responsible family member or relative accompanying the acceptor. Theacceptor is well informed about the procedure of sterilisation. So far as the issue ofsterilisation certificates is concerned, the hospital does not spontaneously issue sterilizationcertificates to all the acceptors. Sterilization certificates are issued by the medicalsuperintendent of the hospital on request, which normally takes three days. The hospitalmaintains the information about the acceptors on both case cards as well as on registers. Thesurvey team examined these case cards and found that these case cards do not record thedetailed address of the acceptors. Information regarding education of the couple and someother information about the husband is not being recorded on the case cards. None of theofficial either from state health department or from the Regional Director’s office has evervisited the institution to check these records.Though the hospital was registered to perform sterilizations under the SterilizationBed Scheme long back, but due to the disturbed conditions the hospital was closed in 1989and has reopened in 1996. Consequently, no maintenance grant under the scheme wasreleased to hospital during these years. However, after reopening, the hospital restartedperforming sterilizations and approached the State Government for the release ofmaintenance grant under Sterilization Bed Scheme, but authorities took a lot of time inreleasing the maintenance grant. During the last four years, the hospital has received onlyone instalment of maintenance grant in April 2001.All the 12 beds sanctioned under the scheme were physically existent in thehospital. The services of the sterilization beds in the hospital are under-utilized as theoccupancy rate per bed is very low. A sterilization bed on an average remains occupied for120-125 days a year or in other words the number of sterilizations performed per bed is 30per annum. The average time a bed remained occupied per tubectomy operation performedduring 2000-2001 is four days.